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Sample records for balloon enteroscopy-assisted ercp

  1. ERCP in acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    Jijo V Cherian; Joye Varghese Selvaraj; Rajesh Natrayan; Jayanthi Venkataraman

    2007-01-01

    BACKGROUND:The role of endoscopic retrograde cholangiopancreatography (ERCP) in the management of acute pancreatitis has evolved over years since its introduction in 1968. Its importance in diagnosing the etiology of pancreatitis has steadily declined with the advent of less invasive diagnostic tools. The therapeutic implications of ERCP in acute pancreatitis are many fold and are directed towards management of known etiological factors or its related complications. This article highlights the current status of ERCP in acute pancreatitis. DATA SOURCES:An English literature search using PubMed database was conducted on ERCP in acute pancreatitis, the etiologies and complications of pancreatitis amenable to endotherapy and other related subjects, which were reviewed. RESULTS: ERCP serves as a primary therapeutic modality for management of biliary pancreatitis in speciifc situations, pancreatitis due to microlithiasis, speciifc types of sphincter of Oddi dysfunction, pancreas divisum, ascariasis and malignancy. In recurrent acute pancreatitis and smoldering pancreatitis it has a deifnite therapeutic utility. Complications of acute pancreatitis including pancreatic-duct disruptions or leaks, benign pancreatic-lfuid collections and pancreatic necrosis can be beneifcially dealt with. Intraductal ultrasound and pancreatoscopy during ERCP are useful in detecting pancreatic malignancy. CONCLUSIONS:The role of ERCP in acute pancreatitis is predominantly therapeutic and occasionally diagnostic. Its role in the management continues to evolve and advanced invasive procedures should be undertaken only in centers dedicated to pancreatic care.

  2. ERCP Related Sepsis

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    Iffet Palabıyıkoglu

    2005-01-01

    Full Text Available Endoscopic procedures performed worldwide have increased considerably in recent years. In addition to diagnosis, many cases previously necessitating surgery now often can be carried out by endoscopic techniques. However, endoscopy has introduced its own infection risk. Most reports of gastrointestinal endoscopy-associated infection describe sepsis after endoscopic retrograde cholangiopancreatography (ERCP in patients with biliary tract obstruction. During this study, which was conducted by Infection Control Committee of Ankara University Hospital, 13 out of 1147 (1.1% and 17 out of 922 patients (1.8% had ERCP related sepsis in 2002 and 2003 respectively, at the ERCP Unit of Gastroenterology Department. Sepsis-caused mortality were 23.1 and 29.4% in 2002 and 2003 respectively. The first four causative agents were Escherichia coli, Pseudomonas spp, Klebsiella spp and Enterobacter spp. Type and frequency of the causative agents remind that both endogenous and exogenous mechanisms are together responsible for the infections emerging from ERCP Unit. Besides, increasing isolation of Pseudomonas spp. brings out the strong need for re-evaluation of infection control measures, mainly effective cleansing and disinfection of endoscopes.

  3. Novel Developments in ERCP and EUS

    NARCIS (Netherlands)

    J.-W. Poley (Jan-Werner)

    2013-01-01

    textabstractThis thesis focuses on the diagnostic and therapeutic role of endoscopic retrograde cholangiopancreaticography (ERCP) and endoscopic ultrasonography (EUS) in benign and malignant pancreaticobiliary disease. Since the first practical applications of ERCP and EUS were developed in the firs

  4. Musculoskeletal Injuries among ERCP Endoscopists in Canada

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    Sinead O’Sullivan

    2002-01-01

    Full Text Available BACKGROUND: There are few reports in the literature describing musculoskeletal complaints among endoscopists, and none are specific to those who perform endoscopic retrograde cholangiopancreatography (ERCP.

  5. Complications of ERCP: a prospective study

    DEFF Research Database (Denmark)

    Christensen, Merete; Matzen, Peter; Schulze, Svend;

    2004-01-01

    BACKGROUND: Studies of ERCP-related morbidity seldom include a sufficient patient follow-up. The aim of this study was to characterize and to evaluate the frequency of complications, cardiopulmonary untoward events in particular. METHODS: All patients undergoing ERCP during a 2-year period were...... included in this prospective study. Complications were assessed at the time of ERCP and by postal/telephone contact at 30-days after the procedure. RESULTS: A total of 1177 ERCPs were included in the analysis, of which 56.2% were therapeutic. The 30-day complication rate was 15.9%; the procedure...... occurred in relation to 5% of the ERCP procedures (3 deaths). Cardiorespiratory complications occurred in 2.3% (2 deaths). Dilated bile duct ( p = 0.0001), placement of stent ( p = 0.001), and use of more than 40 mg of hyoscine-N-butyl bromide ( p complications by multivariate...

  6. Prophylaxis of post-ERCP pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - updated June 2014.

    Science.gov (United States)

    Dumonceau, Jean-Marc; Andriulli, Angelo; Elmunzer, B Joseph; Mariani, Alberto; Meister, Tobias; Deviere, Jacques; Marek, Tomasz; Baron, Todd H; Hassan, Cesare; Testoni, Pier A; Kapral, Christine

    2014-09-01

    This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It addresses the prophylaxis of post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis. Main recommendations 1 ESGE recommends routine rectal administration of 100 mg of diclofenac or indomethacin immediately before or after ERCP in all patients without contraindication. In addition to this, in the case of high risk for post-ERCP pancreatitis (PEP), the placement of a 5-Fr prophylactic pancreatic stent should be strongly considered. Sublingually administered glyceryl trinitrate or 250 µg somatostatin given in bolus injection might be considered as an option in high risk cases if nonsteroidal anti-inflammatory drugs (NSAIDs) are contraindicated and if prophylactic pancreatic stenting is not possible or successful. 2 ESGE recommends keeping the number of cannulation attempts as low as possible. 3 ESGE suggests restricting the use of a pancreatic guidewire as a backup technique for biliary cannulation to cases with repeated inadvertent cannulation of the pancreatic duct; if this method is used, deep biliary cannulation should be attempted using a guidewire rather than the contrast-assisted method and a prophylactic pancreatic stent should be placed. 4 ESGE suggests that needle-knife fistulotomy should be the preferred precut technique in patients with a bile duct dilated down to the papilla. Conventional precut and transpancreatic sphincterotomy present similar success and complication rates; if conventional precut is selected and pancreatic cannulation is easily obtained, ESGE suggests attempting to place a small-diameter (3-Fr or 5-Fr) pancreatic stent to guide the cut and leaving the pancreatic stent in place at the end of ERCP for a minimum of 12 - 24 hours. 4 ESGE does not recommend endoscopic papillary balloon dilation as an alternative to sphincterotomy in routine ERCP, but it may be advantageous in selected patients; if this

  7. Complications of ERCP: a prospective study

    DEFF Research Database (Denmark)

    Christensen, Merete; Matzen, Peter; Schulze, Svend

    2004-01-01

    -related mortality rate was 1.0%. Post-ERCP pancreatitis occurred in 3.8% of patients (3 deaths). Hemorrhage or perforation occurred with 0.9% and 1.1%, respectively, of the procedures (3 deaths). One perforation that resulted in the death of the patient occurred after placement of an endoprosthesis. Cholangitis...

  8. Early Management Experience of Perforation after ERCP

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    Guohua Li

    2012-01-01

    Full Text Available Background and Aim. Perforation after endoscopic retrograde cholangiopancreatography (ERCP is a rare complication, but it is associated with significant mortality. This study evaluated the early management experience of these perforations. Patients and Methods. Between November 2003 and December 2011, a total of 8504 ERCPs were performed at our regional endoscopy center. Sixteen perforations (0.45% were identified and retrospectively reviewed. Results. Nine of these 16 patients with perforations were periampullary, 3 duodenal, 1 gastric fundus, and 3 patients had a perforation of an afferent limb of a Billroth II anastomosis. All patients with perforations were recognized during ERCP by X-ray and managed immediately. One patient with duodenal perforation and three patients with afferent limb perforation received surgery, others received medical conservative treatment which included suturing lesion, endoscopic nasobiliary drainage (ENBD, endoscopic retrograde pancreatic duct drainage (ERPD, gastrointestinal decompression, fasting, broad-spectrum antibiotics, and so on. All patients with perforation recovered successfully. Conclusions. We found that: (1 the diagnosis of perforation during ERCP may be easy, but you must pay attention to it. (2 Most retroperitoneal perforations can recover with only medical conservative treatment in early phase. (3 Most peritoneal perforations need surgery unless you can close the lesion up under endoscopy in early phase.

  9. Pumpkin Balloon

    OpenAIRE

    Nishimura, Jun; 西村, 純

    1992-01-01

    The Pumpkin shaped balloons, which are the extreme case of the heart-type balloons had been studied as one of the promising candidate of the super pressure balloons. Here, detailed studies for the features of the pumpkin balloons are described, particularly by comparing with those of the spherical shaped super pressure balloons.

  10. Endoscopic retrograde cholangiopancreatography (ERCP)-related adverse events: post-ERCP pancreatitis.

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    Rustagi, Tarun; Jamidar, Priya A

    2015-01-01

    Post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP), and not uncommonly is the reason behind ERCP-related lawsuits. Patients at high risk for PEP include young women with abdominal pain, normal liver tests, and unremarkable imaging. Procedure-related factors include traumatic and persistent cannulation attempts, multiple injections of the pancreatic duct, pancreatic sphincterotomy, and, possibly, use of precut sphincterotomy. Aggressive hydration, use of rectal indomethacin, and prophylactic pancreatic stenting can diminish the risk (and likely severity) of PEP. Though hugely beneficial, these measures do not supersede careful patient selection and technique.

  11. Perfect or Failed ERCP: What Makes the Difference?

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    Julius Spicak

    2015-12-01

    Full Text Available Endoscopic retrograde cholangiopancreatography (ERCP has become an effective and safe therapeutic method, providing clinical success in more than 80% of cases. As ERCP has evolved from a diagnostic to a therapeutic procedure, technical demands have risen. Furthermore, it is an invasive procedure that can be potentially harmful when administered improperly. Quality of ERCP and procedural outcome are dependent on various factors that are related to the patient, procedure, and endoscopist. These factors are reviewed in detail and their contribution to ERCP quality is presented and discussed. Preventive therapies through procedural techniques and medical management to avoid complications are available. Proper and organised training and ERCP outcome reporting are essential for further quality improvement.

  12. Antiproteases in Preventing Post-ERCP Acute Pancreatitis

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    Takeshi Tsujino

    2007-07-01

    Full Text Available Pancreatitis remains the most common and potentially fatal complication following ERCP. Various pharmacological agents have been used in an attempt to prevent post-ERCP pancreatitis, but most randomized controlled trials have failed to demonstrate their efficacy. Antiproteases, which have been clinically used to manage acute pancreatitis, would theoretically reduce pancreatic injury after ERCP because activation of proteolytic enzymes is considered to play an important role in the pathogenesis of post-ERCP pancreatitis. Gabexate and ulinastatin have recently been evaluated regarding their efficacy in preventing post-ERCP pancreatitis. Long-term (12 hours infusion of gabexate significantly decreased the incidence of post-ERCP pancreatitis; however, no prophylactic effect was observed for shortterm infusion (2.5 and 6.5 hours. These results may be due to the short-life of gabexate (55 seconds. Since long-term infusion requires additional hospitalization, the use of gabexate in all patients at average risk of developing post-ERCP pancreatitis is an expensive strategy. Ulinastatin has a halflife of 35 minutes and can be given as a bolus infusion. Short-term (10 minutes administration of ulinastatin showed a significant reduction in the incidence of post- ERCP pancreatitis in one randomized controlled trial. Ulinastatin is superior to gabexate in terms of cost because it does not require additional hospitalization. At present, there is no other randomized, placebocontrolled trial on ulinastatin under way. Large scale randomized controlled trials revealed that both the long-term infusion of gabexate and the short-term administration of ulinastatin may reduce pancreatic injury, but these studies involve patients at average risk of developing post-ERCP pancreatitis. Additional research is needed to confirm the preventive efficacy of these antiproteases in patients at a high risk of developing post- ERCP pancreatitis.

  13. ERCP during pregnancy CPRE durante el embarazo

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    Jesús García-Cano

    2012-02-01

    Full Text Available Background and aims: ERCP during pregnancy is always challenging for the entire team performing the endoscopic intervention. In this study techniques and different interventional aspects used at several centres about the clinical experience on ERCP in pregnant women are analyzed. Patients and methods: the practice on ERCP in pregnant women in six centers during a period of ten years is reported. Results: eleven patients were included in the study. Mean age was 30.6 years. Indication for ERCP was always symptomatic common bile duct stone (CBDS disease. Before the procedure abdominal ultrasound was performed at all times and magnetic resonance cholangiopancreatography in four occasions. Conscious sedation by means of midazolam and fentanyl or meperidine was applied. Sphincterotomes and guidewires were used for bilary cannulation. Sometimes, rapid exchange platforms with short-length guidewires controlled by the same endoscopist were employed. Biliary cannulation was confirmed in 9 occasions by bile aspiration. In five procedures, a mean of 30 seconds of fluoroscopy was used, both to verify cannulation and to corroborate complete CBDS clearance. These patients had the pelvic zone protected with a lead shield and radiation dose was measured. Ten biliary sphincterotomies were performed followed by CBDS extraction. Two plastic stents were inserted. Relief of biliary obstruction was attained in all circumstances. Only one patient had hyperamylasemia after ERCP. All pregnant women had healthy foetuses with normal deliveries. Conclusions: with experience, ERCP appears to be a safe technique during pregnancy. With simple measures fluoroscopic time can be diminished or even abolished. It seems that ERCP during pregnancy is underused in our working areas, although it has shown to be a useful technique for relieving biliary obstruction.Antecedentes y objetivos: la CPRE realizada durante el embarazo constituye siempre un reto para todo el equipo que participa

  14. Complications of ERCP: ethical obligations and legal consequences.

    Science.gov (United States)

    Rácz, István; Rejchrt, Stanislav; Hassan, Majid

    2008-01-01

    Endoscopic retrograde cholangiopancreatography (ERCP) is a skill and technique demanding high-risk procedure with an overall complication rate of about 5-10%. Pancreatitis remains the most common complication of ERCP, however, bleeding after sphincterotomies, infections and cardiopulmonary complications as well as perforations may also occur. Patient- and procedure-related risk factors of ERCP complications are mainly predictable so that ERCP often can be avoided and substituted for alternative imaging techniques, especially in high-risk patients. Written consent should be obtained for any ERCP to provide documentary evidence that explanation of the proposed procedure and endoscopic treatment was given and that consent was sought and obtained. The investigating doctor remains responsible for ensuring sufficient time for the patient's questions and to make informed decision before the start of any procedure. The most common legal consequence of an ERCP complication is a civil negligence claim for compensation, however, a clinician may in rare cases be faced with criminal proceedings where there is evidence of gross negligence. Analysis of claims against gastroenterologists suggests the conclusion that ERCP should be done for good indications, by trained endoscopists with standard techniques, with good, documented, patient-informed consent and communication before and after the procedure.

  15. Intradiverticular Ampulla of Vater: Personal Experience at ERCP

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    Girolamo Geraci

    2013-01-01

    Full Text Available Introduction. Conflicting results have been reported about the true impact of intradiverticula ampulla (IA on the technical success and complication rate of endoscopic retrograde cholangiopancreatography (ERCP. Patients. A total of 500 patients who underwent ERCP were divided into two groups according to the presence (group A, 81 patients or absence (group B, 419 patients of IA. Success rate, difficulty at cannulation, findings at ERCP, and procedure-related complications were retrospectively reviewed. Results. Successful cannulation was achieved in 100% of group A patients compared to 98% of group B patients (P = ns. There was a significant difference in the type of cannulation that was routinary in group B (, while requiring guidewire in group A (. Cholangitis (, microstones (, dilated common bile duct without stones (, stone recurrence (, and transient postprocedure hyperamylasemia ( were more frequently observed in group A. There was no significant difference in complication rate between both groups. Conclusions. The finding of an IA at ERCP should not be considered a predictor for failed cannulation. IA is associated with post-ERCP transient hyperamylasemia and is a risk factor for biliary stone disease and its recurrence.

  16. Diagnosis of pancreatic carcinoma by ERCP(analysis of 119 cases).

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    The ERCP findings of 119 patients with pancreatic carcinoma were analysed in detail. Based on ERCP findings,the authors suggested a new clasification for pancreatic carcinoma including 6 types: (1)main pancreatic duct obstruction; (2)main panreatic duct steno

  17. [Caroli's disease. Presentation of 8 cases studied with ERCP].

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    Vázquez-Iglesias, J L; García-Reinoso, C; Arnal, F; Valbuena, L; Yáñez, J; Durana, J; Suárez, F; Alonso, P

    1991-07-01

    Eight patients with Caroli's Disease are presented, studied by Endoscopic Retrograde Cholangiopancreatography (ERCP) from January 1976 through January 1990. In this period of time 1,525 procedures were carried out, this entity thus representing 0.52% of patients submitted to ERCP in our population. Six patients were females, being female: male ratio 3:1. Mean age was 52 years (range: 40-75). All patients presented a clinical history of recurring episodes of abdominal pain and/or crisis of cholangitis. In the ERCP carried out in these eight patients, cystic dilatation of intrahepatic left lobe bile ducts were confirmed in five patients, dilatation generalized to both lobes in two, and affecting exclusively the right lobe in one patient.

  18. Unresolved Issues about Post-ERCP Pancreatitis: An Overview

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    Testoni PA

    2002-11-01

    Full Text Available Pancreatitis represents the most common and feared complication after endoscopic retrograde cholangio-pancreatography. Since the introduction of ERCP into clinical practice, many attempts have been made to identify the mechanisms and conditions that can place patients at risk of developing post-procedure pancreatitis, with conflicting and in most cases unsatisfactory results. The following questions about post-ERCP pancreatitis still remain unanswered: the knowledge of the mechanisms involved in the onset of pancreatitis, procedural factors that can induce pancreatic damage, patient conditions that can increase the risk of developing pancreatitis in the post-procedure period, criteria for predicting the occurrence of pancreatitis, and possible methods of preventing the complication. Moreover, the criteria used to define post-ERCP pancreatitis differ in various studies and, consequently, there is a wide variation in the literature of the incidence of this complication and it is still not clear what its real incidence is. In the last six years, a significant advance in knowledge has been achieved in most of the above-mentioned fields. Four large prospective multicentre trials seemed to definitely identify patient- and technique-related risk factors that can place patients at risk of developing post-ERCP pancreatitis; clinical conditions, procedure- and patient-related factors, and laboratory tests able to predict the occurrence of post-ERCP pancreatitis in the early phase have been identified. An attempt to identify criteria for defining post-ERCP pancreatitis has also been carried out, although these proposed criteria have not been widely adopted by all Authors.

  19. Pneumothorax following ERCP: Report of Two Cases with Different Pathophysiology

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    Kyriakos Neofytou

    2013-01-01

    Full Text Available In the last thirty years, the widespread use of endoscopic retrograde cholangiopancreatography (ERCP has radically changed the management of patients with diseases of the extrahepatic biliary tract and pancreas. Pneumothorax is a rare complication of ERCP. We report two cases of pneumothorax following elective ERCP for ductal stone clearance. The first patient was a 45-year-old female, who developed respiratory distress, abdominal pain, and profoundly abdominal distention immediately after the procedure. Imaging studies revealed the presence of a right-side pneumothorax, pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum. The second patient was a 94-year-old female, who developed tension pneumothorax with clinical signs of shock during the procedure. Imaging studies revealed the presence of a right-side pneumothorax without free air in the mediastinum and retroperitoneal space. The imaging findings suggest that the occurrence of this rare complication in our patients was caused by entirely different pathophysiological mechanisms. Both patients were successfully treated with chest tube insertion, and no further intervention was required. Clinicians should be aware of this serious complication because delayed diagnosis may involve significant morbidity and mortality risks.

  20. Relationship between post-ERCP pancreatitis and the change of serum amylase level after the procedure

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To clarify the relationship between the change of serum amylase level and post-ERCP pancreatitis.METHODS: Between January 1999 and December 2002, 1291 ERCP-related procedures were performed.Serum amylase concentrations were measured before the procedure and 3, 6, and 24 h afterward. The frequency and severity of post-ERCP pancreatitis and the relationship between these phenomena and the change in amylase level were estimated.RESULTS: Post-ERCP pancreatitis occurred in 47 patients (3.6%). Pancreatitis occurred in 1% of patients with normal amylase levels 3 h after ERCP, and in 1%,5%, 20%, 31% and 39% of patients with amylase levels elevated 1-2 times, 2-3 times, 3-5 times, 5-10 times and over 10 times the upper normal limit at 3 h after ERCP,respectively (level < 2 times vs ≥ 2 times, P < 0.001).Of the 143 patients with levels higher than the normal limit at 3 h after ERCP followed by elevation at 6 h,pancreatitis occurred in 26%. In contrast, pancreatitis occurred in 9% of 45 patients with a level higher than two times the normal limit at 3 h after ERCP followed by a decrease at 6 h (26% vs 9%, P < 0.05).CONCLUSION: Post-ERCP pancreatitis is frequently associated with an increase in serum amylase level greater than twice the normal limit at 3 h after ERCP with an elevation at 6 h. A decrease in amylase level at 6 h after ERCP suggests the unlikelihood of development of post-ERCP pancreatitis.

  1. Difficult cannulation as defined by a prospective study of the Scandinavian Association for Digestive Endoscopy (SADE) in 907 ERCPs

    DEFF Research Database (Denmark)

    Halttunen, Jorma; Meisner, Søren; Aabakken, Lars;

    2014-01-01

    BACKGROUND: The definition of a "difficult" cannulation varies considerably in reports of endoscopic retrograde cholangiopancreatography (ERCP). AIMS: To define a difficult cannulation, which translates into higher risk of post-ERCP pancreatitis. PATIENTS AND METHODS: Prospective consecutive reco...

  2. The burden of endoscopic retrograde cholangiopancreatography (ERCP) performed with the patient under conscious sedation

    NARCIS (Netherlands)

    Jeurnink, S. M.; Steyerberg, E. W.; Kuipers, E. J.; Siersema, P. D.

    2012-01-01

    Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure that proves burdensome to patients. Nevertheless, very little data are available on patient tolerance of this procedure that may improve practice guidelines and could aid in decreasing the burden of ERCP. This study there

  3. Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication

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    Roisin Stack

    2017-01-01

    Full Text Available A 45-year-old woman with suspected Functional Biliary Sphincter Disorder (FBSD developed Clostridium perfringens related emphysematous cholecystitis after ERCP. A low index of suspicion for emphysematous cholecystitis in this young, otherwise healthy woman led to a significant delay in making the correct diagnosis, and air in the gallbladder was wrongly attributed to a possible gallbladder perforation. ERCP is associated with significant risks, particularly in patients with FBSD, where diagnostic uncertainty renders the balance of risk versus benefit even more critical. Post-ERCP emphysematous cholecystitis secondary to Clostridium perfringens is a rare but potentially fatal complication.

  4. The Diagnostic Value of Endoscopic Balloon Catheter Usage for Detecting Early-Stage Primary Sclerosing Cholangitis in Endoscopic Retrograde Cholangiopancreatography:A Case Report

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    Burhan Ozdil

    2010-02-01

    Full Text Available A 34-year-old woman was admitted to our clinic with abdominal pain, jaundice and pruritus. Endoscopic retrograde cholangiopancreatography was performed for cholestasis. Endoscopic retrograde cholangiopancreatography (ERCP was judged as normal, after a standard ERCP cannula was used for the cholangiogram. However, marked canalicular irregularities were identified in cholangiography when pressurized contrast agent was administrated via balloon catheter. This cholangiographic view was thought to reveal an early-stage alteration of sclerosing cholangitis. Primary sclerosing cholangitis (PSC is a chronic cholestatic liver disease characterized by destruction and fibrosis of the bile ducts. The diagnosis of PSC is based on typical cholangiographic findings, supported by nonspecific clinical signs and symptoms, cholestatic liver biochemical tests, and liver biopsy. Cholangiography is considered to be the gold standard for the diagnosis of PSC. The diagnosis is easy when diffuse multifocal biliary strictures, the hallmarks of the disease, resulting in a ‘beaded’ appearance on ERCP is detected. However, it may reveal a normal image in an early stage of the disease when bile duct changings are not prominent. We think that balloon catheter ERCP appears to facilitate the diagnosis of early-stage primary sclerosing cholangitis.

  5. What Are the Predictors of Post-ERCP Pancreatitis, and How Useful Are They?

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    Sultan S

    2002-11-01

    Full Text Available Acute pancreatitis is one of the major complications of ERCP. It is of paramount importance that we accurately identify which patients will go on to develop post-ERCP pancreatitis. As most ERCPs are performed on an outpatient basis, early evaluation can allow safe discharge of the majority of patients who will not develop post-ERCP pancreatitis or develop only mild symptoms that will be self-limited. Alternatively, early detection of those patients who will go on to develop moderate or severe post-ERCP pancreatitis can guide decisions regarding hospital admission and aggressive management and can help direct the use of targeted therapies that have the potential to prevent or mitigate pancreatic inflammation. Thus, significant efforts have focused on trying to identify predictors of post-ERCP pancreatitis. These parameters can be organized into three categories of tests: 1 pancreatic enzymes as markers of pancreatic injury: serum amylase/urine amylase; 2 markers of proteolytic activation: trypsinogen, trypsinogen activation peptide; 3 markers of systemic inflammation: C-reactive protein, various interleukins such as IL-6 and IL-10. A serum amylase level greater than 4-5 times the upper reference limit in conjunction with clinical symptoms has been shown to be an accurate and reliable predictor of post-ERCP pancreatitis. However, the exact timing and level of amylase elevation remains debatable. Urine testing of amylase and trypsinogen-2 in post-ERCP patients has also been shown to be highly sensitive and specific for detecting pancreatitis. The main advantage of these urinary markers is that they are available as rapid dipstick tests. Serum trypsinogen-2 levels have also been studied in post-ERCP pancreatitis patients; high levels seem to correlate with severity of disease. Among the markers of systemic inflammation, serum CRP is an accurate and readily available laboratory test for predicting severity of post-ERCP pancreatitis, but it appears to

  6. A simple ergonomic measure reduces fluoroscopy time during ERCP: A multivariate analysis

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    Jowhari, Fahd; Hopman, Wilma M.; Hookey, Lawrence

    2017-01-01

    Background and study aims Endoscopic retrograde cholangiopancreatgraphy (ERCP) carries a radiation risk to patients undergoing the procedure and the team performing it. Fluoroscopy time (FT) has been shown to have a linear relationship with radiation exposure during ERCP. Recent modifications to our ERCP suite design were felt to impact fluoroscopy time and ergonomics. This multivariate analysis was therefore undertaken to investigate these effects, and to identify and validate various clinical, procedural and ergonomic factors influencing the total fluoroscopy time during ERCP. This would better assist clinicians with predicting prolonged fluoroscopic durations and to undertake relevant precautions accordingly. Patients and methods A retrospective analysis of 299 ERCPs performed by 4 endoscopists over an 18-month period, at a single tertiary care center was conducted. All inpatients/outpatients (121 males, 178 females) undergoing ERCP for any clinical indication from January 2012 to June 2013 in the chosen ERCP suite were included in the study. Various predetermined clinical, procedural and ergonomic factors were obtained via chart review. Univariate analyses identified factors to be included in the multivariate regression model with FT as the dependent variable. Results Bringing the endoscopy and fluoroscopy screens next to each other was associated with a significantly lesser FT than when the screens were separated further (–1.4 min, P = 0.026). Other significant factors associated with a prolonged FT included having a prior ERCP (+ 1.4 min, P = 0.031), and more difficult procedures (+ 4.2 min for each level of difficulty, P high-volume endoscopists used lesser FT vs. low-volume endoscopists (–1.82, P = 0.015). Conclusions Our study has identified and validated various factors that affect the total fluoroscopy time during ERCP. This is the first study to show that decreasing the distance between the endoscopy and fluoroscopy

  7. Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.

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    Testoni, Pier Alberto; Mariani, Alberto; Aabakken, Lars; Arvanitakis, Marianna; Bories, Erwan; Costamagna, Guido; Devière, Jacques; Dinis-Ribeiro, Mario; Dumonceau, Jean-Marc; Giovannini, Marc; Gyokeres, Tibor; Hafner, Michael; Halttunen, Jorma; Hassan, Cesare; Lopes, Luis; Papanikolaou, Ioannis S; Tham, Tony C; Tringali, Andrea; van Hooft, Jeanin; Williams, Earl J

    2016-07-01

    This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It provides practical advice on how to achieve successful cannulation and sphincterotomy at minimum risk to the patient. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence. Main recommendations 1 ESGE suggests that difficult biliary cannulation is defined by the presence of one or more of the following: more than 5 contacts with the papilla whilst attempting to cannulate; more than 5 minutes spent attempting to cannulate following visualization of the papilla; more than one unintended pancreatic duct cannulation or opacification (low quality evidence, weak recommendation). 2 ESGE recommends the guidewire-assisted technique for primary biliary cannulation, since it reduces the risk of post-ERCP pancreatitis (moderate quality evidence, strong recommendation). 3 ESGE recommends using pancreatic guidewire (PGW)-assisted biliary cannulation in patients where biliary cannulation is difficult and repeated unintentional access to the main pancreatic duct occurs (moderate quality evidence, strong recommendation). ESGE recommends attempting prophylactic pancreatic stenting in all patients with PGW-assisted attempts at biliary cannulation (moderate quality evidence, strong recommendation). 4 ESGE recommends needle-knife fistulotomy as the preferred technique for precutting (moderate quality evidence, strong recommendation). ESGE suggests that precutting should be used only by endoscopists who achieve selective biliary cannulation in more than 80 % of cases using standard cannulation techniques (low quality evidence, weak recommendation). When access to the pancreatic duct is easy to obtain, ESGE suggests placement of a pancreatic stent prior to precutting (moderate quality evidence, weak recommendation). 5 ESGE recommends that in patients with a small papilla

  8. GHOST balloons around Antarctica

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    Stearns, Charles R.

    1988-01-01

    The GHOST balloon position as a function of time data shows that the atmospheric circulation around the Antarctic Continent at the 100 mb and 200 mb levels is complex. The GHOST balloons supposedly follow the horizontal trajectory of the air at the balloon level. The position of GHOST balloon 98Q for a three month period in 1968 is shown. The balloon moved to within 2 deg of the South Pole on 1 October 1968 and then by 9 December 1968 was 35 deg from the South Pole and close to its position on 1 September 1968. The balloon generally moved from west to east but on two occasions moved in the opposite direction for a few days. The latitude of GHOST balloons 98Q and 149Z which was at 200 mb is given. Both balloons tended to get closer to the South Pole in September and October. Other GHOST balloons at the same pressure and time period may not indicate similar behavior.

  9. Safety and Yield of Diagnostic ERCP in Liver Transplant Patients with Abnormal Liver Function Tests

    Directory of Open Access Journals (Sweden)

    Jayapal Ramesh

    2014-01-01

    Full Text Available Background. Abnormal liver enzymes postorthotopic liver transplant (OLT may indicate significant biliary pathology or organ rejection. There is very little known in the literature regarding the current role of diagnostic ERCP in this scenario. Aim. To review the utility of diagnostic ERCP in patients presenting with abnormal liver function tests in the setting of OLT. Methods. A retrospective review of diagnostic ERCPs in patients with OLT from 2002 to 2013 from a prospectively maintained, IRB approved database. Results. Of the 474 ERCPs performed in OLT patients, 210 (44.3%; 95% CI 39.8–48.8 were performed for abnormal liver function tests during the study period. Majority of patients were Caucasian (83.8%, male (62.4% with median age of 55 years (IQR 48–62 years. Biliary cannulation was successful in 99.6% of cases and findings included stricture in 45 (21.4 %; biliary stones/sludge in 23 (11%; biliary dilation alone in 31 (14.8%; and normal in 91 (43.3%. Three (1.4% patients developed mild, self-limiting pancreatitis; one patient (0.5% developed cholangitis and two (1% had postsphincterotomy bleeding. Multivariate analyses showed significant association between dilated ducts on imaging with a therapeutic outcome. Conclusion. Diagnostic ERCP in OLT patients presenting with liver function test abnormalities is safe and frequently therapeutic.

  10. Mechanical Prevention of Post-ERCP Pancreatitis by Pancreatic Stents: Results, Techniques, and Indications

    Directory of Open Access Journals (Sweden)

    Tarnasky PR

    2003-01-01

    Full Text Available Impaired pancreatic drainage may be most important in the pathophysiology of post-ERCP pancreatitis. When there is a mechanical problem, there is often a mechanical solution. Pancreatic stenting reduces the incidence and severity of post-ERCP pancreatitis in high-risk patients. Young patients with suspected sphincter of Oddi dysfunction or prior pancreatitis and those undergoing procedures with either a difficult cannulation, precut and/or pancreatic sphincterotomy should be strongly considered for pancreatic stenting. Stents should be removed within about one week or have the proximal flaps removed to allow early spontaneous distal migration. Pancreatic stent placement following biliary intervention can occasionally be difficult. In cases where the primary goal is pancreatic therapy, one should consider establishing pancreatic access before addressing the bile duct. A pancreatic stent can then serve as a guide for sphincterotomy, but most importantly, protect against post-ERCP pancreatitis.

  11. Meta-analysis: Nitroglycerin for prevention of post-ERCP pancreatitis

    DEFF Research Database (Denmark)

    Bang, Ulrich Christian; Nøjgaard, C; Andersen, P K

    2009-01-01

    BACKGROUND: Acute pancreatitis after ERCP is a severe side effect. AIM: To evaluate the preventive effect of nitroglycerin on post-ERCP pancreatitis by a meta-analysis of randomized clinical studies. METHODS: We searched on Pubmed, Embase, Cochrane Library and all abstracts presented at Digestive...... Disease Week and United European Gastrointestinal Week from 2004 to 2008. We used the MeSH terms 'pancreatitis' together (AND) with the terms: 'glyceryl trinitrate', 'glyceryl dinitrate', 'isosorbide dinitrate' or 'nitroglycerin'. RESULTS: Five clinical studies evaluating the incidence of post......-ERCP pancreatitis after administration of nitroglycerin were identified. Meta-analysis including all five studies showed a relative risk (RR) of 0.61 (95% CI; 0.44, 0.86) with the number needed to treat (NNT) of 26 (95% CI: 16, 82). Three studies evaluated nitroglycerin administered by a dermal patch reaching...

  12. Clefting in pumpkin balloons

    Science.gov (United States)

    Baginski, F.; Schur, W.

    NASA's effort to develop a large payload, high altitude, long duration balloon, the Ultra Long Duration Balloon, focuses on a pumpkin shape super-pressure design. It has been observed that a pumpkin balloon may be unable to pressurize into the desired cyclically symmetric equilibrium configuration, settling into a distorted, undesired stable state instead. Hoop stress considerations in the pumpkin design leads to choosing the lowest possible bulge radius, while robust deployment is favored by a large bulge radius. Some qualitative understanding of design aspects on undesired equilibria in pumpkin balloons has been obtained via small-scale balloon testing. Poorly deploying balloons have clefts, but most gores away from the cleft deploy uniformly. In this paper, we present models for pumpkin balloons with clefts. Long term success of the pumpkin balloon for NASA requires a thorough understanding of the phenomenon of multiple stable equilibria and means for quantitative assessment of measures that prevent their occurrence. This paper attempts to determine numerical thresholds of design parameters that distinguish between properly deploying designs and improperly deploying designs by analytically investigating designs in the vicinity of criticality. Design elements which may trigger the onset undesired equilibria and remedial measures that ensure deployment are discussed.

  13. Partial stent-in-stent placement of biliary metallic stents using a short double-balloon enteroscopy

    Institute of Scientific and Technical Information of China (English)

    Koichiro Tsutsumi; Hironari Kato; Takeshi Tomoda; Kazuyuki Matsumoto; Ichiro Sakakihara; Naoki Yamamoto; Yasuhiro Noma

    2012-01-01

    Endoscopic intervention is less invasive than percutaneous or surgical approaches and should be considered the primary drainage procedure in most cases with obstructive jaundice.Recently,therapeutic endoscopic retrograde cholangiopancreatography (ERCP) using double-balloon enteroscopy (DBE) has been shown to be feasible and effective,even in patients with surgically altered anatomies.On the other hand,endoscopic partial stent-in-stent (PSIS) placement of selfexpandable metallic stents (SEMSs) for malignant hilar biliary obstruction in conventional ERCP has also been shown to be feasible,safe and effective.We performed PSIS placement of SEMSs for malignant hilar biliary obstruction due to liver metastasis using a short DBE in a patient with Roux-en-Y anastomosis and achieved technical and clinical success.This procedure can result in quick relief from obstructive jaundice in a single session and with short-term hospitalization,even in patients with surgically altered anatomies.

  14. European Society of Gastrointestinal Endoscopy (ESGE) Guideline: prophylaxis of post-ERCP pancreatitis.

    Science.gov (United States)

    Dumonceau, J-M; Andriulli, A; Deviere, J; Mariani, A; Rigaux, J; Baron, T H; Testoni, P A

    2010-06-01

    Pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). Risk factors for post-ERCP pancreatitis (PEP) are both patient-related and procedure-related. Identification of patients at high risk for PEP is important in order to target prophylactic measures. Prevention of PEP includes administration of nonsteroidal inflammatory drugs (NSAIDs), use of specific cannulation techniques, and placement of temporary pancreatic stents. The aim of this guideline commissioned by the European Society of Gastrointestinal Endoscopy (ESGE) is to provide practical, graded, recommendations for the prevention of PEP.

  15. Implementering av NSAID-profylakse mot post-ERCP pankreatitt - et kvalitetsforbedringsprosjekt ved Gastrolab, Drammen sykehus

    OpenAIRE

    Brummenæs, Kristine Aase; Dahl, Kamilla Haug; Giske, Anna Havnevik; Hovind, Magrit Jarlsdatter; Nordberg, Eva Kibsgaard; Xalid, Mahabad

    2014-01-01

    Bakgrunn: Bakgrunn for valg av oppgave var spørsmålet om pankreatitt som komplikasjon til ERCP (endoskopisk retrograd cholangiopankreatografi) kunne forebygges svært enkelt med en engangsdose NSAID gitt i forbindelse med prosedyren. Selv om pasientgruppen som årlig gjennomgår ERCP er liten, og komplikasjoner relativ sjelden, kan noen av disse likevel bli svært alvorlig og i verste fall livstruende. Kunnskapsgrunnlaget/Metode: Det ble gjort søk i McMasterPlus, PubMed, og retningslinjer. Innfør...

  16. Hepatic microabscess with ascending cholangitis complicated by endoscopic retrograde cholangiopancreatogram (ERCP): A case report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Mi Young; Auh, Yong Ho; Lee, Moon Gyu [Asan Medical Center, College of Medicine, University of Ulasn, Seoul (Korea, Republic of)

    1994-07-15

    Complicated hepatic microabscess secondary to ascending cholangitis following ERCP (Endoscopic retrograde cholangiopancreatogram) is rare, and needs to be differentiated from other microabscesses, metastasis or Caroli's disease. We experienced a case of hepatic microabscess associated with septic cholangitis following ERCP. Cholangiogram showed multiple sac-like abscess pockets with characteristic biliary communication, and CT scan revealed multiple low attenuated lesions. At the resolving stage of cholangitic microabscess, CT scan showed partial rim enhancement of the abscesses and disproportional dilatation of intrahepatic ducts. The residual parenchymal enhancement surrounding the resolved microabscess pockets and dilatated biliary ducts, however, remained even after clinical recovery.

  17. Digitalised endoscopic retrograde pancreatography (D-ERP): A comparison with ERCP

    Energy Technology Data Exchange (ETDEWEB)

    Soimakallio, S.; Pirinen, A.; Suhonen, M.

    1988-06-01

    Cannulation of the papilla of Vater was successful in 49 out of 65 cases (75.4%) and digital imaging of the pancreas in 38% of cases. Visualisation of the pancreatic duct with D-ERP was comparable to that of conventional ERCP. Absent or faint opacification of the parenchyma was seen in 39.5% of patients. Both methods were equally effective for the diagnosis of pancreatic tumours. D-ERP was better than ERCP for the diagnosis of chronic pancreatitis. Two patients (4.1%) had clinical evidence of mild acute pancreatitis following pancreatic duct injections.

  18. Pneumothorax following ERCP: Report of four cases and review of the literature

    NARCIS (Netherlands)

    N.J. Schepers (Nicolien ); H.R. van Buuren (Henk)

    2012-01-01

    textabstractWe report four patients with pneumothorax as a complication of ERCP with sphincterotomy. With conservative treatment all patients recovered. Previously, 16 comparable cases have been reported in the literature. The main risk factor for this rare complication seems (pre-cut) sphincterotom

  19. Diagnostic role of secretin-enhanced MRCP in patients with unsuccessful ERCP

    Institute of Scientific and Technical Information of China (English)

    László Czakó; Tamás Takács; Zita Morvay; László Csernay; János Lonovics

    2004-01-01

    AIM: To evaluate the value of MR cholangiopancreatography (MRCP) in patients in whom endoscopic retrograde cholangiopancreatography (ERCP) was unsuccessfully performed by experts in a tertiary center.METHODS: From January 2000 to June 2003, 22 patients fulfilled the inclusion criteria. The indications for ERCP were obstructive jaundice (n = 9), abnormal liver enzymes (n = 8),suspected chronic pancreatitis (n = 2), recurrent acute pancreatitis (n = 2), or suspected pancreatic cancer (n = 1).The reasons for the ERCP failure were the postsurgical anatomy (n = 7), duodenal stenosis (n = 3), duodenal diverticulum (n = 2), and technical failure (n = 10). MRCP images were evaluated before and 5 and 10 min after i.v.administration of 0.5 IU/kg secretin.RESULTS: The MRCP images were diagnosed in all 21patients. Five patients gave normal MR findings and required no further intervention. MRCP revealed abnormalities (primary sclerosing cholangitis, chronic pancreatitis, cholangitis, cholecystolithiasis or common bile duct dilation) in 10 patients, who were followed up clinically. Four patients subsequently underwent laparotomy (hepaticojejunostomy in consequence of common bile duct stenosis caused by unresectable pancreatic cancer; hepaticotomy+Kehr drainage because of insufficient biliary-enteric anastomosis; choledochojejunostomy, gastrojejunostomy and cysto-Wirsungo gastrostomy because of chronic pancreatitis, or choledochojejunostomy because of common bile duct stenosis caused by chronic pancreatitis). Three patients participated in therapeutic percutaneous transhepatic drainage. The indications were choledocholithiasis with choledochojejunostomy, insufficient biliary-enteric anastomosis, or cholangiocarcinoma.CONCLUSION: MRCP can assist the diagnosis and management of patients in whom ERCP is not possible.

  20. Meta-analysis of prophylactic corticosteroid use in post-ERCP pancreatitis

    Directory of Open Access Journals (Sweden)

    Lu Mingqin

    2008-02-01

    Full Text Available Abstract Background Acute pancreatitis is a common complication of endoscopic retrograde cholangiopancreatography and benefit of pharmacological treatment is unclear. Although prophylactic use of corticosteroid for reduction of pancreatic injury after ERCP has been evaluated, discrepancy about beneficial effect of corticosteroid on pancreatic injury still exists. The aim of current study is to evaluate effectiveness and safety of corticosteroid in prophylaxis of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP. Methods We employed the method recommended by the Cochrane Collaboration to perform a meta-analysis of seven randomized controlled trials (RCTs of corticosteroid in prevention of post-ERCP pancreatitis (PEP around the world. Results Most of the seven RCTs were of high quality. When the RCTs were analyzed, odds ratios (OR for corticosteroid were 1.13 [95% CI (0.89~1.44, p = 0.32] for PEP, 1.61 [95% CI (0.74~3.52, p = 0.23] for severe PEP, 0.92 [95% CI (0.57~1.48, p = 0.73] for post-ERCP hyperamylasemia respectively. The results indicated that there were no beneficial effects of corticosteroid on acute pancreatitis and hyperamylasemia. No evidence of publication bias was found. Conclusion Corticosteroids cannot prevent pancreatic injury after ERCP. Therefore, their use in the prophylaxis of PEP is not recommended.

  1. Results of the open surgery after endoscopic basketimpaction during ERCP procedure

    Institute of Scientific and Technical Information of China (English)

    Sezgin Yilmaz; Ogun Ersen; Taner Ozkececi; Kadir S Turel; Serdar Kokulu; Emre Kacar; Murat Akici; Murat Cilekar; Ozgur Kavak; Yuksel Arikan

    2015-01-01

    AIM: To report the results of open surgery for patientswith basket impaction during endoscopic retrogradecholangiopancreatography (ERCP) procedure.METHODS: Basket impaction of either classicalDormia basket or mechanical lithotripter basket with anentrapped stone occurred in six patients. These patientswere immediately operated for removal of stone(s) andimpacted basket. The postoperative course, length ofhospital stay, diameter of the stone, complication andthe surgical procedure of the patients were reportedretrospectively.RESULTS: Six patients (M/F, 0/6) were operateddue to impacted basket during ERCP procedure. Themean age of the patients was 64.33 ± 14.41 years.In all cases the surgery was performed immediatelyafter the failed ERCP procedure by making a right Yilmaz S et al . Surgery for basket impaction during ERCP subcostal incision. The baskets containing the stone were removed through longitudinal choledochotomy with the stone. The choledochotomy incisions were closed by primary closure in four patients and T tube placement in two patients. All patients were also performed cholecystectomy additionally since they had cholelithiasis. In patients with T-tube placement it was removed on the 13th day after a normal T-tube cholangiogram. The patients remained stable at postoperative period and discharged without any complication at median 7 d. CONCLUSION: Open surgical procedures can be applied in patients with basket impaction during ERCP procedure in selected cases.

  2. Development of a balloon volume sensor for pulsating balloon catheters.

    Science.gov (United States)

    Nolan, Timothy D C; Hattler, Brack G; Federspiel, William J

    2004-01-01

    Helium pulsed balloons are integral components of several cardiovascular devices, including intraaortic balloon pumps (IABP) and a novel intravenous respiratory support catheter. Effective use of these devices clinically requires full inflation and deflation of the balloon, and improper operating conditions that lead to balloon under-inflation can potentially reduce respiratory or cardiac support provided to the patient. The goal of the present study was to extend basic spirographic techniques to develop a system to dynamically measure balloon volumes suitable for use in rapidly pulsating balloon catheters. The dynamic balloon volume sensor system (DBVSS) developed here used hot wire anemometry to measure helium flow in the drive line from console to catheter and integrated the flow to determine the volume delivered in each balloon pulsation. An important component of the DBVSS was an algorithm to automatically detect and adjust flow signals and measured balloon volumes in the presence of gas composition changes that arise from helium leaks occurring in these systems. The DBVSS was capable of measuring balloon volumes within 5-10% of actual balloon volumes over a broad range of operating conditions relevant to IABP and the respiratory support catheter. This includes variations in helium concentration from 70-100%, pulsation frequencies from 120-480 beats per minute, and simulated clinical conditions of reduced balloon filling caused by constricted vessels, increased driveline, or catheter resistance.

  3. Mars Solar Balloon Lander Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Mars Solar Balloon Lander (MSBL) is a novel concept which utilizes the capability of solar-heated hot air balloons to perform soft landings of scientific...

  4. Venus Altitude Cycling Balloon Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The ISTAR Group ( IG) and team mate Thin Red Line Aerospace (TRLA) propose a Venus altitude cycling balloon (Venus ACB), an innovative superpressure balloon...

  5. Pancreatic Stenting Reduces Post-ERCP Pancreatitis and Biliary Sepsis in High-Risk Patients: A Randomized, Controlled Study

    Directory of Open Access Journals (Sweden)

    He-Kun Yin

    2016-01-01

    Full Text Available Background. Endoscopic retrograde cholangiopancreatography (ERCP is an established treatment modality for bile duct disorders, but patients have a risk of post-ERCP pancreatitis (PEP and biliary sepsis. Aim. To evaluate the effectiveness and safety of pancreatic stent for prophylaxis of PEP and biliary sepsis in high-risk patients with complicating common bile duct (CBD disorders. Methods. Two hundred and six patients with complicating confirmed or suspected CBD disorders were randomly assigned to receive ERCP with pancreatic stenting (experimental group or without stenting (control group. Primary outcome measure was frequency of PEP, and secondary outcome measures included operative time, blood loss, postoperative recovery times, and other ERCP-associated morbidities. Results. Baseline age, sex, CBD etiology, concomitant medical/surgical conditions, cannulation difficulty, and ERCP success were comparable between the two groups (all P>0.05. Compared to the control group, the experimental group had a significantly lower frequency of PEP (7.7% versus 17.7%, P0.05. Conclusions. Pancreatic stenting can reduce the occurrence of PEP and biliary sepsis in high-risk patients with complicating CBD disorders but does not increase other ERCP-associated morbidities. This trial is registered with the Chinese Clinical Trial Registry (registration identifier ChiCTR-OCH-14005134.

  6. Cocktail sedation containing propofol versus conventional sedation for ERCP: a prospective, randomized controlled study

    Directory of Open Access Journals (Sweden)

    Angsuwatcharakon Phonthep

    2012-08-01

    Full Text Available Abstract Background ERCP practically requires moderate to deep sedation controlled by a combination of benzodiazepine and opiod. Propofol as a sole agent may cause oversedation. A combination (cocktail of infused propofol, meperidine, and midazolam can reduce the dosage of propofol and we hypothesized that it might decrease the risk of oversedation. We prospectively compare the efficacy, recovery time, patient satisfactory, and side effects between cocktail and conventional sedations in patients undergoing ERCP. Methods ERCP patients were randomized into 2 groups; the cocktail group (n = 103 and the controls (n = 102. For induction, a combination of 25 mg of meperidine and 2.5 mg of midazolam were administered in both groups. In the cocktail group, a bolus dose of propofol 1 mg/kg was administered and continuously infused. In the controls, 25 mg of meperidine or 2.5 mg/kg of midazolam were titrated to maintain the level of sedation. Results In the cocktail group, the average administration rate of propofol was 6.2 mg/kg/hr. In the control group; average weight base dosage of meperidine and midazolam were 1.03 mg/kg and 0.12 mg/kg, respectively. Recovery times and patients’ satisfaction scores in the cocktail and control groups were 9.67 minutes and 12.89 minutes (P = 0.045, 93.1and 87.6 (P P Conclusions Cocktail sedation containing propofol provides faster recovery time and better patients’ satisfaction for patients undergoing ERCP. However, mild degree of desaturation may still develop. Trial registration ClinicalTrials.gov, NCT01540084

  7. Post-ERCP bacteremia caused by Alcaligenes xylosoxidans in a patient with pancreas cancer

    Directory of Open Access Journals (Sweden)

    Akcay Korhan

    2006-09-01

    Full Text Available Abstract Alcaligenes xylosoxidans is an aerobic, motile, oxidase and catalase positive, nonfermentative Gram negative bacillus. This bacterium has been isolated from intestine of humans and from various hospital or environmental water sources. A.xylosoxidans is both waterborne and results from the poor-hygienic conditions healthcare workers are in. In this case report, the bacteremia which appeared in a patient with pancreas cancer after ERCP was described.

  8. Propofol Sedation for ERCP Procedures: A Dilemna? Observations from an Anesthesia Perspective

    Directory of Open Access Journals (Sweden)

    Davinder Garewal

    2012-01-01

    Full Text Available Propofol sedation for endoscopic retrograde cholangiopancreatography (ERCP procedures is a popular current technique that has generated controversy in the medical field. Worldwide, both anesthetic and nonanesthetic personnel administer this form of sedation. Although the American and Canadian societies of gastroenterologists have endorsed the administration of propofol by nonanesthesia personnel, the US Food and Drug Administration (FDA has not licensed its use in this manner. There is some evidence for the safe use of propofol by nonanesthetic personnel in patients undergoing endoscopy procedures, but there are few randomized trials addressing the safety and efficacy of propofol in patients undergoing ERCP procedures. A serious possible consequence of propofol sedation in patients is that it may result in rapid and unpredictable progression from deep sedation to general anesthesia, and skilled airway support may be required as a rescue measure. Potential complications following deep propofol sedation include hypoxemia and hypotension. Propofol sedation for ERCP procedures is an area of clinical practice where discussion and mutual cooperation between anesthesia and nonanesthesia personnel may enhance patient safety.

  9. Efficacy of intramuscular diclofenac and fluid replacement in prevention of post-ERCP pancreatitis

    Institute of Scientific and Technical Information of China (English)

    Altug Senol; Ulku Saritas; Halil Demirkan

    2009-01-01

    AIM:To assess the efficacy of intramuscular diclofenac and fluid replacement for prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis.METHODS:A prospective,placebo-controlled study was conducted in 80 patients who underwent ERCP.Patients were randomized to receive parenteral diclofenac at a loading dose of 75 mg followed by the infusion of 5-10 mL/kg per hour isotonic saline over 4 h after the procedure,or the infusion of 500 mL isotonic saline as placebo.Patients were evaluated clinically,and serum amylase levels were measured 4,8 and 24 h after the procedure.RESULTS:The two groups were matched for age,sex,underlying disease,ERCP findings,and type of treatment.The overall incidence of pancreatitis was 7.5% in the diclofenac group and 17.5% in the placebo group (12.5% in total).There were no significant differences in the incidence of pancreatitis and other variables between the two groups.In the subgroup analysis,the frequency of pancreatitis in the patients without sphincter of Oddi dysfunction (SOD) was significantly lower in the diclofenac group than in the control group (P=0.047).CONCLUSION:Intramuscular diclofenac and fluid replacement lowered the rate of pancreatitis in patients without SOD.

  10. Single shot MR-cholangiopancreatography (MRCP) by a fast acquisition spin echo sequence (FASE). A substitute for ERCP?; Einzelschuss MR-Cholangiopankreatographie (MRCP) mittels einer ``Fast-Acquisition-Spin-Echo``-Sequenz (FASE). Ersatz fuer die ERCP?

    Energy Technology Data Exchange (ETDEWEB)

    Schulte, B.; Beyer, D.; Wedekind, G [Inst. fuer Diagnostische und Interventionelle Radiologie, Krankenhaus Porz am Rhein, Koeln (Germany); Meuser, W. [Medizinische Klinik, Krankenhaus Porz am Rhein, Akademisches Lehrkrankenhaus der Univ. zu Koeln (Germany)

    1998-01-01

    Purpose: 118 patients with suspected obstruction of the biliary tract or pancreatic duct were examined to evaluate the accuracy of MR cholangiopancreatography (MRCP) in comparison with diagnostic findings in endoscopic retrograde cholangiopancreatography (ERCP). Results: In all MRCP examinations images of satisfactory quality were obtained. In cases of obstruction of the biliary or pancreatic duct, locations and lengths of stenoses were correctly demonstrated. Gallstones within the gallbladder or in the extrahepatic bile ducts were also properly visualised in MRCP. Stenoses caused by non-depicted pancreatic carcinoma, gallbladder carcinoma, or segmental pancreatitis were reliably shown. Conclusion: Even if MRCP will not replace ERCP, a number of clinical applications for non-invasive MRCP examination arise: Primary diagnosis in patients with obstructive jaundice, obstruction of the biliary or pancreatic duct, if ERCP is not possible due to anatomic reason and in patients scheduled for laparoscopic cholecystectomy. (orig./AJ) [Deutsch] Ziel: Zur Beurteilung der diagnostischen Wertigkeit der MR-Cholangiopankreatographie in Ergaenzung zur endoskopischen retrograden Cholangiopankreatographie (ERCP) untersuchten wir 118 Patienten unter dem Verdacht auf Obstruktion des Gallenwegsystems bzw. des Pankreasganges. Ergebnisse: Alle MRCP-Untersuchungen ergaben Aufnahmen von diagnostischer Qualitaet. Obstruktionen des Ductus hepaticus, Ductus choledochus sowie des Pankreasganges konnten sowohl in Laenge als auch hinsichtlich der Lokalisation korrekt beschrieben werden. Ebenso liessen sich karzinom- oder entzuendungsbedingte Gangstenosen nachweisen. Gallenblasensteine und Gallenwegkonkremente wurden zuverlaessig dargestellt. Schlussfolgerung: Selbst wenn die MRC letztendlich die ERCP nicht ersetzt, so konkurriert sie in einigen Faellen mit der diagnostischen ERCP. Die ERCP kann somit gezielter aus therapeutischen Gesichtspunkten angewendet werden. (orig./AJ)

  11. Post-ERCP pancreatitis. A single center experience and an update on prevention strategies.

    Science.gov (United States)

    D'Arpa, Francesco; Tutino, Roberta; Battaglia, Emanuele Onofrio; Orlando, Giuseppina; Salamone, Giuseppe; Licari, Leo; Gulotta, Gaspare

    2015-01-01

    La pancreatite rimane ad oggi la maggiore complicanza dell’ERCP nonostante numerose misure tese alla sua prevenzione siano state proposte negli anni. La sua incidenza è del 3.5% e raggiunge in alcune serie di casi anche il 25%; solitamente è lieve-moderata nel 90%. La stratificazione dei pazienti in base al grado di rischio è necessaria per destinare i casi più complessi a centri di terzo livello presenti nel territorio; per far questo, un’analisi dei possibili fattori di rischio è stata originariamente proposta da Freeman ed è poi stata modificata dall’ESGE sulla base dei contributi dei singoli centri, con importanti modifiche. Il presente studio analizza l’incidenza di pancreatite post- ERCP in un centro di terzo livello analizzando, sulla scorta dei fattori di rischio proposti, l’aderenza dei dati. Negli anni 2012-2013, 492 pazienti sono stati sottoposti ad ERCP da due esperti endoscopisti. Secondo le classificazioni di Freeman e Cotton sono state osservate 14 PEP (2.8%), di cui 6 lievi, 4 moderate e 4 severe. È stata condotta un’analisi multivariata che ha evidenziato come fattori di rischio l’elevato numero di tentativi di incannulamento della via biliare e l’iniezione di mezzo di contrasto nel dotto pancreatico; sono risultati fattori protettivi l’early pre-cut e il fallimento della procedura con la sua interruzione. Nella discussione sono state inoltre brevemente analizzate le varie misure profilattiche, quali il posizionamento di protesi pancreatiche e l’utilizzo dei FANS. È interessante notare come i nostri risultati rafforzino gli ultimi orientamenti nel management dell’ERCP, circa l’utilizzo della tecnica di incannulamento filo-guidato e del pre-cut; questi infatti riducono il numero di tentativi di incannulamento ed il conseguente trauma alla papilla promuovendo un incannulamento biliare selettivo e prevenendo l’iniezione di mezzo di contrasto nel dotto pancreatico. Nonostante la pancreatite sia un

  12. Space Weather Ballooning

    Science.gov (United States)

    Phillips, Tony; Johnson, Sam; Koske-Phillips, Amelia; White, Michael; Yarborough, Amelia; Lamb, Aaron; Herbst, Anna; Molina, Ferris; Gilpin, Justin; Grah, Olivia; Perez, Ginger; Reid, Carson; Harvey, Joey; Schultz, Jamie

    2016-10-01

    We have developed a "Space Weather Buoy" for measuring upper atmospheric radiation from cosmic rays and solar storms. The Buoy, which is carried to the stratosphere by helium balloons, is relatively inexpensive and uses off-the-shelf technology accessible to small colleges and high schools. Using this device, we have measured two Forbush Decreases and a small surge in atmospheric radiation during the St. Patrick's Day geomagnetic storm of March 2015.

  13. Obesity and gastric balloon

    Directory of Open Access Journals (Sweden)

    Mohammed I Yasawy

    2014-01-01

    Full Text Available Background: The obesity epidemic, which is among the most common nutritional disorders, is rising rapidly worldwide. It leads to several health problems such as metabolic disorders, stroke, and even cancer. Efforts to control obesity with exercise and diet have a limited value in obese patients and different approaches to do this have been tried. In this paper, we share our experience with bioenteric intragastric balloon (BIB in treating obesity: Its safety, tolerability, and its efficacy in weight reduction. Materials and Methods: From January 2009 to September 2012, a total of 190 gastric balloons was inserted on patients at the endoscopy unit in King Fahd Hospital of the University, Al-Khobar. This is an evaluation of the first 100 patients. All the patients had a body mass index of over 30 kg/m 2 and were within the age range of 17-55 with a mean age of 32 years. After consent, preballoon investigation tests and anesthesia evaluation, BIB was inserted under monitored anesthesia care sedation in the endoscopy suite. The balloon was filled with 500-700 mls of stained saline. All patients′ were given an analgesic and antiemetic for a week and antisecretory proton pump inhibitor′s for 6 months. Diet and the importance of the exercise were part of the preballoon insertion phase and protocol. The balloon was removed after 6-12 months. Results: The weight loss response to BIB in the 100 patients are classified into four groups: In the uncooperative, noncompliant patients - the maximum weight loss was 7 kg, while in the most compliant patients the weight loss reached up to 39 kg. In addition, there was significant improvement into diabetes mellitus, hypertension, dyslipidemia, and fatty liveras. Its safety and tolerability were extremely acceptable. Conclusion: Our data indicates that in well-selected patients, BIB is an effective device, which with minimum complications helps to achieve body weight loss and resolve many obesity related

  14. Cleft formation in pumpkin balloons

    Science.gov (United States)

    Baginski, Frank E.; Brakke, Kenneth A.; Schur, Willi W.

    NASA’s development of a large payload, high altitude, long duration balloon, the Ultra Long Duration Balloon, centers on a pumpkin shape super-pressure design. Under certain circumstances, it has been observed that a pumpkin balloon may be unable to pressurize into the desired cyclically symmetric equilibrium configuration, settling into a distorted, undesired state instead. Success of the pumpkin balloon for NASA requires a thorough understanding of the phenomenon of multiple stable equilibria and developing of means for the quantitative assessment of design measures that prevent the occurrence of undesired equilibrium. In this paper, we will use the concept of stability to classify cyclically symmetric equilibrium states at full inflation and pressurization. Our mathematical model for a strained equilibrium balloon, when applied to a shape that mimics the Phase IV-A balloon of Flight 517, predicts instability at float. Launched in Spring 2003, this pumpkin balloon failed to deploy properly. Observations on pumpkin shape type super-pressure balloons that date back to the 1980s suggest that within a narrowly defined design class of pumpkin shape super-pressure balloons where individual designs are fully described by the number of gores ng and by a single measure of the bulging gore shape, the designs tend to become more vulnerable with the growing number of gores and with the diminishing size of the bulge radius rB Weight efficiency considerations favor a small bulge radius, while robust deployment into the desired cyclically symmetrical configuration becomes more likely with an increased bulge radius. In an effort to quantify this dependency, we will explore the stability of a family of balloon shapes parametrized by (ng, rB) which includes a design that is very similar, but not identical, to the balloon of Flight 517. In addition, we carry out a number of simulations that demonstrate other aspects related to multiple equilibria of pumpkin balloons.

  15. Breakthrough in Mars balloon technology

    Science.gov (United States)

    Kerzhanovich, V. V.; Cutts, J. A.; Cooper, H. W.; Hall, J. L.; McDonald, B. A.; Pauken, M. T.; White, C. V.; Yavrouian, A. H.; Castano, A.; Cathey, H. M.; Fairbrother, D. A.; Smith, I. S.; Shreves, C. M.; Lachenmeier, T.; Rainwater, E.; Smith, M.

    2004-01-01

    Two prototypes of Mars superpressure balloons were flight tested for aerial deployment and inflation in the Earth's stratosphere in June, 2002. One was an 11.3 m diameter by 6.8 m high pumpkin balloon constructed from polyethylene film and Zylon (PBO) tendons, the second was a 10 m diameter spherical balloon constructed from 12 μm thick Mylar film. Aerial deployment and inflation occurred under parachute descent at 34 km altitude, mimicing the dynamic pressure environment expected during an actual Mars balloon mission. Two on-board video cameras were used on each flight to provide real-time upward and downward views of the flight train. Atmospheric pressure and temperature were also recorded. Both prototypes successfully deployed from their storage container during parachute descent at approximately 40 m/s. The pumpkin balloon also successfully inflated with a 440 g charge of helium gas injected over a 1.5-min period. Since the helium inflation system was deliberately retained after inflation in this test, the pumpkin balloon continued to fall to the ocean where it was recovered for post-flight analysis. The less robust spherical balloon achieved only a partial (~70%) inflation before a structural failure occurred in the balloon film resulting in the loss of the vehicle. This structural failure was diagnosed to result from the vigorous oscillatory motion of the partially inflated balloon, possibly compounded by contact between the balloon film and an instrumentation box above it on the flight train. These two flights together represent significant progress in the development of Mars superpressure balloon technology and pave the way for future flight tests that will include post-deployment flight of the prototype balloons at a stable altitude.

  16. Titan Balloon Convection Model Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This innovative research effort is directed at determining, quantitatively, the convective heat transfer coefficients applicable to a Montgolfiere balloon operating...

  17. Comparative study between magnesium sulphate and L-hyoscyamine on duodenal motility during ERCP under general anaesthesia: A prospective randomized study

    Directory of Open Access Journals (Sweden)

    Emad El Hefnawy, MD

    2017-01-01

    Conclusion: Magnesium sulphate is a safe spasmolytic agent during general anaesthesia that improves the success rate of ERCP and it allows easy completion of the procedure by decreasing the duodenal motility. It decreases the duration of the procedure, subsequently shortens the period of anaesthesia and improves post procedure recovery. It reduces post ERCP pancreatitis, nausea and vomiting.

  18. Comparison between magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP); Comparacion entre calongiografia por resonancia magnetica (CPRM) y colangiografia retrograda endoscopia (CPRE)

    Energy Technology Data Exchange (ETDEWEB)

    Pulpeiro, J. R.; Armesto, V. [Clinica Nosa Senora dos Ollos Grandes. Lugo (Spain); Lopez-Roses, L.; Lancho, A.; Gonzalez, A. [Hospital Xeral. Lugo (Spain)

    2000-07-01

    To assess the correlation between magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP). The authors carried out a prospective study of 71 patients suspected of having biliary diseases. MRCP was performed, followed by ERCP.MRCP was done with a 1.5-T system using hypergradients, abdominal phase array coil and single-shot fast spin-echo (SSFSE) sequences with maximum signal intensity in T2-weighted images. This sequence only provides images of the fluids, similar to those obtained with ERCP. The results of ERCP were employed as a reference standard. Thirty patients were found to have stenosis (19 malignant and 11 benign). 25 had choledocholithiasis and 16 showed no abnormal findings. The correlation was complete in patients with stenosis. MRCP detected 23 cases of choledocholithiasis (ERCP was normal in the remaining two patients, but calculi were discovered on shpincterotomy). MRCP confirmed the normal condition of the bile duct in 12 of the 16 patients free of biliary disease (2 patients in whom ERCP had been normal had been diagnosed as having bile duct dilatation due to choledocholithiasis 24 hours and 10 days earlier, respectively, and two cases of presented ectasia due to fibrosis of the sphincter of Oddi showed good emptying during ERCP). MRCP using SSFSE is highly correlated with ERCP, which should be reserved for cases in which the diagnosis is in doubt or endoscopic management is necessary. (Author) 25 refs.

  19. Buddy balloon for TAVI.

    Science.gov (United States)

    Balkin, Jonathan; Silberman, Shuli; Almagor, Yaron

    2013-11-15

    Percutaneous transfemoral aortic valve replacement is a new rapidly evolving technique that has made significant progress in recent years. The technology is however limitted and in some cases has resulted in failure to deliver the prosthetic valve. We describe a new technique using a buddy balloon, from the contralateral femoral artery, to assist in crossing the native aortic valve in those cases where extreme calcification and or tortuosity have caused the delivery system to hang up on the aortic wall. The technique is easily applied and facilitates the success of the procedure in cases which may otherwise have to be converted to open surgical aortic valve replacement.

  20. A Methane Balloon Inflation Chamber

    Science.gov (United States)

    Czerwinski, Curtis J.; Cordes, Tanya J.; Franek, Joe

    2005-01-01

    The various equipments, procedure and hazards in constructing the device for inflating a methane balloon using a standard methane outlet in a laboratory are described. This device is fast, safe, inexpensive, and easy to use as compared to a hydrogen gas cylinder for inflating balloons.

  1. Nationwide Eclipse Ballooning Project

    Science.gov (United States)

    Colman Des Jardins, Angela; Berk Knighton, W.; Larimer, Randal; Mayer-Gawlik, Shane; Fowler, Jennifer; Harmon, Christina; Koehler, Christopher; Guzik, Gregory; Flaten, James; Nolby, Caitlin; Granger, Douglas; Stewart, Michael

    2016-05-01

    The purpose of the Nationwide Eclipse Ballooning Project is to make the most of the 2017 rare eclipse event in four main areas: public engagement, workforce development, partnership development, and science. The Project is focused on two efforts, both student-led: online live video of the eclipse from the edge of space and the study of the atmospheric response to the eclipse. These efforts, however, involving more than 60 teams across the US, are challenging in many ways. Therefore, the Project is leveraging the NASA Space Grant and NOAA atmospheric science communities to make it a success. The first and primary topic of this poster is the NASA Space Grant supported online live video effort. College and high school students on 48 teams from 31 states will conduct high altitude balloon flights from 15-20 locations across the 8/21/2017 total eclipse path, sending live video and images from near space to a national website. Video and images of a total solar eclipse from near space are fascinating and rare. It’s never been done live and certainly not in a network of coverage across a continent. In addition to the live video to the web, these teams are engaged in several other science experiments as secondary payloads. We also briefly highlight the eclipse atmospheric science effort, where about a dozen teams will launch over one hundred radiosondes from across the 2017 path, recording an unprecedented atmospheric data sample. Collected data will include temperature, density, wind, humidity, and ozone measurements.

  2. Role of ERCP in the era of laparoscopic cholecystectomy for the evaluation of choledocholithiasis in sickle cell anemia

    Institute of Scientific and Technical Information of China (English)

    Hussain Issa; Ahmed H Al-Salem

    2011-01-01

    AIM: To evaluate the role of endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis in patients with sickle cell anemia (SCA) in the era of laparoscopic cholecystectomy (LC).METHODS: Two hundred and twenty four patients (144 male, 80 female; mean age, 22.4 years; range, 5-70 years) with SCA underwent ERCP as part of their evaluation for cholestatic jaundice (CJ).The indications for ERCP were: CJ only in 97, CJ and dilated bile ducts on ultrasound in 103, and CJ and common bile duct (CBD) stones on ultrasound in 42.RESULTS: In total, CBD stones were found in 88 (39.3%) patients and there was evidence of recent stone passage in 16.Fifteen were post-LC patients.These had endoscopic sphincterotomy and stone extraction.The remaining 73 had endoscopic sphincterotomy and stone extraction followed by LC without an intraoperative cholangiogram.CONCLUSION: In patients with SCA and cholelithiasis, ERCP is valuable whether preoperative or postoperative, and in none was there a need to perform intraoperative cholangiography.Sequential endoscopic sphincterotomy and stone extraction followed by LC is beneficial in these patients.Endoscopic sphincterotomy may also prove to be useful in these patients as it may prevent the future development of biliary sludge and bile duct stones.

  3. Gabexate in the prophylaxis of post-ERCP pancreatitis: a meta-analysis of randomized controlled trials

    Directory of Open Access Journals (Sweden)

    Zhang Youcai

    2007-02-01

    Full Text Available Abstract Background Acute pancreatitis is a common complication of endoscopic retrograde cholangiopancreatography and the benefit of its pharmacological treatment is unclear. Although prophylactic use of gabexate for the reduction of pancreatic injury after ERCP has been evaluated, the discrepancy about gabexate's beneficial effect on pancreatic injury still exists. This study aimed to evaluate the effectiveness and safety of gabexate in the prophylaxis of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP. Methods We employed the method recommended by the Cochrane Collaboration to perform a meta-analysis of randomized controlled trials (RCTs of gabexate in the prevention of post-ERCP pancreatitis (PEP including three RCTs conducted in Italy and one in China. Results All of the four RCTs were of high quality. When the RCTs were analyzed, odds ratios (OR for gabexate mesilate were 0.67 [95% CI (0.31~1.47, p = 0.32] for PEP, 3.78 [95% CI (0.62~22.98, p = 0.15] for severe PEP, 0.68 [95% CI (0.19~2.43, p = 0.56] for the case-fatality of PEP, 0.88 [95% CI (0.72~1.07, p = 0.20] for post-ERCP hyperamylasemia, 0.69 [95% CI (0.39~1.21, p = 0.19] for post-ERCP abdominal pain, thus indicating no beneficial effects of gabexate on acute pancreatitis, the death rate of PEP, hyperamylasemia and abdominal pain. No evidence of publication bias was found. Conclusion Gabexate mesilate can not prevent the pancreatic injury after ERCP. It is not recommended for the use of gabexate mesilate in the prophylaxis of PEP.

  4. Urgent ERCP for acute cholangitis reduces mortality and hospital stay in elderly and very elderly patients

    Institute of Scientific and Technical Information of China (English)

    Chan Sun Park; Hee Seok Jeong; Ki Bae Kim; Joung-Ho Han; Hee Bok Chae; Sei Jin Youn; Seon Mee Park

    2016-01-01

    BACKGROUND: Acute cholangitis in old people is a cause of mortality and prolonged hospital stay. We evaluated the effects of methods and timing of biliary drainage on the outcomes of acute cholangitis in elderly and very elderly patients. METHODS: We analyzed 331 patients who were older than 75 years and were diagnosed with acute calculous cholangitis. They were admitted to our hospital from 2009 to 2014. Pa-tients’ demographics, severity grading, methods and timing of biliary drainage, mortality, and hospital stay were retrospec-tively obtained from medical records. Clinical parameters and outcomes were compared between elderly (75-80 years,n=156) and very elderly (≥81 years,n=175) patients. We analyzed the effects of methods [none, endoscopic retrograde cholangio-pancreatography (ERCP), percutaneous transhepatic biliary drainage, or failure] and timing (urgent or early) of biliary drainage on mortality and hospital stay in these patients. RESULTS: Acute cholangitis in older patients manifested as atypical symptoms characterized as infrequent Charcot’s triad (4.2%) and comorbidity in one-third of the patients. Patients were graded as mild, moderate, and severe cholangitis in 104 (31.4%), 175 (52.9%), and 52 (15.7%), respectively. Urgent bili-ary drainage (≤24 hours) was performed for 80.5% (247/307) of patients. Very elderly patients tended to have more severe grades and were treated with sequential procedures of tran-sient biliary drainage and stone removal at different sessions. Hospital stay was related to methods and timing of biliary drainage. Mortality was very low (1.5%) and not related to patient age but rather to the success or failure of biliary drainage and severity grading of the acute cholangitis. CONCLUSIONS: The methods and timing used for biliary drainage and severity of cholangitis are the major determi-nants of mortality and hospital stay in elderly and very elderly patients with acute cholangitis. Urgent successful ERCP is mandatory for

  5. Pancreatic duct guidewire placement for biliary cannulation in a single-session therapeutic ERCP

    Institute of Scientific and Technical Information of China (English)

    Dimitrios Xinopoulos; Stefanos P Bassioukas; Dimitrios Kypreos; Dimitrios Korkolis; Andreas Scorilas; Konstantinos Mavridis; Dimitrios Dimitroulopoulos; Emmanouil Paraskevas

    2011-01-01

    AIM: To investigate the technical success and clinical complication rate of a cannulated pancreatic duct with guidewire for biliary access.METHODS: During a five-year study period, a total of 2843 patients were included in this retrospective analysis. Initial biliary cannulation method consisted of single-guidewire technique (SGT) for up to 5 attempts, followed by double-guidewire technique (DGT) when repeated unintentional pancreatic duct cannulation had taken place. Pre-cut papillotomy technique was reserved for when DGT had failed or no pancreatic duct cannulation had been previously achieved. Main outcome measurements were defined as biliary cannu-lation success and post-endoscopic retrograde cholan-giopancreatography (ERCP) complication rate.RESULTS: SGT (92.3% success rate) was character-ized by statistically significant enhanced patient out-come compared to either the DGT (43.8%, P < 0.001), pre-cut failed DGT (73%, P < 0.001) or pre-cut as first step method (80.6%, P = 0.002). Pre-cut as first step method offered a statistically significantly more favor-able outcome compared to the DGT (P < 0.001). The incidence of post-ERCP pancreatitis did not differ in a statistically significant manner between either method (SGT: 5.3%, DGT: 6.1%, Pre-cut failed DGT: 7.9%, Pre-cut as first step: 7.5%) or with patients' gender. CONCLUSION: Although DGT success rate proved not to be superior to SGT or pre-cut papillotomy, it is con-sidered highly satisfactory in terms of safety in order to avoid the risk of a pre-cut when biliary therapy is neces-sary in difficult-to-cannulate cases.

  6. US Air Force Balloon Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Worksheets containing pilot balloon data computed from releases at Air Force stations in the western United States. Elevation and azimuth angles are used to compute...

  7. US Monthly Pilot Balloon Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Monthly winds aloft summary forms summarizing Pilot Balloon observational data for the United States. Generally labeled as Form 1114, and then transitioning to Form...

  8. Superpressure Tow Balloon for Extending Durations and Modifying Trajectories of High Altitude Balloon Systems Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed innovation involves the concept of using a Superpressure Tow Balloon (STB) with existing NASA high altitude balloon designs to form a tandem balloon...

  9. A head-to-head hands-on comparison of ERCP mechanical simulator (EMS) and Ex-vivo Porcine Stomach Model (PSM).

    Science.gov (United States)

    Leung, Joseph W; Wang, Dong; Hu, Bing; Lim, Brian; Leung, Felix W

    2011-07-01

    BACKGROUND: ERCP mechanical simulator (EMS) and ex-vivo porcine stomach model (PSM) have been described. No direct comparison was reported on endoscopists' perception regarding their efficacy for ERCP training OBJECTIVE: Comparative assessment of EMS and PSM. DESIGN: Questionnaire survey before and after practice. SETTING: Hands-on practice workshops. SUBJECTS: 22 endoscopists with prior experience in 111±225 (mean±SD) ERCP. INTERVENTIONS: Participants performed scope insertion, selective bile duct cannulation with guide wire and insertion of a single biliary stent. Simulated fluoroscopy with external pin-hole camera (EMS), or with additional transillumination (PSM) was used to monitor exchange of accessories. MAIN OUTCOME MEASURE: Participants rated their understanding and confidence before and after hands-on practice, and credibility of each simulator for ERCP training. Comparative efficacy of EMS and PSM for ERCP education was scored (1=not, 10=very) based on pre and post practice surveys: realism (tissue pliability, papilla anatomy, visual/cannulation realism, wire manipulation, simulated fluoroscopy, overall experience); usefulness (assessment of results, supplementing clinical experience, easy for trainees to learn new skills) and application (overall ease of use, prepare trainees to use real instrument and ease of incorporation into training). RESULTS: Before hands-on practice, both EMS and PSM received high scores. After practice, there was a significantly greater increase in confidence score for EMS than PSM (pPSM credible options for improving understanding and supplementing clinical ERCP training. EMS is more useful for basic learning.

  10. Sensor System for Super-Pressure Balloon Performance Modeling Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Long-duration balloon flights are an exciting new area of scientific ballooning, enabled by the development of large super-pressure balloons. As these balloons...

  11. ERCP for the treatment of bile leak after partial hepatectomy and fenestration for symptomatic polycystic liver disease

    Institute of Scientific and Technical Information of China (English)

    Nayantara Coelho-Prabhu; David M Nagorney; Todd H Baron

    2012-01-01

    AIM:TO describe endoscopic treatment of bile leaks in these patients and to identify risk factors in these patients which can predict the development of bile leaks.METHODS:Retrospective case-control study examining consecutive patients who underwent partial hepatectomy for polycystic liver disease (PLD) and developed a postoperative bile leak managed endoscopically over a ten year period.Each case was matched with two controls with PLD who did not develop a postoperative bile leak.RESULTS:Ten cases underwent partial hepatectomy with fenestration for symptoms including abdominal distention,pain and nausea.Endoscopic retrograde cholangiopancreatography (ERCP) showed anatomic abnormalities in 1 case.A biliary sphincterotomy was performed in 4 cases.A plastic biliary stent was placed with the proximal end at the site of the leak in 9 cases;in 1 case two stents were placed.The overall success rate of ERCP to manage the leak was 90%.There were no significant differences in age,gender,comorbidities,duration of symptoms,history of previous surgery or type of surgery performed between cases and controls.CONCLUSION:ERCP with stent placement is safe and effective for management of post-hepatectomy bile leak in patients with PLD.

  12. Peroxisome proliferator-activated receptor γ agonist reduces the severity of post-ERCP pancreatitis in rats

    Institute of Scientific and Technical Information of China (English)

    Emma Folch-Puy; Susana Granell; Juan L Iovanna; Marc Barthet; Daniel Closa

    2006-01-01

    AIM:To determine the effects of prophylactic peroxisome proliferator-activated receptor (PPARγ) agonist administration in an experimental model of postendoscopic retrograde cholangiopancreatography (postERCP) acute pancreatitis.METHODS: Post-ERCP pancreatitis was induced in male Wistar rats by infusion of contrast medium into the pancreatic duct. In additional group, rosiglitazone, a PPARγ agonist, was administered 1 h before infusion of contrast medium. Plasma and pancreas samples were obtained 6 h after the infusion.RESULTS: Infusion of contrast medium into the pancreatic duct resulted in an inflammatory process characterized by increased lipase levels in plasma, and edema and myeloperoxidase activity (MPO) in pancreas.This result correlated with the activation of nuclear factor κB (NFκB) and the inducible NO synthase (iNOS)expression in pancreatic cells. Rosiglitazone reduced the increase in lipase and the level of edema and the increase in myeloperoxidase as well as the activation of NFκB and iNOS expression.CONCLUSION: A single oral dose of rosiglitazone, given 1 h before post-ERCP pancreatitis induction is effective in reducing the severity of the subsequent inflammatory process. The protective effect of rosiglitazone was associated with NFκB inhibition and the blockage of leukocyte infiltration in pancreas.

  13. Conventional versus Analgesia-Oriented Combination Sedation on Recovery Profiles and Satisfaction after ERCP: A Randomized Trial

    Science.gov (United States)

    Chung, Moon Jae; Park, Jeong Youp; Park, Seung Woo; Chung, Jae Bok; Song, Si Young; Cho, Jooyoun; Park, Sang-Hun; Yoo, Young Chul; Bang, Seungmin

    2015-01-01

    Background The importance of providing effective analgesia during sedation for complex endoscopic procedures has been widely recognized. However, repeated administration of opioids in order to achieve sufficient analgesia may carry the risk of delayed recovery after propofol based sedation. This study was done to compare recovery profiles and the satisfaction of the endoscopists and patients between conventional balanced propofol sedation and analgesia-oriented combination sedation for patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Methods Two hundred and two adult patients scheduled for ERCP were sedated by either the Conventional (initial bolus of meperidine with propofol infusion) or Combination (repeated bolus doses of fentanyl with propofol infusion) method. Recovery profiles, satisfaction levels of the endoscopists and patients, drug requirements and complications were compared between groups. Results Patients of the Combination Group required significantly less propofol compared to the Conventional Group (135.0 ± 68.8 mg vs. 165.3 ± 81.7 mg, P = 0.005). Modified Aldrete scores were not different between groups throughout the recovery period, and recovery times were also comparable between groups. Satisfaction scores were not different between the two groups in both the endoscopists and patients (P = 0.868 and 0.890, respectively). Conclusions Considering the significant reduction in propofol dose, the non-inferiority of recovery profiles and satisfaction scores of the endoscopists and patients, analgesia oriented combination sedation may be a more safe yet effective sedative method compared to conventional balanced propofol sedation during ERCP. PMID:26402319

  14. Conventional versus Analgesia-Oriented Combination Sedation on Recovery Profiles and Satisfaction after ERCP: A Randomized Trial.

    Directory of Open Access Journals (Sweden)

    Seokyung Shin

    Full Text Available The importance of providing effective analgesia during sedation for complex endoscopic procedures has been widely recognized. However, repeated administration of opioids in order to achieve sufficient analgesia may carry the risk of delayed recovery after propofol based sedation. This study was done to compare recovery profiles and the satisfaction of the endoscopists and patients between conventional balanced propofol sedation and analgesia-oriented combination sedation for patients undergoing endoscopic retrograde cholangiopancreatography (ERCP.Two hundred and two adult patients scheduled for ERCP were sedated by either the Conventional (initial bolus of meperidine with propofol infusion or Combination (repeated bolus doses of fentanyl with propofol infusion method. Recovery profiles, satisfaction levels of the endoscopists and patients, drug requirements and complications were compared between groups.Patients of the Combination Group required significantly less propofol compared to the Conventional Group (135.0 ± 68.8 mg vs. 165.3 ± 81.7 mg, P = 0.005. Modified Aldrete scores were not different between groups throughout the recovery period, and recovery times were also comparable between groups. Satisfaction scores were not different between the two groups in both the endoscopists and patients (P = 0.868 and 0.890, respectively.Considering the significant reduction in propofol dose, the non-inferiority of recovery profiles and satisfaction scores of the endoscopists and patients, analgesia oriented combination sedation may be a more safe yet effective sedative method compared to conventional balanced propofol sedation during ERCP.

  15. Structure variations of pumpkin balloon

    Science.gov (United States)

    Yajima, N.; Izutsu, N.; Honda, H.

    2004-01-01

    A lobed pumpkin balloon by 3-D gore design concept is recognized as a basic form for a super-pressure balloon. This paper deals with extensions of this design concept for other large pressurized membrane structures, such as a stratospheric airship and a balloon of which volume is controllable. The structural modifications are performed by means of additional ropes, belts or a strut. When the original pumpkin shape is modified by these systems, the superior characteristics of the 3-D gore design, incorporating large bulges with a small local radius and unidirectional film tension, should be maintained. Improved design methods which are adequate for the above subjects will be discussed in detail. Application for ground structures are also mentioned.

  16. Balloon Exoplanet Nulling Interferometer (BENI)

    Science.gov (United States)

    Lyon, Richard G.; Clampin, Mark; Woodruff, Robert A.; Vasudevan, Gopal; Ford, Holland; Petro, Larry; Herman, Jay; Rinehart, Stephen; Carpenter, Kenneth; Marzouk, Joe

    2009-01-01

    We evaluate the feasibility of using a balloon-borne nulling interferometer to detect and characterize exosolar planets and debris disks. The existing instrument consists of a 3-telescope Fizeau imaging interferometer with 3 fast steering mirrors and 3 delay lines operating at 800 Hz for closed-loop control of wavefront errors and fine pointing. A compact visible nulling interferometer is under development which when coupled to the imaging interferometer would in-principle allow deep suppression of starlight. We have conducted atmospheric simulations of the environment above 100,000 feet and believe balloons are a feasible path forward towards detection and characterization of a limited set of exoplanets and their debris disks. Herein we will discuss the BENI instrument, the balloon environment and the feasibility of such as mission.

  17. Yellow Balloon in a Briar Patch.

    Science.gov (United States)

    Cooper, Frank; Fitzmaurice, Robert W.

    1978-01-01

    As part of a meteorology unit, sixth grade science students launched helium balloons with attached return postcards. This article describes Weather Service monitoring of the balloons and postcard return results. (MA)

  18. Complications of balloon packing in epistaxis

    NARCIS (Netherlands)

    Vermeeren, Lenka; Derks, Wynia; Fokkens, Wytske; Menger, Dirk Jan

    2015-01-01

    Although balloon packing appears to be efficient to control epistaxis, severe local complications can occur. We describe four patients with local lesions after balloon packing. Prolonged balloon packing can cause damage to nasal mucosa, septum and alar skin (nasal mucosa, the cartilaginous skeleton

  19. Ballonnen in zee = balloons as marine litter

    NARCIS (Netherlands)

    Franeker, van J.A.

    2008-01-01

    Releasing balloons seems harmless. However, remains of balloons, especially valves and ribbons are becoming a common and persistent type of marine litter found on beaches. Following Dutch Queens day 2007, large numbers of Dutch balloons were found in Normandy, France. Animals may become entangled in

  20. Antioxidant therapy in the management of acute, chronic and post-ERCP pancreatitis: A systematic review

    Institute of Scientific and Technical Information of China (English)

    Seyed Sajad Mohseni Salehi Monfared; Hamed Vahidi; Amir Hossein Abdolghaffari; Shekoufeh Nikfar; Mohammad Abdollahi

    2009-01-01

    We systematically reviewed the clinical trials which recruited antioxidants in the therapy of pancreatitis and evaluated whether antioxidants improve the outcome of patients with pancreatitis. Electronic bibliographic databases were searched for any studies which investigated the use of antioxidants in the management of acute pancreatitis (AP) or chronic pancreatitis (CP) and in the prevention of post-endoscopic retrograde cholangio-pancreatography (post-ERCP) pancreatitis (PEP) up to February 2009. Twenty-two randomized, placebo-controlled, clinical trials met our criteria and were included in the review. Except for a cocktail of antioxidants which showed improvement in outcomes in three different clinical trials, the results of the administration of other antioxidants in both AP and CP clinical trials were incongruent and heterogeneous. Furthermore, antioxidant therapy including allopurinol and N-acetylcysteine failed to prevent the onset of PEP in almost all trials. In conclusion, the present data do not support a benefit of antioxidant therapy alone or in combination with conventional therapy in the management of AP, CP or PEP. Further double blind, randomized, placebo-controlled clinical trials with large sample size need to be conducted.

  1. ERCP在127例急诊胆道%ERCP in 127 cases of acute biliary ascariasis

    Institute of Scientific and Technical Information of China (English)

    蒋锐; 顾明; 何乾文; 田朝艳; 刘学生

    2005-01-01

    目的探讨经内镜逆行胆胰管造影(ERCP)的临床价值,以提高急诊胆道蛔虫病治疗水平.方法回顾性分析127例急诊胆道蛔虫病行ERCP的临床资料.结果121例治疗成功,6例失败,总的成功率为95.3%.术后并发急性胆囊炎3例(2.4%),急性胰腺炎1例(0.8%),术后出血2例(1.6%).结论ERCP治疗急诊胆道蛔虫病安全、有效、并发症少,值得临床推广,但在ERCP治疗前及治疗过程中要重视影像学的诊断分析,以提高治疗的成功率.

  2. ERCP术后胆管炎的相关因素分析%Analysis of the Relative Factors for Post-ERCP Cholangitis

    Institute of Scientific and Technical Information of China (English)

    张雨雨; 刘坤

    2016-01-01

    This study was aim to deifne the incidence of post-ERCP cholangitis by a retrospective review of the patients who underwent ERCP in our hospital from January 2015 to October 2015, analysis the relative factors. There are 131 clinical cases which underwent ERCP were involved in this study, 18 clinical cases developed cholangitis after ERCP, divided into two groups according to the occurrence of post-ERCP cholangitis. SPSS 22.0 was used for the statistical analysis. Relative factors (age, gender, operation during ERCP, obstruction site) were analyzed to predict post-ERCP cholangitis. Obstruction site is statistical y signiifcant. 10 cholangitis patients sent etiological examination and 9 bacteria were detected, most of bacteria were gram negative bacili.%对131例行内镜下逆行胰胆管造影术(ERCP)的住院患者进行回顾性调查,18例发生ERCP术后胆管炎。将患者按是否发生ERCP术后胆管炎分为术后胆管炎组和非胆管炎组,分析相关因素(年龄、性别、术中操作、梗阻部位)对ERCP术后胆管炎发生的影响,结果显示梗阻部位与术后胆管炎有关。18例ERCP术后胆管炎患者10例送检病原学检查,胆汁培养共获得菌株9株,以革兰氏阴性杆菌为主。

  3. Pseudoperforation during kissing balloon angioplasty.

    Science.gov (United States)

    Panetta, Carmelo J; Fasseas, Panayotis; Raveendran, Ganesh; Garratt, Kirk N

    2004-11-01

    We describe a case of apparent perforation during kissing balloon angioplasty of a bifurcation lesion. There was no evidence of perforation on follow-up angiography or via intravascular ultrasound. Possible etiologies include minimal perforation that immediately sealed postdeflation or forced contrast into the microvascular bed via a proximal side branch.

  4. Simulating clefts in pumpkin balloons

    Science.gov (United States)

    Baginski, Frank; Brakke, Kenneth

    2010-02-01

    The geometry of a large axisymmetric balloon with positive differential pressure, such as a sphere, leads to very high film stresses. These stresses can be significantly reduced by using a tendon re-enforced lobed pumpkin-like shape. A number of schemes have been proposed to achieve a cyclically symmetric pumpkin shape, including the constant bulge angle (CBA) design, the constant bulge radius (CBR) design, CBA/CBR hybrids, and NASA’s recent constant stress (CS) design. Utilizing a hybrid CBA/CBR pumpkin design, Flight 555-NT in June 2006 formed an S-cleft and was unable to fully deploy. In order to better understand the S-cleft phenomenon, a series of inflation tests involving four 27-m diameter 200-gore pumpkin balloons were conducted in 2007. One of the test vehicles was a 1/3-scale mockup of the Flight 555-NT balloon. Using an inflation procedure intended to mimic ascent, the 1/3-scale mockup developed an S-cleft feature strikingly similar to the one observed in Flight 555-NT. Our analysis of the 1/3-scale mockup found it to be unstable. We compute asymmetric equilibrium configurations of this balloon, including shapes with an S-cleft feature.

  5. Stability of the pumpkin balloon

    Science.gov (United States)

    Baginski, Frank

    A large axisymmetric balloon with positive differential pressure, e.g., a sphere, leads to high film stresses. These can be significantly reduced by using a lobed pumpkin-like shape re-enforced with tendons. A number of schemes have been proposed to achieve a cyclically symmetric pumpkin-shape at full inflation, including the constant bulge angle (CBA) design and the constant bulge radius (CBR) design. The authors and others have carried out stability studies of CBA and CBR designs and found instabilities under various conditions. While stability seems to be a good indicator of deployment problems for large balloons under normal ascent conditions, one cannot conclude that a stable design will deploy reliably. Nevertheless, stability analysis allows one to quantify certain deployment characteristics. Ongoing research by NASA's Balloon Program Office utilizes a new design approach developed by Rodger Farley, NASA/GSFC, that takes into account film and tendon strain. We refer to such a balloon as a constant stress (CS) pumpkin design. In June 2006, the Flight 555-NT balloon (based on a hybrid CBR/CBA design) developed an S-cleft and did not deploy. In order to understand the S-cleft phenomena and study a number of aspects related to the CS-design, a series of inflation tests were conducted at TCOM, Elizabeth City, NC in 2007. The test vehicles were 27 meter diameter pumpkins distinguished by their respective equatorial bulge angles (BA). For example, BA98 indicates an equatorial bulge angle of 98° . BA90, BA55, and BA00 are similarly defined. BA98 was essentially a one-third scale version of of the Flight 555 balloon (i.e., 12 micron film instead of 38.1 micron, mini-tendons, etc.). BA90 and BA55 were Farley CS-designs. BA00 was derived from the BA55 design so that a flat chord spanned adjacent tendons. In this paper, we will carry out stability studies of BA98, BA90, BA55, and BA00. We discuss the deployment problem of pumpkin balloons in light of 2007 inflation

  6. Safety and efficacy of minimal biliary sphincterotomy with papillary balloon dilation (m-EBS+EPBD) in patients using clopidogrel or anticoagulation

    Science.gov (United States)

    Mok, Shaffer R. S.; Arif, Murtaza; Diehl, David L; Khara, Harshit S; Ho, Henry C; Elfant, Adam B

    2017-01-01

    Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic biliary sphincterotomy (EBS) or endoscopic papillary balloon dilation (EPBD) are common techniques of biliary decompression. Potential risks include gastrointestinal hemorrhage, which can be increased by antiplatelet agents, anticoagulants (AC) and/or novel oral anticoagulants (NOACs) (ie. apixaban, dabigatran and rivaroxaban). The study aim is to evaluate the safety/efficacy of an alternative technique, minimal-EBS plus EPBD (m-EBS + EPBD), in individuals for whom clopidogrel, AC, and/or NOACs cannot be interrupted due to high cardiovascular or thromboembolic risk. Patients and methods Patients undergoing m-EBS + EPBD while taking clopidogrel and/or AC were retrospectively evaluated at two United States tertiary care centers for efficacy, GIB and procedure-related, cardiovascular and thromboembolic adverse events (AE). Results Ninety-five patients were identified [55 = clopidogrel and 45 = AC (31.1 % NOACs)]. The main indication for ERCP was choledocholithiasis (34 %). 100 % clinical improvement and 97.9 % endoscopic success were found. The incidence of AE was 5.3 %. There was a 4.2 % incidence of gastrointestinal hemorrhage (2 cases requiring endoscopic intervention). Both severe gastrointestinal hemorrhages also experienced the cases of post-ERCP pancreatitis, and 2 /3 of cholangitis (all aspirin + AC). There was 1cardiovascular event (non-ST elevation myocardial infarction), and no thromboembolic events. Conclusions Minimal-EBS + EPBD is an effective and safe therapy with an incidence of gastrointestinal hemorrhage of 4.2 %, (2.1 % requiring endoscopic intervention), for patients on clopidogrel and/or AC, with a high risk for cardiovascular/thromboembolic events. PMID:28337485

  7. Scientific ballooning in India: recent developments

    Science.gov (United States)

    Joshi, M. N.; Damle, S. V.

    The National Scientific Balloon Facility (NBF) of the Tata Institute of Fundamental Research (TIFR) has been conducting regular balloon flights for various experiments in the areas of Space Astronomy and Atmospheric Sciences. A continuous improvement in all aspects of Scientific Ballooning through a sustained R and D programme ensures uptodate services and a better handle on the design specifications for the balloon. Recent developments in balloon grade films, continuous improvements in design specifications, balloon manufacturing methods, flight operational procedures and improved balloon flight capabilities have resulted in a greatly improved flight performance in the last five years. A launch capability upgradation programme in terms of new launch spool and new launch vehicle has been initiated to be able to safely launch balloons with gross lifts upto 3500 kg, balloon volumes upto 450,000 m^3 and payloads upto 1400 kg. A series of steps have been initiated to improve long duration flight capabilities. In this paper, we present details on some of these aspects of Scientific Ballooning in India.

  8. Viscoelastic behaviour of pumpkin balloons

    Science.gov (United States)

    Gerngross, T.; Xu, Y.; Pellegrino, S.

    2008-11-01

    The lobes of the NASA ULDB pumpkin-shaped super-pressure balloons are made of a thin polymeric film that shows considerable time-dependent behaviour. A nonlinear viscoelastic model based on experimental measurements has been recently established for this film. This paper presents a simulation of the viscoelastic behaviour of ULDB balloons with the finite element software ABAQUS. First, the standard viscoelastic modelling capabilities available in ABAQUS are examined, but are found of limited accuracy even for the case of simple uniaxial creep tests on ULDB films. Then, a nonlinear viscoelastic constitutive model is implemented by means of a user-defined subroutine. This approach is verified by means of biaxial creep experiments on pressurized cylinders and is found to be accurate provided that the film anisotropy is also included in the model. A preliminary set of predictions for a single lobe of a ULDB is presented at the end of the paper. It indicates that time-dependent effects in a balloon structure can lead to significant stress redistribution and large increases in the transverse strains in the lobes.

  9. Hyperspectral Polarimeter for Monitoring Balloon Strain Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA's latest generation of superpressure, ultra long duration balloons (ULDB) extend the flight time for stratospheric experiments to levels previously unattainable...

  10. Scientific Ballooning Activities and Recent Developments in Technology and Instrumentation of the TIFR Balloon Facility, Hyderabad

    Science.gov (United States)

    Buduru, Suneel Kumar

    2016-07-01

    The Balloon Facility of Tata Institute of Fundamental Research (TIFR-BF) is a unique center of expertise working throughout the year to design, fabricate and launch scientific balloons mainly for space astronomy, atmospheric science and engineering experiments. Recently TIFR-BF extended its support to new user scientists for conducting balloon launches for biological and middle atmospheric sciences. For the first time two balloon launches conducted for sending live lab rats to upper stratosphere and provided launch support for different balloon campaigns such as Tropical Tropopause Dynamics (TTD) to study water vapour content in upper tropospheric and lower stratospheric regions over Hyderabad and the other balloon campaign to study the Asian Tropopause Aerosol Layer (BATAL) during the Indian summer monsoon season. BATAL is the first campaign to conduct balloon launches during active (South-West) monsoon season using zero pressure balloons of different volumes. TIFR-BF also provided zero pressure and sounding balloon support to various research institutes and organizations in India and for several international space projects. In this paper, we present details on our increased capability of balloon fabrication for carrying heavier payloads, development of high strength balloon load tapes and recent developments of flight control and safety systems. A summary of the various flights conducted in two years will be presented along with the future ballooning plans.

  11. Intragastric balloon and multidisciplinary team

    Directory of Open Access Journals (Sweden)

    R. A. Mazure

    Full Text Available Background: The intragastric balloon is widely used for weight reduction in obese patients, but results are variable. We describe our results enhancing the importance of a Multidisciplinary Team (MT taking part in the treatment. Methods: A retrospective review was done concerning a total of 119 balloons , placed in 116 patients, under endoscopic control and conscious sedation, from May 2001 until August 2006. 49 patients were prepared and recommended to be followed by a MT in a physical unit, at least every 15 days during 6 months. 67 were indicated and followed by other colleagues, without MT. Removal was performed 6 months later. Results: Concerning our 49 patients, mean age was 38, 1 years, 31 female and 18 males, with BMI ranged between 32 and 63, average of 42. The average decrease of weight excess was 31, 85% (-4, 45-80, 4%, and the BMI diminished 5,3 points (from 13,6 to gain of 0,9. The treatment failed in 34,6 % of our patients -including 4 patients lost of follow-up (8, 16%-, compared with 53, 8% of patients without structured MT for selection and follow-up. Physical exercise enhanced markedly the results with 45, 8% of excess of weight loss in women and 39, 7% in males, compared with 14, 6 and 15, 6% in patients who didn't follow the program. The weight loss was mostly fat mass, 89,9% in men and 75,6% in women.- The results maintenance was obtained in 40% of patients one year later. There were no major complications; one balloon had to be removed at 3 weeks because of intolerance, another at 5 months because of gastroesophageal reflux. Conclusions: BIB is an effective help to achieve a short term weight loss in obese patients; nevertheless, good and long lasting results will depend on the modification of life style obtained by a multidisciplinary approach.

  12. Paraplegia following intraaortic balloon circulatory assistance

    Directory of Open Access Journals (Sweden)

    Benício Anderson

    1999-01-01

    Full Text Available Intraaortic balloon counterpulsation is frequently used in patients experiencing severe ventricular dysfunction following maximal drug therapy. However, even with the improvement of percutaneous insertion techniques, the procedure has always been followed by vascular, infectious, and neurological complications. This article describes a case of paraplegia due to intraaortic balloon counterpulsation in the postoperative period of cardiac surgery.

  13. Comparison of Propofol, Propofol-Remifentanil, and Propofol-Fentanyl Administrations with Each Other Used for the Sedation of Patients to Undergo ERCP

    Directory of Open Access Journals (Sweden)

    Candan Haytural

    2015-01-01

    Full Text Available Introduction. Using single anesthetic agent in endoscopic retrograde cholangiopancreatography (ERCP may lead to inadequate analgesia and sedation. To achieve the adequate analgesia and sedation the single anesthetic agent doses must be increased which causes undesirable side effects. For avoiding high doses of single anesthetic agent nowadays combination with sedative agents is mostly a choice for analgesia and sedation for ERCP. Aim. The aim of this study is to investigate the effects of propofol alone, propofol + remifentanil, and propofol + fentanyl combinations on the total dose of propofol to be administered during ERCP and on the pain scores after the process. Materials and Method. This randomized study was performed with 90 patients (ASA I-II-III ranging between 18 and 70 years of age who underwent sedation/analgesia for elective ERCP. The patients were administered only propofol (1.5 mg/kg in Group Ι, remifentanil (0.05 μg/kg + propofol (1.5 mg/kg combination in Group II, and fentanyl (1 μg/kg + propofol (1.5 mg/kg combination in Group III. All the patients’ sedation levels were assessed with the Ramsey Sedation Scale (RSS. Their recovery was assessed with the Aldrete and Numerical Rating Scale Score (NRS at 10 min intervals. Results. The total doses of propofol administered to the patients in the three groups in this study were as follows: 375 mg in Group I, 150 mg in Group II, and 245 mg in Group III. Conclusion. It was observed that, in the patients undergoing ERCP, administration of propofol in combination with an opioid provided effective and reliable sedation, reduced the total dose of propofol, increased the practitioner satisfaction, decreased the pain level, and provided hemodynamic stability compared to the administration of propofol alone.

  14. Comparison of Propofol, Propofol-Remifentanil, and Propofol-Fentanyl Administrations with Each Other Used for the Sedation of Patients to Undergo ERCP

    Science.gov (United States)

    Haytural, Candan; Aydınlı, Bahar; Demir, Berna; Bozkurt, Elif; Parlak, Erkan; Dişibeyaz, Selçuk; Saraç, Ahmet; Özgök, Ayşegül; Kazancı, Dilek

    2015-01-01

    Introduction. Using single anesthetic agent in endoscopic retrograde cholangiopancreatography (ERCP) may lead to inadequate analgesia and sedation. To achieve the adequate analgesia and sedation the single anesthetic agent doses must be increased which causes undesirable side effects. For avoiding high doses of single anesthetic agent nowadays combination with sedative agents is mostly a choice for analgesia and sedation for ERCP. Aim. The aim of this study is to investigate the effects of propofol alone, propofol + remifentanil, and propofol + fentanyl combinations on the total dose of propofol to be administered during ERCP and on the pain scores after the process. Materials and Method. This randomized study was performed with 90 patients (ASA I-II-III) ranging between 18 and 70 years of age who underwent sedation/analgesia for elective ERCP. The patients were administered only propofol (1.5 mg/kg) in Group Ι, remifentanil (0.05 μg/kg) + propofol (1.5 mg/kg) combination in Group II, and fentanyl (1 μg/kg) + propofol (1.5 mg/kg) combination in Group III. All the patients' sedation levels were assessed with the Ramsey Sedation Scale (RSS). Their recovery was assessed with the Aldrete and Numerical Rating Scale Score (NRS) at 10 min intervals. Results. The total doses of propofol administered to the patients in the three groups in this study were as follows: 375 mg in Group I, 150 mg in Group II, and 245 mg in Group III. Conclusion. It was observed that, in the patients undergoing ERCP, administration of propofol in combination with an opioid provided effective and reliable sedation, reduced the total dose of propofol, increased the practitioner satisfaction, decreased the pain level, and provided hemodynamic stability compared to the administration of propofol alone. PMID:26576424

  15. Airborne Internet Providing Tethered Balloon System

    Directory of Open Access Journals (Sweden)

    Suvriti Dhawan1

    2015-12-01

    Full Text Available In this paper we shall introduce a new system for providing wireless network communication over a specified area using ’lighter than air’ balloons. This technology will replace the existing fiber optic network system. This will be done by using a tethered balloon along with the payload (containing a receiver, a transmitter and a radio communication device.This payload will be suspended from the ground at an altitude (depending on the area of coverage required. Users under this area will be able to access this system directly for internet connectivity. This system can be used over large areas like universities, companies and societies to provide internet facility to their users through Wi-Fi or over an area where the user is specified (commercial purposes. Currently Google is working on similar idea called the ’Google Loon’ in which they use high altitude balloons which float at an altitude twice as high as air planes and the weather. They recently tested this system over New-Zealand by providing internet to their pilot testers on ground. Their balloons not being stationary, move with directional winds and have to be replaced one after the other to maintain consistency. This can be a huge problem over the areas where upper atmospheric winds are not in favorable direction. We can resolve this problem by using our stationary tethered balloon system which can communicate with the loon balloons to provide internet facility over a desired area. Moreover when our balloon will communicate with the loon balloon it will increase the coverage area as the loon balloon has to communicate to a point which is above the ground. Our system will not only replace the existing fiber optic system but it will also be selfsustaining i.e. It will generate its own power using solar panels.

  16. Stratospheric electric field measurements with transmediterranean balloons

    Science.gov (United States)

    de La Morena, B. A.; Alberca, L. F.; Curto, J. J.; Holzworth, R. H.

    1993-01-01

    The horizontal component of the stratospheric electric field was measured using a balloon in the ODISEA Campaign of Transmediterranean Balloon Program. The balloon flew between Trapani (Sicily) and El Arenosillo (Huelva, Spain) along the 39 deg N parallel at a height between 34 and 24 km. The high values found for the field on fair-weather and its quasi-turbulent variation, both in amplitude and direction, are difficult to explain with the classical electric field source. A new source, first described by Holzworth (1989), is considered as possibly causing them.

  17. A balloon-borne integrating nephelometer

    Energy Technology Data Exchange (ETDEWEB)

    Brown, G.S.; Apple, M.L. (Sandia National Labs., Albuquerque, NM (USA)); Weiss, R.E. (Radiance Research, Seattle, WA (USA))

    1990-09-01

    A balloon-borne integrating nephelometer has been successfully developed and flown by Sandia National Laboratories and Radiance Research. This report details instrument design, calibration and data conversion procedure. Free and tethered balloon transport and telemetry systems are described. Data taken during March 1989 South-Central New Mexico free flight ascents are presented as vertical profiles of atmospheric particle scattering coefficient, temperature and balloon heading. Data taken during December 1989 Albuquerque, New Mexico tethered flights are also presented as vertical profiles. Data analysis shows superior instrument performance. 5 refs., 22 figs.

  18. Looners: Inside the world of balloon fetishism

    OpenAIRE

    McIntyre, Karen E

    2011-01-01

    In the spring of 1997, Shaun had just broken up with a boyfriend, and his roommate had moved out. Living alone for the first time and relieved of the fear that someone might walk in the door, he was finally able to indulge his fantasy. The young man sat on his couch and started blowing up balloons. Shaun had loved playing with balloons since he was a child. When he hit puberty, he felt his first orgasm rubbing against a balloon. It was then that his relationship with the object took ...

  19. Shielded Mars Balloon Launcher (SMBL) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Aurora Flight Sciences, along with its partner Vertigo Industries, proposes a novel approach to deployment of balloon-based payloads into the Martian atmosphere....

  20. Attitude determination for balloon-borne experiments

    CERN Document Server

    Gandilo, N N; Amiri, M; Angile, F E; Benton, S J; Bock, J J; Bond, J R; Bryan, S A; Chiang, H C; Contaldi, C R; Crill, B P; Devlin, M J; Dober, B; Dore, O P; Farhang, M; Filippini, J P; Fissel, L M; Fraisse, A A; Fukui, Y; Galitzki, N; Gambrel, A E; Golwala, S; Gudmundsson, J E; Halpern, M; Hasselfield, M; Hilton, G C; Holmes, W A; Hristov, V V; Irwin, K D; Jones, W C; Kermish, Z D; Klein, J; Korotkov, A L; Kuo, C L; MacTavish, C J; Mason, P V; Matthews, T G; Megerian, K G; Moncelsi, L; Morford, T A; Mroczkowski, T K; Nagy, J M; Netterfield, C B; Novak, G; Nutter, D; O'Brient, R; Pascale, E; Poidevin, F; Rahlin, A S; Reintsema, C D; Ruhl, J E; Runyan, M C; Savini, G; Scott, D; Shariff, J A; Soler, J D; Thomas, N E; Trangsrud, A; Truch, M D; Tucker, C E; Tucker, G S; Tucker, R S; Turner, A D; Ward-Thompson, D; Weber, A C; Wiebe, D V; Young, E Y

    2014-01-01

    An attitude determination system for balloon-borne experiments is presented. The system provides pointing information in azimuth and elevation for instruments flying on stratospheric balloons over Antarctica. In-flight attitude is given by the real-time combination of readings from star cameras, a magnetometer, sun sensors, GPS, gyroscopes, tilt sensors and an elevation encoder. Post-flight attitude reconstruction is determined from star camera solutions, interpolated by the gyroscopes using an extended Kalman Filter. The multi-sensor system was employed by the Balloon-borne Large Aperture Submillimeter Telescope for Polarimetry (BLASTPol), an experiment that measures polarized thermal emission from interstellar dust clouds. A similar system was designed for the upcoming flight of SPIDER, a Cosmic Microwave Background polarization experiment. The pointing requirements for these experiments are discussed, as well as the challenges in designing attitude reconstruction systems for high altitude balloon flights. ...

  1. Retrieving Balloon Data in Flight Project

    Data.gov (United States)

    National Aeronautics and Space Administration —   NASA has plans to fly stratospheric ULDBs for missions of 100 days or more in the next few years. As these balloons circumnavigate the globe multiple times,...

  2. Deployment Instabilities of Lobed-Pumpkin Balloon

    Science.gov (United States)

    Nakashino, Kyoichi

    A lobed-pumpkin balloon, currently being developed in ISAS/JAXA as well as in NASA, is a promising vehicle for long duration scientific observations in the stratosphere. Recent ground and flight experiments, however, have revealed that the balloon has deployment instabilities under certain conditions. In order to overcome the instability problems, a next generation SPB called 'tawara' type balloon has been proposed, in which an additional cylindrical part is appended to the standard lobed-pumpkin balloon. The present study investigates the deployment stability of tawara type SPB in comparison to that of standard lobed-pumpkin SPB through eigenvalue analysis on the basis of finite element methods. Our numerical results show that tawara type SPB enjoys excellent deployment performance over the standard lobed-pumpkin SPBs.

  3. Magnetometer for Balloons and UAVs Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This Phase I SBIR project will investigate a new, low-cost approach to atomic magnetometry that is suited for operation from UAVs and research balloons. Atomic...

  4. Power Systems Design for Long Duration Ballooning

    Science.gov (United States)

    Stilwell, Bryan; Chuzel, Alain

    2016-01-01

    The Columbia Scientific Balloon Facility has been designing and building high-altitude balloon power systems for over 26 years. With that experience, we have found certain types of PV panels, batteries, and charge controllers that are reliable in stratospheric environments. The ultimate goal is to ensure that power systems will provide power reliably throughout the duration of an LDB flight. The purpose of this presentation is to provide some general guidelines and best practices for power system design.

  5. Imaging Sunlit Aurora from Balloon

    Science.gov (United States)

    Lummerzheim, D.; Zhou, X.

    2012-12-01

    Since 1892 when aurora was first imaged by Martin Brendel, useful auroral images have been obtained only when the aurora is in darkness. While UV imagers onboard satellite provide global auroral dynamics, the sunlit aurora in the UV band is overwhelmed by the UV airglow that has the same wavelengths with the UV auroral emissions. The visible band imaging is feasible only when the aurora is in darkness to avoid the sunlight contamination. However, sunlit aurora (such as dayside aurora) is closely related to the solar wind - magnetosphere - ionosphere coupling. In addition, limited land area has badly restricted the capability of imaging dayside aurora from the northern hemisphere and nightside aurora from the southern hemisphere. We have confirmed that sunlit aurora can be imaged using a near-infrared (NIR) camera on board the balloon platform flying in Antarctica or Arctic. This method provides a unique capability for dayside and conjugate auroral investigations. Scientific questions that can be addressed by such observations include how does the dayside aurora respond to solar wind transient variations? Are auroras hemispherically symmetric? Are auroral forms and their variations under sunlight the same as those in darkness? etc. The new method is also cost effective comparing to space-borne imagers, and offers capabilities not obtainable from space and the ground. With the accomplishment of identifying auroral dynamics in sunlight and darkness, in the south and north simultaneously, our knowledge and understanding of auroral phenomenon and its causes will be expanded.

  6. Clinical Evaluation of ERCP and Naobiliary Drainage for Biliary Fungal Infection--A Report of Five Cases of Severe Combined Bacterial and Fungal Infection of Biliary Tract

    Institute of Scientific and Technical Information of China (English)

    ZHAO Qiu; LIAO Jiazhi; QIN Hua; WANG Jialong

    2005-01-01

    This study studied the use of ERCP and nasobiliary tube in the diagnosis of fungal infection of biliary tract and the efficacy of combined use of local administration via nasobiliary tube and intravenous antifungal treatment for severe biliary tract fungal infection. 5 patients in our series,with age ranging from 47 to 68 y (mean 55.8), were diagnosed as having mixed bacterial and fungal infection of biliary tract as confirmed by smear or/and culture of bile obtained by ERCP and nasobiliary drainage. Besides routine anti-bacteria therapy, all patients received local application of fluconazole through nasobiliary tube and intravenous administration of fluconazole or itraconazole in terms of the results of in vitro sensitivity test. The mean duration of intravenous fluconazole or itraconazole was 30 days (24-40 days), and that of local application of fluconazole through nasobiliary drainage tube was 19 days (8-24 days). During a follow-up period of 3-42 months, all patient's fungal infection of biliary tract was cured. It is concluded that on the basis of typical clinical features of biliary tract infection, fungal detection of smear/culture of bile obtained by ERCP was the key for the diagnosis of fungal infection of biliary tract. Local application antifungal drug combined with intravenous anti-fungal drugs might be an effective and safe treatment for fungal infection of biliary tract.

  7. 48例ERCP术前应用屈他维林研究%Research of drotaverine applied before 48 ERCP cases

    Institute of Scientific and Technical Information of China (English)

    谢宏民; 杨新魁; 李佳璇

    2016-01-01

    ObjectiveTo compare effect by drotaverine hydrochloride before endoscopic retrograde cholangiopancreatography (ERCP) in suppression of duodenal motility, and to investigate effectiveness and safety of drug application before ERCP.MethodsA total of 48 patients receiving ERCP were randomly divided into experimental group and control group, with 34 cases in each group. The contrd group received conventional therapy. The experimental group received additional 40 mg drotaverine hydrochloride in 30 min. Observation was made on duodenal motility score and intubation success rate.ResultsAll patients received successful operation, and the difference of average duodenal motility score, average operation time and intubation time had statistical significance (P<0.05).ConclusionOral administration of drotaverine hydrochloride before ERCP shows good spasmolysis effect and reduces intubation and operation time. It can be taken as common drug before operation.%目的:比较内窥镜逆行胰胆管造影术(ERCP)术前应用盐酸屈他维林抑制十二指肠蠕动的效果,探究ERCP术前用药的有效性和安全性。方法48例接受ERCP治疗患者,随机分成实验组和对照组,各24例。对照组术前常规治疗,实验组在对照组基础上术前30 min给予口服盐酸屈他维林40 mg,观察两组十二指肠收缩评分、插管成功率。结果全部患者完成试验,两组平均十二指肠收缩评分、平均操作时间及平均插管时间比较,差异均有统计学意义(P<0.05)。结论术前口服盐酸屈他维林在ERCP术中有较好的解痉效果,能减少插管时间及操作时间,可考虑作为术前常规用药选择。

  8. Age-dependent safety analysis of propofol-based deep sedation for ERCP and EUS procedures at an endoscopy training center in a developing country

    Directory of Open Access Journals (Sweden)

    Amornyotin S

    2012-07-01

    Full Text Available Somchai Amornyotin,1,2 Somchai Leelakusolvong,2,3 Wiyada Chalayonnawin,1,2 Siriporn Kongphlay1,21Department of Anesthesiology, 2Siriraj GI Endoscopy Center, 3Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandIntroduction: Endoscopic retrograde cholangiopancreatography (ERCP and endoscopic ultrasonography (EUS procedures in elderly patients are on the rise, and they play an important role in the diagnosis and management of various gastrointestinal diseases. The use of deep sedation in these patients has been established as a safe and effective technique in Western countries; however, it is uncertain if the situation holds true among Asians. The present study aimed to evaluate the age-dependent safety analysis and clinical efficacy of propofol-based deep sedation (PBDS for ERCP and EUS procedures in adult patients at a World Gastroenterology Organization (WGO Endoscopy Training Center in Thailand.Methods: We undertook a retrospective review of anesthesia or sedation service records of patients who underwent ERCP and EUS procedures. All procedures were performed by staff endoscopists, and all sedations were administered by anesthesia personnel in the endoscopy room.Results: PBDS was provided for 491 ERCP and EUS procedures. Of these, 252 patients (mean age, 45.1 ± 11.1 years, range 17–65 years were in the <65 age group, 209 patients (mean age, 71.7 ± 4.3 years, range 65–80 years were in the 65–80 year-old group, and 30 patients (mean age, 84.6 ± 4.2 years, range 81–97 years were in the >80 age group. Common indications for the procedures were pancreatic tumor, cholelithiasis, and gastric tumor. Fentanyl, propofol, and midazolam were the most common sedative drugs used in all three groups. The mean doses of propofol and midazolam in the very old patients were relatively lower than in the other groups. The combination of propofol, midazolam, and fentanyl, as well as propofol and fentanyl

  9. Japan-Indo collaboration on balloon observations

    Science.gov (United States)

    Makino, Fumiyoshi

    Japan-Indo collaboration on balloon observations of cosmic X-ray sources was started in 1969 by the late S. Hayakawa of Nagoya Univ. and B. V. Sreekantan of TIFR. Cosmic background X-ray and soft gamma-ray spectra, simultaneous X-ray and optical flux variation, and size of X-ray emitting region of Crab Nebula were observed successfully by balloon flights at Hyderabad in 1969-1975. H. Shibai of Nagoya Univ. and T. N. Rengarajan of TIFR have organized collaboration on far infrared sky survey at wavlength of 150 micron emitted from CII. By employing improved detectors, CII distribution of Orion Nebula has been obtained in good accuracy by more than ten balloon flights in 1999-2008.

  10. Near ultraviolet spectrograph for balloon platform

    Science.gov (United States)

    Sreejith, A. G.; Safonova, Margarita; Murthy, Jayant

    2015-06-01

    Small and compact scientific payloads may be easily designed constructed and own on high altitude balloons. Despite the fact that large orbital observatories provide accurate observations and statistical studies of remote and/or faint space sources, small telescopes on board balloons or rockets are still attractive because of their low cost and rapid response time. We describe here a near ultraviolet (NUV) spectrograph designed to be own on a high{altitude balloon platform. Our basic optical design is a modified Czerny-Turner system using off the shelf optics. We compare different methods of aberration corrections in such a system. We intend the system to be portable and scalable to different telescopes. The use of reflecting optics reduces the transmission loss in UV. We plan on using an image intensified CMOS sensor operating in photon counting mode as the detector of choice.

  11. 75 FR 33838 - National Environmental Policy Act; Scientific Balloon Program

    Science.gov (United States)

    2010-06-15

    ... SPACE ADMINISTRATION National Environmental Policy Act; Scientific Balloon Program AGENCY: National... Draft Programmatic Environmental Assessment (PEA) and Draft Finding of No Significant Impact (FONSI) for NASA's Scientific Balloon Program. SUMMARY: Pursuant to the National Environmental Policy Act of...

  12. Particle Astrophysics in NASA's Long Duration Balloon Program

    CERN Document Server

    Gorham, Peter W

    2013-01-01

    A century after Viktor Hess' discovery of cosmic rays, balloon flights still play a central role in the investigation of cosmic rays over nearly their entire spectrum. We report on the current status of NASA balloon program for particle astrophysics, with particular emphasis on the very successful Antarctic long-duration balloon program, and new developments in the progress toward ultra-long duration balloons.

  13. There is a Text in 'The Balloon'

    DEFF Research Database (Denmark)

    Elias, Camelia

    2009-01-01

    From the Introduction: Camelia Elias' "There is a Text in 'The Balloon': Donald Barthelme's Allegorical Flights" provides its reader with a much-need and useful distinction between fantasy and the fantastic: "whereas fantasy in critical discourse can be aligned with allegory, in which a supernatu......From the Introduction: Camelia Elias' "There is a Text in 'The Balloon': Donald Barthelme's Allegorical Flights" provides its reader with a much-need and useful distinction between fantasy and the fantastic: "whereas fantasy in critical discourse can be aligned with allegory, in which...

  14. Cutting balloon angioplasty for intrastent restenosis treatment

    Directory of Open Access Journals (Sweden)

    João Orávio de Freitas Jr

    1999-05-01

    Full Text Available We describe here two patients with angiographic diagnosis of intrastent restenosis and regional myocardial ischemia. One stent restenosis was located in a native coronary artery and the other in a vein graft. Both were treated with cutting balloon angioplasty (CBA, inflated at low pressures. Angiographic success was obtained and both patients were discharged in the day after the procedure. Cutting balloon angioplasty using low inflation pressures achieved important luminal gains, in these two cases of intrastent restenosis. Further studies are necessary before the effectiveness of this procedure can be precisely defined.

  15. On the inflation of a rubber balloon

    Science.gov (United States)

    Vandermarlière, Julien

    2016-12-01

    It is a well-known fact that it is difficult to start a balloon inflating. But after a pressure peak that occurs initially, it becomes far easier to do it! The purpose of this article is to establish the experimental pressure-radius chart for a rubber balloon and to compare it to the theoretical one. We will demonstrate that the barometer of a smartphone is a very suitable tool to reach this goal. We hope that this phenomenon will help students realize that sometimes very simple questions can lead to very interesting and counterintuitive science.

  16. High altitude balloon experiments at IIA

    Science.gov (United States)

    Nayak, Akshata; Sreejith, A. G.; Safonova, Margarita; Murthy, Jayant

    Recent advances in balloon experiments as well as in electronics have made it possible to fly scientific payloads at costs accessible to university departments. We have begun a program of high altitude ballooning at the Indian Institute of Astrophysics, Bengaluru. The primary purpose of this activity is to test low-cost ultraviolet (UV) payloads for eventual space flight, but we will also try scientific exploration of the phenomena occurring in the upper atmosphere, including sprites and meteorite impacts. We present the results of the initial experiments carried out at the CREST campus of IIA, Hosakote, and describe our plans for the future.

  17. Auditory Risk of Exploding Hydrogen-Oxygen Balloons

    Science.gov (United States)

    Gee, Kent L.; Vernon, Julia A.; Macedone, Jeffrey H.

    2010-01-01

    Although hydrogen-oxygen balloon explosions are popular demonstrations, the acoustic impulse created poses a hearing damage risk if the peak level exceeds 140 dB at the listener's ear. The results of acoustical measurements of hydrogen-oxygen balloons of varying volume and oxygen content are described. It is shown that hydrogen balloons may be…

  18. Ballooning behavior in the golden orbweb spider Nephilapilipes (Araneae: Nephilidae

    Directory of Open Access Journals (Sweden)

    Vanessa M.J. Lee

    2015-01-01

    Full Text Available Ballooning, a mode of aerial dispersal in spiders, is an innate behavior that requires appropriate physiological and meteorological conditions. Although only rarely reported in the golden orbweb spiders, family Nephilidae, the large geographic distributions of most nephilids—in particular of Nephila species—would imply that these spiders likely routinely disperse by ballooning in spite of giant female sizes. Here we study ballooning behavior in the golden orbweb spider Nephila pilipes (Fabricius, 1793. Specifically, we test for the propensity of spiderlings to deploy ballooning as a dispersal mechanism. We subjected a total of 59 first-instar spiderlings to a wind experiment at two wind speeds (2.17 ± 0.02 m s-1 and 3.17 ± 0.02 m s-1 under laboratory conditions. Under an average wind speed of 3.17 m s-1, none of the spiderlings exhibited pre-ballooning or ballooning behavior. However, at an average wind speed of 2.17 m s-1, 53 (89.8% spiderlings showed pre-ballooning behavior, and 17 (32.1% of the pre-ballooners ultimately ballooned. Our results concur with prior reports on spiderlings of other families that pre-ballooning behavior is a requirement for ballooning to occur. Furthermore, although we cannot rule out other dispersal mechanisms such as synanthropic spread, our findings suggest that the widespread N. pilipes uses ballooning to colonize remote oceanic islands.

  19. 21 CFR 884.5050 - Metreurynter-balloon abortion system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Metreurynter-balloon abortion system. 884.5050... Devices § 884.5050 Metreurynter-balloon abortion system. (a) Identification. A metreurynter-balloon abortion system is a device used to induce abortion. The device is inserted into the uterine...

  20. Single-balloon versus double-balloon bipedicular kyphoplasty for osteoporotic vertebral compression fractures.

    Science.gov (United States)

    Wang, Heng; Sun, Zhenzhong; Wang, Zhiwen; Jiang, Weimin

    2015-04-01

    Twenty-eight patients with osteoporotic vertebral compression fractures (OVCF) were treated with single-balloon bipedicular kyphoplasty (Group A), and 40 patients were treated with double-balloon bipedicular kyphoplasty (Group B). Visual Analogue Scale (VAS) score, vertebral height, and kyphotic angle (KA) were evaluated pre-operatively, post-operatively (3 days after surgery) and at final follow-up. Operative time, X-ray exposure frequency and costs were recorded. The mean operative time and X-ray exposure frequency in Group A were greater than in Group B (pkyphoplasty is a safe and cost-effective surgical method for the treatment of OVCF. It can achieve pain relief comparable with double-balloon bipedicular kyphoplasty. However, double-balloon bipedicular kyphoplasty is more efficacious in terms of the restoration of vertebral height and reduction of KA, and the operative time and X-ray exposure frequency are lower.

  1. Experiments with Helium-Filled Balloons

    Science.gov (United States)

    Zable, Anthony C.

    2010-12-01

    The concepts of Newtonian mechanics, fluids, and ideal gas law physics are often treated as separate and isolated topics in the typical introductory college-level physics course, especially in the laboratory setting. To bridge these subjects, a simple experiment was developed that utilizes computer-based data acquisition sensors and a digital gram scale to estimate the molar mass of the gas in an inflated balloon. In this experiment, the comparable density of an inflated balloon to that of atmospheric air introduces a significant role for buoyancy that must be accounted for. The ideal gas law approximation is assumed for both the isolated gas mixture within the balloon and the surrounding air, which defines the relationship between the gas pressure, volume, temperature, and molar quantity. Analysis of the forces associated with the inflated balloon with the incorporation of Archimedes' principle and the ideal gas law into Newton's second law results in an experimental method for the measurement of the molar mass and mole fraction of a gas that is easy to implement yet academically challenging for students. The following narrative describes the basic setup of this experiment, along with a sample set of data as acquired and analyzed by a typical physics student from one of my classes.

  2. Pumpkins and onions and balloon design

    Science.gov (United States)

    Winker, J. A.

    The reach for a capability to make long flights (months) with heavy payloads (tonnes) has long been pursued. The closest we have come is with polar flights devoid of a significant diurnal cycle. Superpressure technology, with its ability to survive diurnal cycles, is an obvious choice, but materials limitations have been an obstacle to realizing these ambitious goals. Now comes an assortment of new synthetic materials, coupled with a special variety of superpressure balloon which, in combination, is poised to yield a solution for our enhanced duration/payload quest. In this paper we are looking not at materials, but only at a balloon concept. This concept is a "natural shape" oblate spheroid balloon whose shape is chosen to exploit properties of component materials, particularly newly available ones. The current variation of this concept is called a "pumpkin" balloon. The most visible work on this shape is that done by France's CNES, Japan's ISAS, and in the USA by NASA's Wallops Flight Facility. But the basic design idea is not new; it extends back at least a half century. This paper traces the origins of the shape, its evolution through various iterations, and it speculates on some of the recent thinking regarding construction details.

  3. Stratospheric Balloon Platforms for Near Space Access

    Science.gov (United States)

    Dewey, R. G.

    2012-12-01

    For over five decades, high altitude aerospace balloon platforms have provided a unique vantage point for space and geophysical research by exposing scientific instrument packages and experiments to space-like conditions above 99% of Earth's atmosphere. Reaching altitudes in excess of 30 km for durations ranging from hours to weeks, high altitude balloons offer longer flight durations than both traditional sounding rockets and emerging suborbital reusable launch vehicles. For instruments and experiments requiring access to high altitudes, engineered balloon systems provide a timely, responsive, flexible, and cost-effective vehicle for reaching near space conditions. Moreover, high altitude balloon platforms serve as an early means of testing and validating hardware bound for suborbital or orbital space without imposing space vehicle qualifications and certification requirements on hardware in development. From float altitudes above 30 km visible obscuration of the sky is greatly reduced and telescopes and other sensors function in an orbit-like environment, but in 1g. Down-facing sensors can take long-exposure atmospheric measurements and images of Earth's surface from oblique and nadir perspectives. Payload support subsystems such as telemetry equipment and command, control, and communication (C3) interfaces can also be tested and operationally verified in this space-analog environment. For scientific payloads requiring over-flight of specific areas of interests, such as an active volcano or forest region, advanced mission planning software allows flight trajectories to be accurately modeled. Using both line-of-sight and satellite-based communication systems, payloads can be tracked and controlled throughout the entire mission duration. Under NASA's Flight Opportunities Program, NSC can provide a range of high altitude flight options to support space and geophysical research: High Altitude Shuttle System (HASS) - A balloon-borne semi-autonomous glider carries

  4. Efficacy and safety of ERCP in a low-volume hospital Eficacia y seguridad de la CPRE en un hospital con bajo volumen

    Directory of Open Access Journals (Sweden)

    José María Riesco-López

    2013-02-01

    Full Text Available Background and aims: there is little scientific evidence on the outcomes of endoscopic retrograde cholangiopancreatography (ERCP performed in low-volume hospitals; however, in our country, it is growing up its implementation. The objectives of our study were to evaluate the efficacy and safety of this technique performed by two endoscopists with basic training in a center of this nature and analyze the learning curve in the first procedures. Patients and methods: single-center retrospective study of the first 200 ERCP performed in our hospital (analyzing the evolution between the first 100 and 100 following procedures, comparing them with the quality standards proposed in the literature. Results: from February 2009 to April 2011, we performed 200 ERCP in 169 patients, and the most common indications were: Choledocholithiasis (77 %, tumors (14.5 % and other conditions (8.5 %. The cannulation rate rose from 85 % in the first 100 ERCP to 89 % in the next 100 procedures, clinical success from 81 % to 87 %, decreasing the post-ERCP acute pancreatitis rate from 11 % to 4 %, upper gastrointestinal bleeding (UGIB from 3 % to 2 % and acute cholangitis from 4 % to 1 %. There was a death from a massive UGIB in a cirrhotic patient in the first group of patients and a case of biliary perforation resolved by surgery in the second one. Conclusions: the results obtained after performing 200 procedures support the ability to practice ERCP in low-volume hospitals obtaining levels of efficacy and safety in accordance with published quality standards.Introducción y objetivos: existe poca evidencia científica sobre los resultados de la CPRE realizada en hospitales con bajo volumen, sin embargo su puesta en marcha en nuestro medio es creciente. Los objetivos de nuestro estudio son evaluar la eficacia y seguridad de dicha técnica realizada por dos endoscopistas biliares noveles en un centro de estas características y analizar la curva de aprendizaje en los

  5. Laparoscopic Combined with ERCP in Treatment of Cholelithiasis and Nursing Experience%腹腔镜联合ERCP术治疗胆石症的护理体会

    Institute of Scientific and Technical Information of China (English)

    蒋素燕; 项春晖

    2013-01-01

      目的:探讨 ERCP+EST +腹腔镜胆囊切除治疗胆囊结石合并胆总管结石患者的护理方法。方法:对本院2011年6月-2012年6月收治的经 ERCP+EST +腹腔镜胆囊切除治疗胆囊结石合并胆总管结石患者的围手术期的心理护理、临床护理与监测、健康教育进行回顾性分析。结果:89例例胆囊结石合并胆总管结石患者手术成功,恢复良好。结论:对于胆囊结石合并胆总管结石患者先进行 ERCP+EST 术,在先将胆总管内的结石取出后再进行腹腔镜胆囊切除手术,使得患者避免了传统手术导致的切口疼痛,多管引流导致的活动限制、术后禁食时间长,带 T 管时间长、易发生胆道感染的缺点,并且使住院天数减少,患者舒适度增加、痛苦小、恢复快等优点而成为胆道系统结石治疗的首选方法。%Objective:To explore the ERCP+EST + laparoscopic treatment of gallstones and bile duct stones in patients with nursing method. Method:in our hospital in 2011 June to 2012 June were treated by ERCP+EST + laparoscopic treatment of gallstones and bile duct stones in patients during peri operation period of psychological nursing,clinical nursing,health education and monitoring retrospective analysis. Result:89 cases of patients with gallstones and common bile duct stones in patients with successful operation,good recovery. Conclusion:The gallbladder and bile duct stones in patients with first ERCP+EST operation,prior to the removal of calculus of common bile duct after laparoscopic cholecystectomy operation,allows the patient to avoid the traditional operation led to the incision pain,multiple drainage resulted in activity limitations,postoperative fasting time is long,with a T tube long,easy occurrence of biliary infection of the disadvantages,and reduced hospital stay,patient comfort is increased,less pain,rapid recovery has become the preferred method of treatment of biliary tract stones.

  6. Glyceryl trinitrate for prevention of post-ERCP pancreatitis and improve the rate of cannulation: a meta-analysis of prospective, randomized, controlled trials.

    Directory of Open Access Journals (Sweden)

    Jiexia Ding

    Full Text Available BACKGROUND: Acute pancreatitis is the most common complication of diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP. Several clinical trials used glyceryl trinitrate (GTN to prevent the incidence of post-ERCP pancreatitis (PEP. However, the results were still controversial. OBJECTIVE: To conduct a meta-analysis of published, full-length, randomized controlled trials evaluating the effect of prophylactic GTN on the prevention of PEP, improve the rate of cannulation and the prevention of hyperamylasemia. METHODS: Literature searches were conducted using PubMed, EMBASE, The Cochrane Library and Web of Knowledge databases, using keywords "post-ERCP" and "pancreatitis" and limited in randomized controlled trials. RESULTS: Twelve RCTs involving 2649 patients were included. Eleven RCTs compared GTN with placebo for PEP prevention. Meta-analysis showed the overall incidence of PEP was significantly reduced by GTN treatment (RR 0.67; 95% CI, 0.52-0.87. Nevertheless, GTN administration did not decrease the incidence of moderate to severe PEP (RR 0.70; 95% CI, 0.42-1.15. Subgroup analyses revealed that GTN administered by sublingual was more effective than transdermal and topical in reducing the incidence of PEP. Besides, the prophylactic effect of GTN was far more obvious in the group of high PEP incidence than in the group of low PEP incidence. Additionally, the incidence of hyperamylasemia was significantly reduced by GTN treatment (RR 0.69; 95% CI, 0.54-0.90. No differences of the successful cannulation rate of bile ducts (RR 1.03; 95% CI, 0.99-1.06 attributable to GTN were observed. CONCLUSION: Prophylactic use of GTN reduced the overall incidence of PEP and hyperamylasemia. However, GTN was not helpful for the severity of PEP and the rate of cannulation.

  7. Measurements of gondola motion on a stratospheric balloon flight

    CERN Document Server

    Safonova, Margarita; Sreejith, A G; Sarpotdar, Mayuresh; Ambily, S; Prakash, Ajin; Mathew, Joice; Murthy, Jayant; Anand, Devarajan; Kapardhi, B V N; Kumar, B Suneel; Kulkarni, P M

    2016-01-01

    Balloon experiments are an economically feasible method of conducting observations in astronomy that are not possible from the ground. The astronomical payload may include a telescope, a detector, and a pointing/stabilization system. Determining the attitude of the payload is of primary importance in such applications, to accurately point the detector/telescope to the desired direction. This is especially important in generally unstable lightweight balloon flights. However, the conditions at float altitudes, which can be reached by zero pressure balloons, could be more stable, enabling accurate pointings. We have used the Inertial Measurement Unit (IMU), placed on a stratospheric zero pressure balloon, to observe 3-axis motion of a balloon payload over a fight time of 4.5 hours, from launch to the float altitude of 31.2 km. The balloon was launched under nominal atmospheric conditions on May 8th 2016, from a Tata Institute of Fundamental Research Balloon Facility, Hyderabad.

  8. Clinical value of serum amylase, serum trypsinogen-2, IL-10 and platelet activating factor detection in diagnosis of post-ERCP pancreatitis

    Institute of Scientific and Technical Information of China (English)

    Di Wang; Xue-Song Li; Peng-Peng Cai

    2016-01-01

    Objective:To explore the clinical value of serum amylase, serum trypsinogen-2, IL-10 and platelet activating factor detection in the diagnosis of post-ERCP pancreatitis.Methods:A total of 256 patients with ERCP were selected in our hospital of the digestive department of internal medicine from January 2015 to December 2015. According to different symptoms, signs, serum amylase and pancreatic CT examination results after ERCP, the subjects were divided into three groups: control group, hyperlipidemia group and PEP group. Serum trypsinogen-2, IL-10, platelet activating factor were detected.Results:There were statistically significant differences in serum trypsinogen-2, IL-10, platelet activating factor among control group, hyperlipidemia group and PEP group patients with serum amylase (Fgroup = 269.578, 139.492, 145.637, 126.891, allP = 0.000), and the value of PEP group was the highest. There were statistically significant differences in serum trypsinogen-2, IL-10, platelet activating factor at different time point (Ftime = 602.506, 494.375, 462.512, 239.564, allP = 0.000), the serum amylase level in the patients with hyperlipidemia group reached the highest value after 4 h, but the 24 h was lower than the normal level after operation, the serum amylase in PEP group increased rapidly after 4 h, and the 24 h was still increased after operation; The serum trypsinogen-2, IL-10, platelet activating factor were all highest 4 h after the operation in the hyperlipidemia group and PEP group, and the 24 h after the operation were all decreased. In PEP group, serum amylase, serum trypsinogen-2, IL-10, platelet activating factor 4 h after the operation and 24 h after the operation were significantly higher than those before operation (Finteractive = 28.492, 22.614, 16.573, 7.819, allP = 0.000). In PEP group, the serum amylase had positive correlations with serum trypsinogen-2, IL-10, platelet activating factor (r=0.591, 0.662, 0.681, allP<0.05).Conclusions: Serum amylase

  9. Report on the Activities of National Balloon Facility, Hyderabad

    Science.gov (United States)

    Vasudevan, Rajagopalan; Sreenivasan, S.; Suneel Kumar, B.; Kulkarni, P. M.

    2012-07-01

    More than five and half decades back, the Indian Balloon Group at Tata Institute of Fundamental Research, Mumbai started development of stratospheric zero pressure balloon technology and today it is one among the leading balloon groups in the world. For the past 40 years, the Institute has been operating a Scientific Balloon Facility at Hyderabad and carried out 478 balloon flights for various disciplines of space sciences like primary cosmic ray studies, X ray, Gamma Ray, Infra Red Astronomies and Atmospheric science maintaining 100% success rate during the past nine years. The Balloon Facility has the capability to build balloons of volume up to 750,000 Cu.M. as well as carrying out R & D in all aspects of scientific ballooning like balloon engineering, balloon material development, general and flight support instrumentation. A continued effort in R & D for ultra thin balloon material for High Altitude Sounding Flights has resulted in lowering the thickness of the proven indigenous Antrix film initially from 6 to 3.8 microns in the first phase and further reduction to 2.7 microns in the second phase. A test balloon of volume 5000 Cu.M. using the 2.7 micron film attained a record altitude of 45.0 Km. amsl with 1 Kg. GPS sonde payload. A 60,000 Cu.M. balloon fabricated out of 3.8 micron film capable of reaching 47 Km. Altitude with 10 Kg. Payload is awaiting trial. This report briefly describes our balloon activities during the past two years. In atmospheric sciences, aerosol studies were made with OPC,QCM,Aethelometer, Nephelometer,MWR, CIMEL Sun Photometer and Raman LIDAR.Measuments of vertical profile of Meteorological parameters and ozone upto stratosphere using GPS Radiosonde and Ozone sonde is made respectively.Study of Ionospheric tomography is done with CADI and CRABEX.

  10. Balloon-borne gamma-ray polarimetry

    CERN Document Server

    Pearce, Mark

    2011-01-01

    The physical processes postulated to explain the high-energy emission mechanisms of compact astrophysical sources often yield polarised soft gamma rays (X-rays). PoGOLite is a balloon-borne polarimeter operating in the 25-80 keV energy band. The polarisation of incident photons is reconstructed using Compton scattering and photoelectric absorption in an array of phoswich detector cells comprising plastic and BGO scintillators, surrounded by a BGO side anticoincidence shield. The polarimeter is aligned to observation targets using a custom attitude control system. The maiden balloon flight is scheduled for summer 2011 from the Esrange Space Centre with the Crab and Cygnus X-1 as the primary observational targets.

  11. Burn Injury Arise From Flying Balloon Toys

    OpenAIRE

    Yalcin Kulahci; Fatih Zor; Mehmet Bozkurt; Serdar Ozturk; Mustafa Sengezer

    2007-01-01

    Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloon...

  12. Double balloon enteroscopy examinations in general anesthesia

    Institute of Scientific and Technical Information of China (English)

    Laszlo; Zubek; Lena; Szabo; Peter; Laszlo; Lakatos; Janos; Papp; Janos; Gal; Gabor; Elo

    2010-01-01

    AIM:To demonstrate that the double balloon enteroscopy(DBE) can be safely performed in general anesthesia with intubation.METHODS:We performed a retrospective examination between August 2005 and November 2008 amongpatients receiving intubation narcosis due to DBE examination.The patients were grouped based on sex,age and physical status.Anesthesia records includedduration of anesthesia,quantity of medication usedand anesthesia-related complications.We determinedthe frequency of complications in the differen...

  13. MAXIS Balloon Observations of Electron Microburst Precipitation

    Science.gov (United States)

    Millan, R. M.; Hunter, A. E.; McCarthy, M. P.; Lin, R. P.; Smith, D. M.

    2003-12-01

    Quantifying and understanding losses is an integral part of understanding relativistic electron variability in the radiation belts. SAMPEX observations indicate that electron microburst precipitation is a major loss mechanism during active periods; the loss of relativistic electrons during a six hour period due to microburst precipitation was recently estimated to be comparable to the total number of trapped electrons in the outer zone (Lorentzen et al., 2001). Microburst precipitation was first observed from a balloon (Anderson and Milton, 1964), but these early measurements were only sensitive to MAXIS 2000 long duration balloon campaign. MAXIS was launched from McMurdo Station in Antarctica carrying a germanium spectrometer, a BGO scintillator and two X-ray imagers designed to measure the bremsstrahlung produced by precipitating electrons. The balloon circumnavigated the south pole in 18 days covering magnetic latitudes ranging from 58o-90o South. During the week following a moderate geomagnetic storm (with Dst reaching -91 nT), MAXIS detected a total of over 16 hours of microburst precipitation. We present high resolution spectra obtained with the MAXIS germanium spectrometer which allow us to determine the precipitating electron energy distribution. The precipitating distribution will then be compared to the trapped distribution measured by the GPS and LANL satellites. We also examine the spatial distribution of the precipitation.

  14. Long Duration Balloon Charge Controller Stack Integration

    Science.gov (United States)

    Clifford, Kyle

    NASA and the Columbia Scientific Balloon Facility are interested in updating the design of the charge controller on their long duration balloon (LDB) in order to enable the charge controllers to be directly interfaced via RS232 serial communication by a ground testing computers and the balloon's flight computer without the need to have an external electronics stack. The design involves creating a board that will interface with the existing boards in the charge controller in order to receive telemetry from and send commands to those boards, and interface with a computer through serial communication. The inputs to the board are digital status inputs indicating things like whether the photovoltaic panels are connected or disconnected; and analog inputs with information such as the battery voltage and temperature. The outputs of the board are 100ms duration command pulses that will switch relays that do things like connect the photovoltaic panels. The main component of this design is a PIC microcontroller which translates the outputs of the existing charge controller into serial data when interrogated by a ground testing or flight computer. Other components involved in the design are an AD7888 12-bit analog to digital converter, a MAX3232 serial transceiver, various other ICs, capacitors, resistors, and connectors.

  15. Report on the Brazilian Scientific Balloon Program

    Science.gov (United States)

    Braga, Joao

    2016-07-01

    We report on the recent scientific ballooning activities in Brazil, and present the plans for the next few years. Recent technological developments, especially on telecommunications and gondola attitude control systems will be reported. We also present the recent progress achieved in the development of the protoMIRAX balloon experiment. protoMIRAX is a balloon-borne hard X-ray imaging telescope under development at INPE as a pathfinder for the MIRAX (Monitor e Imageador de Raios X) satellite mission. The experiment consists essentially in a hard X-ray coded-aperture imager to operate in the 20-200 keV energy range. The detector plane is a square array of 196 10mm x 10mm x 2mm CdZnTe (CZT) planar detectors. A collimator defines a fully-coded field-of-view of 20 x 20 degrees, with 7 x 7 degrees of full sensitivity and an angular resolution of 1.7 degrees. We describe the final stages of development and testing of the front-end electronics, with charge preamplifiers, LNAs, shapers and Wilkinson-type ADCs customized for these detectors. We also show detailed Monte Carlo simulations of the flight background and the expected flight images of bright sources performed with the use of GEANT4.

  16. Numerical Modelling Of Pumpkin Balloon Instability

    Science.gov (United States)

    Wakefield, D.

    Tensys have been involved in the numerical formfinding and load analysis of architectural stressed membrane structures for 15 years. They have recently broadened this range of activities into the `lighter than air' field with significant involvement in aerostat and heavy-lift hybrid airship design. Since early 2004 they have been investigating pumpkin balloon instability on behalf of the NASA ULDB programme. These studies are undertaken using inTENS, an in-house finite element program suite based upon the Dynamic Relaxation solution method and developed especially for the non-linear analysis and patterning of membrane structures. The paper describes the current state of an investigation that started with a numerical simulation of the lobed cylinder problem first studied by Calladine. The influence of material properties and local geometric deformation on stability is demonstrated. A number of models of complete pumpkin balloons have then been established, including a 64-gore balloon with geometry based upon Julian Nott's Endeavour. This latter clefted dramatically upon initial inflation, a phenomenon that has been reproduced in the numerical model. Ongoing investigations include the introduction of membrane contact modelling into inTENS and correlation studies with the series of large-scale ULDB models currently in preparation.

  17. Safety and efficacy of large balloon sphincteroplasty in a third care hospital Dilatación con balón asociada a esfinterotomía, evaluación de eficacia y seguridad en un hospital terciario

    Directory of Open Access Journals (Sweden)

    Eduardo Martín-Arranz

    2012-07-01

    Full Text Available Background and aims: large balloon sphincteroplasty (LBS associated with sphincterotomy (ES has gained acceptance as a useful tool in extracting difficult bile duct stones. Our purpose was to evaluate the efficacy and safety of LBS with balloons ≥ 10 mm in clinical practice setting. Patients and methods: unicentre prospective study in a tertiary care hospital. All patients who underwent LBS associated with ES between July 2007 and March 2011 were included prospectively in a database recording clinical aspects, procedure data, outcome and complications. Success is the main outcome defined as complete stone removal documented by absence of any filling defect during a final occlusion cholangiogram and absence of clinical or radiological findings after the ERCP consistent with remaining stones. Complications as pancreatitis, cholangitis, post-ERCP bleeding, perforation and others were also measured. Results: one hundred twenty procedures were made in 109 patients with balloons ranging from 10 to 20 mm. Success rate was 91% in the first attempt and 96.7% after two procedures. Mechanical lithotripsy was only needed in one case (0.8%. Complication rate was 4.2% due to five cases of post-ERCP bleeding in high risk patients. Conclusion: large balloon sphincteroplasty associated to sphincterotomy in clinical practice is a very effective and safe technique.Introducción y objetivos: la dilatación con balón de gran tamaño asociada a esfinterotomía es un recurso cada vez más utilizado en la extracción de coledocolitiasis de gran tamaño. El objetivo de este estudio es evaluar la eficacia y seguridad de la dilatación con balones mayores de 10 mm en un entorno de práctica clínica habitual. Pacientes y métodos: estudio prospectivo en un hospital terciario. Todos los pacientes en los que se realizó dilatación con balón mayor de 10 mm asociado a esfinterotomía entre julio de 2007 y marzo de 2011 se incluyeron prospectivamente en una base de datos

  18. AUTOPERFUSION BALLOON CATHETER FOR COMPLICATED CORONARY ANGIOPLASTY - A PROSPECTIVE-STUDY WITH RETROSPECTIVE CONTROLS

    NARCIS (Netherlands)

    DEMUINCK, ED; VANDIJK, RB; DENHEIJER, P; MEEDER, JG; LIE, KI

    1992-01-01

    Prolonged angioplasty balloon inflation with an autoperfusion balloon for failed conventional coronary angioplasty, was compared with emergency surgery for this condition. Restenosis was assessed 6 weeks after successful intervention with the autoperfusion balloon. Forty consecutive patients with pe

  19. Safety and Efficacy of ERCP in the Elderly Patients%老年患者ERCP的安全性和有效性研究

    Institute of Scientific and Technical Information of China (English)

    兰云娇; 赵清喜; 鞠辉; 毛涛; 薛会光; 田字彬

    2012-01-01

    目的:研究ERCP在高年龄患者中应用的有效性和安全性.方法:回顾性分析2010年6月-2011年7月在本医院进行ER-CP诊治的患者253例.按年龄分组,其≤65岁的患者(低年组)115例,65岁-80岁的患者(中高年组)79例,≥80岁的患者(高年组)59例.记录患者ASA分级、实验室指标、ERCP操作以及并发症、住院天数情况,对结果进行统计分析.结果:253例患者进行了ERCP操作,失败8例.胆总管结石患者178例,恶性肿瘤患者48例.ERCP操作成功率为96.8%(95.6%vs 97.4%vs98.3%),取石成功率98.3%(97.3%vs 98.2%vs1 00%),结石取尽率96.6%(96%vs 96.5%vs 97.8%),高年组患者ASA分级比中高年和低年组高,差异有统计学意义.术前实验指标差异无统计学意义.186例接受了乳头括约肌切开(EST),(71.3%vs 73.4%vs78.0%),33例患者采用了预切开术(16.5%%vs 6.3%vs15.3%),27例患者术中出现困难插管(13.0%vs 7.59%vs10.2%),ERCP诊断胆总管结石70.4%(65.2%vs 72.2%vs78.0%),以上差异均无统计学意义,恶性肿瘤19.0%,多见于高年组患者(12.2%vs 21.5 %vs28.8%),低年组和高年组差异有统计学意义,十二指肠乳头周围憩室39.9%(28.7%vs 48.1%vs50.8%),低年组分别与中高和高年组差异有统计学意义.三组患者行ERCP后病情缓解天数分别为1.61±0.83,1.39±0.72,1.49±0.70.各种并发症共43例(17.0%),低年组25例(21.7%),中高年组8例(10.1%),高年组10例(16.9%),无严重并发症及死亡发生.差异均无统计学意义.结论:1.高年组患者ASA分级较高,但ERCP操作成功率、并发症发生率及治疗后病情缓解天数与其他组患者无差别,ERCP在老年患者中的应用是安全而有效的.2.中高年组及高年组十二指肠乳头周围憩室比低年组多见,但对ERCP操作成功率和并发症发生率无影响.%Objective: To investigate the effect and safety of ERCP in Elder, Middle and Younger groups of

  20. Application of therapeutic ERCP in patients 80 years of age and older%高龄患者进行治疗性逆行胆管造影的经验体会

    Institute of Scientific and Technical Information of China (English)

    邵晓冬; 郭晓钟; 任丽楠; 赵佳均; 梁振东; 林浩

    2013-01-01

    Objective To evaluate the efficacy and the safety of therapeutic ERCP in patients 80 years of age and older with biliary and pancreatic diseases. Methods Patients with biliary and pancreatic diseases treated with therapeutic ERCP in our hospital from December 2005 to December 2011 were retrospectively reviewed. Results Two hundred and thirty seven patients underwent 268 therapeutic ERCP procedures. The indications included choledocholithiasis( 53. 2% ), malignant obstructive jaundice( 20. 2% ), biliary pancreatitis ( 10. 5% ),acute suppurative cholangitis( 9. 7% ),benign biliary stricture( 3. 4% )and others( 3. 0% ). The success rate of therapeutic ERCP was 94. 9% and 14. 6% of all procedures were emergent. Bile duct stones were completely cleared in 95. 4% of patients with cho-ledocholithiasis. Four patients underwent ERBD and two patients were referred for surgical intervention due to unsuccessful clearance of bile duct stone. Metal biliary stents were inserted in 23 patients with malignant obstructive jaundice. Plastic biliary stents were inserted in 34 patients,of which 11 patients underwent stent replacement because of stent occlustion. Unsuccessful ERCP procedures occurred in 12 cases. There were 183( 77. 2% )patients with peripapillary diverticulum. Complications occurred in 6 patients including cholangitis( 2 cases ), pancreatitis( 1 case ), hemorrhage( 2 cases )and perforation( 1 case )and there was no death case in the group. Conclusion For patients 80 years of age and older with biliary and pancreatic diseases, therapeutic ERCP is an effective and safe treatment.%目的 评估在80岁以上高龄患者中经逆行胆管造影(ERCP)进行胆胰疾病治疗的疗效和安全性.方法 回顾性分析该院自2005年12月-2011年12月经ERCP进行胆胰疾病治疗的80岁以上高龄患者的病历资料.结果 237例80岁以上高龄患者共进行了268例次治疗性ERCP.患者行ERCP治疗的原因有:胆管结石(53.2%)、恶性梗阻性黄疸(20.2%)

  1. 儿童胰腺炎ERCP术后并发症研究%Complications of endoscopic retrograde cholangiopancreatography(ERCP) in children with pancreatitis

    Institute of Scientific and Technical Information of China (English)

    施新岗; 李兆申; 许国铭; 邹晓平; 金震东; 孙振兴

    2002-01-01

    目的分析儿童胰腺炎患者经内镜逆行胰胆管造影(endoscopic retrograde cholangiop-ancreatography, ERCP)术后高淀粉酶血症、胰腺炎及出血等并发症的发生率,探讨其安全性.方法回顾分析1997年2月~2002年2月间入住我科确诊为儿童胰腺炎并行ERCP术的27例患者的临床资料,其中急性胰腺炎(acute pancreatitis,AP)14例,慢性胰腺炎(chronic pancreatitis,CP)13例;诊断性ERCP 9例,治疗性ERCP18例.结果 27例患者ERCP术后总体并发症发生率为51.85%(14/27),其中,高淀粉酶血症发生率22.22%(6/27),术后4、24 h血清淀粉酶水平分别为(410.75±230.31) U/L、(367.25±233.90) U/L,48~72h后均恢复正常;胰腺炎发生率22.22%(6/27),均为轻型胰腺炎;乳头切开处出血、黑便发生率7.41%(2/27),均发生于胆总管结石行十二指肠乳头括约肌切开(endoscopic sphincterotomy,EST)+取石术后;诊断性ERCP组并发症的发生率低于治疗性ERCP组,但无统计学意义.结论儿童胰腺炎患者ERCP术后具有较高的并发症发生率,内镜医师于ERCP术中应高度重视,采取必要的预防措施以减少并发症的发生.

  2. Stratospheric composition from balloon based measurements

    Energy Technology Data Exchange (ETDEWEB)

    Mencaraglia, F.; Carli, B. [Ist. per le Ricerche sulle Onde Elettromagnetiche, Firenze (Italy); Bonetti, A.; Ciarpallini, P. [Univ. di Firenze (Italy); Carlotti, M.; Lepri, G. [Univ. di Bologna (Italy); Alboni, F.; Cortesi, U.; Ridolfi, M. [Fondazione per la Metereologia Applicata, Firenze (Italy)

    1995-12-31

    Measurements of the composition of the earth`s atmosphere is of fundamental importance for the study of atmospheric chemistry and for developing models that can predict the evolution of the atmosphere itself. Here, the chemical composition of the lower stratosphere has been measured using a polarizing interferometer operating in the far infrared and submillimetric spectral region. The instrument was flown three times (in 1992, 1993 and 1994) from the NSBF balloon base (Fort Sumner, New Mexico) in coincidence with overpasses of the UARS satellite, for a total of about 50 hours of measurements. In this paper the authors report some of the results obtained from the data analysis made up to now.

  3. Double-balloon endoscopy: Who needs it?

    DEFF Research Database (Denmark)

    Hendel, J.W.; Vilmann, P.; Jensen, T.

    2008-01-01

    Objective. Double-balloon endoscopy (DBE) made the small bowel accessible to inspection and therapy in its entirety. However, DBE is a time-consuming procedure that requires a highly skilled endoscopist, several nurses and - more often than not - anesthesiological support. This makes the selectio...... within the next 12 months. Conclusions. CE can be applied as a screening procedure for DBE and allows for an approximately two-thirds reduction in the need for DBE as well as enabling a choice to be made between the oral and anal route Udgivelsesdato: 2008...

  4. Pneumothorax, music and balloons: A case series

    Directory of Open Access Journals (Sweden)

    Shiferaw Dejene

    2013-01-01

    Full Text Available We describe two cases of spontaneous pneumothorax in young healthy adults with no underlying structural lung disease. The onset of pneumothorax was following physical activity including playing musical instruments and blowing of balloons. There is sparse data evaluating the pathophysiology of primary spontaneous pneumothorax in relation to increased mouth pressures. These cases highlight the possible physical effect of valsalva manoeuvre on transpulmonary pressures, and the potential risk of developing pneumothorax in otherwise healthy individuals. This aspect of pneumothorax development is worthy of further exploration, to better elucidate the mechanism and enhance our understanding of this common respiratory presentation.

  5. Ballooning Spiders: The Case for Electrostatic Flight

    CERN Document Server

    Gorham, Peter W

    2013-01-01

    We consider general aspects of the physics underlying the flight of Gossamer spiders, also known as ballooning spiders. We show that existing observations and the physics of spider silk in the presence of the Earth's static atmospheric electric field indicate a potentially important role for electrostatic forces in the flight of Gossamer spiders. A compelling example is analyzed in detail, motivated by the observed "unaccountable rapidity" in the launching of such spiders from H.M.S. Beagle, recorded by Charles Darwin during his famous voyage.

  6. Thrombus aspiration catheter is a Dottering balloon.

    Science.gov (United States)

    Sheshagiri Rao, D; Barik, Ramachandra; Prasad, Akula Siva

    2016-01-01

    Coronary angiogram in a young man with history of STEMI with delayed presentation revealed subtotal occlusion of left anterior descending artery (LAD) with large thrombotic filling defect distal to the critical lesion. PCI was preferred without delay because of ongoing chest pain. Several runs of thrombus aspiration failed to detect any visible thrombus. However, the immediate angiogram after thrombus aspiration showed complete distal embolization of the thrombus which could have been achieved by Dottering or balloon dilatation. In contrary to the general perception, does thrombus aspiration push more thrombus than it can aspirate?

  7. Flight Qualification of the NASA's Super Pressure Balloon

    Science.gov (United States)

    Cathey, Henry; Said, Magdi; Fairbrother, Debora

    Designs of new balloons to support space science require a number of actual flights under various flight conditions to qualify them to as standard balloon flight offerings to the science community. Development of the new Super Pressure Balloon for the National Aeronautics and Space Administration’s Balloon Program Office has entailed employing new design, analysis, and production techniques to advance the state of the art. Some of these advances have been evolutionary steps and some have been revolutionary steps requiring a maturing understanding of the materials, designs, and manufacturing approaches. The NASA Super Pressure Balloon development end goal is to produce a flight vehicle that is qualified to carry a ton of science instrumentation, at an altitude greater than 33 km while maintaining a near constant pressure altitude for extended periods of up to 100 days, and at any latitude on the globe. The NASA’s Balloon Program Office has pursued this development in a carefully executed incremental approach by gradually increasing payload carrying capability and increasing balloon volume to reach these end goal. A very successful test flight of a ~200,700 m3 balloon was launch in late 2008 from Antarctica. This balloon flew for over 54 days at a constant altitude and circled the Antarctic continent almost three times. A larger balloon was flown from Antarctica in early 2011. This ~422,400 m3 flew at a constant altitude for 22 days making one circuit around Antarctica. Although the performance was nominal, the flight was terminated via command to recover high valued assets from the payload. The balloon designed to reach the program goals is a ~532,200 m3 pumpkin shaped Super Pressure Balloon. A test flight of this balloon was launched from the Swedish Space Corporation’s Esrange Balloon Launch Facilities near Kiruna, Sweden on 14 August, 2012. This flight was another success for this development program. Valuable information was gained from this short test

  8. 21 CFR 870.1350 - Catheter balloon repair kit.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Catheter balloon repair kit. 870.1350 Section 870... repair kit. (a) Identification. A catheter balloon repair kit is a device used to repair or replace the... effect the repair or replacement. (b) Classification. Class III (premarket approval). (c) Date PMA...

  9. Reversible transient apical ballooning syndrome with coronary lesions

    Institute of Scientific and Technical Information of China (English)

    Yunshan Cao; Min Zhang; Xiang Li; Ping Xie; Lynn Cronin

    2009-01-01

    Transient apical ballooning syndrome(Tako-Tsubo syndrome or ampulla cardiomyopathy) occurs predominantly in women over 60 years of age with a history of recent physical or psychological stress. We present a case of a male patient with reversible transient apical ballooning syndrome with significant coronary lesions and other ECG changes that did not explain the clinical symptoms.

  10. A Rare and Serious Unforeseen Complication of Cutting Balloon Angioplasty

    Directory of Open Access Journals (Sweden)

    Praveen Vemula

    2014-01-01

    Full Text Available Cutting balloon angioplasty (CBA is one of the adept ways of treating “in-stent restenosis.” Various complications related to cutting balloon angioplasty have been reported including arterial rupture, delayed perforation and fracture of microsurgical blades. Here we report a very unusual and inadvertent extraction of a stent previously deployed in the ramus intermedius coronary branch by a cutting balloon catheter. This required repeat stenting of the same site for an underlying dissection. Even though stent extraction is a rare complication it can be serious due to dissection, perforation, and closure of the artery. Physicians performing coronary artery interventions would need to be aware of this rare and serious complication especially if any difficulty is encountered while withdrawing the cutting balloon. Therefore, after removal, cutting balloon should be examined thoroughly for possible stent dislodgment or extraction when used for “in-stent restenosis.”

  11. A New Paradigm in Space Based Experiments Using Rubber Balloons

    CERN Document Server

    Chakrabarti, Sandip K; Palit, Sourav; Chakraborty, Subhankar; Mondal, Sushanta; Bhattacharyya, Arnab; Middya, Susanta; Chakrabarti, Sonali

    2013-01-01

    Indian Centre for Space Physics is engaged in long duration balloon borne experiments with typical payloads less than ~ 3kg. Low cost rubber balloons are used. In a double balloon system, the booster balloon lifts the orbiter balloon to its cruising altitude where data is taken for a long time. Here we present results of muon detections and recent solar activities, including the light curves and flare spectra in the 20-100keV range. We not only show that we have successfully obtained several flares and there spectra at different altitudes, we also found that the high energy X-ray flux of strong flares at altitudes of 10-13 km (the flight altitude of commercial planes) could be more than the contribution due to cosmic rays.

  12. An overview of instrumentation capabilities for Scientific ballooning in India

    Science.gov (United States)

    Devarajan, Anand; Reddy Vizapur, Anmi; Rao Tanneeru, Venkateswara; Bangaru, Kapardhi; Trivedi, Dharmesh; Rodi, Ashish; Ojha, Devendra; Koli, Santosh

    2016-07-01

    The Balloon Facility of Tata Institute of Fundamental Research (TIFR-BF) in India, launches scientific balloons for research in the field of astronomy, astrobiology and atmospheric sciences. TIFR-BF not only has the capability to design, fabricate and launch zero-pressure balloons, but also provide operational and engineering support for launching them. The Control Instrumentation Group (CIG) at the balloon facility handles all electronics related to telemetry, telecommand, tracking, real-time data display, data storage, air-safety and payload recovery. In the recent past, it has designed and developed customized electronics and payload orientation mechanism to meet specific experimental objectives. Small, inexpensive and rugged industrial grade radio data modems were successfully deployed in balloon flights for low bit rate data and image telemetry. This paper will provide an overview and in-flight performance of some of the recent developments in instrumentation and electronics systems. Our plans for future upgradations will also be discussed.

  13. Global kinetic ballooning mode simulations in BOUT++

    Science.gov (United States)

    Ma, C. H.; Xu, X. Q.

    2017-01-01

    We report on simulation results of a 3+1 gyro-Landau-fluid (GLF) model in BOUT++ framework, which contributes to increasing the physics understanding of the edge turbulence. We find that there is no second stability region of kinetic ballooning modes (KBM) in the concentric circular geometry. The first unstable β of KBM decreases below the ideal ballooning mode threshold with increasing {ηi} . In order to study the KBM in the real tokamak equilibrium, we find that the approximation of shifted circular geometry (β \\ll {{\\varepsilon}2} ) is not valid for a high β global equilibrium near the second stability region of KBM. Thus we generate a series of real equilibria from a global equilibrium solver CORSICA, including both Shafranov shift and elongation effects, but not including bootstrap current. In these real equilibria, the second stability region of KBM are observed in our global linear simulations. The most unstable mode for different β are the same while the mode number spectrum near the second stability region is wider than the case near the first stability region. The nonlinear simulations show that the energy loss of an ELM keeps increasing with β, because the linear drive of the turbulence remains strong for the case near the second stability region during profile evolution.

  14. A constitutive equation for stratospheric balloon materials

    Science.gov (United States)

    Rand, J.; Sterling, J.

    The selection of a suitable material for use as a reliable stratospheric balloon gas barrier and structural component is based on a variety of desired properties. In order to achieve the required combination of weight per unit area, helium permeation, strength, flexibility and toughness at low temperatures, low density polyethylene has been used for the last half century. During the last decade, linear low density polyethylene (LLDPE) has been found to have even better properties for this application. Thin films extruded from this type resin have been found to have time dependent properties which should be understood in order to make an intelligent analysis of the balloon. This paper describes the current effort to characterize a 38 micron coextrusion of LLDPE as a nonlinearly viscoelastic material. The resulting constitutive equation may be used to accurately describe the time dependent creep and/or relaxation of this film when subjected to a biaxial state of stress. Recent laboratory data have been used to modify an existing model of LLDPE to account for differences caused by the coextrusion process. The new model will facilitate structure design optimization and reliability assessment, and may further be utilized as a predictive tool to benefit in-flight operations. Unfortunately, current structural analysis techniques based on linear elastic properties will predict stresses in excess of those which actually exist. An example will be presented which demonstrates the magnitude of this error when nonlinear behavior is ignored.

  15. EUSO-Balloon: The first flight

    Science.gov (United States)

    Scotti, Valentina; Osteria, Giuseppe

    2016-07-01

    EUSO-Balloon is a pathfinder mission for JEM-EUSO, the near-UV telescope proposed to be installed on board the International Space Station (ISS). The main objective of this pathfinder mission is to perform a full scale end-to-end test of all the key technologies of JEM-EUSO detectors and to measure the UV background. The JEM-EUSO instrument consists of UV telescope designed to focus the signal of the UV tracks generated by Extreme Energy Cosmic Rays propagating in Earth's atmosphere, onto a finely pixelized UV camera. The EUSO-Balloon instrument, smaller than the one designed for the ISS, was launched on August 2014 from Timmins (Ontario, Canada). The flight lasted about five hours and the instrument reached a float altitude of about 40 km. From this altitude the telescope registered, at a rate of 400 000 frames/s, the nightglow background on forests, lakes and clouds, as well as city lights and artificial air showers tracks generated by means of a laser installed on an helicopter flying inside its field of view. In this contribution we will describe the instrument and its performance during the first flight.

  16. EUSO-Balloon: The first flight

    Energy Technology Data Exchange (ETDEWEB)

    Scotti, Valentina, E-mail: scottiv@na.infn.it; Osteria, Giuseppe

    2016-07-11

    EUSO-Balloon is a pathfinder mission for JEM-EUSO, the near-UV telescope proposed to be installed on board the International Space Station (ISS). The main objective of this pathfinder mission is to perform a full scale end-to-end test of all the key technologies of JEM-EUSO detectors and to measure the UV background. The JEM-EUSO instrument consists of UV telescope designed to focus the signal of the UV tracks generated by Extreme Energy Cosmic Rays propagating in Earth's atmosphere, onto a finely pixelized UV camera. The EUSO-Balloon instrument, smaller than the one designed for the ISS, was launched on August 2014 from Timmins (Ontario, Canada). The flight lasted about five hours and the instrument reached a float altitude of about 40 km. From this altitude the telescope registered, at a rate of 400 000 frames/s, the nightglow background on forests, lakes and clouds, as well as city lights and artificial air showers tracks generated by means of a laser installed on an helicopter flying inside its field of view. In this contribution we will describe the instrument and its performance during the first flight.

  17. THE KISSING BALLOON TECHNIQUE WITH 2 OVER-THE-WIRE BALLOON CATHETERS THROUGH A SINGLE 8-FRENCH GUIDING CATHETER

    NARCIS (Netherlands)

    DENHEIJER, P; BERNINK, PJLM; VANDIJK, RB; TWISK, SPM; LIE, KI

    1991-01-01

    Some of the newer over-the-wire coronary angioplasty catheters have shaft sizes of 3.0 French (F) or less. The inner diameter of modern 8-F guiding catheters is large enough to accommodate two of such balloon catheters. We report a kissing balloon procedure with two over-the-wire catheters through a

  18. Effect of intra-aortic balloon pump on coronary blood flow during different balloon cycles support: A computer study.

    Science.gov (United States)

    Aye, Thin Pa Pa; Htet, Zwe Lin; Singhavilai, Thamvarit; Naiyanetr, Phornphop

    2015-01-01

    Intra-aortic balloon pump (IABP) has been used in clinical treatment as a mechanical circulatory support device for patients with heart failure. A computer model is used to study the effect on coronary blood flow (CBF) with different balloon cycles under both normal and pathological conditions. The model of cardiovascular and IABP is developed by using MATLAB SIMULINK. The effect on coronary blood flow has been studied under both normal and pathological conditions using different balloon cycles (balloon off; 1:4; 1:2; 1:1). A pathological heart is implemented by reducing the left ventricular contractility. The result of this study shows that the rate of balloon cycles is related to the level of coronary blood flow.

  19. Avaliação de complicações relacionadas à CPRE em pacientes com suspeita de coledocolitíase Evaluation of ERCP-related morbidity in patients with choledocholithiasis suspicion

    Directory of Open Access Journals (Sweden)

    Presper F. Daher Filho

    2007-04-01

    Full Text Available OBJETIVO: Determinar os fatores preditivos de complicações da colangio-pancreatografia retrógrada endoscópica (CPRE nos doentes com suspeita diagnóstica de coledocolitíase. MÉTODO: Os dados foram coletados retrospectivamente durante o período de agosto de 1999 a janeiro 2005. Foram incluídos os doentes com suspeita diagnóstica de coledocolitíase submetidos à CPRE internados na Santa Casa de Misericórdia de São Paulo. Os doentes com neoplasia de vias biliares ou de pâncreas foram excluídos. Foram avaliados: o sucesso do procedimento, as complicações como pancreatite, sangramento, colangite, perfuração, vômitos, hiperamilasemia e em quais situações estas complicações se desenvolveram. Os testes t de Student, Qui-quadrado e o teste exato de Fisher foram empregados para análise estatística, considerando-se pBACKGROUND: To determine the predictors of complications resulting from endoscopic retrograde cholangiopancreatography (ERCP in patients with choledocholithiasis. METHODS: Data were retrospectively collected from August 1999 to January 2005. Patients with clinical diagnosis of choledocholithiasis were included. Patients with tumours of the biliary tree or pancreas were excluded. The authors evaluated the procedure success and the risk factors associated with post-ERCP complications such as acute pancreatitis, hemorrhage, cholangitis, perforation, vomits and hyperamylasemia, and their association with the procedures. Student's t test, the Chi-square and the Fisher exact test were applied to the statistical analysis, considering p< 0.05 as significant. RESULTS: There were 178 patients (52 men and 156 women, mean age 54.3 + 19.3 included in the analysis. Choledocholithiasis was found in 124 patients (69.7% and the sucess rate of the procedure was 74.2% (92 patients. Post-ERCP complications occurred in 19 patients (10.7%. Six patients (3.4% had acute pancreatitis, four had hemorrhage from the papilla (2.2%, two had

  20. Design and Calibrations of the Protomirax Balloon Telescope and the Brazilian Scientific Balloon Program

    Science.gov (United States)

    Braga, Joao; D'Amico, Flavio; Avila, Manuel

    2012-07-01

    In this presentation we report on the recent scientific ballooning activities in Brazil, including important international collaborations, and present our plan for the next few years. We also present the recent progress achieved in the design of the detector system of the protoMIRAX balloon experiment and report on the scientific balloon activities in Brazil. protoMIRAX is a balloon-borne X-ray imaging telescope under development at INPE as a pathfinder for the MIRAX (Monitor e Imageador de Raios X) satellite mission. The experiment consists essentially in an X-ray (30-200 keV) coded-aperture imager which employs a square array of 196 10mm x 10mm x 2mm CdZnTe (CZT) planar detectors made by eV Products in the USA. A collimator defines a fully-coded field-of-view of 20o x 20o, with 4o x 4o of full sensitivity. The final angular resolution will depend on the mask pattern used. In this paper we describe the design and development of the detector plane, including the front-end electronics. Preamplifiers and shaping amplifiers, customized for these detectors, were designed and built at INPE. Laboratory spectral measurements show an energy resolution of 12.0% at 60 keV, of which 10.6% is due to intrinsic electronics noise measured with a pulser at similar pulse height levels. We present spectral results obtained in the laboratory as well as initial calibration results of the acquisition system designed to get positions and energies in the detector plane. We show simulations of the coded-aperture images with different mask designs and iterative reconstruction methods.

  1. Balloon observations of spatial coherence in the Global Circuit

    Science.gov (United States)

    Holzworth, R. H.; Polar Patrol Balloon Team

    The first campaign of the Polar Patrol Balloon (PPB) experiment (1st-PPB) was carried out at Syowa Station in Antarctica during 1990-1991 and 1992-1993. Based on the results of the 1st-PPB experiment, the next campaign (2nd-PPB) was carried out in the austral summer of 2002-2003. This paper will present the global circuit results from the 2nd-PPB experiment. In that experiment, three balloons were launched for the purpose of upper atmosphere physics observation (3 balloons). Payloads of these 3 flights were identical with each other, and were launched as close together in time as allowed by weather conditions to constitute a cluster of balloons during their flights. Such a "Balloon Cluster" is suitable to observe temporal evolution and spatial distribution of phenomena in the ionospheric regions and boundaries that the balloons traversed during their circumpolar trajectory. More than 20 days of simultaneous fair weather 3-axis electric field and stratospheric conductivity data were obtained at geomagnetic latitudes ranging from sub-auroral to the polar cap. Balloon separation varied from ˜ 60 to ˜ 500 km. This paper will present the global circuit observations with emphasis on the times of apparent spatial variation in the vertical fair weather field.

  2. Geodesic Acoustic Propagation and Ballooning Mode Formalism

    Science.gov (United States)

    Li, M. B.; Diamond, P. H.; Young, G. G.; Arakawa, M.

    2005-10-01

    Relevance of ballooning formalism (BMF) in nonlinear interaction of toroidal electromagnetic drift waves in the presence of zonal flows and Geodesic Acoustic Oscillation (GAO) is critically examined from a physical argument of radial propagation of wave packets. To achieve the quasi-translational invariance of poloidal harmonics which is necessary for the BMF, the geodesic curvature induced transfer [1] of fluctuation energy in radial direction should occur faster than the time scale of physical interest. Of course, this does not happen necessarily in drift-Alfven (DALF) turbulence simulations [2]. This observation casts considerable doubts on the applicability of various codes based on the BMF concept to nonlinear electromagnetic problems. [1] B. Scott, Phys. Letters A 320 (2003) 53. [2] B. Scott, New J. Phys 7 (2005) 92.

  3. The Norwegian Sounding Rocket and Balloon Program

    Science.gov (United States)

    Skatteboe, Rolf

    2001-08-01

    The status and recent developments of the Norwegian Sounding Rocket and Balloon Program are presented with focus on national activities and recent achievements. The main part of the Norwegian program is sounding rocket launches conducted by Andøya Rocket Range from the launch facilities on Andøya and at Svalbard. For the majority of the programs, the scientific goal is investigation of processes in the middle and upper atmosphere. The in situ measurements are supplemented by a large number of ground-based support instruments located at the ALOMAR Observatory. The ongoing and planned projects are described and the highlights of the latest completed projects are given. The scientific program for the period 2001-2003 will be reviewed. Several new programs have been started to improve the services available to the international science comunity. The Hotel Payload project and MiniDusty are important examples that will be introduced in the paper. Available space related infrastructure is summarized.

  4. Intragastric balloon: ethics, medical need and cosmetics.

    Science.gov (United States)

    Kotzampassi, Katerina; Shrewsbury, Anne D

    2008-01-01

    The development of the intragastic balloon as a safe, noninvasive, alternative method to weight reduction raises all the ethical questions routinely faced by practitioners of other forms of cosmetic surgery. In the case of the morbidly, severely or merely obese, the surgeon is faced with a medical decision in a situation defined by medical parameters. The case of the overweight or normal may, however, create an ethical dilemma in which the doctor is forced to make decisions of a nonmedical nature, for which his training has not prepared him, and relating essentially to his personal attitudes and moral beliefs, culture and the recognition that 'if I don't, somebody else--possibly less competent--will'.

  5. 10955例经内镜逆行胰胆管造影术患者临床总结分析%Retrospective analysis of 10 955 cases of ERCP from a single endoscopy center

    Institute of Scientific and Technical Information of China (English)

    高飞; 麻树人; 张宁; 张迎春; 赵云峰; 高峰; 艾美娜; 杨卓; 宫照杰

    2013-01-01

    目的 探讨经内镜逆行胰胆管造影术(ERCP)对胆胰疾病的诊疗价值.方法 回顾性分析1995年1月至2013年7月间完成ERCP诊治的患者10 955例,其中男6186例,女4769例,平均年龄(65.57±14.44)岁.总结并分析ERCP诊治病种、发病年龄、年度数量、麻醉方式及插管成功率等指标.结果 10 955例患者中,诊断性ERCP 167例,治疗性ERCP 10 788例.2002年至2012年ERCP手术例数年平均增长率是19.58%.首次ERCP胆管插管成功率是97.23%,总ERCP胆管插管成功率是99.59%.常见的ERCP诊治疾病包括肝外胆管结石(40.85%)、肝门部胆管癌(10.53%)、化脓性胆管炎(10.44%)、胰头癌(10.04%)、慢性胰腺炎(8.24%)、肝外胆管癌(7.68%)、壶腹周围癌(6.96%)、胆源性胰腺炎(3.94%)、良性乳头狭窄(3.88%)、乳头癌(3.50%).肝外胆管结石、化脓性胆管炎、良性乳头狭窄高发年龄是40~ 50岁,慢性胰腺炎高发年龄是50~ 60岁,胆源性胰腺炎、肝门部胆管癌、肝外胆管癌、胰头癌、壶腹周围癌、乳头癌的高发年龄是70~ 80岁.2011年至2013年中,98.74%患者行全凭静脉麻醉ERCP.结论 ERCP已经成为胆胰疾病诊治的重要手段,适合于肝外胆管结石、化脓性胆管炎、恶性胆管梗阻等疾病,尤其是高龄患者的诊治.全凭静脉麻醉ERCP是安全、有效的.%Objective To evaluate the clinical efficacy of ERCP in treatment of biliary and pancreatic diseases.Methods Data of 10 955 patients treated with ERCP from January 1995 to July 2013 were retrospectively analyzed.Results The study cohort consisted of 6186 male and 4769 female,with a mean age of 65.57 ± 14.44 years,in which 167 procudures were diagnostic ERCP and 10 788 were therapeutic.The number of ERCP cases increased at an annual average rate of 19.58% during 2002 to 2012.The initial and total success rate of ERCP cannulation were 97.23% and 99.59%,respectively.ERCP was used in extrahepatic bile duct

  6. Results of the first EUSO-Balloon flight

    Science.gov (United States)

    Miyamoto, H.; Bertaina, M.; JEM-EUSO Collaboration

    2016-05-01

    EUSO-Balloon, a balloon-borne diffractive fluorescence telescope, was launched by the French Space Agency ONES from the Timmins base in Ontario (Canada) on August 25th in 2014. After reaching the floating altitude of about 38 km, EUSO-Balloon imaged the UV background for more than 5 hours before descending to ground using the key technologies of JEM-EUSO. A detailed and precise measurement of the UV background in different atmospheric and ground conditions was achieved. The instrument proved the capability of detecting Extensive Air Showers (EAS) by observing laser tracks with similar characteristics. This contribution will summarise the first results obtained concerning all the topics described above.

  7. Balloon dilation of congenital supravalvular pulmonic stenosis in a dog

    Science.gov (United States)

    Treseder, Julia R.

    2017-01-01

    Percutaneous balloon valvuloplasty is considered the standard of care for treatment of valvular pulmonic stenosis, a common congenital defect in dogs. Supravalvular pulmonic stenosis is a rare form of pulmonic stenosis in dogs and standard treatment has not been established. Although, there have been reports of successful treatment of supravalvular pulmonic stenosis with surgical and stenting techniques, there have been no reports of balloon dilation to treat dogs with this condition. Here, a case of supravalvular pulmonic stenosis diagnosed echocardiographically and angiographically in which a significant reduction in pressure gradient was achieved with balloon dilation alone is presented. PMID:27297421

  8. An investigation of electrostatically deposited radionuclides on latex balloons

    Energy Technology Data Exchange (ETDEWEB)

    Price, T.; Caly, A., E-mail: Terry.Price@gmail.com [Univ. of Ontario Inst. of Technology, Oshawa, Ontario (Canada)

    2012-07-01

    Use of Canadian Nuclear Society (CNS) education material for a community science education event to promote science awareness, science culture and literacy (Science Rendezvous 2011) lead to investigation of observed phenomena. Experiments are done on balloons that are electrostatically charged then left to collect particulate. Alpha spectroscopy was performed to identify alpha emitting radioisotopes present on the balloons. The time dependent behaviour of the activity was investigated. Additionally, the Alpha activity of the balloon was compared to Beta activity. The grounds for further investigations are proposed. (author)

  9. Intragastric balloon for morbid obesity causing chronic gastric dilatation

    Energy Technology Data Exchange (ETDEWEB)

    Pretolesi, F.; Derchi, L.E. [Dept. of Radiology, University of Genoa (Italy); Redaelli, G.; Papagni, L. [IRCCS, Ist. Auxologico Italiano, Milan (Italy)

    2001-04-01

    We describe the radiographic findings observed in a morbidly obese and diabetic patient with an intragastric air-filled balloon introduced as a therapeutic measure to reduce food intake. The balloon was associated with chronic gastric dilatation and had to be removed 3 months after insertion. However, together with diet and behavioural therapy, it proved effective in reducing body weight and ameliorating glycaemic control. Although rarely used, intragastric balloons for the treatment of morbid obesity are still encountered in radiological practice. Radiologists must be able to recognize them and to understand their complications. (orig.)

  10. Immediate Outcome of Balloon Mitral Valvuloplasty with JOMIVA Balloon during Pregnancy

    Science.gov (United States)

    Ramasamy, Ramona; Kaliappan, Tamilarasu; Gopalan, Rajendiran; Palanimuthu, Ramasmy; Anandhan, Premkrishna

    2017-01-01

    Introduction Rheumatic mitral stenosis is the most common Valvular Heart Disease encountered during pregnancy. Balloon Mitral Valvuloplasty (BMV) is one of the treatment option available if the symptoms are refractory to the medical management and the valve anatomy is suitable for balloon dilatation. BMV with Inoue balloon is the most common technique being followed worldwide. Over the wire BMV is a modified technique using Joseph Mitral Valvuloplasty (JOMIVA) balloon catheter which is being followed in certain centres. Aim To assess the immediate post procedure outcome of over the wire BMV with JOMIVA balloon. Materials and Methods Clinical and echocardiographic parameters of pregnant women with significant mitral stenosis who underwent elective BMV with JOMIVA balloon in our institute from 2005 to 2015 were analysed retrospectively. Severity of breathlessness (New York Heart Association Functional Class), and duration of pregnancy was included in the analysis. Pre procedural echocardiographic parameters which included severity of mitral stenosis and Wilkin’s scoring were analysed. Clinical, haemodynamic and echocardiographic outcomes immediately after the procedure were analysed. Results Among the patients who underwent BMV in our Institute 38 were pregnant women. Twenty four patients (63%) were in New York Heart Association (NYHA) Class III. All of them were in sinus rhythm except two (5%) who had atrial fibrillation. Thirty four patients (89.5%) were in second trimester of pregnancy at the time of presentation and four (10.5%) were in third trimester. Echocardiographic analysis of the mitral valve showed that the mean Wilkin’s score was 7.3. Mean mitral valve area pre procedure was 0.8 cm2. Mean gradient across the valve was 18 mmHg. Ten patients (26.5%) had mild mitral regurgitation and none had more than mild mitral regurgitation. Thirty six patients had pulmonary hypertension as assessed by tricuspid regurgitation jet velocity. All of them underwent BMV

  11. 10 meter Sub-Orbital Large Balloon Reflector (LBR) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Besides serving as a launch vehicle, the carrier balloon provides a stable mount for the enclosed telescope. Looking up, the LBR will serve as a telescope. Looking...

  12. Ohmic scaling based on current diffusive ballooning mode

    Energy Technology Data Exchange (ETDEWEB)

    Yagi, Masatoshi; Itoh, Sanae [Kyushu Univ., Kasuga, Fukuoka (Japan). Research Inst. for Applied Mechanics; Fukuyama, Atsushi; Itoh, Kimitaka

    1996-01-01

    Based on the anomalous transport model due to current diffusive ballooning mode turbulence, the global energy confinement time in a tokamak with Ohmic heating is theoretically studied. Relations to empirical scaling laws are also discussed. (author)

  13. Design Evolution and Methodology for Pumpkin Super-Pressure Balloons

    Science.gov (United States)

    Farley, Rodger

    The NASA Ultra Long Duration Balloon (ULDB) program has had many technical development issues discovered and solved along its road to success as a new vehicle. It has the promise of being a sub-satellite, a means to launch up to 2700 kg to 33.5 km altitude for 100 days from a comfortable mid-latitude launch point. Current high-lift long duration ballooning is accomplished out of Antarctica with zero-pressure balloons, which cannot cope with the rigors of diurnal cycles. The ULDB design is still evolving, the product of intense analytical effort, scaled testing, improved manufacturing, and engineering intuition. The past technical problems, in particular the s-cleft deformation, their solutions, future challenges, and the methodology of pumpkin balloon design will generally be described.

  14. Low Cost Variable Conductance Heat Pipe for Balloon Payload Project

    Data.gov (United States)

    National Aeronautics and Space Administration — While continuously increasing in complexity, the payloads of terrestrial high altitude balloons need a thermal management system to reject their waste heat and to...

  15. Balloon Pump with Floating Valves for Portable Liquid Delivery

    Directory of Open Access Journals (Sweden)

    Yuya Morimoto

    2016-03-01

    Full Text Available In this paper, we propose a balloon pump with floating valves to control the discharge flow rates of sample solutions. Because the floating valves were made from a photoreactive resin, the shapes of the floating valves could be controlled by employing different exposure patterns without any change in the pump configurations. Owing to the simple preparation process of the pump, we succeeded in changing the discharge flow rates in accordance with the number and length of the floating valves. Because our methods could be used to easily prepare balloon pumps with arbitrary discharge properties, we achieved several microfluidic operations by the integration of the balloon pumps with microfluidic devices. Therefore, we believe that the balloon pump with floating valves will be a useful driving component for portable microfluidic systems.

  16. The Hubble party balloon and the expanding universe

    Science.gov (United States)

    Zendri, G.; Rosi, T.; Oss, S.

    2016-09-01

    We show that the metaphor of the inflated balloon used to describe expanding space-time according to the Hubble law can be transformed into a simple laboratory experiment. We obtain, in terms of measured recession speeds and distances of ink dots drawn on a party balloon, easy renditions of various cosmological models, such as the static one and the Einstein-De Sitter universe.

  17. Small Research Balloons in a Physics Course for Education Majors

    Science.gov (United States)

    Bruhweiler, F. C.; Verner, E.; Long, T.; Montanaro, E.

    2013-12-01

    At The Catholic Univ. of America, we teach an experimental physics course entitled Physics 240: The Sun-Earth Connection, which is designed for the undergraduate education major. The emphasis is on providing hands-on experience and giving the students an exciting experience in physics. As part of this course, in the Spring 2013 semester, we instituted a project to plan, build, launch, and retrieve a small (~1.3 kg) research balloon payload. The payload flown was a small GPS unit that sent its position to an Internet site, a small wide-angle high-resolution video camera, and an analog refrigerator thermometer placed in the field of view of the camera. All data were stored on the camera sim-card. Students faced the problems of flying a small research balloon in the congested, densely populated Northeast Corridor of the US. They used computer simulators available on the Web to predict the balloon path and flight duration given velocities for the Jet Stream and ground winds, as well as payload mass and amount of helium in the balloon. The first flight was extremely successful. The balloon was launched 140 km NW of Washington DC near Hagerstown, MD and touched down 10 miles (16 km) NW of York, PA, within 1.6 km of what was predicted. The balloon reached 73,000 ft (22,000 m) and the thermometer indicated temperatures as low as -70 degrees Fahrenheit (-57 C) during the flight. Further balloon flights are planned in conjunction with this course. Additional exercises and experiments will be developed centered around these flights. Besides learning that science can be exciting, students also learn that science is not always easily predictable, and that these balloon flights give an understanding of many of problems that go into real scientific space missions. This project is supported in part by an educational supplement to NASA grant NNX10AC56G

  18. Analysis of current diffusive ballooning mode in tokamaks

    Energy Technology Data Exchange (ETDEWEB)

    Uchida, Morihisa [Faculty of Engineering, Okayama University, Okayama (Japan); Fukuyama, Atsushi [Kyoto Univ. (Japan). Dept. of Nuclear Engineering; Itoh, Kimitaka [National Inst. for Fusion Science, Toki, Gifu (Japan); Itoh, Sanae-I.; Yagi, Masatoshi [Kyushu Univ., Fukuoka (Japan). Research Inst. for Applied Mechanics

    2000-07-01

    The effect of finite gyroradius on the current diffusive ballooning mode is examined. Starting from the reduced MHD equations including turbulent transports, coupling with drift motion and finite gyroradius effect of ions, we derive a ballooning mode equation with complex transport coefficients. The eigenfrequency, saturation level and thermal diffusivity are evaluated numerically from the marginal stability condition. Preliminary results of their parameter dependence are presented. (author)

  19. Intrauterine tamponade balloon use in the treatment of uterine inversion

    OpenAIRE

    Haeri, Sina; Rais, Sheliza; Monks, Brian

    2015-01-01

    Uterine inversion is a rare but life-threatening obstetrical emergency that occurs when the fundus of the uterus prolapses through the cervix, hence turning the uterus inside out. In this case report, we present our experience using an intrauterine tamponade balloon for management of uterine inversion, and a review of the literature. The utility of an intrauterine tamponade balloon in cases of uterine inversion, especially when maternal medical conditions preclude the use of uterotonics, or r...

  20. Introduction (Special Issue on Scientific Balloon Capabilities and Instrumentation)

    Science.gov (United States)

    Gaskin, Jessica A.; Smith, I. S.; Jones, W. V.

    2014-01-01

    In 1783, the Montgolfier brothers ushered in a new era of transportation and exploration when they used hot air to drive an un-tethered balloon to an altitude of 2 km. Made of sackcloth and held together with cords, this balloon challenged the way we thought about human travel, and it has since evolved into a robust platform for performing novel science and testing new technologies. Today, high-altitude balloons regularly reach altitudes of 40 km, and they can support payloads that weigh more than 3,000 kg. Long-duration balloons can currently support mission durations lasting 55 days, and developing balloon technologies (i.e. Super-Pressure Balloons) are expected to extend that duration to 100 days or longer; competing with satellite payloads. This relatively inexpensive platform supports a broad range of science payloads, spanning multiple disciplines (astrophysics, heliophysics, planetary and earth science.) Applications extending beyond traditional science include testing new technologies for eventual space-based application and stratospheric airships for planetary applications.

  1. Development of a tiny tandem balloon system for atmospheric observation

    Science.gov (United States)

    Saito, Yoshitaka; Yamada, Kazuhiko; Fujiwara, Masatomo

    2016-07-01

    A tandem balloon system with a combination of a zero-pressure balloon on top and a super-pressure balloon on the bottom has a unique trajectory characteristic, with different flight altitudes between day and night and thus with ascending and descending motions at dawn and dusk, respectively. This characteristic provides a unique opportunity to explore the atmosphere, e.g., the upper tropospheric and lower stratospheric region with cross-tropopause measurements twice a day. We started development of a tiny tandem balloon system using a 10 m^{3} super-pressure balloon and a 100 m^{3} zero-pressure balloon, with a capability of carrying 3 kg of payload. One of the scientific targets is to measure water vapor, cloud particles, and temperature around the tropical tropopause which is the entry point of the stratospheric and mesospheric meridional circulation. For the data transfer, the iridium satellite communication module, SBD9603 is used. In this paper, the current status of the development will be reported.

  2. Catching Comet's Particles in the Earth's Atmosphere by Using Balloons

    Science.gov (United States)

    Potashko, Oleksandr; Viso, Michel

    The project is intended to catch cometary particles in the atmosphere by using balloons. The investigation is based upon knowledge that the Earth crosses the comet’s tails during the year. One can catch these particles at different altitudes in the atmosphere. So, we will be able to gradually advance in the ability to launch balloons from low to high altitudes and try to catch particles from different comet tails. The maximum altitude that we have to reach is 40 km. Both methods - distance observation and cometary samples from mission Stardust testify to the presence of organic components in comet’s particles. It would be useful to know more details about this organic matter for astrobiology; besides, the factor poses danger to the Earth. Moreover, it is important to prove that it is possible to get fundamental scientific results at low cost. In the last 5 years launching balloons has become popular and this movement looks like hackers’ one - as most of them occur without launch permission to airspace. The popularity of ballooning is connected with low cost of balloon, GPS unit, video recording unit. If you use iPhone, you have a light solution with GPS, video, picture and control function in one unit. The price of balloon itself begins from $50; it depends on maximum altitude, payload weight and material. Many university teams realized balloon launching and reached even stratosphere at an altitude of 33 km. But most of them take only video and picture. Meanwhile, it is possible to carry out scientific experiments by ballooning, for example to collect comet particles. There is rich experience at the moment of the use of mineral, chemical and isotopic analysis techniques and data of the comet’s dust after successful landing of StarDust capsule with samples in 2006. Besides, we may use absolutely perfect material to catch particles in the atmosphere, which was used by cosmic missions such as Stardust and Japanese Hayabusa. As to balloon launches, we could use

  3. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. Benestent Study Group.

    OpenAIRE

    Serruys, P.W.; de Jaegere, P; Kiemeneij, F.; Macaya, C; Rutsch, W; Heyndrickx, G.; Emanuelsson, H.; Marco, J.; Legrand, Victor; Materne, P.

    1994-01-01

    BACKGROUND: Balloon-expandable coronary-artery stents were developed to prevent coronary restenosis after coronary angioplasty. These devices hold coronary vessels open at sites that have been dilated. However, it is unknown whether stenting improves long-term angiographic and clinical outcomes as compared with standard balloon angioplasty. METHODS: A total of 520 patients with stable angina and a single coronary-artery lesion were randomly assigned to either stent implantation (262 patients)...

  4. Burn Injury Arise From Flying Balloon Toys

    Directory of Open Access Journals (Sweden)

    Yalcin Kulahci

    2007-08-01

    Full Text Available Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloons flame. 80 person was injured from flying toy ballons flame in a meeting in 2002. Although this potential risks of acetylene, helium have not any of some risk. But helium was provided from other countries and have more price. The injuries which caused from acetylene burns like 1st -2nd degree burns. Consequently that was known helium is more avaliable for using in toy sector, and never cause burn injuries like this. [TAF Prev Med Bull 2007; 6(4.000: 291-296

  5. Balloon borne arcsecond pointer feasibility study

    Science.gov (United States)

    Ward, Philip R.; Deweese, Keith D.

    2003-08-01

    A major hurdle in extending the range of experiments for which balloon vehicles are useful has been the imposition of the gondola dynamics on the accuracy with which an instrument can be kept pointed at a celestial target. In this paper, the foundation for a high fidelity controller simulation is presented and it is shown that sub-arcsecond pointing stability can be achieved for a large instrument pointing at an inertial target. The flexibility of the flight train is represented through generalized modal analysis. A multiple controller scheme is introduced with a coarse azimuth pointer and a pitch-yaw gimbal mount for fine pointing. An analysis and demonstration of the necessity in eliminating static friction are provided along with a solution to eliminate static friction from the system dynamics. A control scheme involving linear accelerometers for enhanced disturbance rejection is also presented. This paper establishes that the proposed control strategy can be made robustly stable with significant design margins. Also demonstrated is the efficacy of the proposed system in rejecting disturbances larger than those considered realistic.

  6. Ballooning mode spectrum in general toroidal systems

    Energy Technology Data Exchange (ETDEWEB)

    Dewar, R.L.; Glasser, A.H.

    1982-04-01

    A WKB formalism for constructing normal modes of short-wavelength ideal hydromagnetic, pressure-driven instabilities (ballooning modes) in general toroidal magnetic containment devices with sheared magnetic fields is developed. No incompressibility approximation is made. A dispersion relation is obtained from the eigenvalues of a fourth order system of ordinary differential equations to be solved by integrating along a line of force. Higher order calculations are performed to find the amplitude equation and the phase change at a caustic. These conform to typical WKB results. In axisymmetric systems, the ray equations are integrable, and semiclassical quantization leads to a growth rate spectrum consisting of an infinity of discrete eigenvalues, bounded above by an accumulation point. However, each eigenvalue is infinitely degenerate. In the nonaxisymmetric case, the rays are unbounded in a four dimensional phase space, and semiclassical quantization breaks down, leading to broadening of the discrete eigenvalues and accumulation point of the axisymmetric case into continuum bands. Analysis of a model problem indicates that the broadening of the discrete eigenvalues is numerically very small, the dominant effect being broadening of the accumulation point.

  7. Percutaneous balloon valvuloplasty in mitral stenosis

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jae Hyung; Oh, Byung Hee; Park, Kyung Ju; Kim, Seung Hyup; Lee, Young Woo; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1989-02-15

    Percutaneous balloon valvuloplasty(PBV) was successfully performed in 8 mitral stenosis patients for recent 3 months. Five patients have aortic insufficiencies also and two patients have mitral regurgitations below grade II/IV. All patients showed sinus rhythm on EKG, and had no mitral valvular calcification on echocardiography and fluoroscopy. PBV resulted in an increase in mitral valve area from 1.22{+-}0.22 to 2.57{+-}0.86 cm{sup 2}, a decrease in mean left atrial pressure from 23.4{+-}9.6 to 7.5{+-}3.4 mmHg and a decrease in mean mitral pressure gradient from 21.3{+-}9.4 to 6.8{+-}3.1 mmHg. There were no significant complications except 2 cases of newly appeared and mildly aggravated mitral regurgitation. We believe that PBV will become a treatment modality of choice replacing surgical commissurotomy or valve replacement in a group of mitral stenosis patients, because of its effectiveness and safety.

  8. Burn Injury Arise From Flying Balloon Toys

    Directory of Open Access Journals (Sweden)

    Yalcin Kulahci

    2007-08-01

    Full Text Available Many of peoples are faced minor or major burn injuries in their life. Even the most widespread burn cause is flame injuries, too different burn cause pointed out in literature like Acetylen burns. The cases which imply in literature, mostly causes from explosion of high pressure acetylene tube, metal oxygene patch flame or carbide lamp using from cave explorers. An interesting acetylene burn cause in Turkey was publised by the authors. This cases was to come into being from flying toy balloons flame. 80 person was injured from flying toy ballons flame in a meeting in 2002. Although this potential risks of acetylene, helium have not any of some risk. But helium was provided from other countries and have more price. The injuries which caused from acetylene burns like 1st -2nd degree burns. Consequently that was known helium is more avaliable for using in toy sector, and never cause burn injuries like this. [TAF Prev Med Bull. 2007; 6(4: 291-296

  9. Optical coherence tomography monitoring of angioplasty balloon inflation in a deployment tester

    Science.gov (United States)

    Azarnoush, Hamed; Vergnole, Sébastien; Bourezak, Rafik; Boulet, Benoit; Lamouche, Guy

    2010-08-01

    We present an innovative integration of an intravascular optical coherence tomography probe into a computerized balloon deployment system to monitor the balloon inflation process. The high-resolution intraluminal imaging of the balloon provides a detailed assessment of the balloon quality and, consequently, a technique to improve the balloon manufacturing process. A custom-built swept-source optical coherence tomography system is used for real-time imaging. A semicompliant balloon with a nominal diameter of 4 mm is fabricated for the experiments. Imaging results correspond to balloon deployment in air and inside an artery phantom. A characterization of the balloon diameter, wall thickness, compliance, and elastic modulus is provided, based on image segmentation. Using the images obtained from the probe pullback, a three-dimensional visualization of the inflated balloon is presented.

  10. ERCP在不明原因肝外阻塞性黄疸的临床应用%Clinical application of ERCP in the diagnosis of unexplained extrahepatic obstructive jaundice

    Institute of Scientific and Technical Information of China (English)

    高晓姣; 梁运啸; 农兵; 梁列新; 覃柳; 潘咏; 王彩英; 覃惠庆

    2012-01-01

    Objective To valuate the clinical application of endoscopic retrograde cholangiopancre-atography (ERCP) to the patients with unexplained extrahepatic obstructive jaundice after routine diagnostic approaches. Methods Forty-five patients consisting of 28 males and 17 females, aged 21 to 80 years old, enrolled for ERCP to determine the causes of pancreatic disease as well as extrahepatic bile duct obstruction which could not be figured out via ultrasonography, CT and/or MRCP. Results After ERCP, 42 of 45 patients were diagnosed as biliary tnicrolithiasis and were treated by endoscopic sphincterotomy (EST) technique to remove biliary microlithiasis. The patients with lower common bile tract were treated with endoscopic retrograde biliary drainage (ERBD). Together, all patients were rapidly relieved from abdominal pain and jaundice except two cases. One of them suffered from post-operative complication of mild pancreatitis but cured by conservative treatment, another one developed recurrent abdominal pain and then received cholecystectomy. Conclusion Our findings indicate that biliary microlithiasis is the main cause of unexplained extrahepatic obstructive jaundice. ERCP is a safe and reliable method for diagnosis and therapy of extrahepatic obstructive jaundice.%目的 探讨内镜逆行胰胆管造影(ERCP)在经常规检查不明原因肝外阻塞性黄疸的临床应用价值.方法 收集经B超、CT和/或MRCP检查诊断不明原因胆胰疾病或肝外胆管梗阻病人45例,男28例,女17例,年龄21~80岁,均行ERCP术.结果 45例病人行ERCP术,其中42例诊断为胆道微结石(Biliary microlithiasis,BML),42例均行乳头扩张术/EST+胆道取石术;3例为胆总管下端炎性狭窄而行胆道内支架植入术;1例ERCP取石术后并发轻症胰腺炎,经内科保守治疗后痊愈,1例因腹痛再发行胆囊切除术,其余患者经ERCP治疗后腹痛、黄疸均缓解.结论 BML是不明原因肝外阻塞性黄疸的主要原因,ERCP是不

  11. Application of propofol combined with fentanly in therapeutic ERCP%丙泊酚联合芬太尼麻醉在治疗性内镜逆行胰胆管造影术中的应用

    Institute of Scientific and Technical Information of China (English)

    李淑梅; 赵帅

    2011-01-01

    目的 观察丙泊酚联合芬太尼在治疗性内镜逆行胰胆管造影术(ERCP)检查中的应用效果及安全性.方法 选286例ASAⅠ~Ⅲ择期行治疗性ERCP的患者分成丙泊酚麻醉组(P组),丙泊酚联合芬太尼麻醉组(PF组),每组143例.记录每组患者术前、术中、术后的平均动脉压(MAP)、心率(HR)、血氧饱和度(SPO2)、丙泊酚用量及手术持续时间、术毕患者的苏醒时间、麻醉期间的不良反应如舌后坠、肢体扭动及呼吸抑制等.结果 P组术中MAp、HR变化与术前、PF组比较差异有显著性(P<0.05),PF组苏醒、离院时间及丙泊酚用量小于P组(P<0.05).结论 丙泊酚联合芬太尼在治疗性ERCP中应用是安全有效的,值得推广.%[Objective] Endosccopic retrograde cholangiopangiopancreatography (ERCP) is the most complex gastrointestional procedure, which is intolerable in certain portion of patients. The aim of this study was to investigate the quality and safety of propofol combined with fentanly in therapeutic ERCP. [Methods] Two hundred sixty-four patients with ASA I -HI underwent therapeutic ERCP were randomly assigned into two groups (n =132 each), patients underwent propofol sedation or propofol combined with fentanly sedation. The parameter, such as MAP, HR, SPO2, the dose of propofol , the recovery time, discharged time were observed and recorded. [Results] The changes of NBP, HR, SPO2 were less than the base line in group P during operation (P <0.05), and the recovery time, discharged time and the dose of propofol in group PF were less than that in group P (P <0.05). [Conclusions] Propofol combined with fentanly provides safe and effective sedation in therapeutic ERCP, which can be widely used.

  12. 经内镜逆行胰胆管造影中清醒镇静麻醉的应用研究%Sedation for ERCP with midazolam

    Institute of Scientific and Technical Information of China (English)

    郝建宇; 王世鑫; 罗颖; 岳云; 刘宇宏; 王月增

    2002-01-01

    目的探讨咪唑安定镇静麻醉在逆行胰胆管造影检查(ERCP)中应用的可行性和价值.方法120例行ERCP检查的患者,常规术前准备后肌肉注射咪唑安定0.15 mg/kg,20 min后开始检查,术中观察患者的生命体征和耐受程度,并进行镇静分级与评分(国际标准化方式 OAA/S).术后对患者进行遗忘率调查及医生和患者满意度的调查.结果所有病例均能顺利完成操作.平均动脉压、心率、血氧饱和度无明显改变,不良反应明显减少.次日患者满意度达98%.结论咪唑安定肌肉注射清醒镇静状态下进行ERCP检查治疗,可使患者更好的与医生进行配合,同时可使患者遗忘不良记忆,安全可靠.

  13. Post-ERCP pancreatogastric fistula associated with an intraductal papillary-mucinous neoplasm of the pancreas – a case report and literature review

    Directory of Open Access Journals (Sweden)

    Yasuda Yoshikazu

    2005-10-01

    Full Text Available Abstract Background Fistula formation has been reported in intraductal papillary-mucinous neoplasms (IPMNs with or without invasion of the adjacent organs. The presence or absence of invasion is mostly determined by postoperative histological examination rather than by preoperative work-up. Case presentation A 72 year-old Japanese woman showed remarkable dilatation of the main pancreatic duct (MPD in the distal region of the pancreas. Subsequent ERCP also showed MPD dilatation, after which the patient suffered moderate pancreatitis. A subsequent gastroscopy revealed a small ulceration that had not been observed in a gastroscopy performed 3 months prior. Mucinous discharge from the ulceration suggested it might be the orifice of a fistula connected to the MPD. En bloc resection including the distal region of the pancreas, spleen, stomach and part of the transverse colon was performed under the pre- and intraoperative diagnosis of an invasive malignant IPMN. However, histopathology revealed the lesion to be of "borderline malignancy" without apparent invasion of the stomach. Light microscopy showed inflammatory cellular infiltrates (mainly neutrophils around the pancreatogastric fistula, but there was no evidence of neoplastic epithelia lining the fistulous tract. Conclusion This case highlights that a pancreatogastric fistula can develop after acute inflammation of the pancreas in the absence of cancer invasion. Further information regarding IPMN-associated fistulae is necessary to clarify the pathogenesis, diagnosis, appropriate surgical intervention and prognosis for this disorder.

  14. Intragastric balloon followed by diet vs intragastric balloon followed by another balloon: a prospective study on 100 patients.

    Science.gov (United States)

    Genco, Alfredo; Cipriano, Massimiliano; Bacci, Vincenzo; Maselli, Roberta; Paone, Emanuela; Lorenzo, Michele; Basso, Nicola

    2010-11-01

    Aim of this study is to compare the efficacy of BioEnterics Intragastric Balloon (BIB®) followed by diet with BIB followed by another BIB. A prospective study was designed: a homogeneous group of 100 obese patients (age range 25-35, BMI range 40.0-44.9, M/F ratio 1/4) was allocated into two groups according to procedure: BIB (6 months) followed by diet therapy (7 months; group A = 50 pts), BIB positioning followed by another BIB after 1 month (group B = 50 pts). Baseline demographics were similar in both groups (Group A 10M/40F; mean age 31.4 ± 2.6; range 25-35; mean weight 106.3 ± 12.5 Kg; range 88-150; mean BMI 42.6±2.7 Kg/m(2); range 40.2-43.8; Group B 10M/40F; mean age 32.1 ± 2.1; range 25-35; mean weight 107.1 ± 11.9 Kg; range 90-150; mean BMI 42.9 ± 2.3; range 40.2-43.9). In both groups, weight loss parameters (Kg, BMI, and % EBL) were considered. Statistics were by Fisher's exact test (p < 0.05 was considered significant). At the time of 1st BIB removal, weight loss parameters in both groups were not significantly different: Group A: mean weight was 83.7±19.1 (range 52-151); mean BMI 34.2 ± 3.9 (range 32.4-43.8); and mean %EBL 43.5 ± 21.1 (range 0-68). Group B: mean weight was 84.9 ± 18.3 (range 50-148); mean BMI 34.8 ± 3.3 (range 32.4-43.8); and mean % EBL 45.2 ± 22.5% (range 0-68). At the study end, weight loss parameters were significantly lower in patients who underwent consecutive BIB (p < 0.05): mean BMI was 30.9 ± 7.2 Kg/m(2) (range 24-40), and 35.9 ± 9.7 Kg/m(2) (range 34-42); mean % EBL was 51.9 ± 24.6% (range 0-100) and 25.1 ± 26.2% (range 0-100) in group B and A, respectively. As compared with diet, a second intragastric balloon can be positioned without difficulties, achieving good results with continuous weight loss.

  15. Extradural balloon obliteration of the empty sella report of three cases (intrasellar balloon obliteration).

    Science.gov (United States)

    Gazioğlu, N; Akar, Z; Ak, H; Işlak, C; Koçer, N; Seçkin, M S; Kuday, C

    1999-01-01

    Empty sella syndrome is an anatomical and clinical entity composed of intrasellar reposition of the CSF and compression of the pituitary tissue, resulting in a clinical picture of headache, visual field defect, CSF rhinorrhea and some mild endocrinological disturbances. While some cases are primary with no appreciable aetiology, secondary cases are associated with prior operation or radiotherapy of the region. In our series, 3 patients with primary empty sella syndrome were treated by the current approach of extradural filling of the sellar cavity. This technique was first described by Guiot and widely accepted thereafter. We used a detachable silicon balloon filled with HEMA or liquid silicone for obliteration of the sellar cavity and obtained clinically satisfactory results without complications. Visual symptoms regressed and headache disappeared. But at long term follow-up all the balloons were found to be deflated. Despite the facility and efficacy of the technique we do not recommend it in the treatment of the empty sella because the filling of the sella is only transient and relapses may occur.

  16. Balloon dacryocystoplasty: Incomplete versus complete obstruction of the nasolacrimal system

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jeong Min; Lee, Sang Hoon; Han, Young Min; Chung, Gyung Ho; Kim, Chong Soo; Choi, Ki Chul [Chung Ang University College of Medicine, Seoul (Korea, Republic of); Song, Ho Young [Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    1993-07-15

    Balloon dilatation of nasolacrimal drainage apparatus was attempted for the treatment of stenoses or obstructures of the nasolacrimal system in 49 eyes of 41 consecutive patients with complete obstructions and 16 eyes of 14 patients with incomplete obstructions. These two groups were compared with regards to the effectiveness of balloon dacryocystoplasty. All patients suffered from severe epiphora had already undergone multiple probings. A 0.018 inch hair or ball guide wire was introduced through the superior punctum into the inferior meatus of the nasal cavity and pulled out through the nasal aperture using a hemostat under nasal endoscopy. A deflated angiography balloon catheter was then introduced in a retrograde direction and dilated under fluoroscopic control. No major complications occurred in any of the patients. At 7 days after balloon dilatation, 25 of 49 eyes with complete obstruction demonstrated improvement in epiphora (initial success rate: 51.0%) and among them 17 eyes showed complete resolution of symptoms. Reocclusion occurred in 12 of the 25 eyes with initial improvement at the 2 months follow up. For the 16 eyes with incomplete obstruction, and improvement of epiphora was attained in 11 eyes (initial success rate 68.8%): 5 of these eyes showed complete resolution of epiphora, and 3 was failed to maintain initial improvement at the 2 month follow up. Although this study demonstrate that results of balloon dacryocystoplasty are not encouraging because of the high failure and recurrence rate, balloon dacryocystoplasty is a simple and safe nonsurgical technique that can be used to treat for obstructions of the nasolacrimal system. In addition, balloon dacryocystoplasty shows better results in incomplete obstruction than in complete obstruction than complete obstruction of the nasolacrimal system.

  17. Coolability of ballooned VVER bundles with pellet relocation

    Energy Technology Data Exchange (ETDEWEB)

    Hozer, Z.; Nagy, I.; Windberg, P.; Vimi, A. [AEKI, P.O.box 49, Budapest, H-1525 (Hungary)

    2009-06-15

    During a LOCA incident the high pressure in the fuel rods can lead to clad ballooning and the debris of fuel pellets can fill the enlarged volume. The evaluation of the role of these two effects on the coolability of VVER type fuel bundles was the main objective of the experimental series. The tests were carried out in the modified configuration of the CODEX facility. 19-rod electrically heated VVER type bundle was used. The test section was heated up to 600 deg. C in steam atmosphere and the bundle was quenched from the bottom by cold water. Three series of tests were performed: 1. Reference bundle with fuel rods without ballooning, with uniform power profile. 2. Bundle with 86% blockage rate and with uniform power profile. The blockage rate was reached by superimposing hollow sleeves on all 19 fuel rods. 3. Bundle with 86% blockage rate and with local power peak in the ballooned area. The local power peak was produced by the local reduction the cross section of the internal heater bar inside of the fuel rods. In all three bundle configurations three different cooling water flow-rates were applied. The experimental results confirmed that a VVER bundle with even 86% blockage rate remains coolable after a LOCA event. The ballooned section creates some obstacles for the cooling water during reflood of the bundle, but this effect causes only a short delay in the cooling down of the hot fuel rods. Earlier tests on the coolability of ballooned bundles were performed only with Western type bundles with square fuel lattice. The present test series was the first confirmation of the coolability of VVER type bundles with triangular lattice. The accumulation of fuel pellet debris in the ballooned volume results in a local power peak, which leads to further slowing down of quench front. The first tests indicated that the effect of local power peak was less significant on the delay of cooling down than the effect of ballooning. (authors)

  18. The University of Alberta High Altitude Balloon Program

    Science.gov (United States)

    Johnson, W.; Buttenschoen, A.; Farr, Q.; Hodgson, C.; Mann, I. R.; Mazzino, L.; Rae, J.; University of Alberta High Altitude Balloon Team

    2011-12-01

    The University of Alberta High Altitude Balloon (UA-HAB) program is a one and half year program sponsored by the Canadian Space Agency (CSA) that offers hands on experience for undergraduate and graduate students in the design, build, test and flight of an experimental payload on a high altitude balloon platform. Utilising low cost weather balloon platforms, and through utilisation of the CSA David Florida Laboratory for thermal-vacuum tests , in advance of the final flight of the payload on a NASA high altitude balloon platform. Collectively the program provided unique opportunities for students to experience mission phases which parallel those of a space satellite mission. The program has facilitated several weather balloon missions, which additionally provide educational opportunities for university students and staff, as well as outreach opportunities among junior and senior high school students. Weather balloon missions provide a cheap and quick alternative to suborbital missions; they can be used to test components for more expensive missions, as well as to host student based projects from different disciplines such as Earth and Atmospheric Sciences (EAS), Physics, and Engineering. In addition to extensive skills development, the program aims to promote recruitment of graduate and undergraduate students into careers in space science and engineering. Results from the UA-HAB program and the flight of the UA-HAB shielded Gieger counter payload for cosmic ray and space radiation studies will be presented. Lessons learned from developing and maintaining a weather balloon program will also be discussed. This project is undertaken in partnership with the High Altitude Student Platform, organized by Louisiana State University and the Louisiana Space Consortium (LaSpace), and sponsored by NASA, with the financial support of the Canadian Space Agency.

  19. Development of a super-pressure balloon with a diamond-shaped net --- result of a ground inflation test of a 2,000 cubic-meter balloon ---

    Science.gov (United States)

    Saito, Yoshitaka; Nakashino, Kyoichi; Akita, Daisuke; Matsushima, Kiyoho; Shimadu, Shigeyuki; Goto, Ken; Hashimoto, Hiroyuki; Matsuo, Takuma

    2016-07-01

    A light super-pressure balloon has been developed using a method to cover a balloon with a diamond-shaped net of high-tensile fibers. The goal is to fly a payload of 900 kg to the altitude of 37 km with a 300,000 m^{3} balloon. Beginning from a demonstration test of the net-balloon with a 10 m^{3} balloon in 2010, we have been polished the net-balloon through ground inflation tests and flight tests, including a flight test of a 3,000 m ^{3} balloon in the tandem balloon configuration with a 15,000 m^{3} zero-pressure balloon in 2012, and a flight test of a 10 m^{3} balloon in the tandem balloon configuration with a 2 kg rubber balloon in 2013, as reported in the last COSPAR. In 2014, we developed a 5,000 m^{3} balloon and performed a ground inflation test to find that the balloon burst from a lip panel for termination with a differential pressure of 425 Pa. It was due to a stress concentration at the edge of a thick tape attached along the termination mechanism. In 2015, we modified the balloon by adding tapes on the lip panel to avoid the stress concentration, and also shorten the net length to leave some margin of the film and performed a ground inflation test again to find the balloon showed asymmetrical deployment and burst from the edge of the net with a differential pressure of 348 Pa. We consider it is due to the margin of the film along the circumferential direction, and proposed a gore shape which circumference length is kept as determined by the pumpkin shape of the balloon but setting meridian length longer than that. We developed a 10 m^{3} balloon with the gore design to find that the balloon deployed symmetrically and showed the burst pressure of 10,000 Pa. In 2016, we are going to develop a 2,000 m^{3} balloon with the gore design and perform its ground inflation test. In this paper, we are going to report its result with the sequence of the development.

  20. Complexity Analysis of Balloon Drawing for Rooted Trees

    CERN Document Server

    Lin, Chun-Cheng; Poon, Sheung-Hung; Fan, Jia-Hao

    2010-01-01

    In a balloon drawing of a tree, all the children under the same parent are placed on the circumference of the circle centered at their parent, and the radius of the circle centered at each node along any path from the root reflects the number of descendants associated with the node. Among various styles of tree drawings reported in the literature, the balloon drawing enjoys a desirable feature of displaying tree structures in a rather balanced fashion. For each internal node in a balloon drawing, the ray from the node to each of its children divides the wedge accommodating the subtree rooted at the child into two sub-wedges. Depending on whether the two sub-wedge angles are required to be identical or not, a balloon drawing can further be divided into two types: even sub-wedge and uneven sub-wedge types. In the most general case, for any internal node in the tree there are two dimensions of freedom that affect the quality of a balloon drawing: (1) altering the order in which the children of the node appear in...

  1. Time-dependent strains and stresses in a pumpkin balloon

    Science.gov (United States)

    Gerngross, T.; Xu, Y.; Pellegrino, S.

    This paper presents a study of pumpkin-shaped superpressure balloons consisting of gores made from a thin polymeric film attached to high stiffness meridional tendons This type of design is being used for the NASA ULDB balloons The gore film shows considerable time-dependent stress relaxation whereas the behaviour of the tendons is essentially time-independent Upon inflation and pressurization the instantaneous i e linear-elastic strain and stress distributions in the film show significantly higher values in the meridional direction However over time and due to the biaxial visco-elastic stress relaxation of the the gore material the em hoop strains increase and the em meridional stresses decrease whereas the em remaining strain and stress components remain substantially unchanged These results are important for a correct assessment of the structural integrity of a pumpkin balloon in a long-duration mission both in terms of the material performance and the overall stability of the shape of the balloon An experimental investigation of the time dependence of the biaxial strain distribution in the film of a 4 m diameter 48 gore pumpkin balloon is presented The inflated shape of selected gores has been measured using photogrammetry and the time variation in strain components at some particular points of these gores has been measured under constant pressure and temperature The results show good correlation with a numerical study using the ABAQUS finite-element package that includes a widely used model of

  2. Ballooning osteolysis in 71 failed total ankle arthroplasties.

    Science.gov (United States)

    Singh, Gurpal; Reichard, Theresa; Hameister, Rita; Awiszus, Friedemann; Schenk, Katja; Feuerstein, Bernd; Roessner, Albert; Lohmann, Christoph

    2016-08-01

    Background and purpose - Aseptic loosening is a major cause of failure in total ankle arthroplasty (TAA). In contrast to other total joint replacements, large periarticular cysts (ballooning osteolysis) have frequently been observed in this context. We investigated periprosthetic tissue responses in failed TAA, and performed an element analysis of retrieved tissues in failed TAA. Patients and methods - The study cohort consisted of 71 patients undergoing revision surgery for failed TAA, all with hydroxyapatite-coated implants. In addition, 5 patients undergoing primary TAA served as a control group. Radiologically, patients were classified into those with ballooning osteolysis and those without, according to defined criteria. Histomorphometric, immunohistochemical, and elemental analysis of tissues was performed. Von Kossa staining and digital microscopy was performed on all tissue samples. Results - Patients without ballooning osteolysis showed a generally higher expression of lymphocytes, and CD3+, CD11c+, CD20+, and CD68+ cells in a perivascular distribution, compared to diffuse expression. The odds of having ballooning osteolysis was 300 times higher in patients with calcium content >0.5 mg/g in periprosthetic tissue than in patients with calcium content ≤0.5 mg/g (p < 0.001). Interpretation - There have been very few studies investigating the pathomechanisms of failed TAA and the cause-effect nature of ballooning osteolysis in this context. Our data suggest that the hydroxyapatite coating of the implant may be a contributory factor.

  3. Restenosis following balloon dilation of benign esophageal stenosis

    Institute of Scientific and Technical Information of China (English)

    Ying-Sheng Cheng; Ming-Hua Li; Ren-Jie Yang; Hui-Zhen Zhang; Zai-Xian Ding; Qi-Xin Zhuang; Zhi-Ming Jiang; Ke-Zhong Shang

    2003-01-01

    AIM: To elucidate the mechanism of restenosis following balloon dilation of benign esophageal stenosis.METHODS: A total of 49 rats with esophageal stenosis were induced in 70 rats using 5 ml of 50 % sodium hydroxide solution and the double-balloon method, and an esophageal restenosis (RS) model was developed by esophageal stenosis using dilation of a percutaneous transluminal coronary angioplasty (PTCA) balloon catheter. These 49 rats were divided into two groups: rats with benign esophageal stricture caused by chemical burn only (control group, n=21) and rats with their esophageal stricture treated with balloon catheter dilation (experimental group, n=28). Imaging analysis and immunohistochemistry were used for both quantitative and qualitative analyses of esophageal stenosis and RS formation in the rats, respectively.RESULTS: Cross-sectional areas and perimeters of the esophageal mucosa layer, muscle layer, and the entire esophageal layers increased significantly in the experimental group compared with the control group. Proliferating cell nuclear antigen (PCNA) was expressed on the 5th day after dilation, and was still present at 1 month. Fibronectin (FN)was expressed on the 1st day after dilation, and was still present at 1 month.CONCLUSION: Expression of PCNA and FN plays an important role in RS after balloon dilation of benign esophageal stenosis.

  4. Stratospheric balloons from Esrange - current and future capabilities

    Science.gov (United States)

    Norberg, O.

    Stratospheric balloon operations have been carried out at the Swedish Space Corporation's rocket, balloon and satellite operations base Esrange since 1974; approximately 550 stratospheric balloons have been launched during this period. The facility, located in northern Sweden at 68 degrees north, is fully equipped with a large launch pad, payload and flight train preparation hangars, telemetry stations, recovery helicopters, and supporting infrastructure. Many of the scientific balloons launched are CNES missions. This paper will present the possibilities for scientific and technical balloon missions at high latitudes and with a vast landing area in northern Sweden, Finland, and Russia. The proximity to the Arctic polar vortex makes Esrange an ideal base for studies of for example the ozone destruction process in the Arctic. A new option proposed by the Swedish Space Corporation and NASA is to perform week-long missions from the south of Sweden to western Canada. A newly developed line-of-sight telemetry system, E-LINK, for high bit-rates (> 2 Mbps both downlink and uplink) and based on the Ethernet communication standard is also described.

  5. Diclofenac sodium suppository for prevention of post-ERCP pancreatitis and hyperamylasemia%双氯芬酸钠栓剂预防ERCP术后胰腺炎及高淀粉酶血症的临床研究

    Institute of Scientific and Technical Information of China (English)

    丁全华; 张优萍; 李建阳

    2014-01-01

    目的探讨双氯芬酸钠栓剂对ERCP术后胰腺炎和高淀粉酶血症的预防作用。方法将拟施行ERCP手术的240例患者按随机数字表法分为双氯芬酸钠组、生长抑素组和安慰剂常规治疗组,每组80例,观察其术前、术后4、24h血清淀粉酶水平,并评估ERCP术后胰腺炎和高淀粉酶血症发生率。结果3组患者ERCP术前血清淀粉酶均为正常值。双氯芬酸钠组及生长抑素组术后4、24h血清淀粉酶水平,均明显低于常规治疗组,差异均有统计学意义(均P<0.01);双氯芬酸钠组术后4h血清淀粉酶水平低于生长抑素组(P<0.01),但术后24h两组差异无统计学意义(P>0.05)。ERCP术后高淀粉酶血症发生率,双氯芬酸钠组及生长抑素组均明显低于常规治疗组,差异均有统计学意义(P<0.05或0.01),但双氯芬酸钠组与生长抑素组之间差异无统计学意义(P>0.05)。双氯芬酸钠组及生长抑素组ERCP术后胰腺炎发生率均明显低于常规治疗组,差异均有统计学意义(P<0.05或0.01),但双氯芬酸钠组与生长抑素组之间,差异无统计学意义(P>0.05)。结论应用双氯芬酸钠栓可有效降低ERCP术后胰腺炎及高淀粉酶血症的发生率;双氯芬酸钠与生长抑素均能有效预防ERCP术后胰腺炎及高淀粉酶血症的发生,且双氯芬酸钠比生长抑素在应用便利性及经济上更有优势。%Objective To investigate the preventive effect of diclofenac sodium suppository for post- ERCP pancreatitis and hyperamylasemia. Methods A total of 240 patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) were randomly assigned to receive diclofenac sodium suppository (n=80), intravenous somatostatin (n=80), or no special medi-cation (n=80). The levels of serum amylase before ERCP and 4h, 24h after ERCP were measured, and the rate of acute pancre-atitis and hyperamylasemia after ERCP were

  6. Complications of endoscopic retrograde cholangiopancreatography: A study in a small ERCP unit Complicaciones de la colangiopancreatografía retrógrada endoscópica: Estudio en una unidad pequeña de CPRE

    Directory of Open Access Journals (Sweden)

    J García-Cano Lizcano

    2004-03-01

    Full Text Available Backgrounds and aim: endoscopic retrograde cholangiopancreatography (ERCP is an established procedure to drain the biliary and pancreatic ducts. Nevertheless, there are complications which seem to be more common in centers performing less than 200 ERCPs per year. Sometimes, however, due to the distribution of health resources, it is necessary to perform this technique in centers with a smaller number of procedures. We present the experience of ERCP-related complications in a small unit. Material and methods: this is a retrospective study on prospective data recorded during six years (1997-2002. In this period, two endoscopists working together performed 507 ERCPs, which yields an approximately average of 84 procedures per year. Results: in 507 ERCPs performed during this period of time, 55 complications arose (10.85%, and four patients died (0.79% as a consequence of the procedure. There were 28 pancreatitis (5.5%, eight post-sphincterotomy bleeding events (1.6%, seven bilioduodenal perforations (1.4%, eight sepsis episodes of biliary origin (1.6%, and other 4 different complications. There were 418 (82.4% successful ERCPs -either diagnostic or therapeutic-, which gave rise to 46 (11% complications. There were 89 (17.6% failed diagnostic or therapeutic ERCPs, which gave rise to 9 (10.11% complications (p = 0.8 between both groups. Thirty five (7% ERCPs were exclusively diagnostic and caused 6 (17% complications. The 187 procedures performed for coledocho-lithiasis originated 14 (7.4% complications, and represented the group with the lowest morbidity rate (p = 0.04. Conclusions: the complications rate in our center is within the range of reported figures. ERCPs performed for choledoco-lithiasis was associated with the lowest complications rate. The risk-benefit ratio in the anticipated, purely diagnostic ERCP must be carefully weighed due to its morbidity.Antecedentes y objetivo: la colangiopancreatografía retrógrada endoscópica (CPRE es un

  7. Ideal ballooning modes, shear flow and the stable continuum

    Science.gov (United States)

    Taylor, J. B.

    2012-11-01

    There is a well-established theory of ballooning modes in a toroidal plasma. The cornerstone of this is a local eigenvalue λ on each magnetic surface—which also depends on the ballooning phase angle k. In stationary plasmas, λ(k) is required only near its maximum, but in rotating plasmas its average over k is required. Unfortunately in many cases λ(k) does not exist for some range of k, because the spectrum there contains only a stable continuum. This limits the application of the theory, and raises the important question of whether this ‘stable interval’ gives rise to significant damping. This question is re-examined using a new, simplified, model—which leads to the conclusion that there is no appreciable damping at small shear flow. In particular, therefore, a small shear flow should not affect ballooning mode stability boundaries.

  8. Ideal MHD Ballooning modes, shear flow and the stable continuum

    CERN Document Server

    Taylor, J B

    2012-01-01

    There is a well established theory of Ballooning modes in a toroidal plasma. The cornerstone of this is a local eigenvalue lambda on each magnetic surface - which also depends on the ballooning phase angle k. In stationary plasmas lambda(k) is required only near its maximum, but in rotating plasmas its average over k is required. Unfortunately in many case lambda(k) does not exist for some range of k, because the spectrum there contains only a stable continuum. This limits the application of the theory, and raises the important question of whether this "stable interval" gives rise to significant damping. This question is re-examined using a new, simplified, model - which leads to the conclusion that there is no appreciable damping at small shear flow. In particular, therefore, a small shear flow should not affect Ballooning mode stability boundaries.

  9. Tokamak resistive magnetohydrodynamic ballooning instability in the negative shear regime

    Institute of Scientific and Technical Information of China (English)

    Shi Bing-Ren; Lin Jian-Long; Li Ji-Quan

    2007-01-01

    Improved confinement of tokamak plasma with central negative shear is checked against the resistive ballooning mode. In the negative shear regime, the plasma is always unstable for purely growing resistive ballooning mode. For a simplest tokamak equilibrium model, the s-α model, characteristics of this kind of instability are fully clarified by numerically solving the high n resistive magnetohydrodynamic ballooning eigen-equation. Dependences of the growth rate on the resistivity, the absolute shear value, the pressure gradient are scanned in detail. It is found that the growth rate is a monotonically increasing function of a while it is not sensitive to the changes of the shear s, the initial phase θ0 and the resistivity parameter εR.

  10. Iridium: Global OTH data communications for high altitude scientific ballooning

    Science.gov (United States)

    Denney, A.

    While the scientific community is no stranger to embracing commercially available technologies, the growth and availability of truly affordable cutting edge technologies is opening the door to an entirely new means of global communications. For many years high altitude ballooning has provided science an alternative to costly satellite based experimental platforms. As with any project, evolution becomes an integral part of development. Specifically in the NSBF ballooning program, where flight durations have evolved from the earlier days of hours to several weeks and plans are underway to provide missions up to 100 days. Addressing increased flight durations, the harsh operational environment, along with cumbersome and outdated systems used on existing systems, such as the balloon vehicles Support Instrumentation Package (SIP) and ground-based systems, a new Over-The-Horizon (OTH) communications medium is sought. Current OTH equipment planning to be phased-out include: HF commanding systems, ARGOS PTT telemetry downlinks and INMARSAT data terminals. Other aspects up for review in addition to the SIP to utilize this communications medium include pathfinder balloon platforms - thereby, adding commanding abilities and increased data rates, plus providing a package for ultra-small experiments to ride aloft. Existing communication systems employed by the National Scientific Balloon Facility ballooning program have been limited not only by increased cost, slow data rates and "special government use only" services such as TDRSS (Tracking and Data Relay Satellite System), but have had to make special provisions to geographical flight location. Development of the Support Instrumentation Packages whether LDB (Long Duration Balloon), ULDB (Ultra Long Duration Balloon) or conventional ballooning have been plagued by non-standard systems configurations requiring additional support equipment for different regions and missions along with a myriad of backup for redundancy. Several

  11. To sail the skies of Mars - Scientific ballooning on the red planet

    Science.gov (United States)

    Gaidos, Eric J.; Burke, James D.

    1988-01-01

    Balloons represent a novel approach to exploring the surface of Mars. One promising aerostat system incorporates a solar-powered balloon as a means of generating diurnally varying lift and so can 'hop' across the surface, obtaining detailed information at a large number of sites. Two important areas of research and testing are underway on solar balloon technology and balloon payload design. The solar balloon concept has been demonstrated on earth, but more work is needed on a 'flyable' version for Mars. Particular attention must be paid to radiation heat transfer and aerodynamic effects. A special 'snake' payload concept has been demonstrated that allows for balloon system traverses of the surface and provides a usable instrument platform. A balloon system of this type could obtain unique surface imaging and physical and chemical data. The flight of the balloon also provides in situ atmospheric boundary-layer and circulation measurements.

  12. Balloon vetebroplasty with calcium phosphate cement augmentation for direct restoration of traumatic thoracolumbar vertebral fractures

    NARCIS (Netherlands)

    Verlaan, JJ; van Helden, WH; Oner, FC; Verbout, AJ; Dhert, WJA

    2002-01-01

    Study Design. A human cadaveric model was used to evaluate balloon vertebroplasty in traumatic vertebral fractures. Objectives. To assess the feasibility and safety of balloon vertebroplasty followed by calcium phosphate cement augmentation to prevent recurrent kyphosis. Summary of Background Data.

  13. Matrix metalloproteinase inhibition reduces adventitial thickening and collagen accumulation following balloon dilation

    NARCIS (Netherlands)

    Sierevogel, MJ; Velema, E; van der Meer, FJ; Nijhuis, MO; de Kleijn, DPV; Borst, C; Pasterkamp, G

    2002-01-01

    Objective: Constrictive arterial remodeling following balloon angioplasty has been related to adventitial collagen accumulation and subsequent thickening and can be prevented by matrix ructalloprotemase (MMP) inhibition. Following balloon dilation, we examined the effect of MMP inhibition on colla-e

  14. Evolution of NASA Scientific Ballooning and Particle Astrophysics Research

    Science.gov (United States)

    Jones, William Vernon

    2017-01-01

    Particle astrophysics research has a history in ballooning that spans over 100 years, ever since Victor Hess discovered cosmic rays on a manned balloon in 1912. The NASA Particle Astrophysics Program currently covers the origin, acceleration and transport of Galactic cosmic rays, plus the Nature of Dark Matter and Ultrahigh Energy Neutrinos. Progress in each of these topics has come from sophisticated instrumentation flown on Long Duration Balloon (LDB) flights around Antarctica for more than two decades. Super Pressure Balloons (SPB) and International Space Station (ISS) platforms are emerging opportunities that promise major steps forward for these and other objectives. NASA has continued development and qualification flights leading to SPB flights capable of supporting 1000 kg science instruments to 33 km for upwards of hundred day missions, with plans for increasing the altitude to 38 km. This goal is even more important now, in view of the Astro2010 Decadal Study recommendation that NASA should support Ultra-Long Duration Balloon (ULDB) flight development for studies of particle astrophysics, cosmology and indirect detection of dark matter. The mid-latitude test flight of an 18.8 MCF SPB launched from Wanaka, NZ in 2015 achieved 32 days of nearly constant altitude exposure, and an identical SPB launched from Wanaka in 2016 with a science payload flew for 46 days. Scientific ballooning as a vital infrastructure component for cosmic ray and general astrophysics investigations, including training for young scientists, graduate and undergraduate students, leading up to the 2020 Decadal Study and beyond, will be presented and discussed.

  15. Near Space Lab-Rat Experimentation using Stratospheric Balloon

    Science.gov (United States)

    Buduru, Suneel Kumar; Reddy Vizapur, Anmi; Rao Tanneeru, Venkateswara; Trivedi, Dharmesh; Devarajan, Anand; Pandit Manikrao Kulkarni, MR..; Ojha, Devendra; Korra, Sakram; Neerudu, Nagendra; Seng, Lim; Godi, Stalin Peter

    2016-07-01

    First ever balloon borne lab-rat experiment up to near space stratospheric altitude levels carried out at TIFR Balloon Facility, Hydeabad using zero pressure balloons for the purpose of validating the life support system. A series of two balloon experiments conducted under joint collaboration with IN.Genius, Singapore in the year 2015. In these experiments, three lab-rats sent to stratosphere in a pressurized capsule designed to reach an altitude of 30 km by keeping constant pressure, temperature and maintained at a precise rate of oxygen supply inside the capsule. The first experiment conducted on 1 ^{st} February, 2015 with a total suspended weight of 225 kg. During the balloon ascent stage at 18 km altitude, sensors inside the capsule reported drastic drop in internal pressure while oxygen and temperatures maintained at correct levels resulted in premature fligt termination at 20.1 km. All the three lab-rats recovered without life due to the collapse of their lungs caused by the depressurization inside the capsule. The second experiment conducted on 14th March, 2015 using a newly developed capsule with rectification of depressurization fault by using improved sealing gaskets and hermitically sealed connectors for sending lab-rats again to stratosphere comprising a total suspended load of 122.3 kg. The balloon flight was terminated after reaching 29.5 km in 110 minutes and succesfully recovered all the three lab-rats alive. This paper focuses on lessons learnt of the development of the life support system as an integral pressurized vessel, flight control instrumentation, flight simulation tests using thermo-vaccum chamber with pre-flight operations.

  16. Paclitaxel-coated balloons - Survey of preclinical data.

    Science.gov (United States)

    Schnorr, B; Kelsch, B; Cremers, B; Clever, Y P; Speck, U; Scheller, B

    2010-10-01

    Restenosis following interventions in the coronary or peripheral arteries develops over weeks to months. In coronary arteries the restenosis rate has been markedly reduced since the advent of drug-eluting stents. Non-stent-based methods for local drug delivery enable restenosis inhibition without the need for stent implantation, does not permanently change the structure of the vessel, are repeatable, and seems to be applicable where drug-eluting stents provide insufficient protection. Preclinical data indicate that short exposure of the vessel wall to a lipophilic inhibitor of cell proliferation is sufficient for preventing restenosis. Initial evidence to this effect emerged from an investigation of paclitaxel embedded in a matrix that enhances the solubility and release of the agent from the balloon coating as well as its transfer to the vessel wall. Further corroborating data from preclinical and clinical studies demonstrating a reduction in late lumen loss and lower restenosis rates led to the market introduction of a variety of paclitaxel-coated angioplasty balloons. The effectiveness of restenosis inhibition is not determined by the active agent alone. Other factors that are crucial for the effectiveness and safety of drug-coated angioplasty balloons are the formulation containing the agent and the coating technique. In this review we first outline the development of paclitaxel-coated balloons to then provide an overview of the preclinical results obtained with different paclitaxel-coated balloons and finally compare these with the outcome in patients. The article concludes with a short outlook on initial results with a zotarolimus-coated angioplasty balloon.

  17. Second-generation endometrial ablation technologies: the hot liquid balloons.

    Science.gov (United States)

    Vilos, George A; Edris, Fawaz

    2007-12-01

    Hysteroscopic endometrial ablation (HEA) was introduced in the 1980s to treat menorrhagia. Its use required additional training, surgical expertise and specialized equipment to minimize emergent complications such as uterine perforations, thermal injuries and excessive fluid absorption. To overcome these difficulties and concerns, thermal balloon endometrial ablation (TBEA) was introduced in the 1990s. Four hot liquid balloons have been introduced into clinical practice. All systems consist of a catheter (4-10mm diameter), a silicone balloon and a control unit. Liquids used to inflate the balloons include internally heated dextrose in water (ThermaChoice, 87 degrees C), and externally heated glycine (Cavaterm, 78 degrees C), saline (Menotreat, 85 degrees ) and glycerine (Thermablate, 173 degrees C). All balloons require pressurization from 160 to 240 mmHg for treatment cycles of 2 to 10 minutes. Prior to TBEA, preoperative endometrial thinning, including suction curettage, is optional. Several RCTs and cohort studies indicate that the advantages of TBEA include portability, ease of use and short learning curve. In addition, small diameter catheters requiring minimal cervical dilatation (5-7 mm) and short duration of treatment cycles (2-8 min) allow treatment under minimal analgesia/anesthesia requirements in a clinic setting. Following TBEA serious adverse events, including thermal injuries to viscera have been experienced. To minimize such injuries some surgeons advocate the use of routine post-dilatation hysteroscopy and/or ultrasonography to confirm correct intrauterine placement of the balloon prior to initiating the treatment cycle. After 10 years of clinical practice, TBEA is thought to be the preferred first-line surgical treatment of menorrhagia in appropriately selected candidates. Economic modeling also suggested that TBEA may be more cost-effective than HEA.

  18. Balloon-Borne Infrasound Detection of Energetic Bolide Events

    Science.gov (United States)

    Young, Eliot F.; Ballard, Courtney; Klein, Viliam; Bowman, Daniel; Boslough, Mark

    2016-10-01

    Infrasound is usually defined as sound waves below 20 Hz, the nominal limit of human hearing. Infrasound waves propagate over vast distances through the Earth's atmosphere: the CTBTO (Comprehensive Nuclear-Test-Ban Treaty Organization) has 48 installed infrasound-sensing stations around the world to detect nuclear detonations and other disturbances. In February 2013, several CTBTO infrasound stations detected infrasound signals from a large bolide that exploded over Chelyabinsk, Russia. Some stations recorded signals that had circumnavigated the Earth, over a day after the original event. The goal of this project is to improve upon the sensitivity of the CTBTO network by putting microphones on small, long-duration super-pressure balloons, with the overarching goal of studying the small end of the NEO population by using the Earth's atmosphere as a witness plate.A balloon-borne infrasound sensor is expected to have two advantages over ground-based stations: a lack of wind noise and a concentration of infrasound energy in the "stratospheric duct" between roughly 5 - 50 km altitude. To test these advantages, we have built a small balloon payload with five calibrated microphones. We plan to fly this payload on a NASA high-altitude balloon from Ft Sumner, NM in August 2016. We have arranged for three large explosions to take place in Socorro, NM while the balloon is aloft to assess the sensitivity of balloon-borne vs. ground-based infrasound sensors. We will report on the results from this test flight and the prospects for detecting/characterizing small bolides in the stratosphere.

  19. Properties of nylon 12 balloons after thermal and liquid carbon dioxide treatments.

    Science.gov (United States)

    Ro, Andrew J; Davé, Vipul

    2013-03-01

    Critical design attributes of angioplasty balloons include the following: tear resistance, high burst pressures, controlled compliance, and high fatigue. Balloons must have tear resistance and high burst pressures because a calcified stenosis can be hard and nominal pressures of up to 16 atm can be used to expand the balloon. The inflated balloon diameter must be a function of the inflation pressure, thus compliance is predictable and controlled. Reliable compliance is necessary to prevent damage to vessel walls, which may be caused by over-inflation. Balloons are often inflated multiple times in a clinical setting and they must be highly resistant to fatigue. These design attributes are dependent on the mechanical properties and polymer morphology of the balloon. The effects of residual stresses on shrinkage, crystallite orientation, balloon compliance, and mechanical properties were studied for angioplasty nylon 12 balloons. Residual stresses of these balloons were relieved by oven heat treatment and liquid CO2 exposure. Residual stresses were measured by quantifying shrinkage at 80 °C of excised balloon samples using a dynamic mechanical analyzer. Shrinkage was lower after oven heat treatment and liquid CO2 exposure compared to the as-received balloons, in the axial and radial directions. As-received, oven heat treated, and liquid CO2-exposed balloon samples exhibited similar thermal properties (T(g), T(m), X(t)). Crystallite orientation was not observed in the balloon cylindrical body using X-ray scattering and polarized light microscopy, which may be due to balloon fabrication conditions. Significant differences were not observed between the stress-strain curves, balloon compliance, and average burst pressures of the as-received, oven heat treated, and liquid CO2-exposed balloons.

  20. Emerging Stent and Balloon Technologies in the Femoropopliteal Arteries

    Directory of Open Access Journals (Sweden)

    Georgios Pastromas

    2014-01-01

    Full Text Available Endovascular procedures for the management of the superficial femoral (SFA and popliteal artery disease are increasingly common. Over the past decade, several stent technologies have been established which may offer new options for improved clinical outcomes. This paper reviews the current evidence for SFA and popliteal artery angioplasty and stenting, with a focus on randomized trials and registries of nitinol self-expanding stents, drug-eluting stents, dug-coated balloons, and covered stent-grafts. We also highlight the limitations of the currently available data and the future routes in peripheral arterial disease (PAD stent and balloon technology.

  1. AIAA Educator Academy: The Space Weather Balloon Module

    Science.gov (United States)

    Longmier, B.; Henriquez, E.; Bering, E. A.; Slagle, E.

    2013-12-01

    Educator Academy is a K-12 STEM curriculum developed by the STEM K-12 Outreach Committee of the American Institute of Aeronautics and Astronautics (AIAA). Consisting of three independent curriculum modules, K-12 students participate in inquiry-based science and engineering challenges to improve critical thinking skills and enhance problem solving skills. The Space Weather Balloon Curriculum Module is designed for students in grades 9-12. Throughout this module, students learn and refine physics concepts as well as experimental research skills. Students participate in project-based learning that is experimental in nature. Students are engaged with the world around them as they collaborate to launch a high altitude balloon equipped with HD cameras.The program leaders launch high altitude weather balloons in collaboration with schools and students to teach physics concepts, experimental research skills, and to make space exploration accessible to students. A weather balloon lifts a specially designed payload package that is composed of HD cameras, GPS tracking devices, and other science equipment. The payload is constructed and attached to the balloon by the students with low-cost materials. The balloon and payload are launched with FAA clearance from a site chosen based on wind patterns and predicted landing locations. The balloon ascends over 2 hours to a maximum altitude of 100,000 feet where it bursts and allows the payload to slowly descend using a built-in parachute. The payload is located using the GPS device. In April 2012, the Space Weather Balloon team conducted a prototype field campaign near Fairbanks Alaska, sending several student-built experiments to an altitude of 30km, underneath several strong auroral displays. To better assist teachers in implementing one or more of these Curriculum Modules, teacher workshops are held to give teachers a hands-on look at how this curriculum is used in the classroom. And, to provide further support, teachers are each

  2. Balloon-Borne System Would Aim Instrument Toward Sun

    Science.gov (United States)

    Polites, M. E.

    1992-01-01

    Proposed system including digital control computer, control sensors, and control actuators aims telescope or other balloon-borne instrument toward Sun. Pointing system and instrument flown on gondola, suspended from balloon. System includes reaction wheel, which applies azimuthal control torques to gondola, and torque motor to apply low-frequency azimuthal torques between gondola and cable. Three single-axis rate gyroscopes measure yaw, pitch, and roll. Inclinometer measures roll angle. Two-axis Sun sensor measures deviation, in yaw and pitch, of attitude of instrument from line to apparent center of Sun. System provides initial coarse pointing, then maintains fine pointing.

  3. Intrauterine tamponade balloon use in the treatment of uterine inversion.

    Science.gov (United States)

    Haeri, Sina; Rais, Sheliza; Monks, Brian

    2015-01-06

    Uterine inversion is a rare but life-threatening obstetrical emergency that occurs when the fundus of the uterus prolapses through the cervix, hence turning the uterus inside out. In this case report, we present our experience using an intrauterine tamponade balloon for management of uterine inversion, and a review of the literature. The utility of an intrauterine tamponade balloon in cases of uterine inversion, especially when maternal medical conditions preclude the use of uterotonics, or reinversion is observed should be kept in mind.

  4. Cosmic ray abundance measurements with the CAKE balloon experiment

    CERN Document Server

    Cecchini, S; Giacomelli, G; Manzoor, S; Medinaceli, E; Patrizii, L; Togo, V

    2005-01-01

    We present the results from the CAKE (Cosmic Abundance below Knee Energy) balloon experiment which uses nuclear track detectors. The final experiment goal is the determination of the charge spectrum of CR nuclei with Z $>$ 30 in the primary cosmic radiation. The detector, which has a geometric acceptance of $\\sim$ 1.7 m$^2$sr, was exposed in a trans-mediterranean stratospheric balloon flight. Calibrations of the detectors used (CR39 and Lexan), scanning strategies and algorithms for tracking particles in an automatic mode are presented. The present status of the results is discussed

  5. Simultaneous electric-field measurements on nearby balloons.

    Science.gov (United States)

    Mozer, F. S.

    1972-01-01

    Electric-field payloads were flown simultaneously on two balloons from Great Whale River, Canada, on September 21, 1971, to provide data at two points in the upper atmosphere that differed in altitude by more than one atmospheric density scale height and in horizontal position by 30-140 km. The altitude dependences in the two sets of data prove conclusively that the vertical electric field at balloon altitudes stems from fair-weather atmospheric electricity sources and that the horizontal fields are mapped down ionospheric fields, since the weather-associated horizontal fields were smaller than 2 mV/m.

  6. Adverse events of ERCP at San José Hospital of Bogotá (Colombia Eventos adversos de la CPRE en el Hospital de San José de Bogotá

    Directory of Open Access Journals (Sweden)

    A. Peñaloza-Ramírez

    2009-12-01

    Full Text Available Endoscopic retrograde cholangiopancreatography (ERCP has become the preferred treatment method for hepatobiliary and pancreatic disease. Despite technological progress this technique continues to account for the greatest morbidity and mortality caused by digestive endoscopic procedures. ERCP carries a risk of pancreatitis, perforation, hemorrhage, cholangitis and cardiopulmonary events occurring in upto 10% of patients in referral centers, implying a mortality of up to 1%, not including therapeutic failures or the need for re-intervention. A greater mortality rate has been demonstrated in prospective studies rather than in retrospective studies, but overall, the number of complications described in the literature is much lower than the number of complications that actually occur. A descriptive prospective study was conducted at San José Hospital from April 1, 2006 to April 30, 2007 in patients who underwent an ERCP and had a 1-month follow-up. A total of 381 patients were included; 9 (2.3% were excluded, and of the remaining 372 there was an overall success in 79.6% of cases, 8.3% had a second intervention, 7.6% developed complications (pancreatitis, perforation, hemorrhage, cholangitis, pain, intolerance to sedatives, and cardiopulmonary events, and 4.3% were failed ERCP studies. The mortality rate of the ERCP procedure was 0.8%. ERCP-related complications were determined at a teaching center, and this suggests the need to implement centers of excellence in order to improve the efficacy of the procedure.La colangiopancreatografía retrograda endoscópica (CPRE se ha convertido en el procedimiento terapéutico por excelencia de la vía biliopancreática. A pesar de los avances tecnológicos continúa siendo la técnica con mayor morbimortalidad de la endoscopia digestiva. Las complicaciones de la CPRE incluyen la pancreatitis, perforación, hemorragia, colangitis y eventos cardiopulmonares que en centros de referencia ocurren hasta en un 10

  7. Resultados del drenaje de la vía biliar por CPRE en pacientes con edad geriátrica Outcomes of bile duct drainage by means of ERCP in geriatric patients

    Directory of Open Access Journals (Sweden)

    J. García-Cano

    2007-08-01

    Full Text Available Antecedentes y objetivo: la colangiopancreatografía retrógrada endoscópica (CPRE es habitualmente la técnica de elección para desobstruir la vía biliar. Una gran parte de los pacientes a los que se realiza esta intervención están en edad geriátrica (mayores de 75 años. Nuestro objetivo ha sido valorar la eficacia de la CPRE en este grupo de pacientes, comparado con los de menor edad. Pacientes y métodos: estudio retrospectivo en el que se han incluido los pacientes a quienes se realizó terapéutica biliar endoscópica mediante CPRE en un periodo de cuatro años (2002-2005. Resultados: se realizó CPRE a 178 pacientes en edad geriátrica y a 159 de menor edad. No hubo diferencias en el éxito del drenaje biliar (97,7-98,7%, en el número de complicaciones (11,8-14,4%, ni en la mortalidad (1,1-0,6%. Por el contrario, en el grupo geriátrico hubo más coledocolitiasis (57,3-39,6%, p = 0,004 y se utilizaron más prótesis metálicas autoexpandibles para drenar la ictericia obstructiva tumoral (47-8%, p = 0,0035. En el grupo de menor edad se repitieron más CPRE a los mismos pacientes (4-10%, p = 0,001. Conclusiones: el éxito y la morbimortalidad para drenar la vía biliar mediante CPRE son similares en los pacientes con edad geriátrica y en los de edad inferior. La coledocolitiasis es más frecuente en los pacientes mayores. No se debe excluir a ningún paciente que precise de una CPRE sólo por la edad.Background and objective: endoscopic retrograde cholangiopancreatography (ERCP is usually the procedure of choice for relieving bile duct obstruction. A large number of patients undergoing this intervention are geriatric population (aged 75 years of age and older. Our aim was to assess the efficacy of ERCP in this group of patients as compared to younger ones. Patients and methods: a retrospective study. All patients in whom a therapeutic biliary endoscopy had been performed over a four-year period of time (2002-2005 were included

  8. Therapeutic ERCP strategies in patients with duodenum stricture%合并十二指肠狭窄患者实施经内镜逆行胰胆管造影术的策略

    Institute of Scientific and Technical Information of China (English)

    潘亚敏; 吴军; 王田田; 高道健; 胡冰

    2012-01-01

    目的 探讨合并十二指肠狭窄患者实施ERCP诊疗的方法与策略.方法 回顾性分析合并十二指肠狭窄患者的ERCP处理方法,观察内镜操作的成功率及并发症.结果 7276例接受ERCP的患者中,合并十二指肠狭窄158例(2.17%),其中恶性肿瘤浸润肠壁120例,十二指肠良性狭窄38例.采用改变体位或导丝引导的方法顺利通过狭窄处完成ERCP及胆道引流96例,实施柱状水囊扩张术后完成ERCP 33例,先放置十二指肠金属支架后行胆管引流4例,另有25例未能完成或放弃治疗.内镜操作成功率84.2% (133/158),术中有少量出血5例,未发生持续出血或穿孔等并发症.结论 十二指肠狭窄患者仍有可能完成ERCP操作,轻度狭窄可通过改变体位或导丝引导帮助内镜通过,重度狭窄需采用水囊扩张或先留置肠道支架,根据局部病变情况循序应用以上方法实施内镜治疗仍是安全的,且成功率较高.%Objective To investigate the methods and strategies of therapeutic ERCP in patients with duodenum stricture.Methods Endoscopic procedure,success rate and complications in patients with duodenum stricture who underwent ERCP were retrospectively analyzed.Results In 7276 patients who underwent therapeutic ERCP,duodenum stricture was found in 158 (2.17%),patients with malignant tumor infiltration in 120 and benign stricture in 38.The total success rate of ERCP and biliary drainage was 84.2%,with posture change or guidewire leading method in 96 patients,stylolitic water sac dilation in 33and duodenum metal stent placement before biliary drainage in 4.The procedure was failed in 25 patients.Minor bleeding occurred in 5 patients and no major complication including massive bleeding or perforation was observed.Conclusion ERCP is safe,effective and feasible for patients with duodenum stricture,which can be performed by posture change or guidewire leading method in mild stricture,and stylolitic water sac dilation or

  9. BioEnterics Intragastric Balloon (BIB) versus Spatz Adjustable Balloon System (ABS): Our experience in the elderly.

    Science.gov (United States)

    Russo, Teresa; Aprea, Giovanni; Formisano, Cesare; Ruggiero, Simona; Quarto, Gennaro; Serra, Raffaele; Massa, Guido; Sivero, Luigi

    2017-02-01

    The BioEnterics Intragastric Balloon (BIB) and the Spatz Adjustable Balloon System (ABS) are in fact recommended for weight reduction as a bridge to bariatric surgery. We retrospected studied patients with body mass index (BMI) and age ranges of 37-46 and 70-80 years, respectively, who had undergone BIB from January 2010 to July 2012 and prospected studied patients who had undergone Spatz balloon from July 2012 to August 2014. The aim of this study is to compare BIB and Spatz in terms of weight loss, complications, and maintenance of weight after removal. For both procedures, the median weight loss was 20 ± 3 kg, median BMI at the end of the therapy was 32 ± 2, and no severe complication occurred.

  10. Large bowel impaction by the BioEnterics Intragastric Balloon (BIB) necessitating surgical intervention.

    Science.gov (United States)

    Kim, W Y; Kirkpatrick, U J; Moody, A P; Wake, P N

    2000-05-01

    A case of large bowel impaction caused by migration of a BioEnterics Intragastric Balloon (BIB) is presented. The literature is reviewed regarding both the use and the complications inherent in such balloon devices. This is the first reported case of an intragastric balloon impacted in the colon 9 months after insertion.

  11. Hybrid Global Communication Architecture with Balloons and Satellites

    Science.gov (United States)

    Pignolet, G.; Celeste, A.; Erb, B.

    2002-01-01

    Global space communication systems have been developed now for more than three decades, based mainly on geostationary satellites or almost equivalent systems such as the Molnya orbit concepts. The last decade of the twentieth century has seen the emergence of satellite constellations in low or medium Earth orbit, in order to improve accessibility in terms of visibility at higher latitudes and limited size or power requirement for ground equipment. However such systems are complex to operate, there are still many situations where connection may remain difficult to achieve, and commercial benefits are still to be proven. A new concept, using a network combination of geostationary relay satellites and high altitude stratospheric platforms may well overcome the inconveniences of both geostationary systems and satellite constellations to improve greatly global communication in the future. The emergence of enabling technologies developed in Japan and in several other countries will soon make it possible to fly helium balloons in the upper layers of the atmosphere, at altitudes of 20 km or more. At such an altitude, well above the meteorological disturbances and the jet-streams, the stratosphere enjoys a regular wind at moderate speeds ranging between 10 m/s and 30 m/s, depending on latitude and also on season. It is possible for balloons powered by electric engines to fly non- stop upstream of the wind in order to remain stationary above a particular location. Large balloons, with sizes up to 300 m in length, would be able to carry sub-satellite communication payloads, as well as observation apparatus and scientific equipment. The range of visibility for easy both-way communication between the balloon and operators or customers on the ground could be as large as 200 km in radius. Most current studies consider a combination of solar cells and storage batteries to power the balloons, but microwave beam wireless power transportation from the ground could be a very

  12. ENBD治疗ERCP后胆管感染及高淀粉酶血症疗效分析%Effects of ENBD Treating Post-ERCP Biliary Tract Infection and Hyperamylasemia

    Institute of Scientific and Technical Information of China (English)

    黄亚彬

    2012-01-01

    目的 评价内镜鼻胆管引流术(ENBD)治疗经内镜逆行胰胆管造影(ERCP)术后胆管感染和高淀粉酶血症疗效.方法 选择行ERCP胆总管结石患者120例,其中术后未给予ENBD60例作为对照组,术后给予ENBD60例作为治疗组.结果 治疗组和对照组血清淀粉酶值和C反应蛋白值在术前比较,差异无统计学意义(P>0.05),术后3h和24 h对比,差异有统计学意义(P<0.01),治疗组优于对照组.同时,治疗组胆管感染和高淀粉酶血症发生率均低于对照组,差异有统计学意义(P<0.05).结论 鼻胆管引流术对ERCP术后胆管感染和高淀粉酶血症均有一定的预防作用.%Objective To evaluate endoscopic naso-biliary drainage (ENBD) effect on post-ERCP biliar-y tract infection and hyperamylasemia. Methods 120 cases with common bile duct stones for routine ERCP were selected, among which 60 cases not given ENBD were set as the control group, the other 60 cases given ENBD were set as the treatment group. Results After observation, amylase and CRP levels of the two groups were not statistically significantly different from before surgery(P >0. 05) ,while significant differences were seen between 3 hours after surgery and 24 hours after surgery(P <0.01 ) ,the treatment group better than the control group. The biliary tract infection and hyperamylasemia rates in the treatment group were lower than that in the control group (P < 0. 05). Conclusion ENBD treatment has a certain preventive function on post-ERCP biliary tract infection and hyperamylasemia.

  13. Scientific Ballooning Technologies Workshop STO-2 Thermal Design and Analysis

    Science.gov (United States)

    Ferguson, Doug

    2016-01-01

    The heritage thermal model for the full STO-2 (Stratospheric Terahertz Observatory II), vehicle has been updated to model the CSBF (Columbia Scientific Balloon Facility) SIP-14 (Scientific Instrument Package) in detail. Analysis of this model has been performed for the Antarctica FY2017 launch season. Model temperature predictions are compared to previous results from STO-2 review documents.

  14. Investigating obscure gastrointestinal bleeding : capsule endoscopy or double balloon enteroscopy?

    NARCIS (Netherlands)

    Westerhof, J.; Weersma, R. K.; Koornstra, J. J.

    2009-01-01

    The possibility to visualise the small bowel has dramatically improved with the introduction of capsule endoscopy (CE) and double balloon enteroscopy (DBE). CE and DBE have become standard practice in investigating suspected diseases of the small bowel. An important reason to perform small bowel inv

  15. Balloon dacryocystoplasty study in the management of adult epiphora.

    LENUS (Irish Health Repository)

    Fenton, S

    2012-02-03

    PURPOSE: To determine the efficacy of dacryocystoplasty with balloon dilation in the treatment of acquired obstruction of the nasolacrimal system in adults. METHODS: Balloon dacryocystoplasty was performed in 52 eyes of 42 patients under general anaesthetic. A Teflon-coated guidewire was introduced through the canaliculus and manipulated through the nasolacrimal system and out of the nasal aperture. A 4 mm wide 3 cm coronary angioplasty balloon catheter was threaded over the guidewire in a retrograde fashion and dilated at the site of obstruction. RESULTS: There was complete obstruction in 30% of cases and partial obstruction in 70%. The most common site of obstruction was the nasolacrimal duct. The procedure was technically successful in 94% of cases. The overall re-obstruction rate was 29% within 1 year of the procedure. There was an anatomical failure rate of 17% for partial obstruction and 69% for complete obstruction within 1 year. CONCLUSIONS: Balloon dacryocystoplasty has a high recurrence rate. There may be a limited role for this procedure in partial obstructions. Further refinements of the procedure are necessary before it can be offered as a comparable alternative to a standard surgical dacryocystorhinostomy.

  16. 28. Critical pulmonary valve stenosis: Medical management beyond balloon dilation

    Directory of Open Access Journals (Sweden)

    Muhammad Arif Khan

    2015-10-01

    Conclusion: Phentolamine and/or Captopril have a therapeutic role in neonates with critical PVS who remain oxygen dependent after balloon dilation. Both medicationslead to vasodilatation of pulmonary and systemic vascularity. They facilitate inflowto the right ventricle. Right to left shunt across a PFO or/ ASD minimizesand saturation improves leading to a significantreduction in length of hospitalization.

  17. Latex micro-balloon pumping in centrifugal microfluidic platforms.

    Science.gov (United States)

    Aeinehvand, Mohammad Mahdi; Ibrahim, Fatimah; Harun, Sulaiman Wadi; Al-Faqheri, Wisam; Thio, Tzer Hwai Gilbert; Kazemzadeh, Amin; Madou, Marc

    2014-03-01

    Centrifugal microfluidic platforms have emerged as point-of-care diagnostic tools. However, the unidirectional nature of the centrifugal force limits the available space for multi-step processes on a single microfluidic disc. To overcome this limitation, a passive pneumatic pumping method actuated at high rotational speeds has been previously proposed to pump liquid against the centrifugal force. In this paper, a novel micro-balloon pumping method that relies on elastic energy stored in a latex membrane is introduced. It operates at low rotational speeds and pumps a larger volume of liquid towards the centre of the disc. Two different micro-balloon pumping mechanisms have been designed to study the pump performance at a range of rotational frequencies from 0 to 1500 rpm. The behaviour of the micro-balloon pump on the centrifugal microfluidic platforms has been theoretically analysed and compared with the experimental data. The experimental data show that the developed pumping method dramatically decreases the required rotational speed to pump liquid compared to the previously developed pneumatic pumping methods. It also shows that within a range of rotational speed, a desirable volume of liquid can be stored and pumped by adjusting the size of the micro-balloon.

  18. Balloon atrial septostomy under echocardiographic guide: case series

    Directory of Open Access Journals (Sweden)

    SM Meraji

    2012-12-01

    Full Text Available Background: Balloon atrial septostomy is an emergent procedure in pediatric cardiology. Nowadays, most patients in need of the procedure have acceptable outcomes after surgical repair. Thus, it is important to perform this procedure as safe as possible. By performing early arterial switch operation and prostaglandin infusion, the rate of balloon atrial septostomy has markedly decreased. However, not all centers performing early arterial switch repairs have abandoned atrial septostomy, even in patients who respond favorably to prostaglandin infusion.Case presentation: In total, eight 1- to 15-day old term neonates admitted in Shahid Rajaee Heart Center in Tehran, Iran from October 2009 to February 2011, with congenital heart diseases were scheduled for balloon atrial septostomy. In six cases the procedure was done exclusively under echocardiographic guidance and in two cases with the help of fluoroscopy. Success was defined as the creation of an atrial septal defect with a diameter equal to or more than 5 mm and ample mobility of its margins.Results: Male sex was predominant (87% and the mean age of the neonates was six days. The diagnosis in all cases was simple transposition of great arteries. The procedure was successful in all patients with any cardiovascular complication.Conclusion: Balloon atrial septostomy is an emergent procedure that can be done safely and effectively under echocardiographic guidance. According to the feasibility of this technique it could be performed fast, safe and effective at bedside, avoiding patient transportation to hemodynamic laboratory or referral center.

  19. Using Hydrogen Balloons to Display Metal Ion Spectra

    Science.gov (United States)

    Maynard, James H.

    2008-01-01

    We have optimized a procedure for igniting hydrogen-filled balloons containing metal salts to obtain the brightest possible flash while minimizing the quantity of airborne combustion products. We report air quality measurements in a lecture hall immediately after the demonstration. While we recommend that this demonstration be done outdoors or in…

  20. Meshed-Pumpkin Super-Pressure Balloon Design

    Science.gov (United States)

    Jones, Jack; Yavrouian, Andre

    2003-01-01

    An improved, lightweight design has been proposed for super-pressure balloons used to carry scientific instruments at high altitudes in the atmosphere of Earth for times as long as 100 days. [A super-pressure balloon is one in which the pressure of the buoyant gas (typically, helium) is kept somewhat above ambient pressure in order to maintain approximately constant density and thereby regulate the altitude.] The proposed design, called "meshed pumpkin," incorporates the basic concept of the pumpkin design, which is so named because of its appearance. The pumpkin design entails less weight than does a spherical design, and the meshed-pumpkin design would reduce weight further. The basic idea of the meshed-pumpkin design is to reinforce the membrane of a pumpkin balloon by attaching a strong, lightweight fabric mesh to its outer surface. The reinforcement would make it possible to reduce the membrane mass to one-third or less of that of the basic pumpkin design while retaining sufficient strength to enable the balloon to remain at approximately constant altitude for months.

  1. 75 FR 77673 - National Environmental Policy Act: Scientific Balloon Program

    Science.gov (United States)

    2010-12-13

    ... SPACE ADMINISTRATION National Environmental Policy Act: Scientific Balloon Program AGENCY: National... the National Environmental Policy Act (NEPA) of 1969, as amended (42 U.S.C. 4321, et seq.); the Council on Environmental Quality Regulations for Implementing the Procedural Provisions of NEPA (40...

  2. Complications of flow-directed balloon-tipped catheters.

    Science.gov (United States)

    Smart, F W; Husserl, F E

    1990-01-01

    Acute or short-term complications following the use of flow-directed balloon-tipped catheters are well recognized. Long-term sequelae are rarely reported. We report herein an early complication of pulmonary arterial rupture with infarction followed by the delayed development of a pulmonary arterial aneurysm.

  3. An automatic parachute release for high altitude scientific balloons

    Science.gov (United States)

    Field, Chris

    NASA's Columbia Scientific Balloon Facility launches high altitude scientific research balloons at many locations around the world. Locations like Antarctica are flat for hundreds of miles and have nothing to snag a parachute consequently causing it to be more important to separate the parachute from the payload than in an area with vegetation and fences. Scientists are now building one of a kind payloads costing millions of dollars, taking five years or more to build, and are requesting multiple flights. In addition to that, the data gathering rate of many science payloads far exceeds the data downlink rate on over-the-horizon flights therefore making a recovery of at least the data hard drives a "minimum success requirement". The older mentality in ballooning; separating the parachute and payload from the balloon and getting it on the ground is more important than separating the parachute after the payload is on the ground has changed. It is now equally as important to separate the parachute from the gondola to prevent damage from dragging. Until now, commands had to be sent to separate the parachute from the gondola at approximately 60K ft, 30K ft, and 10K ft to use the Semi Automatic Parachute Release (SAPR), which is after the sometimes violent parachute opening shock. By using the Gondola controlled Automatic Parachute Release (GAPR) all commanding is done prior to termination, making the parachute release fully autonomous.

  4. The Micro-Instrumentation Package: A Solution to Lightweight Ballooning

    Science.gov (United States)

    Juneau, Jill

    This paper discusses the design and testing of an over the horizon (OTH) light weight telemetry and termination system that can be used for small ballooning payloads. Currently, the Columbia Scientific Balloon Facility (CSBF) provides telemetry for the science payload by integrating one of two types of support packages. The type of support package integrated depends on whether the flight will stay in range of line of sight (LOS) or will exceed LOS requiring the use of over the horizon (OTH) telemetry. The weights of these systems range from 100 pounds to 350 pounds depending upon the use of redundant systems, equipment for high data rates, and batteries and/or solar panels for power requirements. These weight values are not as significant for larger payloads but can be crippling for smaller payloads. In addition, these support package systems are fairly expensive, placing a high importance on recovery. A lightweight and inexpensive telemetry system could be beneficial for various reasons. First, it would allow scientists to fly lightweight payloads on large balloons reaching even higher altitudes. Second, scientists could fly lightweight payloads on less expensive balloons such as meteorological balloons. Depending on the payload, these flights could be fairly inexpensive and even disposable. Third, a compact telemetry system on any balloon will free up more room for the science portion of the payload. In response, a compact telemetry/termination system called the Micro-Instrumentation Package (MIP) was developed. The MIP provides uplink and downlink communications, an interface to the science, housekeeping information including global positioning system (GPS) position, and relays. Instead of a power-hungry microprocessor, the MIP's central consists of a microcontroller. Microcontrollers are lower power, easily programmed, and can be purchased for less than ten dollars. For uplink and downlink telemetry, the MIP uses an LOS serial transceiver and an Iridium unit

  5. Angioplasty with drug coated balloons for the treatment of infrainguinal peripheral artery disease.

    Science.gov (United States)

    Werner, Martin

    2016-09-01

    Restenosis or re-occlusion after femoropopliteal angioplasty or stent implantation is the main limitation of endovascular treatment strategies for peripheral artery disease. Within the last years, balloon catheters with anti-proliferative drug coating on the balloon surface have shown to be associated with higher patency rates compared to plain balloon angioplasty. Thus, drug-coated balloons were gradually adopted in many interventional centres for the treatment of femoropopliteal obstructions. The current review summarises the existing evidence for drug-coated balloons in the infrainguinal vessels and their indication in special lesion cohorts.

  6. High Altitude Infrasound Measurements using Balloon-Borne Arrays

    Science.gov (United States)

    Bowman, D. C.; Johnson, C. S.; Gupta, R. A.; Anderson, J.; Lees, J. M.; Drob, D. P.; Phillips, D.

    2015-12-01

    For the last fifty years, almost all infrasound sensors have been located on the Earth's surface. A few experiments consisting of microphones on poles and tethered aerostats comprise the remainder. Such surface and near-surface arrays likely do not capture the full diversity of acoustic signals in the atmosphere. Here, we describe results from a balloon mounted infrasound array that reached altitudes of up to 38 km (the middle stratosphere). The balloon drifted at the ambient wind speed, resulting in a near total reduction in wind noise. Signals consistent with tropospheric turbulence were detected. A spectral peak in the ocean microbarom range (0.12 - 0.35 Hz) was present on balloon-mounted sensors but not on static infrasound stations near the flight path. A strong 18 Hz signal, possibly related to building ventilation systems, was observed in the stratosphere. A wide variety of other narrow band acoustic signals of uncertain provenance were present throughout the flight, but were absent in simultaneous recordings from nearby ground stations. Similar phenomena were present in spectrograms from the last balloon infrasound campaign in the 1960s. Our results suggest that the infrasonic wave field in the stratosphere is very different from that which is readily detectable on surface stations. This has implications for modeling acoustic energy transfer between the lower and upper atmosphere as well as the detection of novel acoustic signals that never reach the ground. Our work provides valuable constraints on a proposed mission to detect earthquakes on Venus using balloon-borne infrasound sensors.

  7. Cutting balloon angioplasty vs. conventional balloon angioplasty in patients receiving intracoronary brachytherapy for the treatment of in-stent restenosis.

    Science.gov (United States)

    Fasseas, Panayotis; Orford, James L; Lennon, Ryan; O'Neill, Jessica; Denktas, Ali E; Panetta, Carmelo J; Berger, Peter B; Holmes, David R

    2004-10-01

    The objective of this study was to evaluate the safety and efficacy of cutting balloon angioplasty (CBA) for the treatment of in-stent restenosis prior to intracoronary brachytherapy (ICB). Cutting balloon angioplasty may reduce the incidence of uncontrolled dissection requiring adjunctive stenting and may limit "melon seeding" and geographic miss in patients with in-stent restenosis who are subsequently treated with ICB. We performed a retrospective case-control analysis of 134 consecutive patients with in-stent restenosis who were treated with ICB preceded by either CBA or conventional balloon angioplasty. We identified 44 patients who underwent CBA and ICB, and 90 control patients who underwent conventional percutaneous transluminal coronary angioplasty (PTCA) and ICB for the treatment of in-stent restenosis. Adjunctive coronary stenting was performed in 13 patients (29.5%) in the CBA/ICB group and 41 patients (45.6%; P 0.05). Despite sound theoretical reasons why CBA may be better than conventional balloon angioplasty for treatment of in-stent restenosis with ICB, and despite a reduction in the need for adjunctive coronary stenting, we were unable to identify differences in clinical outcome.

  8. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease

    NARCIS (Netherlands)

    P.W.J.C. Serruys (Patrick); P.P.T. de Jaegere (Peter); F. Kiemeneij (Ferdinand); C.M. Miguel (Carlos); W.R. Rutsch (Wolfgang); G.R. Heyndrickx (Guy); H.U. Emanuelsson (Hakan); J. Marco (Jean); V.M.G. Legrand (Victor); P.H. Materne (Phillipe); J.A. Belardi (Jorge); U. Sigwart (Ulrich); A. Colombo (Antonio); J-J. Goy (Jean-Jacques); P.A. van den Heuvel (Paul); J. Delcan; M-A.M. Morel (Marie-Angèle)

    1994-01-01

    textabstractBalloon-expandable coronary-artery stents were developed to prevent coronary restenosis after coronary angioplasty. These devices hold coronary vessels open at sites that have been dilated. However, it is unknown whether stenting improves long-term angiographic and clinical outcomes as c

  9. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease.

    NARCIS (Netherlands)

    P.W.J.C. Serruys (Patrick); P.P.T. de Jaegere (Peter); F. Kiemeneij (Ferdinand); C.M. Miguel (Carlos); W.R. Rutsch (Wolfgang); G.R. Heyndrickx (Guy); H.U. Emanuelsson (Hakan); J. Marco (Jean); V.M.G. Legrand (Victor); P.H. Materne (Phillipe); J.A. Belardi (Jorge); U. Sigwart (Ulrich); A. Colombo (Antonio); J-J. Goy (Jean-Jacques); P. van den Heuvel; J. Delcan; M-A.M. Morel (Marie-Angèle)

    1994-01-01

    textabstractBACKGROUND. Balloon-expandable coronary-artery stents were developed to prevent coronary restenosis after coronary angioplasty. These devices hold coronary vessels open at sites that have been dilated. However, it is unknown whether stenting improves long-term angiographic and clinical o

  10. A meta-analysis for the effect of prophylactic GTN on the incidence of post-ERCP pancreatitis and on the successful rate of cannulation of bile ducts

    Directory of Open Access Journals (Sweden)

    Wang Chun-hui

    2010-07-01

    Full Text Available Abstract Background Glyceryl trinitrate (GTN has been shown to be able to relax the sphincter of Oddi (SO both in animals and humans. Theoretically, the use of these compounds during and after endoscopic retrograde cholangiopancreatgraphy (ERCP could relax the biliary and pancreatic sphincters, facilitating cannulation of common bile duct (CBD during the procedure, or minimizing potential pancreatic outflow obstruction after the procedure. However, clinical trials evaluating the protective effect of GTN on the post-endoscopic retrograde cholangiopancreatgraphy pancreatitis (PEP have yielded inconclusive results. This meta-analysis is to systematically assess the effect of prophylactic administration of glyceryl trinitrate (GTN on the prevention of PEP and the effect on the cannulation of bile ducts. Methods By searching PubMed (1966 to September 2009, CENTRAL (Cochrane Controlled trials Register; issue 3, 2009 and EMBASE.com (1984 to September 2009, two independent reviewers systematically identified prospective randomized controlled trials (RCTs detecting the effect of prophylactic GTN on the incidence of PEP and on the cannulation of bile ducts. A meta-analysis of these clinical trials was then performed. Results There are 55/899(6.1% patients suffering PEP in the treatment group versus 95/915(10.4% patients in the placebo group. The overall pooled risk of PEP was significantly lower in the GTN group than in the placebo group (OR 0.56, 95% CI: 0.40 to 0.79, p = 0.001. Subgroup analyses suggested that GTN administered by the sublingual form (OR 0.34,95% CI:0.16 to 0.75, p = 0.007 is more effective than transdermal route(OR 0.64,95% CI:0.40 to 1.01, p = 0.05, and the protective effect of GTN was far more obvious in the centers with high incidence of PEP (OR 0.40, 95% CI:0.24 to 0.67, p = 0.0006 than those centers with a low incidence of PEP (OR 0.75, 95% CI: 0.47 to 1.20, p = 0.22. Additionally, the meta-analysis suggests that GTN was not

  11. Impact of intra-aortic balloon counterpulsation with different balloon volumes on cardiac performance in humans.

    Science.gov (United States)

    Cohen, Marc; Fasseas, Panayotis; Singh, Varinder P; McBride, Ruth; Orford, James L; Kussmaul, William G

    2002-10-01

    Intra-aortic balloon (IAB) counterpulsation can augment the cardiac output. However, the effect of different IAB volumes on cardiac performance has not been adequately evaluated in humans. Eighty-two patients (52 males [63%]; mean age, 65 +/- 12 years; mean body surface area [BSA], 1.8 +/- 0.2 m(2)) had IAB counterpulsation for cardiogenic shock, refractory angina, and preoperatively for high-risk cardiac surgery. Cardiac hemodynamics were prospectively studied during IAB with inflation volumes of 32 vs. 40 cc. Hemodynamic data collected included aortic pressure, pulmonary artery pressure, systemic and mixed venous oxygen saturations, and cardiac output (by Fick). Transthoracic echocardiography (TTE) was used to obtain both velocity time integrals (VTIs) and the area of the left ventricular outflow tract (LVOT). Left ventricular stroke volume was then calculated as LVOT area x VTI. Cardiac output (CO) determined by the Fick method and VTI did not differ significantly (P = NS) between the two inflation volumes (y = 0.002 + 0.97x). In a subgroup of 33 patients with BSA

  12. ERCP操作中行镇静与麻醉的比较研究进展%The progress Reseach of the Comparison of Sedation and Anesthesia in ERCP Operation

    Institute of Scientific and Technical Information of China (English)

    李金辉

    2013-01-01

    随着微创医学和内镜技术的不断发展,医院内镜逆行胆胰管造影(ERCP)在胆胰疾病诊断和治疗中体现出巨大作用。对于在ERCP操作过程进行麻醉的方法主要分为四个等级:最低限度镇静、中度镇静(CS)、深度镇静(感觉缺失镇静)、全身麻醉(GA)[1]。本文就ERCP术中感觉缺失麻醉和全身麻醉(GA)方法做一对比综述。%With the continuous development of minimally invasive medicine and endoscopic techniques, Endoscopic retrograde cholangiopancreatography of hospital had played a significant role. For ERCP anesthesia during the operation method, it is mainly divided into four grades, such as minimal sedation, moderate sedation, deep sedation, general anesthesia(GA). Anesthesia anesthesia and general anesthesia in ERCP surgery were done a review in the paper.

  13. Using High Resolution Balloon Photography to Provide Topographic Data

    Science.gov (United States)

    Russell, K.; Bauer, T.

    2009-12-01

    For site-scale projects, the Bureau of Reclamation has used low altitude balloon photogrammetry to obtain high-resolution photographs and detailed topographic information. These data are collected in a fraction of the time and effort it would take to obtain a similar level of detail using traditional methods. This is accomplished at a significantly reduced cost compared to flying LiDAR or aerial photography, which can be prohibitively expensive for small or medium scale projects. Low altitude balloon photogrammetry is a process where overlapping photographs and ground survey control points are input into a photogrammetry software program (AdamTechnology 3DM Analyst Mine Mapping Suite) to produce orthophotographs and digital terrain model (DTM) elevation points. To acquire the photos a digital camera is attached to an 8-foot diameter helium balloon. The balloon is tethered and flown above the location of interest. The camera is controlled remotely while a live image is transmitted to a receiver on the ground. Ground survey control is established by using GPS equipment to survey ground targets placed within the area to be photographed. There are limitations to the process. Data collection is very weather dependent; too much wind causes the balloon to be unstable. Site conditions also determine the feasibility: power lines, trees, and steep embankments can cause difficulties maneuvering the balloon. Although some of the photographs show the underwater portion of the channel; there is little agreement between GPS points and the processed DTM elevations in the channel. The balloon has been used to survey large woody debris (LWD) structures and channel morphology in the Middle Fork John Day River (central Oregon) and monitoring debris after the removal of Chiloquin Dam (Sprague River, southern Oregon). Seventeen LWD structures were installed on the Middle Fork John Day River near John Day, OR in 2007 and 2008 to provide aquatic habitat. Balloon photos were obtained in

  14. The Advanced Scintillator Compton Telescope (ASCOT) balloon project

    Science.gov (United States)

    Bloser, Peter F.; Sharma, Tejaswita; Legere, Jason S.; Bancroft, Christopher M.; McConnell, Mark L.; Ryan, James M.; Wright, Alex M.

    2016-07-01

    We describe a project to develop new medium-energy gamma-ray instrumentation by constructing and flying a balloon-borne Compton telescope using advanced scintillator materials combined with silicon photomultiplier readouts. There is a need in high-energy astronomy for a medium-energy gamma-ray mission covering the energy range from approximately 0.4 - 20 MeV to follow the success of the COMPTEL instrument on CGRO. We believe that directly building on the legacy of COMPTEL, using relatively robust, low-cost, off-the-shelf technologies, is the most promising path for such a mission. Fortunately, high-performance scintillators, such as Lanthanum Bromide (LaBr3), Cerium Bromide (CeBr3), and p-terphenyl, and compact readout devices, such as silicon photomultipliers (SiPMs), are already commercially available and capable of meeting this need. We have conducted two balloon flights of prototype instruments to test these technologies. The first, in 2011, demonstrated that a Compton telescope consisting of an liquid organic scintillator scattering layer and a LaBr3 calorimeter effectively rejects background under balloon-flight conditions, using time-of-flight (ToF) discrimination. The second, in 2014, showed that a telescope using an organic stilbene crystal scattering element and a LaBr3 calorimeter with SiPM readouts can achieve similar ToF performance. We are now constructing a much larger balloon instrument, an Advanced Scintillator Compton Telescope (ASCOT) with SiPM readout, with the goal of imaging the Crab Nebula at MeV energies in a one-day flight. We expect a 4σ detection up to 1 MeV in a single transit. We present calibration results of the first detector modules, and updated simulations of the balloon instrument sensitivity. If successful, this project will demonstrate that the energy, timing, and position resolution of this technology are sufficient to achieve an order of magnitude improvement in sensitivity in the mediumenergy gamma-ray band, were it to be

  15. A Spreadsheet Simulation Tool for Terrestrial and Planetary Balloon Design

    Science.gov (United States)

    Raquea, Steven M.

    1999-01-01

    During the early stages of new balloon design and development, it is necessary to conduct many trade studies. These trade studies are required to determine the design space, and aid significantly in determining overall feasibility. Numerous point designs then need to be generated as details of payloads, materials, mission, and manufacturing are determined. To accomplish these numerous designs, transient models are both unnecessary and time intensive. A steady state model that uses appropriate design inputs to generate system-level descriptive parameters can be very flexible and fast. Just such a steady state model has been developed and has been used during both the MABS 2001 Mars balloon study and the Ultra Long Duration Balloon Project. Using Microsoft Excel's built-in iteration routine, a model was built. Separate sheets were used for performance, structural design, materials, and thermal analysis as well as input and output sheets. As can be seen from figure 1, the model takes basic performance requirements, weight estimates, design parameters, and environmental conditions and generates a system level balloon design. Figure 2 shows a sample output of the model. By changing the inputs and a few of the equations in the model, balloons on earth or other planets can be modeled. There are currently several variations of the model for terrestrial and Mars balloons, as well there are versions of the model that perform crude material design based on strength and weight requirements. To perform trade studies, the Visual Basic language built into Excel was used to create an automated matrix of designs. This trade study module allows a three dimensional trade surface to be generated by using a series of values for any two design variables. Once the fixed and variable inputs are defined, the model automatically steps through the input matrix and fills a spreadsheet with the resulting point designs. The proposed paper will describe the model in detail, including current

  16. An analysis of the deployment of a pumpkin balloon at Mars

    Science.gov (United States)

    Rand, J. L.; Phillips, M. L.

    2004-01-01

    The design of large superpressure balloons has received significant attention in recent years due to the successful demonstration of various enabling technologies and materials. Of particular note is the "pumpkin" shaped balloon concept, which allows the stress in the envelope to be limited by the surface geometry. Unlike a sphere, where the radius used to determine the stress is determined by the volume of the balloon, the pumpkin utilizes a system of meridional tendons to react the loading in one direction, and form a number of lobes, which limit the stress in the circumferential direction. A suitable superpressure balloon has been designed using this technology which will carry 2 kg in the atmosphere of Mars. The deployment of this balloon is assumed to occur while falling on a decelerator suitably designed for the Mars atmosphere. The inflation is accomplished by a 10 kg system suspended at the nadir of the balloon. As the system falls toward the surface of the planet, helium gas is transferred into the balloon, forming a partially inflated system very similar to an ascending zero pressure balloon. This analysis incorporates the flow of the planetary gas around the inflating balloon which alters the pressure distribution and shape. As a result, stresses are seen to increase beyond the design values which will require the balloon to be redesigned to accommodate this type of dynamic deployment.

  17. Apical ballooning-like syndrome: Hypocalcemia? What else!

    Directory of Open Access Journals (Sweden)

    Maria Accadia

    2016-01-01

    Full Text Available Apical ballooning syndrome (ABS, also known as Takotsubo or stress cardiomyopathy, is characterised by acute, transient and severe LV dysfunction, mimicking myocardial infarction; it occurs, in most cases, in the absence of obstructive coronary disease and is precipitated by severe emotional or physical stress, but many other potential triggers has been identi ed in the last years. Although the pathogenesis of ABS remains unclear, the most common mechanisms suggested are coronary vasospam and an exaggerated sympathetic activation associated to high levels of plasma cathecolamine leading to cardiotoxicity.We describe two cases of Apical Ballooning like Syndrome that were triggered by severe, acute hypocalcemia, without evidence of coronary vasospasm and with normal hematic level of cathecolamines.

  18. Developing International Standards for Meteorological Balloon to Facilitate Industrial Progress

    Institute of Scientific and Technical Information of China (English)

    Deng Yizhi

    2011-01-01

    Meteorological balloon is made of natural rubber latex with a special process.On natural conditions,it carries the air sounding instrument into the high air to detect the meteorological elements in the air.As a means of delivery used in the aerological sounding,it is widely used in the meteorological,sailing,aeronautical,aerospace and other fields,and plays an extremely important role in the weather report,disaster prevention,disaster relief,guaranteeing ships and aircrafts to leave ports safely,and scientific research in relevant spaces,etc.Especially,the role of meteorological balloons is not ignorable in the forecast of extremely adverse weather frequently occurring around the world in recent years.

  19. MIPAS Ozone Validation by Stratospheric Balloon and Aircraft Measurements

    Science.gov (United States)

    Cortesi, U.; Blom, C. E.; Camy-Peyret, C.; Chance, K.; Davies, J.; Goutail, F.; Kuttippurath, J.; McElroy, C. T.; Mencaraglia, F.; Oelhaf, H.; Petritoli, A.; Pirre, M.; Pommereau, J. P.; Ravegnani, F.; Renard, J. B.; Strong, K.

    2004-08-01

    A number of in situ and remote sensing techniques for the measurement of upper tropospheric and stratospheric O3 content was employed during dedicated experiments of the ESABC programme, aiming at the validation of the ENVISAT chemistry payload. In this paper, we will be focusing on the validation of MIPAS off-line products, by presenting the results of the intercomparison between MIPAS O3 vertical profiles and aircraft and balloon correlative measurements. First priority is given to the validation of processor v4.61 data, but individual results of 2002 and 2003 balloon observations are also compared with MIPAS O3 non operational data. Some general remarks are finally expressed, along with specific recommendation to fully exploit the available ESABC validation dataset

  20. Apical ballooning-like syndrome: Hypocalcemia? What else!

    OpenAIRE

    Maria Accadia; Marianna Abitabile; Salvatore Rumolo; Scotto di Uccio Fortunato; Luigi Irace; Andrea Tuccillo; Giuseppe Mercogliano; Bernardino Tuccillo

    2016-01-01

    Apical ballooning syndrome (ABS), also known as Takotsubo or stress cardiomyopathy, is characterised by acute, transient and severe LV dysfunction, mimicking myocardial infarction; it occurs, in most cases, in the absence of obstructive coronary disease and is precipitated by severe emotional or physical stress, but many other potential triggers has been identi ed in the last years. Although the pathogenesis of ABS remains unclear, the most common mechanisms suggested are coronary vasospam an...

  1. The Extreme Universe Space Observatory Super Pressure Balloon Mission

    Science.gov (United States)

    Wiencke, Lawrence; Olinto, Angela; Adams, Jim; JEM-EUSO Collaboration

    2017-01-01

    The Extreme Universe Space Observatory on a super pressure balloon (EUSO-SPB) mission will make the first fluorescence observations of high energy cosmic ray extensive air showers by looking down on the atmosphere from near space. A long duration flight of at least 50 nights launched from Wanaka NZ is planned for 2017. We describe completed instrument, and the planned mission. We acknowledge the support of NASA through grants NNX13AH53G and NNX13AH55G.

  2. Astronomical observations with the University College London balloon borne telescope

    Science.gov (United States)

    Jennings, R. E.

    1974-01-01

    The characteristics of a telescope system which was developed for high altitude balloon astronomy are discussed. A drawing of the optical system of the telescope is provided. A sample of the signals recorded during one of the flights is included. The correlation between the infrared flux and the radio continuum flux is analyzed. A far infrared map of the radio and infrared peaks of selected stars is developed. The spectrum of the planet Saturn is plotted to show intensity as compared with wavenumber.

  3. Double-balloon enteroscopy in detecting small intestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    ZHI Fa-chao; PAN De-shou; ZHOU Dian-yuan; XIAO Bing; JIANG Bo; WAN Tian-mo; GUO Yu; ZHOU Dan; WANG Li-hui; CHEN Jin-feng; XIE Lu

    2005-01-01

    @@ Digestive tract hemorrhage is a common disease of the digestive system, but about 0.4%-5% intestinal bleeding can not be detected with gastroscope or colonscope.1 Since the intestine is long, tortuous, far away from both ends of the digestive tract and unfixed in position, clinical diagnosis of the bleeding is relatively difficult. Yamamoto and Sugano2 reported the clinical application of double-balloon enteroscope at American DDW in 2003.

  4. Balloon Kyphoplasty: An Effective Treatment for Kummell Disease?

    Science.gov (United States)

    Kim, Pius

    2016-01-01

    Objective The purpose of this study was to evaluate the efficacy of balloon kyphoplasty for treating Kummel disease accompanying severe osteoporosis. Methods Twelve patients with single-level Kummell disease accompanied by severe osteoporosis were enrolled in this investigation. After postural reduction for 1 or 2 days, balloon kyphoplasty was performed on the collapsed vertebrae. Clinical results, radiological parameters, and related complications were assessed at 7 days, 1 month and 6 months after the procedure. Results Prior to kyphoplasty, the mean pain score (according to the visual analogue scale) was 8.0. Seven days after the procedure, this score improved to 2.5. Despite the significant improvement compared to preoperative value, the score increased to 4.0 at 6 months after the procedure. The mean preoperative vertebral height loss was 55.4%. Kyphoplasty reduced this loss to 31.6%, but it increased to 38.7% at 6 months after the procedure. The kyphotic angle improved significantly from 22.4°±4.9° (before the procedure) to 10.1°±3.8° after surgery, However, the improved angle was not maintained 6 months after the procedure. The mean correction loss for the kyphotic deformity was 7.2° at 6 months after the procedure. Three out of 12 patients sustained adjacent fractures after balloon kyphoplasty within 6 months. Conclusion Although balloon kyphoplasty for treating Kummell disease is known to provide stabilization and pain relief, it may be associated with the development of adjacent fractures and aggravated kyphosis. PMID:27799987

  5. Prime time for drug eluting balloons in SFA interventions?

    Science.gov (United States)

    Brodmann, M

    2014-08-01

    Peripheral arterial disease most commonly affects the femoropopliteal segment. Despite enormous improvements in device and treatment technology the long-term patency rate and clinical benefit of endovascular treatment in the respective vascular bed is not satisfying. Drug coated balloon technology as a treatment option in femoropopliteal disease has shown encouraging results in first-in-man trials, which have now been proven in large randomized controlled trials.

  6. NEW APPROACHES: A hot air balloon from dustbin liners

    Science.gov (United States)

    Weaver, Nicholas

    1998-07-01

    This article describes how a simple hot air balloon, inflated by a hair dryer, can be made out of household bin liners and Sellotape. It can be used at sixth-form level as an application of the ideal gas equation, = constant, and is rather more exciting than heated pistons. It gives a taste of a simple engineering design process, although the students do have to be reasonably adept at geometry and algebra.

  7. A Sensitivity Analysis of fMRI Balloon Model

    KAUST Repository

    Zayane, Chadia

    2015-04-22

    Functional magnetic resonance imaging (fMRI) allows the mapping of the brain activation through measurements of the Blood Oxygenation Level Dependent (BOLD) contrast. The characterization of the pathway from the input stimulus to the output BOLD signal requires the selection of an adequate hemodynamic model and the satisfaction of some specific conditions while conducting the experiment and calibrating the model. This paper, focuses on the identifiability of the Balloon hemodynamic model. By identifiability, we mean the ability to estimate accurately the model parameters given the input and the output measurement. Previous studies of the Balloon model have somehow added knowledge either by choosing prior distributions for the parameters, freezing some of them, or looking for the solution as a projection on a natural basis of some vector space. In these studies, the identification was generally assessed using event-related paradigms. This paper justifies the reasons behind the need of adding knowledge, choosing certain paradigms, and completing the few existing identifiability studies through a global sensitivity analysis of the Balloon model in the case of blocked design experiment.

  8. The Rocket Balloon (Rocketball): Applications to Science, Technology, and Education

    Science.gov (United States)

    Esper, Jaime

    2009-01-01

    Originally envisioned to study upper atmospheric phenomena, the Rocket Balloon system (or Rocketball for short) has utility in a range of applications, including sprite detection and in-situ measurements, near-space measurements and calibration correlation with orbital assets, hurricane observation and characterization, technology testing and validation, ground observation, and education. A salient feature includes the need to reach space and near-space within a critical time-frame and in adverse local meteorological conditions. It can also provide for the execution of technology validation and operational demonstrations at a fraction of the cost of a space flight. In particular, planetary entry probe proof-of-concepts can be examined. A typical Rocketball operational scenario consists of a sounding rocket launch and subsequent deployment of a balloon above a desired location. An obvious advantage of this combination is the additional mission 'hang-time' rendered by the balloon once the sounding rocket flight is completed. The system leverages current and emergent technologies at the NASA Goddard Space Flight Center and other organizations.

  9. Balloon Cell Urethral Melanoma: Differential Diagnosis and Management

    Directory of Open Access Journals (Sweden)

    M. McComiskey

    2015-01-01

    Full Text Available Introduction. Primary malignant melanoma of the urethra is a rare tumour (0.2% of all melanomas that most commonly affects the meatus and distal urethra and is three times more common in women than men. Case. A 76-year-old lady presented with vaginal pain and discharge. On examination, a 4 cm mass was noted in the vagina and biopsy confirmed melanoma of a balloon type. Preoperative CT showed no distant metastases and an MRI scan of the pelvis demonstrated no associated lymphadenopathy. She underwent anterior exenterative surgery and vaginectomy also. Histology confirmed a urethral nodular malignant melanoma. Discussion. First-line treatment of melanoma is often surgical. Adjuvant treatment including chemotherapy, radiotherapy, or immunotherapy has also been reported. Even with aggressive management, malignant melanoma of the urogenital tract generally has a poor prognosis. Recurrence rates are high and the mean period between diagnosis and recurrence is 12.5 months. A 5-year survival rate of less than 20% has been reported in balloon cell melanomas along with nearly 20% developing local recurrence. Conclusion. To the best of our knowledge, this case is the first report of balloon cell melanoma arising in the urethra. The presentation and surgical management has been described and a literature review provided.

  10. The balloon-borne electron telescope with scintillating fibers (BETS)

    CERN Document Server

    Torii, S; Tateyama, N; Yoshida, K; Ouchi, Y; Yamagami, T; Saitô, Y; Murakami, H; Kobayashi, T; Komori, Y; Kasahara, K; Yuda, T; Nishimura, J

    2000-01-01

    we describe a new detector system developed for high-altitude balloon flights to observe the cosmic-ray electrons above 10 GeV. The balloon borne electron telescope with Scintillating (BETS) fibers instrument is an imaging calorimeter which is capable of selecting electrons against the large background of protons. The calorimeter is composed of a sandwich of scintillating optical-fiber belts and lead plates with a combination of three plastic scintillators for the shower trigger. The total thickness of lead is 40 mm (~7.1 r.l.) and the number of fiber belts is nine. In each belt, alternating layers are oriented in orthogonal (x and y) directions. Two sets of an intensified CCD camera are adopted for read-out of the scintillating fibers in the x and y direction, respectively. The accelerator beam tests were carried out to study the performance of detector for electrons in 1996 and for protons in 1997 at CERN-SPS. The instrument was successfully flown aboard high-altitude balloon in 1997 and 1998. It is demonst...

  11. Precision Attitude Control for the BETTII Balloon-Borne Interferometer

    Science.gov (United States)

    Benford, Dominic J.; Fixsen, Dale J.; Rinehart. Stephen

    2012-01-01

    The Balloon Experimental Twin Telescope for Infrared Interferometry (BETTII) is an 8-meter baseline far-infrared interferometer to fly on a high altitude balloon. Operating at wavelengths of 30-90 microns, BETTII will obtain spatial and spectral information on science targets at angular resolutions down to less than half an arcsecond, a capability unmatched by other far-infrared facilities. This requires attitude control at a level ofless than a tenth of an arcsecond, a great challenge for a lightweight balloon-borne system. We have designed a precision attitude determination system to provide gondola attitude knowledge at a level of 2 milliarcseconds at rates up to 100Hz, with accurate absolute attitude determination at the half arcsecond level at rates of up to 10Hz. A mUlti-stage control system involving rigid body motion and tip-tilt-piston correction provides precision pointing stability to the level required for the far-infrared instrument to perform its spatial/spectral interferometry in an open-loop control. We present key aspects of the design of the attitude determination and control and its development status.

  12. Low Cost Balloon programme of Indian Centre for Space Physics

    Science.gov (United States)

    Chakrabarti, Sandip Kumar

    2016-07-01

    Indian Centre for Space Physics has launched 89 Missions to near space using single or multiple weather balloons or very light plastic balloons. Basic goal was to capitalize miniaturization of equipments in modern ages. Our typical payload of less than 4kg weight consists of GPS, video camera, cosmic ray detectors, Attitude measurement unit, sunsensor and most importantly a 50-100sqcm X-ray/Gamma-ray detector (usually a scintillator type). The main purpose of the latter is to study spectra of secondary cosmic ray spectra (till our ceiling altitude of 36-42km) over the years and their seasonal variation or variation with solar cycle. We also study solar X-ray spectra, especially of solar flares. We have detected a Gamma Ray Burst (GRB) and pulsars. Our observation of black hole candidates did not yield satisfactory result yet mainly because of poor collimation (~ 10 deg x 10 deg) by lead collimator which introduces strong background also. Our effort with multiple balloon flights enabled us to have long duration flights. We believe that our procedure is very futuristic and yet at an affordable cost.

  13. A Low Cost Weather Balloon Borne Solar Cell Calibration Payload

    Science.gov (United States)

    Snyder, David B.; Wolford, David S.

    2012-01-01

    Calibration of standard sets of solar cell sub-cells is an important step to laboratory verification of on-orbit performance of new solar cell technologies. This paper, looks at the potential capabilities of a lightweight weather balloon payload for solar cell calibration. A 1500 gr latex weather balloon can lift a 2.7 kg payload to over 100,000 ft altitude, above 99% of the atmosphere. Data taken between atmospheric pressures of about 30 to 15 mbar may be extrapolated via the Langley Plot method to 0 mbar, i.e. AMO. This extrapolation, in principle, can have better than 0.1 % error. The launch costs of such a payload arc significantly less than the much larger, higher altitude balloons, or the manned flight facility. The low cost enables a risk tolerant approach to payload development. Demonstration of 1% standard deviation flight-to-flight variation is the goal of this project. This paper describes the initial concept of solar cell calibration payload, and reports initial test flight results. .

  14. The Liege-balloon program. [balloon-borne instruments for high-spectral resolution observations of the sun

    Science.gov (United States)

    Zander, R.

    1974-01-01

    The Liege-balloon program is intended to make high-spectral resolution observations of the sun in the near- and intermediate infrared regions not accessible from the ground. A description of the equipment, followed by a summary of the data obtained till now is presented. Except for ozone whose maximum of concentration lies near 25 Km altitude, the residual mass distribution of the other mentioned molecules decreases with altitude. This is a self-explanatory argument for carrying out spectroscopic observations from platforms transcending the densest layers of the earth's atmosphere. The Liege balloon equipment is primarily intended for very high-resolution solar observations from about 27-30 Km altitude, in all spectral regions between 1.5 and 15.0 microns, not accessible from the ground.

  15. Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy

    Science.gov (United States)

    Zambrano, Nabila; Reilly, James; Moretti, Michael

    2017-01-01

    Cervical pregnancy can be complicated by perfuse vaginal bleeding. Mechanical compression directed at tamponing the cervical vessels can control hemostasis. There are several types of balloon catheters that have been described for cervical compression. However use of a double balloon catheter is a novel approach for cervical tamponade, as one balloon is positioned below the external cervical os and the second balloon is situated above in the internal cervical os. This compresses the cervix from internal os to external os between the two balloons, forming a “cervical sandwich.” We describe this method of cervical tamponade using a silicone double balloon cervical ripening catheter that rapidly controlled hemorrhage in a patient that failed conservative management with methotrexate. PMID:28261511

  16. Experimental investigation of undesired stable equilibria in pumpkin shape super-pressure balloon designs

    Science.gov (United States)

    Schur, W. W.

    2004-01-01

    Excess in skin material of a pneumatic envelope beyond what is required for minimum enclosure of a gas bubble is a necessary but by no means sufficient condition for the existence of multiple equilibrium configurations for that pneumatic envelope. The very design of structurally efficient super-pressure balloons of the pumpkin shape type requires such excess. Undesired stable equilibria in pumpkin shape balloons have been observed on experimental pumpkin shape balloons. These configurations contain regions with stress levels far higher than those predicted for the cyclically symmetric design configuration under maximum pressurization. Successful designs of pumpkin shape super-pressure balloons do not allow such undesired stable equilibria under full pressurization. This work documents efforts made so far and describes efforts still underway by the National Aeronautics and Space Administration's Balloon Program Office to arrive on guidance on the design of pumpkin shape super-pressure balloons that guarantee full and proper deployment.

  17. Vessel wall temperature estimation for novel short term thermal balloon angioplasty: study of thermal environment.

    Science.gov (United States)

    Kaneko, Kenji; Nakatani, Eriko; Futami, Hikaru; Ogawa, Yoshifumi; Arai, Tsunenori; Fukui, Masaru; Shimamura, Satoshi; Kawabata, Takashi

    2005-01-01

    We have been proposing novel thermal balloon angioplasty, photo-thermo dynamic balloon angioplasty (PT-DBA). PTDBA realized thermal injury and low pressure dilatation that can prevent restenosis in chronic phase. We aim to determine the most efficient heating condition suit to individual symptom with pre-operation thermal simulation. We analyzed the flow dynamics and heat convection inside the balloon, and investigated heat conduction of balloon film to establish the temperature estimation method among vessel wall. Compared with ex vivo temperature measurement experiment, we concluded that the factors need to be considered for the establishment would be the heat conduction of the flow inside PTDB, heat conduction at the balloon film, and contact thermal resistance between the balloon film and vessel wall.

  18. Early clinical outcome and complications related to balloon kyphoplasty

    Directory of Open Access Journals (Sweden)

    Martin Bergmann

    2012-06-01

    Full Text Available The treatment of painful osteoporotic vertebral compression fractures using transpedicular cement augmentation has grown significantly over the last two decades. The benefits of balloon kyphoplasty compared to conservative treatment remain controversial and are discussed in the literature. The complication rates of vertebroplasty and kyphoplasty are considered to be low. The focus of this study was the analysis of acute and clinically relevant complications related to this procedure. In our department, all patients treated between February 2002 and February 2011 with percutaneous cement augmentation (372 patients, 522 augmented vertebral bodies were prospectively recorded. Demographic data, comorbidities, fracture types, intraoperative data and all complications were documented. The pre- and postoperative pain-level and neurological status (Frankel-Score were evaluated. All patients underwent a standardized surgical procedure. Two hundred and ninety-seven patients were treated solely by balloon kyphoplasty; 216 females (72.7% and 81 males (27.3%. Average patient age was 76.21 years (±10.71, range 35-98 years. Average American Society Anestesiologists score was 3.02. According to the Orthopedic Trauma Association classification, there were 69 A 1.1 fractures, 177 A 1.2 fractures, 178 A 3.1.1 fractures and 3 A 3.1.3 fractures. Complications were divided into preoperative, intraoperative and postoperative events. There were 4 pre-operative complications: 3 patients experienced persistent pain after the procedure. In one case, the pedicles could not be visualized during the procedure and the surgery was terminated. One hundred and twenty-nine (40.06% of the patients showed intraoperative cement leaking outside the vertebras, one severe hypotension and tachycardia as reaction to the inflation of the balloons, and there was one cardiac arrest during surgery. Postoperative subcutaneous hematomas were observed in 3 cases, 13 patients developed a

  19. Five-millimeter balloon trocar site herniation: report of two cases and review of literature.

    Science.gov (United States)

    Kanis, Margaux J; Momeni, Mazdak; Zakashansky, Konstantin; Chuang, Linus; Hayes, Monica Prasad

    2013-01-01

    Trocar site herniation is a well-known potential complication of minimally invasive surgery. We present the cases of two herniations after use of 5-mm non-bladed balloon trocars. In both patients, surgical management was required, with no subsequent sequelae to date. The hernias were attributed to excessive fascial stretching and compression by the balloon. We recommend full-thickness closure of 5-mm ports if a balloon is used or if there was extensive intraoperative manipulation.

  20. Sinus Balloon Dilation as Treatment for Acute Sphenoid Sinusitis with Impaired Vision for a Child

    Directory of Open Access Journals (Sweden)

    Yin Zhao

    2016-01-01

    Full Text Available This paper is about sinus balloon dilatation in treatment of acute left sphenoid sinusitis with left impaired vision in a child. Balloon catheter dilatation (BCD of the sinus ostia is a new technique. It has been shown to be a minimally invasive technique to manage chronic sinusitis. However, this method is rarely used in the treatment of acute sinusitis. So far, we know of no reported cases of sinus balloon dilatation in treatment of this case, especially for children.

  1. Planetary Balloon-Based Science Platform Evaluation and Program Implementation

    Science.gov (United States)

    Dankanich, John W.; Kremic, Tibor; Hibbitts, Karl; Young, Eliot F.; Landis, Rob

    2016-01-01

    This report describes a study evaluating the potential for a balloon-based optical telescope as a planetary science asset to achieve decadal class science. The study considered potential science achievable and science traceability relative to the most recent planetary science decadal survey, potential platform features, and demonstration flights in the evaluation process. Science Potential and Benefits: This study confirms the cost the-benefit value for planetary science purposes. Forty-four (44) important questions of the decadal survey are at least partially addressable through balloon based capabilities. Planetary science through balloon observations can provide significant science through observations in the 300 nm to 5 m range and at longer wavelengths as well. Additionally, balloon missions have demonstrated the ability to progress from concept to observation to publication much faster than a space mission increasing the speed of science return. Planetary science from a balloon-borne platform is a relatively low-cost approach to new science measurements. This is particularly relevant within a cost-constrained planetary science budget. Repeated flights further reduce the cost of the per unit science data. Such flights offer observing time at a very competitive cost. Another advantage for planetary scientists is that a dedicated asset could provide significant new viewing opportunities not possible from the ground and allow unprecedented access to observations that cannot be realized with the time allocation pressures faced by current observing assets. In addition, flight systems that have a relatively short life cycle and where hardware is generally recovered, are excellent opportunities to train early career scientists, engineers, and project managers. The fact that balloon-borne payloads, unlike space missions, are generally recovered offers an excellent tool to test and mature instruments and other space craft systems. Desired Gondola Features: Potential

  2. Development of ultra-thin polyethylene balloons for high altitude research upto mesosphere

    CERN Document Server

    Kumar, B Suneel; Ojha, D K; Peter, G Stalin; Vasudevan, R; Anand, D; Kulkarni, P M; Reddy, V Anmi; Rao, T V; Sreenivasan, S

    2014-01-01

    Ever since its inception four decades back, Balloon Facility of Tata Institute of Fundamental Research (TIFR), Hyderabad has been functioning with the needs of its user scientists at its focus. During the early nineties, when the X-ray astronomy group at TIFR expressed the need for balloons capable of carrying the X-ray telescopes to altitudes up to 42 km, the balloon group initiated research and development work on indigenous balloon grade films in various thickness not only for the main experiment but also in parallel, took up the development of thin films in thickness range 5 to 6 microns for fabrication of sounding balloons required for probing the stratosphere up to 42 km as the regular 2000 grams rubber balloon ascents could not reach altitudes higher than 38 km. By the year 1999, total indigenisation of sounding balloon manufacture was accomplished. The work on balloon grade ultra-thin polyethylene film in thickness range 2.8 to 3.8 microns for fabrication of balloons capable of penetrating mesosphere ...

  3. High-Altitude Ballooning Program at the Indian Institute of Astrophysics

    CERN Document Server

    Nayak, A; Safonova, M; Murthy, Jayant

    2013-01-01

    We have begun a program of high altitude ballooning at the Indian Institute of Astrophysics, Bangalore. Recent advances in balloons as well as in electronics have made possible scientific payloads at costs accessible to university departments. The primary purpose of this activity is to test low-cost ultraviolet (UV) payloads for eventual space flight, but to also explore phenomena occurring in the upper atmosphere, including sprites and meteorite impacts, using balloon-borne payloads. This paper discusses the results of three tethered balloon experiments carried out at the CREST campus of IIA, Hosakote and our plans for the future. We also describe the stages of payload development for these experiments.

  4. Analysis of the Impact of Health Education on the Recovery of Patients with ERCP%健康教育对经内镜逆行胰胆管造影患者康复的影响分析

    Institute of Scientific and Technical Information of China (English)

    靳明华

    2014-01-01

    Objective To study and analyze the impact of health education on the recovery of patients with endoscopic retrograde cholangiopancreatography (ERCP). Methods 187 patients with ERCP admitted in our hospital from May 2011 to March 2013 were randomly chosen and divided into the control group of 95 cases and the observation group of 92 cases. The control group was given common rehabilitation treatment while the observation group was given common rehabilitation treatment combined with health education. The rehabilitation effects of the 2 groups after treatment were observed and compared. Results On the number of patients with complications of acute pancreatitis, acute cholangitis and bleeding after treatment, the observation group was similar to the control group but a little fewer on total number;the number of patients with discomfortable feelings of the observation group was less than that of the control group, the difference was statistically significant (P<0.05). The excellent rate of the observation group was 54.35%(50/92), and excellent and good rate was obviously higher than the control group's 34.74% (all P<0.05). Conclusion Health education can promote the recovery of patients with ERCP and reduce the incidence of complications, which is worthy of being recommended clinically.%目的:研究分析经内镜逆行胰胆管造影(Endoscopic retrograde cholangiopancreatography,ERCP)病患使用健康教育方式后的康复情况。方法从2011年5月-2013年3月,在该院住院诊治ERCP任意抽取187例病患。用数字法随机分为对照组95例,观察组92例,对照组进行一般性康复治疗,观察组结合健康教育对病患进行诊治。观察对比两组治疗后康复效果。结果观察组病患治疗后急性胰腺炎、急性胆管炎与出血等并发症现象发生者与对照组人数相差不大,但总体要比对照组人数少;观察组产生不适感的人数明显少于对照组,差异均有统计学意义(P<0.05

  5. Thromboembolic events associated with single balloon-, double balloon-, and stent-assisted coil embolization of asymptomatic unruptured cerebral aneurysms: evaluation with diffusion-weighted MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Takigawa, Tomoji; Suzuki, Kensuke; Sugiura, Yoshiki; Suzuki, Ryotaro; Takano, Issei; Shimizu, Nobuyuki; Tanaka, Yoshihiro; Hyodo, Akio [Dokkyo Medical University Koshigaya Hospital, Department of Neurosurgery, Koshigaya, Saitama (Japan)

    2014-12-15

    The introduction of the balloon remodeling and stent-assisted technique has revolutionized the approach to coil embolization for wide-neck aneurysms. The purpose of this study was to determine the frequency of thromboembolic events associated with single balloon-assisted, double balloon-assisted, and stent-assisted coil embolization for asymptomatic unruptured aneurysms. A retrospective review was undertaken by 119 patients undergoing coiling with an adjunctive technique for unruptured saccular aneurysms (64 single balloon, 12 double balloon, 43 stent assisted). All underwent diffusion-weighted imaging (DWI) within 24 h after the procedure. DWI showed hyperintense lesions in 48 (40 %) patients, and ten (21 %) of these patients incurred neurological deterioration (permanent, two; transient, eight). Hyperintense lesions were detected significantly more often in procedures with the double balloon-assisted technique (7/12, 58 %) than with the single balloon-assisted technique (16/64, 25 %, p = 0.05). Occurrence of new lesions was significantly higher with the use of stent-assisted technique (25/43, 58 %) than with the single balloon-assisted technique (p = 0.001). Symptomatic ischemic rates were similar between the three groups. The increased number of microcatheters was significantly related to the DWI abnormalities (two microcatheters, 15/63 (23.8 %); three microcatheters, 20/41 (48.8 %) (p = 0.008); four microcatheters, 12/15 (80 %) (p = 0.001)). Thromboembolic events detected on DWI related to coil embolization for unruptured aneurysms are relatively common, especially in association with the double balloon-assisted and stent-assisted techniques. Furthermore, the number of microcatheters is highly correlated with DWI abnormalities. The high rate of thromboembolic events suggests the need for evaluation of platelet reactivity and the addition or change of antiplatelet agents. (orig.)

  6. Influence of inflation pressure and balloon size on the development of intimal hyperplasia after balloon angioplasty. A study in the atherosclerotic rabbit.

    Science.gov (United States)

    Sarembock, I J; LaVeau, P J; Sigal, S L; Timms, I; Sussman, J; Haudenschild, C; Ezekowitz, M D

    1989-10-01

    To evaluate the effect of balloon size and inflation pressure on acute and subsequent outcome following balloon angioplasty (BA), 70 New Zealand White rabbits with bilateral femoral atherosclerosis were assigned to four groups: group 1, oversized balloon, low inflation pressure (n = 35 vessels; balloon size, 3.0 mm/inflation pressure, 5 atm); group 2, oversized balloon, high inflation pressure (n = 36; 3.0 mm/10 atm); group 3, appropriate size, low inflation pressure (n = 17; 2.5 mm/5 atm); and group 4, appropriate size balloon, high inflation pressure (n = 19; 2.5 mm/10 atm). Angiograms were obtained before, 10 minutes after, and 28 days after BA and read by two blinded observers using electronic calipers. The in vivo balloon-to-vessel ratio was measured for each group. There were eight non-BA controls. Rabbits were sacrificed either immediately (n = 34) or at 28 days after BA (n = 36), with the femoral vessels pressure perfused for histologic and morphometric analysis. The latter was performed at 28 days only. Absolute angiographic diameters increased in all groups immediately after BA (p less than 0.01). Acute angiographic success, defined as greater than 20% increase in luminal diameter, was higher using high inflation pressure (group 2, 32/36 [89%] and group 4, 16/19 [84%] vs. group 1, 23/35 [66%] and group 3, 9/17 [53%]; p less than 0.05). A 3.0-mm balloon resulted in significant oversizing irrespective of inflation pressure (balloon-to-vessel ratio, 1.5 +/- 0.1 vs. 1.1 +/- 0.1 to 1, for the 2.5-mm balloon). Vessels exposed to high inflation pressure had a significantly higher incidence of mural thrombus, dissection (p less than 0.01), and medial necrosis versus low pressure (p less than 0.05). At 28 days, the rates of restenosis (defined as greater than 50% loss of initial gain) were 14/20 (70%), 11/16 (69%), 5/10 (50%), and 5/10 (50%) for groups 1 through 4 (p = NS; a trend in favor of the groups using an oversized balloon). There was an increase in the

  7. NuMED CHEATHAM-PLATINUM STENT AND BALLOON IN BALLOON DELIVERY CATHETER FOR TREATMENT OF NATIVE COARCTATION OF THE AORTA

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ COARCTATION of the aorta (CoA) is a congenital heart defect involving a narrowing of the aorta. The narrowed segment called coarctation is most likely to happen in the segment just after the aortic arch. The narrowing can be removed by surgery or sometimes by a nonsurgical balloon dilation. However, aortic coarctation may recur even after successful surgery or balloon dilation. Fortunately, coarctation can now be treated with nonsurgical balloon dilation associated with implanting a stent using cardiac catheterization. Herein we reported our experience in a 19-year-old boy with CoA who underwent successful covered Cheatham-Platinum (CP) stent implantation for the coarctation.

  8. Modeling plaque fissuring and dissection during balloon angioplasty intervention.

    Science.gov (United States)

    Gasser, T Christian; Holzapfel, Gerhard A

    2007-05-01

    Balloon angioplasty intervention is traumatic to arterial tissue. Fracture mechanisms such as plaque fissuring and/or dissection occur and constitute major contributions to the lumen enlargement. However, these types of mechanically-based traumatization of arterial tissue are also contributing factors to both acute procedural complications and chronic restenosis of the treatment site. We propose physical and finite element models, which are generally useable to trace fissuring and/or dissection in atherosclerotic plaques during balloon angioplasty interventions. The arterial wall is described as an anisotropic, heterogeneous, highly deformable, nearly incompressible body, whereas tissue failure is captured by a strong discontinuity kinematics and a novel cohesive zone model. The numerical implementation is based on the partition of unity finite element method and the interface element method. The later is used to link together meshes of the different tissue components. The balloon angioplasty-based failure mechanisms are numerically studied in 3D by means of an atherosclerotic-prone human external iliac artery, with a type V lesion. Image-based 3D geometry is generated and tissue-specific material properties are considered. Numerical results show that in a primary phase the plaque fissures at both shoulders of the fibrous cap and stops at the lamina elastica interna. In a secondary phase, local dissections between the intima and the media develop at the fibrous cap location with the smallest thickness. The predicted results indicate that plaque fissuring and dissection cause localized mechanical trauma, but prevent the main portion of the stenosis from high stress, and hence from continuous tissue damage.

  9. Biogenic nonmethane hydrocarbon emissions estimated from tethered balloon observations

    Science.gov (United States)

    Davis, K. J.; Lenschow, D. H.; Zimmerman, P. R.

    1994-01-01

    A new technique for estimating surface fluxes of trace gases, the mixed-layer gradient technique, is used to calculate isoprene and terpene emissions from forests. The technique is applied to tethered balloon measurements made over the Amazon forest and a pine-oak forest in Alabama at altitudes up to 300 m. The observations were made during the dry season Amazon Boundary Layer Experiment (ABLE 2A) and the Rural Oxidants in the Southern Environment 1990 experiment (ROSE I). Results from large eddy simulations of scalar transport in the clear convective boundary layer are used to infer fluxes from the balloon profiles. Profiles from the Amazon give a mean daytime emission of 3630 +/- 1400 micrograms isoprene sq m/h, where the uncertainty represents the standard deviation of the mean of eight flux estimates. Twenty profiles from Alabama give emissions of 4470 +/- 3300 micrograms isoprene sq m/h, 1740 +/- 1060 micrograms alpha-pinene sq m/h, and 790 +/- 560 micrograms beta-pinene sq m/h, respectively. These results are in agreement with emissions derived from chemical budgets. The emissions may be overestimated because of uncertainty about how to incorporate the effects of the canopy on the mixed-layer gradients. The large variability in these emission estimates is probably due to the relatively short sampling times of the balloon profiles, though spatially heterogeneous emissions may also play a role. Fluxes derived using this technique are representative of an upwind footprint of several kilometers and are independent of hydrocarbon oxidation rate and mean advection.

  10. BLAST: A balloon-borne, large-aperture, submillimetre telescope

    Science.gov (United States)

    Wiebe, Donald Victor

    BLAST is a balloon-borne large-aperture, submillimetre telescope, which makes large area (1--200 square degree) surveys of Galactic and extragalactic targets. Since BLAST observes in the stratosphere, it is able to make broad-band observations between 200 mum and 550 mum which are difficult or impossible to perform from the ground. BLAST has been designed to probe star formation both in the local Galaxy and in the high redshift (z = 1--4) universe. Because BLAST is flown on an unmanned stratospheric balloon platform, it has been designed to be able to operate autonomously, without needing operator intervention to perform its scientific goals. This thesis includes an overview of the design of the BLAST platform, with emphasis on the command and control systems used to operate the telescope. BLAST has been flown on two long-duration balloon flights. The first of these, from Esrange, Sweden in June of 2005, acquired ˜70 hours of primarily Galactic data. During the second flight, from Willy Field, Antarctica in December of 2006, BLAST acquired ˜225 hours of both Galactic and extragalactic data. Operational performance of the platform during these two flights is reviewed, with the goal of providing insight on how future flights can be improved. Reduction of the data acquired by these large-format bolometer arrays is a challenging procedure, and techniques developed for BLAST data reduction are reviewed. The ultimate goal of this reduction is the generation of high quality astronomical maps which can be used for subsequent portions of data analysis. This thesis treats, in detail, the iterative, maximum likelihood map maker developed for BLAST. Results of simulations performed on the map maker to characterise its ability to reconstruct astronomical signals are presented. Finally, astronomical maps produced by this map maker using real data acquired by BLAST are presented, with a discussion on non-physical map pathologies resulting from the data reduction pipeline and

  11. Cineangiographic findings and balloon catheter angioplasty of pulmonic valvular stenosis

    Energy Technology Data Exchange (ETDEWEB)

    Yeon, Kyung Mo; Yoon, Yong Soo; Kim, In One; Han, Man Chung [College of Medicine, Seoul National University, Seoul (Korea, Republic of)

    1987-08-15

    Transluminal balloon valvuloplasty was performed in the treatment of congenital pulmonic valvular stenosis in 55 children, aged 4 months to 15 years. The right ventricular outflow tract pressure gradient decreased significantly immediately after the procedure from 87.18 {+-} 56mmHg to 29.62 {+-} 26.48mmHg ({rho} < 0.001). Technical success rate was 98% (54/55 patients) and failed case (1 patient) was due to severe fibrous thickening of valve. Complication occurred in one case, that is tricuspid regurgitation (Grade II) due to suspected rupture of chordae tendinae. The degree of pulmonary conus dilatation was closely related with age than the pressure gradient.

  12. Pointing System for the Balloon-Borne Astronomical Payloads

    CERN Document Server

    Nirmal, K; Mathew, Joice; Sarpotdar, Mayuresh; Suresh, Ambily; Prakash, Ajin; Safonova, Margarita; Murthy, Jayant

    2016-01-01

    We describe the development and implementation of a light-weight, fully autonomous 2-axis pointing and stabilization system designed for balloon-borne astronomical payloads. The system is developed using off-the-shelf components such as Arduino Uno controller, HMC 5883L magnetometer, MPU-9150 Inertial Measurement Unit (IMU) and iWave GPS receiver unit. It is a compact and rugged system which can also be used to take images/video in a moving vehicle, or in areal photography. The system performance is evaluated from the ground, as well as in conditions simulated to imitate the actual flight by using a tethered launch.

  13. Pointing system for the balloon-borne astronomical payloads

    Science.gov (United States)

    Nirmal, Kaipacheri; Sreejith, Aickara Gopinathan; Mathew, Joice; Sarpotdar, Mayuresh; Ambily, Suresh; Prakash, Ajin; Safonova, Margarita; Murthy, Jayant

    2016-10-01

    We describe the development and implementation of a light-weight, fully autonomous 2-axis pointing and stabilization system designed for balloon-borne astronomical payloads. The system is developed using off-the-shelf components such as Arduino Uno controller, HMC 5883L magnetometer, MPU-9150 inertial measurement unit, and iWave GPS receiver unit. It is a compact and rugged system which can also be used to take images/video in a moving vehicle or in real photography. The system performance is evaluated from the ground, as well as in conditions simulated to imitate the actual flight by using a tethered launch.

  14. Computing Optimum Heights for Balloon-Borne Radar

    Science.gov (United States)

    1993-11-01

    ducting, a " radar hole" against other raytrace niodels (IREPS, could develop. Although the radar beam. EREPS) that are considered accurate. The may be...TD-1369, Naval Ocean Systems Center, San Diego, CA, October 1985. ,quires, M.F., Caribbean Basin Radar Network Raytrace Study, USAPETAC/PR-91/005...IlI-AFETAC/PR-93IoO5 * AD-A286 832 COMPUTING OPTIMUM HEIGHTS for BALLOON-BORNE RADAR by Michael F. Squires IjxEA NOVEMBER 1993 DTIC QUAI’ii E’T" 2T

  15. Balloon-borne observations of mid-latitude hydrofluoric acid

    Science.gov (United States)

    Sen, B.; Toon, G. C.; Blavier, J.-F.; Szeto, J. T.; Fleming, E. L.; Jackman, C. H.

    1995-01-01

    Measurements of stratospheric hydrofluoric acid (HF) have been made by the JPL MkIV interferometer during high-altitude balloon flights. Infrared solar absorption spectra were acquired near 35 deg N at altitudes between local tropopause and 38 km. Volume mixing ratio profiles of HF derived from 4 flights (1990-93), in conjunction with simultaneously observed N2O profiles, indicate an average rate of HF increase of (5.5 +/- 0.3)% per year, in agreement with time-dependent, two-dimensional model simulations (6% per year) and ATMOS measurements.

  16. Background Measurements from Balloon-Borne CZT Detectors

    OpenAIRE

    Jenkins, Johnathan A; Narita, Tomohiko; Grindlay, Jonathan E.; Bloser, Peter F.; Stahle, Carl; Parker, Brad; Barthelmy, Scott

    2002-01-01

    We report detector characteristics and background measurements from two prototype imaging CZT detectors flown on a scientific balloon payload in May 2001. The detectors are both platinum-contact 10mm x 10mm x 5mm CZT crystals, each with a 4 $\\times$ 4 array of pixels tiling the anode. One is made from IMARAD horizontal Bridgman CZT, the other from eV Products high-pressure Bridgman material. Both detectors were mounted side-by-side in a flip-chip configuration and read out by a 32-channel IDE...

  17. Simulation of peeling-ballooning modes with pellet injection

    Energy Technology Data Exchange (ETDEWEB)

    Chen, S. Y. [College of Physical Science and Technology, Sichuan University, 610064 Chengdu (China); Key Laboratory of High Energy Density Physics and Technology of Ministry of Education, Sichuan University, Chengdu 610064 (China); Southwestern Institute of Physics, Chengdu 610041 (China); Huang, J.; Sun, T. T.; Tang, C. J. [College of Physical Science and Technology, Sichuan University, 610064 Chengdu (China); Key Laboratory of High Energy Density Physics and Technology of Ministry of Education, Sichuan University, Chengdu 610064 (China); Wang, Z. H. [Southwestern Institute of Physics, Chengdu 610041 (China)

    2014-11-15

    The influence of pellet ablation on the evolution of peeling-ballooning (P-B) modes is studied with BOUT++ code. The atoms coming from pellet ablation can significantly reshape the plasma pressure profile, so the behaviors of P-B modes and edge localized mode (ELM) are modified dramatically. This paper shows that the energy loss associated with an ELM increases substantially over that without the pellet, if the pellet is deposited at the top of the pedestal. On the contrary, for pellet deposition in the middle of the pedestal region the ELM energy loss can be less.

  18. Analysis the Impact of Huadanlishitang on CYP7A1 ERCP and B-UGT in the Treatment Forpatients with Common Bile Duct Calculi with ERCP%化石利胆汤对胆总管结石ERCP术后患者CYP7A1和B-UGT的影响

    Institute of Scientific and Technical Information of China (English)

    查火龙; 孙泽群; 李彩丽; 廖应英

    2015-01-01

    目的:探讨化石利胆汤对逆行胰胆管造影取石(ERCP)术后胆总管结石患者血液以及血脂中的胆固醇7α羟化酶以及二磷酸葡萄糖醛酸基转移酶的影响.方法:选取90例行ERCP检查且证实胆总管结石并行碎石取石术患者,将其随机分为治疗组及对照组,每组45例,治疗组给予常规治疗结合化石利胆汤,对照组予常规治疗,分别比较治疗前以及治疗后第7天、1个月患者血CYP7A1、B-UGT mRNA以及蛋白的表达情况.结果:治疗组服药后第7天、1个月的CYP7A1、B-UGT mRNA表达水平均明显高于治疗前,且与对照组同时期比较明显升高,治疗组服药治疗后第7天的CYP7A1、B-UGT蛋白表达水平明显较治疗前升高,且与对照组同时期比较明显升高,组间比较差异均有统计学意义(P<0.05).结论:化石利胆汤可上调胆总管结石ERCP术后患者CYP7A1、B-UGT mRNA及其蛋白的表达.

  19. Bakri balloon placement in the successful management of postpartum hemorrhage in a bicornuate uterus: A case report

    Directory of Open Access Journals (Sweden)

    Cynthia Abraham

    2017-01-01

    Conclusion: In the management of postpartum hemorrhage, Bakri balloon placement is associated with success in the presence of a bicornuate uterus. Care should be taken to direct insertion of the balloon in the appropriate location.

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

    NARCIS (Netherlands)

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

    1992-01-01

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

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

    NARCIS (Netherlands)

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

    1992-01-01

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

  2. The design and use of plastic balloons for stratospheric research in India

    Directory of Open Access Journals (Sweden)

    V. K. Balasubramanian

    1958-04-01

    Full Text Available "Plastic balloon flying has been developed at the Tata Institute of Fundamental Research as a research technique which has a number of important applications in India: (a cosmic ray studies; (b air sampling in the stratosphere for fall-out measurements; (c meteorological investigations; (d astronomical observations; (e defence research. Comparatively little work has been done till now in these fields at equatorial latitudes, particularly at stratospheric altitudes. Large plastic balloons with volumes of the order of half a million cubic feet, and more, have been constructed by heat welding polyethylene sheeting 0.0015"" thick. With these balloons, successful level flights at altitudes of 110,000 ft. have been achieved; in some cases, individual loads weighing a hundred pounds have been carried up. The most serious problem encountered is the extremely low temperature(about-85DegreeC, of the tropopause at the equatorial latitudes; all known plastics for balloon manufacture become brittle at these low temperatures. To overcome this, dark fabrics have been employed so that the material is heated by solar radiation. The plastic sheeting employed is extruded in India to balloon specifications from chosen polymers. The low temperatures and the turbulent conditions that prevail in the atmosphere at low latitudes present problems in balloon flying which are different from those encountered at high latitudes present in balloon flying which are different from those encountered at high latitudes. The techniques employed, the design of the balloons, and their performance under these conditions are discussed."

  3. Effect of oxygen deficiency on response of CR-39 on board scientific balloons

    CERN Document Server

    Fujii, M; Osawa, A; Saitô, T; Yamamoto, K; Hasebe, T; Nakamura, T; Sasaki, H; Yanagita, T; Aglietta, M; Vernetto, S; Castellina, A; Fulgione, W; Saavedra, O; Trinchero, G C

    1999-01-01

    We should be careful about the effect of oxygen deficiency on polymeric track detectors even at balloon altitude. Results of balloon experiments and calibration experiments in a vacuum chamber at different pressures show that the effect of oxygen deficiency becomes serious at a pressure below 10 hPa.

  4. Clinical study of percutaneous transhepatic balloon dilation: a novel procedure for common bileduct stone

    Institute of Scientific and Technical Information of China (English)

    李玉亮

    2014-01-01

    Objective To investigate the safety and efficacy of percutaneous transhepatic balloon dilation for the removal of common bile duct stone.Methods Sixty-eight cases with common bile duct stone treated with percutaneous transhepatic balloon dilation in our department from July2008 to April 20l1 were analyzed retrospectively.Record CA19-9,total bilirubin,

  5. Malignant lymphoma in the ileum diagnosed by double-balloon enteroscopy

    Institute of Scientific and Technical Information of China (English)

    Kazuko Beppu; Nobuhiro Sato; Toshiki Kamano; Yasuo Hayashida; Sumio Watanabe; Taro Osada; Akihito Nagahara; Naoto Sakamoto; Tomoyoshi Shibuya; Masato Kawabe; Takeshi Terai; Toshifumi Ohkusa; Tatsuo Ogihara

    2007-01-01

    A 73-year old man presented with abdominal pain. A tumor with central ulceration was observed in the ileum using double-balloon enteroscopy. Histological findings of the biopsy specimens were consistent with malignant lymphoma. Double-balloon enteroscopy confirmed the diagnosis of a malignant lymphoma tumor which was surgically resected. The patient is still in complete remission now.

  6. Cephalic arch stenosis in autogenous brachiocephalic hemodialysis fistulas: results of cutting balloon angioplasty

    DEFF Research Database (Denmark)

    Heerwagen, Søren Thorup; Lönn, Lars; Schroeder, Torben V;

    2010-01-01

    Cephalic arch stenosis is a known cause of hemodialysis access failure in patients with brachiocephalic fistulas (BCFs). Outcomes of endovascular treatment are affected by resistance of the stenosis to balloon dilation, a high vein rupture rate and the development of early restenosis. The purpose...... of this retrospective study was to report outcomes after cutting balloon angioplasty (CBA) of cephalic arch stenosis....

  7. Ureteropelvic junction obstruction and ureteral strictures treated by simple high-pressure balloon dilation

    DEFF Research Database (Denmark)

    Osther, P J; Geertsen, U; Nielsen, H V

    1998-01-01

    years, success was achieved in only 25% of cases. There were no major complications. It was concluded that simple high-pressure balloon dilation is a safe and reasonably effective technique for the management of most ureteral strictures and congenital UPJO with symptom debut in adult life. Balloon...... dilation seems to have no place in the treatment of primary congenital UPJO in children....

  8. Astronomy from the Upper Stratosphere: Key Discoveries and New Opportunities from High Altitude Scientific Balloons

    Science.gov (United States)

    Fissel, Laura M.

    2017-01-01

    Stratospheric balloons offer a near-space astronomy platform for a small fraction of the cost of an equivalent satellite. These balloons can lift scientific payloads of up to 6,000 lbs as high as 40 km above the Earth’s surface (above >99.5% of the atmosphere). In this presentation I will discuss the contribution that scientific balloon experiments have made to astronomy, from the early days when astronomers had to accompany their telescopes to the stratosphere, to the present era where automated payloads are in some cases able to achieve a pointing precision of better than an arcsecond. In particular, I will discuss the important contributions that balloon telescopes have made to our current understanding of the Universe through detailed measurements of the Cosmic Microwave Background. I will also show how recent observations from sub-millimeter balloon telescopes such as BLAST and BLASTPol have been used to study both star formation and magnetic fields of nearby giant molecular clouds in unprecedented detail, and also to constrain models of interstellar dust composition. With improving ballooning technology, such as NASA’s new Super-Pressure Balloon program, we will soon have the capability for science flights of several months (rather than weeks) duration, thus beginning an exciting new era in balloon astronomy.

  9. Local drug-delivery balloon for proliferative occlusive in-stent restenosis after drug-eluting stent

    Institute of Scientific and Technical Information of China (English)

    Gianluca Rigatelli; Paolo Cardaioli; Fabio Dell'Avvocata; Massimo Giordan

    2011-01-01

    Drug-coated balloon has been developed as an alternative to drug-eluting stents for in-stent restenosis but the performance of drug infusion balloon in such setting has not been previously described. We present a case of particularly aggressive in-stent restenosis after drug eluting stent implantation treated with a new kind of drug infusion balloon developed in order to overcome the impossibility to inflate regular drug-coated balloon for several dilatation.

  10. An analysis of the deployment of a pumpkin balloon on mars

    Science.gov (United States)

    Rand, J.; Phillips, M.

    The design of large superpressure balloons has received significant attention in recent years due to the successful demonstration of various enabling technologies and materials. Of particular note is the "pumpkin" shaped balloon concept, which allows the stress in the envelope to be limited by the surface geometry. Unlike a sphere, which produces stress resultants determined by the volume of the system, the pumpkin utilizes a system of meridional tendons to react the loading in one direction, and form a number of lobes, which limit the stress in the circumferential direction. The application of this technology to very large systems is currently being demonstrated by NASA's Ultra Long Duration Balloon (ULDB) Program. However, this type of balloon has certain features that may be exploited to produce a system far more robust than a comparable sphere during deployment, inflation, and operation for long periods of time. When this concept is applied to a system designed to carry two kilograms in the atmosphere of Mars, the resulting balloon is small enough to alter the construction techniques and produce an envelope which is free of tucks and folds which may cause uncontrolled stress concentrations. A technique has been demonstrated where high strength tendons may be pretensioned prior to installation along the centerline of each gore. Since this position is the shortest distance between the apex and nadir of the balloon, the tendons will automatically resist the forces caused by deployment and inflation and thereby protect the thin film gas barrier from damage. A suitable balloon has been designed for this type of mission using five-micron Mylar Type C film for the gas barrier and P O braided cables for the meridionalB load carrying members. The deployment of this balloon is assumed to occur while falling on a decelerator suitably designed for the Mars atmosphere. The inflation is accomplished by a ten-kilogram system suspended at the nadir of the balloon. As the

  11. A case of asymptomatic fungal and bacterial colonization of an intragastric balloon

    Institute of Scientific and Technical Information of China (English)

    Halil Coskun; Suleyman Bozkurt

    2009-01-01

    Intragastric balloon therapy, as a part of a multidisciplinary weight management program, is an effective short-term intervention for weight loss. Although the insertion procedure is easy and generally well tolerated by patients, a few complications can occur. We report here a heavy smoker with intragastric balloon insertion complicated by colonization with opportunistic organisms. The 27-year-old female, body mass index 35.5 kg/m2, had a BioEnterics. Intragastric Balloon inserted under conscious sedation without any perioperative complications. Six months later, when the standard removal time arrived, the balloon was seen to be covered with a necrotic white-gray material. Microbiological examination revealed Enterobacter cloacae and Candida species yeast colonies. We recommend that asymptomatic fungal and/or bacterial colonization should be considered among the complications of the intragastric balloon procedure, despite its rarity.

  12. Astrobiology Exploration Strategies for the Mars Polar Regions Using Balloon Platforms

    Science.gov (United States)

    Mahaffy, P. R.; Atreya, S. A.; Fairbrother, D. A.; Farrell, W. M.; Gorevan, S.; Jones, J.; Mitrofanov, I.; Scott, J.

    2003-01-01

    Montgolfiere balloons can provide a unique near-surface platform for an extended traverse over the polar regions of Mars. During the polar summer, such solar powered balloons would remain in the constant sun of the polar summer and could remain airborne for many weeks or even months as the atmospheric circulation would drive the balloons around the polar region many times before the balloon would cross the terminator. Such a platform for scientific measurements could provide in situ sampling of the atmosphere for trace disequilibrium species that might be indicators of present geological or biological activity in this regon. It could furthermore provide high resolution imaging, deep electromagnetic (EM) sounding for subsurface stratigraphy and liquid water, and high spatial resolution neutron measurements of subsurface ice. Technologies for robust balloon deployment on entry and controlled encounters with the surface and near subsurface for sample acquisition in otherwise inaccessible regions are presently being studied and developed with support from NASA.

  13. Treatment of benign ureteral stricture by double J stents using high-pressure balloon angioplasty

    Institute of Scientific and Technical Information of China (English)

    YU Hua-liang; YE Lin-yang; LIN Mao-hu; YANG Yu; MIAO Rui; HU Xiao-juan

    2011-01-01

    Background Balloon dilatation angioplasty is a minimally invasive surgery for treating benign ureteral stricture. The aim of this study was to investigate the effect of placing double J (D-J) stents using high-pressure balloon angioplasty in treating benign ureteral stricture.Methods A total of 42 patients (48 cases) with benign ureteral stricture (42 had benign ureteral stricture) were investigated by inserting dual D-J stents using high-pressure balloon angioplasty. The control group contained 50 patients (57 cases) employing the conventional balloon angioplasty with a single D-J stent inserted for comparison.Results The overall effective rate of the treated and control groups was 87.8% (36/41) and 62.7% (32/51), respectively (P <0.05).Conclusion This new approach produces a better curative effect than the conventional balloon angioplasty with a single D-J stent insertion in treating benign ureteral stricture.

  14. Vascular Rupture Caused by a Molding Balloon during Endovascular Aneurysm Repair: Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hee Young; Do, Young Soo; Park, Hong Suk; Park, Kwang Bo [Dept. of Radiology, Samsugn Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Kim, Young Wook; Kim, Dong Ik [Dept. of Surgery, Samsugn Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2011-08-15

    Endovascular aneurysm repair (EVAR) has been accepted as an alternative to traditional open surgery in selected patients. Despite the minimally invasiveness of this treatment, several complications may occur during or after EVAR. Complications include endoleak, aortic dissection, distal embolism, or iatrogenic injury to the access artery. However, there are few reports on the vascular rupture caused by a molding balloon during EVAR. We report two cases of infrarenal abdominal aortic aneurysms complicated by procedure-related aortic or iliac artery rupture by the molding balloon during EVAR. In our cases, we observed suddenly abrupt increase of the diameter of the endograft during balloon inflation, because we inflated the balloon rapidly. In conclusion, careful attention must be paid during inflation of the molding balloon to prevent vascular rupture.

  15. Exhaled nitric oxide in mylar balloons: influence of storage time, humidity and temperature.

    Science.gov (United States)

    Bodini, Alessandro; Pijnenburg, Mariëlle W H; Boner, Atillio L; de Jongste, Johan C

    2003-01-01

    BACKGROUND: Mylar balloons are used to collect exhaled air for analysis of fractional nitric oxide concentration (FENO). AIM: We studied the effect of storage conditions on the stability of nitric oxide (NO) in mylar balloons. METHODS: Exhaled air samples and calibration gases were stored in mylar balloons at 4, 21 and 37 degrees C, with or without silica gel. NO was measured after 0, 6, 9, 24 and 48 h. Scheffe F-tests were used to compare NO values. RESULTS: NO remained stable in balloons for 9 h at all temperatures, without silica gel. NO increased between 9 and 48 h, but only with low initial FENO. Silica gel increased variability. CONCLUSIONS: FENO in mylar balloons is stable for at least 9 h. The storage temperature is not critical, but silica gel increases variability. PMID:12745548

  16. Percutaneous trigeminal ganglion balloon compression : experience in 40 patients.

    Directory of Open Access Journals (Sweden)

    Natarajan M

    2000-10-01

    Full Text Available Forty patients of trigeminal neuralgia were treated with percutaneous trigeminal ganglion balloon compression. Symptoms had been present since six months to twenty years. The age ranged between 23 years and 73 years. All the patients had immediate relief from pain. Two had already undergone trigeminal cistern rhizolysis. One patient had foramen ovale stenosis. After the procedure, all the patients had mild to moderate degree of ipsilateral facial sensory loss which included buccal mucosa and anterior 2/3rd of the tongue. Facial dysaesthesia (anaesthesia dolorosa was seen in only one case, who had mild involvement lasting one week. Thirty patients had altered taste sensation, probably due to general somatic sensory loss. Five patients had herpes perioralis. In this study group, two patients had already undergone microvascular decompression. All the patients were followed for a period ranging from one to eighteen months. Balloon compression technique seems to be better than injection of alcohol, glycerol or radio frequency lesion. Recurrence of pain was noted in 3 patients after one year.

  17. Treatment of urethral strictures with balloon dilation: A forgotten tale

    Directory of Open Access Journals (Sweden)

    Konstantinos Stamatiou

    2015-09-01

    Full Text Available Urethral stricture is a common condition that can lead to serious complications such as urinary infections and renal insufficiency secondary to urinary retention. Treatment options include catheterization and dilation, urethroplasty and endoscopic internal urethrotomy as well. Although treatment option depends on the type, length and aetiology of stricture, the choice can be influenced to varying degrees by the simplicity of the method, the preferences of the patient the available accoutrements and the patient health condition. Both urethroplasty and endoscopic internal urethrotomy require anaesthesia and thus are not suitable for many elder and unfit for surgical treatment patients. On the other hand, dilations are easy to perform in every day clinical practice however they have been associated with iatrogenic urethral trauma. In contrast, balloon dilation under vision dilates by radial application of forces against the stricture, avoiding the potentially shearing forces associated with sequential rigid dilation. Since it reduces the possibility of an iatrogenic urethral trauma and the subsequent spongiofibrosis may lead into improved therapeutic outcomes. In this report we describe a technique for the treatment of urethral strictures with balloon dilation in elder and unfit for surgical treatment patients.

  18. Demonstration of a Balloon Borne Arc-second Pointer Design

    Science.gov (United States)

    Deweese, K.; Ward, P.

    Many designs for utilizing stratospheric balloons as low-cost platforms on which to conduct space science experiments have been proposed throughout the years A major hurdle in extending the range of experiments for which these vehicles are useful has been the imposition of the gondola dynamics on the accuracy with which an instrument can be kept pointed at a celestial target A significant number of scientists have sought the ability to point their instruments with jitter in the arc-second range This paper presents the design and analysis of a stratospheric balloon borne pointing system that is able to meet this requirement The test results of a demonstration prototype of the design with similar ability are also presented Discussion of a high fidelity controller simulation for design analysis is presented The flexibility of the flight train is represented through generalized modal analysis A multiple controller scheme is utilized for coarse and fine pointing Coarse azimuth pointing is accomplished by an established pointing system with extensive flight history residing above the gondola structure A pitch-yaw gimbal mount is used for fine pointing providing orthogonal axes when nominally on target Fine pointing actuation is from direct drive dc motors eliminating backlash problems An analysis of friction nonlinearities and a demonstration of the necessity in eliminating static friction are provided A unique bearing hub design is introduced that eliminates static friction from the system dynamics A control scheme involving linear

  19. Background Measurements from Balloon-Borne CZT Detectors

    CERN Document Server

    Jenkins, J A; Grindlay, J E; Bloser, P F; Stahle, C K; Parker, B; Barthelmy, S D; Jenkins, Johnathan A; Narita, Tomohiko; Grindlay, Jonathan E.; Bloser, Peter F.; Stahle, Carl; Parker, Brad; Barthelmy, Scott

    2002-01-01

    We report detector characteristics and background measurements from two prototype imaging CZT detectors flown on a scientific balloon payload in May 2001. The detectors are both platinum-contact 10mm x 10mm x 5mm CZT crystals, each with a 4 $\\times$ 4 array of pixels tiling the anode. One is made from IMARAD horizontal Bridgman CZT, the other from eV Products high-pressure Bridgman material. Both detectors were mounted side-by-side in a flip-chip configuration and read out by a 32-channel IDE VA/TA ASIC preamp/shaper. We enclosed the detectors in the same 40deg field-of-view collimator (comprisinga graded passive shield and plastic scintillator) used in our previously-reported September 2000 flight. I-V curves for the detectors are diode-like, and we find that the platinum contacts adhere significantly better to the CZT surfaces than gold to previous detectors. The detectors and instrumentation performed well in a 20-hour balloon flight on 23/24 May 2001. Although we discovered a significant instrumental back...

  20. Global stability of the ballooning mode in a cylindrical model

    Science.gov (United States)

    Mazur, N. G.; Fedorov, E. N.; Pilipenko, V. A.

    2013-07-01

    Ballooning disturbances in a finite-pressure plasma in a curvilinear magnetic field are described by the system of coupled equations for the Alfvén and slow magnetosonic modes. In contrast to most previous works that locally analyzed the stability of small-scale disturbances using the dispersion relationship, a global analysis outside a WKB approximation but within a simple cylindrical geometry, when magnetic field lines are circles with constant curvature, is performed in the present work. This model is relatively simple; nevertheless, it has the singularities necessary for the formation of the ballooning mode: field curvature and non-uniform thermal plasma pressure. If the disturbance finite radial extent is taken into account, the instability threshold increases as compared to a WKB approximation. The simplified model used in this work made it possible to consider the pattern of unstable disturbances at arbitrary values of the azimuthal wavenumber ( k y ). Azimuthally large-scale disturbances can also be unstable, although the increment increases with decreasing azimuthal scale and reaches saturation when the scales are of the order of the pressure nonuniformity dimension.

  1. Balloon sinuplasty: a new concept in the endoscopic nasal surgery

    Directory of Open Access Journals (Sweden)

    Nogueira Júnior, João Flávio

    2008-12-01

    Full Text Available Introduction: Sinus diseases affect millions of people annually. Clinical treatment is effective in most patients, but in case of failure of this therapy the functional endoscopic surgery is currently the treatment choice for surgical treatment. The objective of the functional endoscopic surgery is to increase the aeration and drainage of the involved paranasal sinuses, which allows for the adequate functioning of the nasal mucosa mucociliary clearance. However, this method still has some limitations, mainly because it removes the nasal mucosa and bone tissue, and it may lead to physiologic alterations of the nasosinusal mucosa and cicatricial fibrosis. Many of these patients could be benefited from less invasive methods, with larger nasal mucosa preservation. Since 2006, an even less invasive procedure was remarked in our specialty: the balloon dilatation of the paranasal sinus ostia. Objective: The objective of this article is to define the concept of sinuplasty, its action mechanism, and present the necessary material for the procedures performance; to describe the techniques with the equipment in a nasosinusal endoscopic surgery simulator model and review the current literature about the indications, complications, results, and follow-up of patients submitted to this procedure. Balloon sinuplasty is safe and appears to be effective in the improvement of the quality of life of patients not responsive to conventional clinical therapy. New applications and indications for this equipment should be described and researched.

  2. The response of superpressure balloons to gravity wave motions

    Science.gov (United States)

    Vincent, R. A.; Hertzog, A.

    2014-04-01

    Superpressure balloons (SPB), which float on constant density (isopycnic) surfaces, provide a unique way of measuring the properties of atmospheric gravity waves (GW) as a function of wave intrinsic frequency. Here we devise a quasi-analytic method of investigating the SPB response to GW motions. It is shown that the results agree well with more rigorous numerical simulations of balloon motions and provide a better understanding of the response of SPB to GW, especially at high frequencies. The methodology is applied to ascertain the accuracy of GW studies using 12 m diameter SPB deployed in the 2010 Concordiasi campaign in the Antarctic. In comparison with the situation in earlier campaigns, the vertical displacements of the SPB were measured directly using GPS. It is shown using a large number of Monte Carlo-type simulations with realistic instrumental noise that important wave parameters, such as momentum flux, phase speed and wavelengths, can be retrieved with good accuracy from SPB observations for intrinsic wave periods greater than ca. 10 min. The noise floor for momentum flux is estimated to be ca. 10-4 mPa.

  3. The Balloon-borne Large Aperture Submillimeter Telescope: BLAST

    Science.gov (United States)

    Truch, Matthew D. P.; Ade, P. A. R.; Bock, J. J.; Chapin, E. L.; Chung, J.; Devlin, M. J.; Dicker, S.; Griffin, M.; Gundersen, J. O.; Halpern, M.; Hargrave, P. C.; Hughes, D. H.; Klein, J.; MacTavish, C. J.; Marsden, G.; Martin, P. G.; Martin, T. G.; Mauskopf, P.; Netterfield, C. B.; Olmi, L.; Pascale, E.; Patanchon, G.; Rex, M.; Scott, D.; Semisch, C.; Thomas, N. E.; Tucker, C.; Tucker, G. S.; Viero, M. P.; Wiebe, D. V.

    2009-01-01

    The Balloon-borne Large Aperture Submillimeter Telescope (BLAST) is a suborbital surveying experiment designed to study the evolutionary history and processes of star formation in local galaxies (including the Milky Way) and galaxies at cosmological distances. The BLAST continuum camera, which consists of 270 detectors distributed between three arrays, observes simultaneously in broadband (30%) spectral windows at 250, 350, and 500 microns. The optical design is based on a 2 m diameter telescope, providing a diffraction-limited resolution of 30" at 250 microns. The gondola pointing system enables raster mapping of arbitrary geometry, with a repeatable positional accuracy of 30"; postflight pointing reconstruction to manual override. On this poster, we describe the primary characteristics and measured in-flight performance of BLAST. BLAST performed a test flight in 2003 and has since made two scientifically productive long-duration balloon flights: a 100 hour flight from ESRANGE (Kiruna), Sweden to Victoria Island, northern Canada in 2005 June; and a 250 hour, circumpolar flight from McMurdo Station, Antarctica in 2006 December. The BLAST collaboration acknowledges the support of NASA through grants NAG5-12785, NAG5-13301, and NNGO-6GI11G, the Canadian Space Agency (CSA), the Science and Technology Facilities Council (STFC), Canada's Natural Sciences and Engineering Research Council (NSERC), the Canada Foundation for Innovation, the Ontario Innovation Trust, the Puerto Rico Space Grant Consortium, the Fondo Institucional para la Investigacion of the University of Puerto Rico, and the National Science Foundation Office of Polar Programs.

  4. Beam tests of the balloon-borne ATIC experiment

    CERN Document Server

    Ganel, O; Ahn, H S; Ampe, J; Bashindzhagian, G L; Case, G; Chang, H; Ellison, S; Fazely, A; Gould, R; Granger, D; Gunasingha, R M; Guzik, T G; Han, Y J; Isbert, J; Kim, H J; Kim, K C; Kim, S K; Kwon, Y; Panasyuk, M Y; Panov, A; Price, B; Samsonov, G; Schmidt, W K H; Sen, M; Seo, E S; Sina, R; Sokolskaya, N; Stewart, M; Voronin, A; Wagner, D; Wang, J Z; Wefel, J P; Wu, J; Zatsepin, V

    2005-01-01

    The Advanced Thin Ionization Calorimeter (ATIC) balloon-borne experiment is designed to perform cosmic-ray elemental spectra measurements from 50 GeV to 100 TeV for nuclei from hydrogen to iron. These measurements are expected to provide information about some of the most fundamental questions in astroparticle physics today. ATIC's design centers on an 18 radiation length (X0) deep bismuth germanate (BGO) calorimeter, preceded by a 0.75λint graphite target. In September 1999, the ATIC detector was exposed to high-energy beams at CERN's SPS accelerator within the framework of the development program for the Advanced Cosmic-ray Composition Experiment for the Space Station (ACCESS). In December 2000–January 2001 and again in December 2002–January 2003, ATIC flew on the first two of a series of long-duration balloon (LDB) flights from McMurdo Station, Antarctica. We present here results from the 1999 beam tests, including energy resolutions for electrons and protons at several beam energies from 100 to 375 G...

  5. Linear Analysis of Drift Ballooning Modes in Tokamak Edge Plasmas

    Science.gov (United States)

    Tangri, Varun; Kritz, Arnold; Rafiq, Tariq; Pankin, Alexei

    2012-10-01

    The H-mode pedestal structure depends on the linear stability of drift ballooning modes (DBMs) in many H-mode pedestal models. Integrated modeling that uses these pedestal models requires fast evaluation of linear stability of DBMs. Linear analysis of DBMs is also needed in the computations of effective diffusivities associated with anomalous transport that is driven by the DBMs in tokamak edge plasmas. In this study several numerical techniques of linear analysis of the DBMs are investigated. Differentiation matrix based spectral methods are used to compute the physical eigenvalues of the DBMs. The model for DBMs used here consists of six differential equations [T. Rafiq et al. Phys. Plasmas, 17, 082511, (2010)]. It is important to differentiate among non-physical (numerical) modes and physical modes. The determination of the number of eigenvalues is solved by a computation of the `nearest' and `ordinal' distances. The Finite Difference, Hermite and Sinc based differentiation matrices are used. It is shown that spectral collocation methods are more accurate than finite difference methods. The technique that has been developed for calculating eigenvalues is quite general and is relevant in the computation of other modes that utilize the ballooning mode formalism.

  6. Balloon UV Experiments for Astronomical and Atmospheric Observations

    CERN Document Server

    Sreejith, A G; Sarpotdar, Mayuresh; Nirmal, K; Ambily, S; Prakash, Ajin; Safonova, Margarita; Murthy, Jayant

    2016-01-01

    The ultraviolet (UV) window has been largely unexplored through balloons for astronomy. We discuss here the development of a compact near-UV spectrograph with ?ber optics input for balloon ights. It is a modi?ed Czerny-Turner system built using o?-the-shelf components. The system is portable and scalable to di?erent telescopes. The use of re ecting optics reduces the transmission loss in the UV. It employs an image-intensi?ed CMOS sensor, operating in photon counting mode, as the detector of choice. A lightweight pointing system developed for stable pointing to observe astronomical sources is also discussed, together with the methods to improve its accuracy, e.g. using the in-house build star sensor and others. Our primary scienti?c objectives include the observation of bright Solar System objects such as visible to eye comets, Moon and planets. Studies of planets can give us valuable information about the planetary aurorae, helping to model and compare atmospheres of other planets and the Earth. The other ma...

  7. Two cases of apical ballooning syndrome masking apical hypertrophic cardiomyopathy.

    Science.gov (United States)

    Roy, Ranjini Raina; Hakim, Fayaz A; Hurst, R Todd; Simper, David; Appleton, Christopher P

    2014-04-01

    Apical akinesis and dilation in the absence of obstructive coronary artery disease is a typical feature of stress-induced (takotsubo) cardiomyopathy, whereas apical hypertrophy is seen in apical-variant hypertrophic cardiomyopathy. We report the cases of 2 patients who presented with takotsubo cardiomyopathy and were subsequently found to have apical-variant hypertrophic cardiomyopathy, after the apical ballooning from the takotsubo cardiomyopathy had resolved. The first patient, a 43-year-old woman with a history of alcohol abuse, presented with shortness of breath, electrocardiographic and echocardiographic features consistent with takotsubo cardiomyopathy, and no significant coronary artery disease. An echocardiogram 2 weeks later revealed a normal left ventricular ejection fraction and newly apparent apical hypertrophy. The 2nd patient, a 70-year-old woman with pancreatitis, presented with chest pain, apical akinesis, and a left ventricular ejection fraction of 0.39, consistent with takotsubo cardiomyopathy. One month later, her left ventricular ejection fraction was normal; however, hypertrophy of the left ventricular apex was newly noted. To our knowledge, these are the first reported cases in which apical-variant hypertrophic cardiomyopathy was masked by apical ballooning from stress-induced cardiomyopathy.

  8. The Use of Zylon Fibers in ULDB Balloons

    Science.gov (United States)

    Zimmerman, M.; Seely, L.; McLaughlin, J.

    Early in the development of the ULDB balloon, Zylon (PBO) was selected as the tendon material due to its favorable stress-strain properties. It is a next generation super fiber whose strength and modulus are almost double those of the p-Aramid fibers. In addition there are two versions of the Zylon, As Spun (AS) and High Modulus (HM). Data will be presented on why the HM was chosen. Early in the development process, it was learned that this material exhibited an unusual sensitivity to degradation by ambient light. This is in addition to the expected sensitivity to UV radiation (Ultraviolet). The fiber manufacturer reported all of these properties in their literature. Due to the operating environment of the ULDB (Ultra Long Duration Balloon) it is necessary to protect the tendons from both visible and UV radiation. Methods to protect the tendons will be discussed. In addition, information on the long term exposure of the braided tendon over a thirty-six month period in a controlled manufacturing plant will be provided.

  9. Balloon-borne CALET prototype payload (bCALET)

    Science.gov (United States)

    Ueyama, Yoshitaka; Torii, Shoji; Kasahara, Katsuaki; Murakami, Hiroyuki; Ozawa, Shunsuke; Akaike, Yosui; Nakai, Mikio; Aiba, Toshihide; Kai, Yuuichirou; Tamura, Tadahisa; Yoshida, Kenji; Katayose, Yusaku; Saito, Yoshitaka; Fuke, Hideyuki; Kawada, Jiro; Mizuta, Eiichi; Marrocchesi, Pier Simone; Kim, Meyoung; Bigongiari, Gabriele

    The CALorimetric Electron Telescope (CALET) payload will be installed in the Japanese Experiment Module Exposed Facility (JEM-EF) of the International Space Station (ISS). We have been developing a balloon borne payload to evaluate the performance of CALET by carring out precursor flights for the electron observation in 1-1000 GeV. The first flight of bCALET was done in 2006, and the enhanced version, bCALET-2, was successfully flown in 2009. In this paper, we describe the bCALET-3 payload which is composed of Imaging Calorimeter (IMC), Total Absorption Calorimeter (TASC) and Silicon pixel Array (SIA). IMC has an area of 320mm × 320mm, and is consisted 8 x-y layers of scintillating fiber belts inserted below tungsten plates for a fine imaging of shower particles. TASC is constructed by 6 layers of BGO scintillator blocks with an area of 300mm × 300mm, for measuring the total energy deposit of incoming shower particles. SIA owns to measure the charge number of incoming particle. Each component has very similar function with CALET with about half the area of CALET. We are planning to carry out the balloon experiment by bCALET-3 in November, 2010 for the test of the CALET capability of observing the electrons.

  10. Balloon pulmonary angioplasty in chronic thromboembolic pulmonary hypertension

    Directory of Open Access Journals (Sweden)

    Irene Lang

    2017-03-01

    Full Text Available Chronic thromboembolic pulmonary hypertension (CTEPH is thought to result from incomplete resolution of pulmonary thromboemboli that undergo organisation into fibrous tissue within pulmonary arterial branches, filling pulmonary arterial lumina with collagenous obstructions. The treatment of choice is pulmonary endarterectomy (PEA in CTEPH centres, which has low post-operative mortality and good long-term survival. For patients ineligible for PEA or who have recurrent or persistent pulmonary hypertension after surgery, medical treatment with riociguat is beneficial. In addition, percutaneous balloon pulmonary angioplasty (BPA is an emerging option, and promises haemodynamic and functional benefits for inoperable patients. In contrast to conventional angioplasty, BPA with undersized balloons over guide wires exclusively breaks intraluminal webs and bands, without dissecting medial vessel layers, and repeat sessions are generally required. Observational studies report that BPA improves haemodynamics, symptoms and functional capacity in patients with CTEPH, but controlled trials with long-term follow-up are needed. Complications include haemoptysis, wire injury, vessel dissection, vessel rupture, reperfusion pulmonary oedema, pulmonary parenchymal bleeding and haemorrhagic pleural effusions. This review summarises the available evidence for BPA, patient selection, recent technical refinements and periprocedural imaging, and discusses the potential future role of BPA in the management of CTEPH.

  11. Computed Tomography During Experimental Balloon Dilatation For Calcific Aortic Stenosis. A Look into the Mechanism of Valvuloplasty

    NARCIS (Netherlands)

    C. di Mario (Carlo); L.C.P. van Veen; DE BAAT, L. (LEEN); C.E. Essed; K.J. Beatt (Kevin); O. Leborgne; SERRUYS, P.W. (PATRICK W.)

    1988-01-01

    textabstractThin‐slice contiguous computed tomographic scanning was performed in four postmortem hearts with calcific aortic valve stenosis (mean weight: 583 ± 78 g; mean age: 65 ± 10 years) before, during, and after balloon valvuloplasty. Balloons of increasing diameter (15–19 mm single balloons, a

  12. Efficacy of Intrauterine Bakri Balloon Tamponade in Cesarean Section for Placenta Previa Patients.

    Directory of Open Access Journals (Sweden)

    Hee Young Cho

    Full Text Available The aims of this study were to analyze the predictive factors for the use of intrauterine balloon insertion and to evaluate the efficacy and factors affecting failure of uterine tamponade with a Bakri balloon during cesarean section for abnormal placentation.We reviewed the medical records of 137 patients who underwent elective cesarean section for placenta previa between July 2009 and March 2014. Cesarean section and Bakri balloon insertion were performed by a single qualified surgeon. The Bakri balloon was applied when blood loss during cesarean delivery exceeded 1,000 mL.Sixty-four patients (46.7% required uterine balloon tamponade during cesarean section due to postpartum bleeding from the lower uterine segment, of whom 50 (78.1% had placenta previa totalis. The overall success rate was 75% (48/64 for placenta previa patients. Previous cesarean section history, anterior placenta, peripartum platelet count, and disseminated intravascular coagulopathy all significantly differed according to balloon success or failure (all p<0.05. The drainage amount over 1 hour was 500 mL (20-1200 mL in the balloon failure group and 60 mL (5-500 mL in the balloon success group (p<0.01.Intrauterine tamponade with a Bakri balloon is an adequate adjunct management for postpartum hemorrhage following cesarean section for placenta previa to preserve the uterus. This method is simple to apply, non-invasive, and inexpensive. However, possible factors related to failure of Bakri balloon tamponade for placenta previa patients such as prior cesarean section history, anterior placentation, thrombocytopenia, presence of DIC at the time of catheter insertion, and catheter drainage volume more than 500 mL within 1 hour of catheter placement should be recognized, and the next-line management should be prepared in advance.

  13. Finite Larmor radius magnetohydrodynamic analysis of the ballooning modes in tokamaks*

    Institute of Scientific and Technical Information of China (English)

    Jiang Hai-Bin; Wang Ai-Ke; Peng Xiao-Dong

    2010-01-01

    In this paper,the effect of finite Larmor radius(FLR)on high n ballooning modes is studied on the basis of FLR magnetohydrodynamic(FLR-MHD)theory.A linear FLR ballooning mode equation is derived in an '(s)-α' type equilibrium of circular-flux-surfaces,which is reduced to the ideal ballooning mode equation when the FLR effect is neglected.The present model reproduces some basic features of FLR effects on ballooning mode obtained previously by kinetic ballooning mode theories.That is,the FLR introduces a real frequency into ballooning mode and has a stabilising effect on ballooning modes(e.g.,in the case of high magnetic shear(s)≥ 0.8).In particular,some new properties of FLR effects on ballooning mode are discovered in the present research.Here it is found that in a high magnetic shear region((s)≥0.8)the critical pressure gradient(αc1,FLR)of ballooning mode is larger than the ideal one(αc,IMHD)and becomes larger and larger with the increase of FLR parameter b0.However,in a low magnetic shear region,the FLR ballooning mode is more unstable than the ideal one,and the αc,FLR is much lower than the αc,IMHD.Moreover,the present results indicate that there exist some new weaker instabilities near the second stability boundary(obtained from ideal MHD theory),which means that the second stable region becomes narrow.

  14. Safety and effectiveness of gastric balloons associated with hypocaloric diet for the treatment of obesity

    Directory of Open Access Journals (Sweden)

    M.ª Luisa de Castro

    2013-10-01

    Full Text Available Introduction: intragastric balloons provide early satiety and thereby induce short-term weight loss. The aim of this study was to evaluate safety and short and medium-term effectiveness of gastric balloons associated to hypocaloric diet in obesity. Material and methods: from May 2004 to June 2011 91 obese patients, body mass index [BMI] 45.2 ± 7.2 kg/m² were prospectively followed after endoscopic implantation of a gastric balloon associated to restricted diet. Successful therapy was defined as percent loss of total weight (%LTW ≥ 5% at six months after balloon placement and 6 and 12 months after their withdrawal. All analyses followed intention-to treat principles considering significant p-values < 0.05. Results: we placed 73 fluid-filled balloons (80.2% and 18 air-filled ones (19.8%. Compared to baseline values, at 6-month 73.7% subjects succeeded, showing significant reductions in weight (13.3 ± 8.8 kg, BMI (5 ± 3.4 kg/m² (p < 0.0001, with% LTW 11 ± 7%. Six and twelve months after retrieval 45.1% and 28.6% patients reached% LTW ≥ 5%. Short-term and medium-term effectiveness was negatively associated to obesity in first-grade relatives (p = 0.003 and p = 0.04. Higher weight loss 6 months after balloon placement independently predicted medium-term effectiveness (p = 0.0001. Mortality was absent but there were two spontaneous deflations of air-filled balloons and severe withdrawal difficulties in 8 patients, leading to surgery in one case. Retrieval complications associated to air-filled balloons (p = 0.0005. Conclusions: in obesity, effectiveness of gastric balloons associated to hypocaloric diet decreases over time. Complications occurred mainly in the retrieval endoscopic procedure and related to air-filled balloons.

  15. Dose rate in intravascular radionuclide therapy using Re-188 coated balloon

    Energy Technology Data Exchange (ETDEWEB)

    Baek, M. Y.; Kim, J. K. [Hanyang Univ., Seoul (Korea, Republic of)

    2001-05-01

    Restenosis is the major drawback problem after percutaneous transluminal coronary angioplasty (PTCA). In order to reduce the restenosis, radionuclide therapy has been used, and these day balloon coating method with radionuclide is investigating to effective therapy. We intend to calculate the activity by Monte Carlo method, which is needed in the investigation of coated balloon using Re-188. We used EGSnrc code system to calculate this activity. Balloons were assumed be a length of 20 mm or 30 mm and to have a central catheter of diameter 0.5 mm. The surface of balloon is coated with 0.01 mm depth Re-188 using poly urethan. We calculated dose distribution as radial distance from the surface of balloon. And we calculate how much activities are needed to irradiate 18Gy at the 0.5 mm, 1.0 mm distance from balloon surface during 3 minutes. As results it is needed 19.3 mCi and 33.6 mCi relatively for each 0.5 mm and 1.0 mm in the 20 mm balloon. It is need 27.8 mCi and 48.3 mCi in the 30 mm balloon. Recent report for Ho-166 using EGS4 suggests 13.04 mCi at 0.5 mm distance in the 20 mm balloon. This value is lower than our result for Re-188 for the same size balloon. It is considered to be a systemic difference between two simulation codes ({approx}10%)

  16. Diagnostic yield of brush cytology for biliary stenosis during ERCP Rentabilidad diagnóstica de la citología por cepillado de las estenosis biliares durante la CPRE

    Directory of Open Access Journals (Sweden)

    R. Temiño López-Jurado

    2009-06-01

    Full Text Available Aim: to evaluate the diagnostic yield of brush cytology for biliary strictures detected on ERCP when a systematic approach is used. Patients and methods: data on 62 consecutive patients with a biliary stricture on ERCP were collected. Cytological samples were processed immediately after brushing in the endoscopy room, and all were analyzed by the same pathologist. For the statistical analysis specimens were classified as positive, negative, suspicious for malignancy (presence of atypias, and unsatisfactory for evaluation. Final diagnosis was based on either histopathologic (surgery or biopsies by other techniques or clinical/radiographic diagnosis. Results: a total of 71 cytological specimens were included. Definite diagnosis was malignancy in 49 samples, and benign stricture in 22. Three samples were excluded because of insufficient material or processing artifacts. The sensitivity of biliary brushing was 62% (95% CI 0.47-0.77, specificity was 100%, positive predictive value was 100%, and negative predictive value was 58% (95% CI 0.43-0.75. When suspicious samples were included as malignant, sensitivity was 67% (95% CI 0.54-0.81 without changes in the remaining parameters. Eight patients underwent more than one ERCP. Repeated brush cytology exams in these patients yielded a definitive diagnosis in every case. Conclusions: brush cytology has intermediate sensitivity with a high specificity. A systematic approach with a dedicated pathologist and the inclusion of significant atypias as malignant results improves sensitivity. Due to its simplicity brush cytology should be performed in all cases of biliary strictures detected on ERCP, and in case of repeated ERCPs additional cytology brushings are recommended.Objetivo: evaluar la rentabilidad de la citología por cepillado de las estenosis biliares diagnosticadas por CPRE cuando se aplica una metodología sistemática. Pacientes y métodos: se recogieron muestras de 62 pacientes consecutivos con

  17. Collection of Stratospheric Samples using Balloon-Borne Payload System

    Science.gov (United States)

    Prakash, Ajin; Safonova, Margarita; Murthy, Jayant; Sreejith, A. G.; Kumble, Sheshashayi; Mathew, Joice; Sarpotdar, Mayuresh; Kj, Nirmal; Suresh, Ambily; Chakravortty, Dipshikha; Rangarajan, Annapoorni

    2016-07-01

    Earth's atmosphere at stratospheric altitudes contains dust particles from soil lifted by weather, volcanic dust, man-made aerosols, IDP (Interplanetary Dust Particles) - remnants of comets and asteroids, and even interstellar dust. Satellite observations suggest that approximately 100--300 tons of cosmic dust enter Earth's atmosphere every day. However, very little is known about the microbial life in the upper atmosphere, where conditions are very much similar to that on Mars and possibly on some exoplanets. Stratosphere provides a good opportunity to study the existence or survival of biological life in these conditions. Despite the importance of this topic to astrobiology, stratospheric microbial diversity/survival remains largely unexplored, probably due to significant difficulties in the access and ensuring the absence of contamination of the samples. To conduct a detailed study into this, we are developing the balloon-borne payload system SAMPLE (Stratospheric Altitude Microbiology Probe for Life Existence) to collect dust samples from stratosphere and bring them in an hygienic and uncontaminated manner to a suitable laboratory environment, where further study will be conducted to establish the possibility of microbial life in the upper atmosphere. This balloon-borne payload system will rise through the atmosphere till it reaches an altitude of about 25-30 km above sea level. The payload consists of detachable pre-sterilized sampling chambers designed to collect and contain the dust samples and get them back to the surface without contamination during the flight, a microprocessor and a controller which will determine the altitude of the payload system to actively monitor the opening and closing of the sample collection chambers. For contamination control, we will have two extra chambers, one of which will fly but not open, and one will remain closed on the ground. Other onboard devices include environmental sensors, GPS tracking devices, cameras to monitor

  18. Cardiac Magnetic Resonance Imaging in the Diagnosis of Anterolateral Left Ventricular Ballooning, a Variant of Classic Takotsubo Cardiomyopathy

    Directory of Open Access Journals (Sweden)

    R. Zbinden

    2012-01-01

    Full Text Available Transient left ventricular apical ballooning syndrome is characterized by transient akinesis of the left ventricular apex with basal wall hyperkinesis; this is also known as Takotsubo cardiomyopathy. There are three distinct contractile LV patterns described in the literature: apical, midventricular, and basal ballooning. The apical ballooning pattern is the most frequent pattern. We describe the case of a transient anterolateral left ventricular ballooning fulfilling the definition of Takotsubo cardiomyopathy except for the contractile LV pattern. The diagnosis was supported by cardiac magnetic resonance imaging and by the fact that the anterolateral ballooning resolved completely after 6 weeks.

  19. The use of a cutting balloon in contemporary reverse controlled antegrade and retrograde subintimal tracking (reverse CART) technique.

    Science.gov (United States)

    Nakabayashi, Keisuke; Okada, Hisayuki; Oka, Toshiaki

    2016-07-11

    The key concept of reverse controlled antegrade and retrograde tracking (CART) technique is retrograde puncture with a tapered wire to an antegrade balloon (contemporary reverse CART) or new connections between the antegrade and retrograde subintimal space (classical reverse CART). In our case, a 75-year-old man with severe chronic total occlusion of the right coronary artery, reverse CART with conventional balloons could not be accomplished. Externalization wiring was completed by contemporary reverse CART using a cutting balloon as an antegrade balloon to improve the fenestration force of the retrograde guidewire. Thus, the use of a cutting balloon for contemporary reverse CART might be promising.

  20. Basic development of a small balloon-mounted telemetry and its operation system by university students

    Science.gov (United States)

    Yamamoto, Masa-yuki; Kakinami, Yoshihiro; Kono, Hiroki

    In Japan, the high altitude balloon for scientific observation has been continuously launched by JAXA. The balloon has a possibility to reach 50 km altitude without tight environmental condition for onboard equipments, operating with a cost lower than sounding rockets, however, development of the large-scale scientific observation balloons by university laboratories is still difficult. Being coupled with recent improvement of semiconductor sensors, laboratory-basis balloon experiments using small weather balloons has been becoming easily in these years. Owing to an advantage of wide land fields in continental regions, the launch of such small balloons has become to be carried out many times especially in continental countries (e.g. Near Space Ventures, Inc., 2013). Although the balloon is very small as its diameter of 6 feet, excluding its extra buoyancy and the weight of the balloon itself, it is expected that about 2 kg loading capacity is remained for payloads to send it up to about 35 km altitude. However, operation of such balloons in Japan is not in general because precise prediction of a landing area of the payload is difficult, thus high-risk situation for balloon releases is remained. In this study, we aim to achieve practical engineering experiments of weather balloons in Japan to be used for scientific observation within university laboratory level as an educational context. Here we report an approach of developing many devices for a small tethered balloon currently in progress. We evaluated an accuracy of altitude measurement by using a laboratory developed altitude data logger system that consists of a GPS-module and a barometric altimeter. Diameter of the balloon was about 1.4 m. Being fulfilled with about 1440 L helium, it produced buoyancy of about 15.7 N. Taking into account of total weight including the mooring equipments, available payload mass becomes to be about 1100 g. Applying an advantage of a 3D printer of FDM (Fused Deposition Modeling

  1. Balloon Study of the Global Circuit: Spatial Coherence and Correlation with Lightning Observations

    Science.gov (United States)

    Holzworth, R. H.; Bering, E. A.; Kokorowski, M.; Reddell, B.; Kadokura, A.; Yamagishi, H.; Sato, N.; Ejiri, M.; Hirosawa, H.; Yamagami, T.; Torii, S.; Tohyama, F.; Nakagawa, M.; Okada, T.

    2004-12-01

    The second campaign of the Polar Patrol Balloon (PPB) experiment (2nd-PPB) was carried out at Syowa Station in Antarctica during 2002-2003. This paper will present the global circuit results from the 2nd-PPB experiment. In that experiment, three balloons were launched for the purpose of upper atmosphere physics observation (3 balloons). Payloads of these 3 flights were identical with each other, and were launched as close together in time as allowed by weather conditions to constitute a cluster of balloons during their flights. Such a ``Balloon Cluster'' is suitable to observe temporal evolution and spatial distribution of phenomena in the ionospheric regions and boundaries that the balloons traversed during their circumpolar trajectory. More than 20 days of simultaneous fair weather 3-axis electric field and stratospheric conductivity data were obtained at geomagnetic latitudes ranging from sub-auroral to the polar cap. Balloon separation varied from ˜60 to ˜500 km. This paper will present the global circuit observations with emphasis on the times of apparent spatial variation in the vertical fair weather field. This paper will also present stratospheric conductivity observations with emphasis on the temporal and spatial variations that were observed. Finally, the inferred current density will be compared with data from the WWLL (TOGA) lightning monitor experiment.

  2. Utility of a scoring balloon for a severely calcified lesion: bench test and finite element analysis.

    Science.gov (United States)

    Kawase, Yoshiaki; Saito, Naritatsu; Watanabe, Shin; Bao, Bingyuan; Yamamoto, Erika; Watanabe, Hiroki; Higami, Hirooki; Matsuo, Hitoshi; Ueno, Katsumi; Kimura, Takeshi

    2014-04-01

    We aimed to investigate the effectiveness of a scoring balloon catheter in expanding a circumferentially calcified lesion compared to a conventional balloon catheter using an in vitro experiment setting and elucidate the underlying mechanisms of this ability using a finite element analysis. True efficacy of the scoring device and the underlying mechanisms for heavily calcified coronary lesions are unclear. We employed a Scoreflex scoring balloon catheter (OrbusNeich, Hong Kong, China). The ability of Scoreflex to dilate a calcified lesion was compared with a conventional balloon catheter using 3 different sized calcium tubes. The thickness of the calcium tubes were 2.0, 2.25, and 2.5 mm. The primary endpoints were the successful induction of cracks in the calcium tubes and the inflation pressures required for inducing cracks. The inflation pressure required for cracking the calcium tubes were consistently lower with Scoreflex (p finite element analysis revealed that the first principal stress applied to the calcified plaque was higher by at least threefold when applying the balloon catheter with scoring elements. A scoring balloon catheter can expand a calcified lesion with lower pressure than that of a conventional balloon. The finite element analysis revealed that the concentration of the stress observed in the outside of the calcified plaque just opposite to the scoring element is the underlying mechanism of the increased ability of Scoreflex to dilate the calcified lesion.

  3. LISA: a java API for performing simulations of trajectories for all types of balloons

    Science.gov (United States)

    Conessa, Huguette

    2016-07-01

    LISA (LIbrarie de Simulation pour les Aerostats) is a java API for performing simulations of trajectories for all types of balloons (Zero Pressure Balloons, Pressurized Balloons, Infrared Montgolfier), and for all phases of flight (ascent, ceiling, descent). This library has for goals to establish a reliable repository of Balloons flight physics models, to capitalize developments and control models used in different tools. It is already used for flight physics study software in CNES, to understand and reproduce the behavior of balloons, observed during real flights. It will be used operationally for the ground segment of the STRATEOLE2 mission. It was developed with quality rules of "critical software." It is based on fundamental generic concepts, linking the simulation state variables to interchangeable calculation models. Each LISA model defines how to calculate a consistent set of state variables combining validity checks. To perform a simulation for a type of balloon and a phase of flight, it is necessary to select or create a macro-model that is to say, a consistent set of models to choose from among those offered by LISA, defining the behavior of the environment and the balloon. The purpose of this presentation is to introduce the main concepts of LISA, and the new perspectives offered by this library.

  4. NASA balloon: Aircraft ranging, data and voice experiment

    Science.gov (United States)

    Wishna, S.; Hamby, C.; Reed, D.

    1972-01-01

    A series of tests to evaluate, at L-band, the ranging, voice, and data communications concepts proposed for the air traffic control experiment of the Applications Technology Satellite-F are described. The ground station facilities, balloon platforms and the aircraft were supplied by the European Space Research Organization. One ground simulation and two aircraft flights at low elevation angles were conducted. Even under high interference conditions good performance was obtained for both voice communications and side tone ranging. High bit errors occurred in the data channels resulting in false commands. As a result of the experience gained in operating the equipment in an aircraft environment several recommendations were made for improving the equipment performance.

  5. Absence of Bacteria on Coronary Angioplasty Balloons from Unselected Patients

    DEFF Research Database (Denmark)

    Hansen, Gorm Mørk; Nilsson, Martin; Nielsen, Claus Henrik

    2015-01-01

    Periodontitis is a chronic, bacterially-induced inflammatory disease of the tooth-supporting tissues, which may result in transient bacteremia and a systemic inflammatory response. Periodontitis is associated with coronary artery disease independently of established cardiovascular risk factors......, and translocation of bacteria from the oral cavity to the coronary arteries may play a role in the development of coronary artery disease. Very few studies have used angioplasty balloons for in vivo sampling from diseased coronary arteries, and with varying results. Therefore, the aim of this study was to assess...... patients with stable angina, unstable angina/non-ST elevation myocardial infarction, and ST-elevation myocardial infarction (n = 15 in each group) were collected and analyzed using a PCR assay with high sensitivity and specificity for 16S rRNA genes of the oral microbiome. Despite elimination of extraction...

  6. Probabilistic Motion Planning of Balloons in Strong, Uncertain Wind Fields

    Science.gov (United States)

    Wolf, Michael T.; Blackmore, Lars; Kuwata, Yoshiaki; Fathpour, Nanaz; Elfes, Alberto; Newman, Claire

    2010-01-01

    This paper introduces a new algorithm for probabilistic motion planning in arbitrary, uncertain vector fields, with emphasis on high-level planning for Montgolfiere balloons in the atmosphere of Titan. The goal of the algorithm is to determine what altitude--and what horizontal actuation, if any is available on the vehicle--to use to reach a goal location in the fastest expected time. The winds can vary greatly at different altitudes and are strong relative to any feasible horizontal actuation, so the incorporation of the winds is critical for guidance plans. This paper focuses on how to integrate the uncertainty of the wind field into the wind model and how to reach a goal location through the uncertain wind field, using a Markov decision process (MDP). The resulting probabilistic solutions enable more robust guidance plans and more thorough analysis of potential paths than existing methods.

  7. Audit of radiation dose during balloon mitral valvuloplasty procedure

    Energy Technology Data Exchange (ETDEWEB)

    Livingstone, Roshan S [Department of Radiology, Christian Medical College, Vellore-632004, TN (India); Chandy, Sunil [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India); Peace, B S Timothy [Department of Radiology, Christian Medical College, Vellore-632004, TN (India); George, Paul [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India); John, Bobby [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India); Pati, Purendra [Department of Cardiology, Christian Medical College, Vellore-632004, TN (India)

    2006-12-15

    Radiation doses to patients during cardiological procedures are of concern in the present day scenario. This study was intended to audit the radiation dose imparted to patients during the balloon mitral valvuloplasty (BMV) procedure. Thirty seven patients who underwent the BMV procedure performed using two dedicated cardiovascular machines were included in the study. The radiation doses imparted to patients were measured using a dose area product (DAP) meter. The mean DAP value for patients who underwent the BMV procedure from one machine was 19.16 Gy cm{sup 2} and from the other was 21.19 Gy cm{sup 2}. Optimisation of exposure parameters and radiation doses was possible for one machine with the use of appropriate copper filters and optimised exposure parameters, and the mean DAP value after optimisation was 9.36 Gy cm{sup 2}.

  8. Long distance cell communication using spherical tether balloons

    Science.gov (United States)

    Manchanda, R. K.; Rajagopalan, Vasudevan; Vasudevan, Rajagopalan; Mehrotra, R. K.; Sreenivasan, S.; Pawaskar, M.; Subba Rao Jonnalagadda, Venkata; Buduru, Suneelkumar; Kulkarni, P. M.

    A proof-of-concept experiment was conducted for long-range cell communication for rural tele-phony and internet. We designed and fabricated a spherical tether balloon to carry the con-ventional micro base transceiver station (BTS) along with three slotted antenna to cover 2-pi radius. AC power and optical fiber were anchored along with the tether line. A special fre-quency license was obtained from Wireless Planning Commission (WPC) wing of Department of Telecommunication (DoT), India for the period of experiment so as not to affect the opera-tional networks. The experiments were carried out for different BTS heights up to 500 meter. Signal measurement both in data mode and voice quality were done in different quadrant using mobile vans. This paper describes the methodology (under patenting) and utility of technique for operational application.

  9. SPIDER: A Balloon-borne Large-scale CMB Polarimeter

    CERN Document Server

    Crill, B P; Battistelli, E S; Benton, S; Bihary, R; Bock, J J; Bond, J R; Brevik, J; Bryan, S; Contaldi, C R; Dore, O; Farhang, M; Fissel, L; Golwala, S R; Halpern, M; Hilton, G; Holmes, W; Hristov, V V; Irwin, K; Jones, W C; Kuo, C L; Lange, A E; Lawrie, C; MacTavish, C J; Martin, T G; Mason, P; Montroy, T E; Netterfield, C B; Pascale, E; Riley, D; Ruhl, J E; Runyan, M C; Trangsrud, A; Tucker, C; Turner, A; Viero, M; Wiebe, D

    2008-01-01

    Spider is a balloon-borne experiment that will measure the polarization of the Cosmic Microwave Background over a large fraction of a sky at 1 degree resolution. Six monochromatic refracting millimeter-wave telescopes with large arrays of antenna-coupled transition-edge superconducting bolometers will provide system sensitivities of 4.2 and 3.1 micro K_cmb rt s at 100 and 150 GHz, respectively. A rotating half-wave plate will modulate the polarization sensitivity of each telescope, controlling systematics. Bolometer arrays operating at 225 GHz and 275 GHz will allow removal of polarized galactic foregrounds. In a 2-6 day first flight from Alice Springs, Australia in 2010, Spider will map 50% of the sky to a depth necessary to improve our knowledge of the reionization optical depth by a large factor.

  10. Initial Results from the ANITA 2006-2007 Balloon Flight

    Energy Technology Data Exchange (ETDEWEB)

    Gorham, P.W.; /Hawaii U.; Allison, P.; /Hawaii U.; Barwick, S.W.; /UC, Irvine; Beatty, J.J.; /Ohio State U.; Besson, D.Z.; /Kansas U.; Binns, W.R.; /Washington U., St. Louis; Chen, C.; /SLAC; Chen, P.; /SLAC; Clem, J.M.; /Delaware U.; Connolly, A.; /University Coll. London; Dowkontt, P.F.; /Washington U., St. Louis; DuVernois, M.A.; /Minnesota U.; Field, R.C.; /SLAC; Goldstein, D.; /UC, Irvine; Goodhue, A.; /UCLA; Hast, C.; /SLAC; Hebert, C.L.; /Hawaii U.; Hoover, S.; /UCLA; Israel, M.H.; /Washington U., St. Louis; Kowalski, J.; /Hawaii U.; Learned, J.G.; /Hawaii U. /Caltech, JPL /Hawaii U. /Minnesota U. /Hawaii U. /Ohio State U. /Hawaii U. /Hawaii U. /UC, Irvine /Taiwan, Natl. Taiwan U. /Caltech, JPL /SLAC /University Coll. London /Ohio State U. /SLAC /Hawaii U. /Hawaii U. /Hawaii U. /UCLA /Delaware U. /Hawaii U. /SLAC /Taiwan, Natl. Taiwan U. /UC, Irvine

    2011-11-16

    We report initial results of the Antarctic Impulsive Transient Antenna (ANITA) 2006-2007 Long Duration Balloon flight, which searched for evidence of the flux of cosmogenic neutrinos. ANITA flew for 35 days looking for radio impulses that might be due to the Askaryan effect in neutrino-induced electromagnetic showers within the Antarctic ice sheets. In our initial high-threshold robust analysis, no neutrino candidates are seen, with no physics background. In a non-signal horizontal-polarization channel, we do detect 6 events consistent with radio impulses from extensive air showers, which helps to validate the effectiveness of our method. Upper limits derived from our analysis now begin to eliminate the highest cosmogenic neutrino models.

  11. Investigation of source position uncertainties & balloon deformation in MammoSite brachytherapy on treatment effectiveness.

    Science.gov (United States)

    Bensaleh, S; Bezak, E

    2010-03-01

    The MammoSite breast high dose rate brachytherapy is used in treatment of early-stage breast cancer. The tumour bed volume is irradiated with high dose per fraction in a relatively small number of fractions. Uncertainties in the source positioning and MammoSite balloon deformation will alter the prescribed dose within the treated volume. They may also expose the normal tissues in balloon proximity to excessive dose. The purpose of this work is to explore the impact of these two uncertainties on the MammoSite dose distribution in the breast using dose volume histograms and Monte Carlo simulations. The Lyman-Kutcher and relative seriality models were employed to estimate the normal tissues complications associated with the MammoSite dose distributions. The tumour control probability was calculated using the Poisson model. This study gives low probabilities for developing heart and lung complications. The probability of complications of the skin and normal breast tissues depends on the location of the source inside the balloon and the volume receiving high dose. Incorrect source position and balloon deformation had significant effect on the prescribed dose within the treated volume. A 4 mm balloon deformation resulted in reduction of the tumour control probability by 24%. Monte Carlo calculations using EGSnrc showed that a deviation of the source by 1 mm caused approximately 7% dose reduction in the treated target volume at 1 cm from the balloon surface. In conclusion, accurate positioning of the (192)Ir source at the balloon centre and minimal balloon deformation are critical for proper dose delivery with the MammoSite brachytherapy applicator. On the basis of this study, we suggest that the MammoSite treatment protocols should allow for a balloon deformation of < or = 2 mm and a maximum source deviation of < or = 1 mm.

  12. Clinical Usefulness of Bakri Balloon Tamponade in the Treatment of Massive Postpartum Uterine Hemorrhage.

    Science.gov (United States)

    Nagai, Sayori; Kobayashi, Hiroaki; Nagata, Tomomi; Hiwatashi, Sayuri; Kawamura, Toshihiko; Yokomine, Daisaku; Orita, Yuji; Oki, Toshimichi; Yoshinaga, Mitsuhiro; Douchi, Tsutomu

    2016-01-01

    Intrauterine globe-shaped metreurynter tamponade has been used for some time to treat massive postpartum hemorrhage (PPH). More recently, the Bakri balloon has come into use to treat PPH. It is made of silicon, possesses a drainage lumen, and has a sausage-like spindle shape. The aim of the present study was to investigate the clinical usefulness of Bakri balloon tamponade for massive PPH. Subjects in the present study comprised 5 patients with uterine atony, 3 with placenta previa, and 2 with low-lying placenta. All patients exhibited massive PPH and resistance to conventional hemostatic managements. Bakri balloon tamponade was appliedto these 10 patients. The mean amounts of uterine bleeding (average ± SD) before and after Bakri insertion were2,732 ± 1,397 mL and 380 ± 376 mL, respectively. The median (third-first quartile ranges) volume of salineinflating the balloon was 200 mL (300-150 mL). The median (third-first quartile ranges) indwelling duration of Bakri balloon was 24 hours (24-11 hrs). The overall success rate of Bakri balloon tamponade was 90% (9/10).There were no cases of slipping out or complications regarding balloon placement. Our findings suggest that Bakri balloon tamponade may be applied to the treatment of massive PPH in uterine atony and placenta previa.The Bakri balloon appears to have the following merits: (1) easy insertion into the uterine cavity and low rate of slipping out, (2) proper conformability to the hemorrhagic area due to its spindle shape, (3) ability to monitor blood loss through the drainage lumen even after insertion.

  13. Static and quasi-static analysis of lobed-pumpkin balloon

    Science.gov (United States)

    Nakashino, Kyoichi; Sasaki, Makoto; Hashimoto, Satoshi; Saito, Yoshitaka; Izutsu, Naoki

    The present study is motivated by the need to improve design methodology for super pressure balloon with 3D gore design concept, currently being developed at the Scientific Balloon Center of ISAS/JAXA. The distinctive feature of the 3-D gore design is that the balloon film has excess materials not only in the circumferential direction but also in the meridional direction; the meridional excess is gained by attaching the film boundaries to the corresponding tendons of a shorter length with a controlled shortening rate. The resulting balloon shape is a pumpkin-like shape with large bulges formed between adjacent tendons. The balloon film, when fully inflated, develops wrinkles in the circumferential direction over its entire region, so that the stresses in the film are limited to a small amount of uniaxial tension in the circumferential direction while the high meridional loads are carried by re-enforced tendons. Naturally, the amount of wrinkling in the film is dominated by the shortening rate between the film boundaries and the tendon curve. In the 3-D gore design, as a consequence, the shortening rate becomes a fundamental design parameter along with the geometric parameters of the gore. In view of this, we have carried out a series of numerical study of the lobed-pumpkin balloon with varying gore geometry as well as with varying shortening rate. The numerical simula-tions were carried out with a nonlinear finite element code incorporating the wrinkling effect. Numerical results show that there is a threshold value for the shortening rate beyond which the stresses in the balloon film increases disproportionately. We have also carried out quasi-static simulations of the inflation process of the lobed-pumpkin balloon, and have obtained asymmetric deformations when the balloon films are in uniaxial tension state.

  14. Measurement of polar stratospheric NO2 from the 23rd and 24th Japanese Antarctic Research Expedition (JARE) balloon experiments

    Science.gov (United States)

    Shibasaki, K.; Iwagami, N.; Ogawa, T.

    1985-01-01

    As a part of the Japanese activities of MAP in the Antarctica, balloon-borne measurements of the stratospheric NO2 profile were planned and carried out by the JARE 23rd and 24th wintering parties. Few results have been reported so far as the stratospheric NO2 profile at high latitude. There were no reported balloon measurements carried out in the Southern Hemisphere. Profiles are presented for the first balloon-borne measurement of the stratospheric NO2 in the Antarctica. Three balloons named JA21, JA25 and JA26 were launched from Syowa Station (69 deg S, 35.6 deg E) using 5000 cu. cm plastic balloons. JA21 balloon was launched on November 24, 1982, and JA25 and JA26 balloons on November 12 and 20, 1983, respectively.

  15. Analysis of actinic flux profiles measured from an ozonesonde balloon

    Science.gov (United States)

    Wang, P.; Allaart, M.; Knap, W. H.; Stammes, P.

    2015-04-01

    A green light sensor has been developed at KNMI to measure actinic flux profiles using an ozonesonde balloon. In total, 63 launches with ascending and descending profiles were performed between 2006 and 2010. The measured uncalibrated actinic flux profiles are analysed using the Doubling-Adding KNMI (DAK) radiative transfer model. Values of the cloud optical thickness (COT) along the flight track were taken from the Spinning Enhanced Visible and Infrared Imager (SEVIRI) Cloud Physical Properties (CPP) product. The impact of clouds on the actinic flux profile is evaluated on the basis of the cloud modification factor (CMF) at the cloud top and cloud base, which is the ratio between the actinic fluxes for cloudy and clear-sky scenes. The impact of clouds on the actinic flux is clearly detected: the largest enhancement occurs at the cloud top due to multiple scattering. The actinic flux decreases almost linearly from cloud top to cloud base. Above the cloud top the actinic flux also increases compared to clear-sky scenes. We find that clouds can increase the actinic flux to 2.3 times the clear-sky value at cloud top and decrease it to about 0.05 at cloud base. The relationship between CMF and COT agrees well with DAK simulations, except for a few outliers. Good agreement is found between the DAK-simulated actinic flux profiles and the observations for single-layer clouds in fully overcast scenes. The instrument is suitable for operational balloon measurements because of its simplicity and low cost. It is worth further developing the instrument and launching it together with atmospheric chemistry composition sensors.

  16. Coordinated weather balloon solar radiation measurements during a solar eclipse.

    Science.gov (United States)

    Harrison, R G; Marlton, G J; Williams, P D; Nicoll, K A

    2016-09-28

    Solar eclipses provide a rapidly changing solar radiation environment. These changes can be studied using simple photodiode sensors, if the radiation reaching the sensors is unaffected by cloud. Transporting the sensors aloft using standard meteorological instrument packages modified to carry extra sensors, provides one promising but hitherto unexploited possibility for making solar eclipse radiation measurements. For the 20 March 2015 solar eclipse, a coordinated campaign of balloon-carried solar radiation measurements was undertaken from Reading (51.44°N, 0.94°W), Lerwick (60.15°N, 1.13°W) and Reykjavik (64.13°N, 21.90°W), straddling the path of the eclipse. The balloons reached sufficient altitude at the eclipse time for eclipse-induced variations in solar radiation and solar limb darkening to be measured above cloud. Because the sensor platforms were free to swing, techniques have been evaluated to correct the measurements for their changing orientation. In the swing-averaged technique, the mean value across a set of swings was used to approximate the radiation falling on a horizontal surface; in the swing-maximum technique, the direct beam was estimated by assuming that the maximum solar radiation during a swing occurs when the photodiode sensing surface becomes normal to the direction of the solar beam. Both approaches, essentially independent, give values that agree with theoretical expectations for the eclipse-induced radiation changes.This article is part of the themed issue 'Atmospheric effects of solar eclipses stimulated by the 2015 UK eclipse'.

  17. Coordinated weather balloon solar radiation measurements during a solar eclipse

    Science.gov (United States)

    2016-01-01

    Solar eclipses provide a rapidly changing solar radiation environment. These changes can be studied using simple photodiode sensors, if the radiation reaching the sensors is unaffected by cloud. Transporting the sensors aloft using standard meteorological instrument packages modified to carry extra sensors, provides one promising but hitherto unexploited possibility for making solar eclipse radiation measurements. For the 20 March 2015 solar eclipse, a coordinated campaign of balloon-carried solar radiation measurements was undertaken from Reading (51.44°N, 0.94°W), Lerwick (60.15°N, 1.13°W) and Reykjavik (64.13°N, 21.90°W), straddling the path of the eclipse. The balloons reached sufficient altitude at the eclipse time for eclipse-induced variations in solar radiation and solar limb darkening to be measured above cloud. Because the sensor platforms were free to swing, techniques have been evaluated to correct the measurements for their changing orientation. In the swing-averaged technique, the mean value across a set of swings was used to approximate the radiation falling on a horizontal surface; in the swing-maximum technique, the direct beam was estimated by assuming that the maximum solar radiation during a swing occurs when the photodiode sensing surface becomes normal to the direction of the solar beam. Both approaches, essentially independent, give values that agree with theoretical expectations for the eclipse-induced radiation changes. This article is part of the themed issue ‘Atmospheric effects of solar eclipses stimulated by the 2015 UK eclipse’. PMID:27550757

  18. Background measurements from balloon-born imaging CZT detectors

    Science.gov (United States)

    Jenkins, Jonathan A.; Narita, Tomohiko; Grindlay, Jonathan E.; Bloser, Peter F.; Stahle, Carl M.; Parker, Bradford H.; Barthelmy, Scott D.

    2003-03-01

    We report detector characteristics and background measurements from two prototype imaging CdZnTe (CZT) detectors flown on a scientific balloon payload in May 2001. The detectors are both platinum-contact 10 mm × 10 mm × 5 mm CZT crystals, each with a 4 × 4 array of pixels tiling the anode. One is made from IMARAD horizontal Bridgman CZT, the other from eV Products high-pressure Bridgman CZT. Both detectors were mounted side-by-side in a flip-chip configuration and read out by a 32-channel IDE VA/TA ASIC preamp/shaper. We enclosed the detectors in the same 40o field-of-view collimator used in our previously-reported September 2000 flight. I-V curves for the detectors are diode-like, and we find that the platinum contacts adhere significantly better to the CZT surfaces than gold to previosu detectors. The detectors and instrumentation performed well in a 20-hour balloon flight on 23/24 May 2001. Although we discovered a significant instrumental background component in flight, it was possible to measure and subtract this component from the spectra. The resulting IMARAD detector background spectrum reaches ~5×10-3 counts cm-2s-1keV-1 at 100 keV and has a power-law index of ~2 at hgih energies. The eV Products detector has a similar spectrum, although there is more uncertainty in the enregy scale because of calibration complications.

  19. Radiofrequency balloon angioplasty. Rationale and proof of principle

    Energy Technology Data Exchange (ETDEWEB)

    Becker, G.J.; Lee, B.I.; Waller, B.F.; Barry, K.J.; Kaplan, J.; Connolly, R.; Dreesen, R.G.; Nardella, P.

    1988-11-01

    Post-angioplasty restenosis (PARS) in atherosclerotic lesions of medium and small arteries occurs in about one-third of cases in the first year following percutaneous transluminal angioplasty (PTA) (early PARS). PARS includes acute spasm, dissection with reclosure, elastic recoil, fibrocellular proliferative response, and progressive atheromatous disease. Fibrocellular proliferation (possibly initiated by platelet derived growth factor) is felt to be culpable in many cases of early PARS (months). Pharmacologic regimens, stents, and thermal welding of the intimal-medial cracks of PTA are among the interventions being developed to deal with PARS. Radiofrequency (RF) current as a source of thermal energy may be useful in combination with balloon angioplasty to reduce PARS. Ideally, this combination would (1) weld intimal-medial cracks of PTA; (2) mold plaque and normal vessel to increase lumen diameters without creating intimal-medial cracks; and (3) destroy medial smooth muscle cells and multipotential cells (cellular substrate of PARS). Canine in vivo studies have established the feasibility of RF-mediated vascular tissue welding. Human aortic specimens (N = 28) were manually dissected into intima-media and media-adventitia layers. Bipolar RF energy (650 KHz, total 300 J) and mechanical pressure (1 atm) (experimental group, N = 24) or mechanical pressure alone (control group, N = 4) were applied to the reapposed specimen layers in a special chamber. The chamber was modified with a bipolar electrode designed to reproduce that planned for an RF balloon angioplasty catheter. Welding was demonstrated in normal and atherosclerotic treated specimens (23/24 or 96%) but not controls (0/4).

  20. CNES super pressure balloons upgrade for Strateole-2 campaign

    Science.gov (United States)

    Venel, Stephanie; Cocquerez, Philippe; Hertzog, Albert

    2016-07-01

    The French Space Agency, CNES, has developed, since about twelve years ago, super pressure balloons (SPB) that float on constant density (isopycnic) surfaces in the lowermost stratosphere, carrying 40 to 50 kg payloads, during typically three months. These SPB have been successfully deployed in flotilla of about 20 balloons for different scientific campaigns all over the world in different configuration sizes from 8,5 to 12 m diameter, mainly to document the chemistry and dynamics of the atmosphere, to study gravity waves, and to provide in-situ atmospheric profiles thanks to the NCAR driftsonde payload. The SPB housekeeping gondola used from 2005 to 2011 now needs to be upgraded in order to increase the flights' safety and to improve its performance with up to date equipment's. The control center will also be redesigned. These modifications take into account the experience acquired during the last SPB campaigns, mainly during CONCORDIASI, with 19 flights over Antarctica from September 2010 to January 2011. After a successful preliminary design review, the project is now conducting the detailed conception phase. This new system is developed for STRATEOLE-2, a project dedicated to the coupling processes between the troposphere and the stratosphere in the deep tropics, using several types of instruments, both for in situ and remote measurements in the atmosphere. STRATEOLE -2 includes two measurement campaigns, three years spaced to study the quasi biennial oscillation. Since the scientific payloads are fully self-standing, some technical solutions will be common with the CNES housekeeping gondola, such as the renewable power system. This paper will describe the STRATEOLE-2 project and the developments in progress for the SPB system upgrade.

  1. 双氯芬酸钠预防经内镜逆行胰胆管造影术后胰腺炎机制的临床研究%Preventive effect of diclofenac for post-ERCP pancreatitis and its mechanism

    Institute of Scientific and Technical Information of China (English)

    赵孝文; 鲍峻峻; 胡翠; 丁浩; 徐张巍; 刘晓昌; 梅俏; 许建明

    2014-01-01

    目的 探讨双氯芬酸钠预防经内镜逆行胰胆管造影术(ERCP)术后胰腺炎的疗效及相关机制.方法 2012年9月至2013年10月进行ERCP治疗的120例胆总管结石患者,随机分为双氯芬酸钠组和对照组各60例,双氯芬酸钠组患者ERCP术后立即肌注双氯芬酸钠75 mg,观测两组患者术后3h、24 h淀粉酶水平和胰腺炎发生率.各组测定30例患者术前及术后3h、24h血清中脂氧素A4、消退素E1和D1的水平.结果 双氯芬酸钠组ERCP术后胰腺炎发生率(6.7%)低于对照组(20.0%),差异有统计学意义(P =0.032).双氯芬酸钠组术后3h、24h淀粉酶水平分别低于对照组,但差异无统计学意义(P均>0.05).双氯芬酸钠组术后脂氧素A4、消退素E1和消退素D1水平均较术前明显升高(P均<0.05),且与对照组术后同时段比较,脂氧素A4、消退素E1和D1水平显著增加(P均<0.05).结论 双氯芬酸钠可预防ERCP术后胰腺炎的发生,其机制可能与增加脂氧素A4及消退素E1和D1水平有关.%Objective To investigate the efficacy and mechanism of diclofenac in the prevention of post-ERCP pancreatitis.Methods Data of a total of 120 patients with choledocholithiasis were collected from September 2012 to October 2013 and were randomly divided into diclofenac group (n =60) and control group(n =60).The diclofenac group patients received a single dose of intramuscular diclofenac immediately after ERCP.Serum amylase level was measured before and 3 h and 24 h after ERCP,and the rate of acute pancreatitis after ERCP were assessed in both groups.The Lipoxin A4,Resolvin D1 and Resolvin E1 levels of two groups were measured before and 3 h and 24 h after ERCP.Results The incidence of PEP in diclofenac group was 6.7%,and was significantly lower compared with the control group (20.0%,P < 0.05).Serum amylase levels at 3 h and 24 h after ERCP in diclofenac and control groups were (214.93 ± 309.28) U/L and (192.50 ± 282.37) U

  2. Current diffusive ballooning mode in a Tokamak with a noncircular cross section

    Energy Technology Data Exchange (ETDEWEB)

    Yagi, Masatoshi; Itoh, Sanae [Kyushu Univ., Kasuga, Fukuoka (Japan). Research Inst. for Applied Mechanics; Fukuyama, Atsushi; Itoh, Kimitaka

    1997-02-01

    The eigenvalue equation for the current diffusive ballooning mode in tokamaks is derived taking the geometrical effects, i.e., triangularity and ellipticity into account. The stability boundary is obtained in the strong ballooning limit. It is found that the ellipticity plays an important role on the stability of the current diffusive ballooning mode. On the other hand, the effect of the stabilization by the triangularity appears indirectly through the magnetic well term. The geometrical effect on the transport coefficient is also discussed. (author)

  3. Balloon occlusion of the internal iliac arteries in the multidisciplinary management of placenta percreta

    DEFF Research Database (Denmark)

    Clausen, Caroline; Stensballe, Jakob; Albrechtsen, Charlotte K;

    2013-01-01

    Objective. To evaluate our experience with prophylactic balloon occlusion of the internal iliac arteries as a part of a multidisciplinary algorithm for the management of placenta percreta. Design. Consecutive case series. Setting. Rigshospitalet, Copenhagen University Hospital, Denmark. Sample....... Prophylactic balloon occlusion of the internal iliac arteries as part of a multidisciplinary algorithm allowed for a safe management of all cases in our consecutive series of 17 women with placenta percreta. However, intraoperative blood loss and transfusion requirements were significant. We have therefore...... decided to modify our multidisciplinary algorithm to include balloon occlusion of the common iliac arteries rather than the internal iliac arteries....

  4. A study of remifentanil with small-dose midazolam for monitored anesthesia care during ERCP%瑞芬太尼复合小剂量咪达唑仑用于ERCP监护性麻醉的研究

    Institute of Scientific and Technical Information of China (English)

    张金华; 刘鲲鹏; 李成辉; 韩柳; 李昭; 樊艳华; 房龙; 杜时雨

    2012-01-01

    Objective To compare the clinical efficacy and safety of remifentanil alone and remifentanil with small-dose midazolam for monitored anesthesia care during endoscopic retrograde cholangiopancreatography(ERCP). Methods Sixty-six patients ASA physical status Ⅰ-Ⅱ,aged 35-79 years,scheduled for ERCP were randomly allocated to either the remifentanil group (group R)or the remifentanil plus small-dose midazolam group( group RM). In group R, remifentanil was infused at a rate of 0. 2 μg·kg-1·min-1 for 5 min before operation,and then to 0. 15 μg·kg-1 ·min-1 during operation. In group RM, all was the same except that midazolam 0. 02 mg/kg was used intravenously before operatioa MAP,HR, RR,SpO2 ,bispectral index (BIS) were recorded before induction(T0) , at beginning of operation(T1) , 5 min after operation(T2), 10 min after operation(T3 )and at the end of operation(T4). The Modified Aldrete scores, forgotten scores, forgotten score, operator satisfaction scores of anesthetic effect and side effects were observed after operation. Results Compared with T0, MAP at T1 and T2 were significantly higher in group R. HR at T2-T4 were significantly quicker in groups R and RM(P<0. 05). Compared with group RM, HR at T1 was significantly higher at T0 and in group R(P <0.05). Compared with group R,BIS at T1-T3 was significantly lower in group RM(P<0. 05). Forgotten scores were higher in group RM than in group R(P<0. 05). Operator satisfaction scores of anesthetic effect were higher in group R than in group RM(P<0. 05). The Modified Aldrete scores at the end of operation were higher in group R than group RM(P<0. 05). Conclusion Remifentanil 0. 2 μg·kg-1 ·min-1 alone for monitored anesthesia care during ERCP has a satisfactory and safe anesthesia effect.%目的 观察瑞芬太尼复合小剂量咪达唑仑用于内镜逆行胰胆管造影术(ERCP)监护性麻醉的效果和安全性.方法 选择66例ASA Ⅰ~Ⅲ级、年龄35~79岁拟在监护性麻醉下行ERCP的患者,

  5. 内镜逆行胰胆管造影过程中取胆汁行淀粉酶检测的临床意义%The clinical significance of detecting amylase level of bile during ERCP

    Institute of Scientific and Technical Information of China (English)

    邹树; 田伏洲; 崔建峰

    2006-01-01

    目的 研究内镜逆行胰胆管造影(ERCP)过程中取胆汁行淀粉酶(AMY)检测的临床意义.方法 对本中心拟行ERCP的部分患者在造影前行血清AMY测定,其中一部分患者在造影过程中取胆汁行AMY测定.根据造影结果将患者分组.结果 胰胆管合流异常(AJPB组胆汁AMY水平显著高于长共同通道(LCC)组及短共同通道(SCC)组,而LCC组胆汁AMY显著高于SCC组.AJPB组胆汁AMY显著高于血清AMY.结论 胆汁AMY水平高低与胰胆管共同通道长度有关;胆汁高AMY水平是诊断胰胆反流的参考指标,检测胆汁AMY可作为诊断AJPB的重要辅助手段.对共同通道长度未达到AJPB诊断标准,但胆汁AMY明显高于血清水平者,也应视为AJPB一样处理.

  6. Demonstrating Classical Conditioning in Introductory Psychology: Needles Do Not Always Make Balloons Pop!

    Science.gov (United States)

    Vernoy, Mark W.

    1987-01-01

    Describes a method of teaching classical conditioning to an introductory psychology class which involves demonstrating the conditioned response that occurs when a needle pierces, but does not pop, a balloon. (GEA)

  7. Optical coherence tomography layer thickness characterization of a mock artery during angioplasty balloon deployment

    Science.gov (United States)

    Azarnoush, Hamed; Vergnole, Sébastien; Boulet, Benoît; Lamouche, Guy

    2011-03-01

    Optical coherence tomography (OCT) is used to study the deformation of a mock artery in an angioplasty simulation setup. An OCT probe integrated in a balloon catheter provides intraluminal real-time images during balloon inflation. Swept-source OCT is used for imaging. A 4 mm semi-compliant polyurethane balloon is used for experiments. The balloon is inflated inside a custom-built multi-layer artery phantom. The phantom has three layers to mock artery layers, namely, intima, media and adventitia. Semi-automatic segmentation of phantom layers is performed to provide a detailed assessment of the phantom deformation at various inflation pressures. Characterization of luminal diameter and thickness of different layers of the mock artery is provided for various inflation pressures.

  8. EUSO-BALLOON a pathfinder for detecting UHECR's from the edge of space

    Directory of Open Access Journals (Sweden)

    Scotti V.

    2013-06-01

    Full Text Available EUSO-Balloon has been conceived as a pathfinder mission for JEM-EUSO, to perform an end-to-end test of the subsystems and components, and to prove the global detection chain while improving our knowledge of the atmospheric and terrestrial UV background. Through a series of stratospheric balloon flights performed by the French Space Agency CNES, EUSO-BALLOON will serve as an evolutive test-bench for all the key technologies of JEM-EUSO. EUSO-Balloon also has the potential to detect Extensive Air Showers from above, marking a key milestone in the development of UHECR science, and paving the way for any future large scale, space-based UHECR observatory.

  9. Balloon-Borne, High-Energy Astrophysics: Experiences from the 1960s to the 1980s

    Science.gov (United States)

    Fishman, Gerald J.

    2008-01-01

    Observational high-energy astrophysics in the hard-x-ray and gamma-ray regions owes its development and initial successes to the balloon-borne development of detector systems, as well as pioneering observations, primarily in the timeframe from the 1960s to the 1990s. I will describe some of the first observations made by the Rice University balloon group in the 1960s, including the impetus for these observations. The appearance of SN 1987a led to several balloon-flight campaigns, sponsored by NASA, from Alice Springs, Australia in 1987 and 1988. During the 1980s, prototypes of instruments for the Compton Gamma Ray Observatory were flown on many balloon flights, which greatly enhanced the success of that mission.

  10. Novel Ultralow-Weight Metal Rubber Sensor System for Ultra Long-Duration Scientific Balloons Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NanoSonic proposes to develop an innovative, ultralow mass density, and non-intrusive sensor system for ultra long duration balloons that will operate in the most...

  11. Sub-Scale Re-entry Capsule Drop via High Altitude Balloons Project

    Data.gov (United States)

    National Aeronautics and Space Administration — High-altitude balloon flights are an inexpensive method used to lift payloads to high altitudes. Federal Aviation Administration (FAA) regulations permit payloads...

  12. Integrating BalloonSAT and Atmospheric Dynamic Concepts into the Secondary Classroom

    Science.gov (United States)

    Fong, B. N.; Kennon, J. T.; Roberts, E.

    2016-05-01

    Arkansas BalloonSAT is an educational outreach and scientific research program that is part of Arkansas State University in Jonesboro, AR. The following is a unit of instruction to incorporate BalloonSAT measurements into secondary science classes. Students interpret graphs and identify several atmospheric trends and properties of a typical balloon flight. Students engage critical thinking skills in developing and answering their own questions relevant to the BalloonSAT program. Prerequisite concepts students should know are how to interpret graphs and unit conversions. Students should have a basic understanding of gravity, units of temperature and distance, and error in measurements. The unit is designed for one week after end-of-course exams and before the end of school. The unit may take two to five 50-minute periods, depending on how many activities are completed.

  13. Ruptured high flow gastric varices with an intratumoral arterioportal shunt treated with balloon-occluded retrograde transvenous obliteration during temporary balloon occlusion of a hepatic artery

    Institute of Scientific and Technical Information of China (English)

    Motoki Nakai; Morio Sato; Hirohiko Tanihata; Tetsuo Sonomura; Shinya Sahara; Nobuyuki Kawai; Masashi Kimura; Masaki Terada

    2006-01-01

    A patient presented with hematemesis due to gastric variceal bleeding with an intratumoral arterioportal shunt. Contrast-enhanced CT revealed gastric varices and hepatocellular carcinoma with tumor thrombi in the right portal vein. Angiography and angio-CT revealed a marked intratumoral arterioportal shunt accompanied with reflux into the main portal vein and gastric varices. Balloon-occluded retrograde venography from the gastro-renal shunt showed no visualization of gastric varices due to rapid blood flow through the intratumoral arterioportal shunt. The hepatic artery was temporarily occluded with a balloon catheter to reduce the blood flow through the arterioportal shunt, and then concurrent balloon-occluded retrograde transvenous obliteration (BRTO) was achieved. Vital signs stabilized immediately thereafter, and contrast-enhanced CT revealed thrombosed gastric varices. Worsening of hepatic function was not recognized. BRTO combined with temporary occlusion of the hepatic artery is a feasible interventional procedure for ruptured high flow gastric varices with an intratumoral arterioportal shunt.

  14. Expression of glutamine synthetase in balloon cells: a basis of their antiepileptic role?

    Science.gov (United States)

    Buccoliero, Anna Maria; Barba, Carmen; Giordano, Flavio; Baroni, Gianna; Genitori, Lorenzo; Guerrini, Renzo; Taddei, Gian Luigi

    2015-01-01

    Glutamine synthetase is an enzyme involved in the clearance of glutamate, the most potent excitatory neurotransmitter. We studied the immunohistochemical expression of glutamine synthetase in neocortical samples from 5 children who underwent surgery for pharmacoresistant epilepsy and a histological diagnosis of focal cortical dysplasia IIb. In all cases, balloon cells, but not dysmorphic neurons, were immunopositive for glutamine synthetase. This finding suggests that balloon cells can be involved in the neutralization of glutamate and play a protective anti-seizure role.

  15. Variceal bleeding from ileum identified and treated by single balloon enteroscopy

    Institute of Scientific and Technical Information of China (English)

    Mario Traina; Ilaria Tarantino; Luca Barresi; Filippo Mocciaro

    2009-01-01

    We report a case of acute uncontrolled gastrointestinal bleeding in a patient with liver cirrhosis. The upper and lower endoscopy were negative for bleeding lesions. We decided to perform the examination of the small bowel using single-balloon enteroscopy. The lower enteroscopy revealed signs of bleeding from varices of the ileum. In this report, we showed that the injection of a sclerosant solution can be accomplished using a freehand technique via the single balloon enteroscopy.

  16. Balloon-assisted guide catheter positioning to overcome extreme cervical carotid tortuosity: technique and case experience

    OpenAIRE

    Peeling, Lissa; Fiorella, David

    2013-01-01

    Background and significance We describe a method by which to efficiently and atraumatically achieve distal positioning of a flexible guiding catheter beyond extreme cervical tortuosity using a hypercompliant temporary occlusion balloon. Methods A retrospective review of a prospective neuroendovascular database was used to identify cases in which a hypercompliant balloon catheter (Hyperform or Hyperglide, ev3/Covidien, Irvine, California, USA; Scepter or Scepter XC, Alisa Viejo, California, US...

  17. A New Type of Captive Balloon for Vertical Meteorological Observation in Urban Area

    Science.gov (United States)

    Nakamura, M.; Sakai, S.; Ono, K.

    2010-12-01

    Many meteorological observations in urban area have been made in recent years in order to investigate the mechanism of heat island. However, there are few data of cooling process in urban area. For this purpose, high density observations in both space and time are required. Generally vertical meteorological observations can be made by towers, radars, balloons. These methods are limited by urban area conditions. Among these methods, a captive balloon is mainly used to about a hundred meter from ground in a vertical meteorological observation. Small airships called kytoons or advertising balloons, for example. Conventional balloons are, however, influenced by the wind and difficult to keep the specified position. Moreover, it can be dangerous to conduct such observations in the highly build-up area. To overcome these difficulties, we are developing a new type of captive balloon. It has a wing form to gain lift and keep its position. It is also designed small to be kept in a carport. It is made of aluminum film and polyester cloth in order to attain lightweight solution. We have tried floating a balloon like NACA4424 for several years. It was difficult to keep a wing form floating up over 100 meters from ground because internal pressure was decreased by different temperature. The design is changed in this year. The balloon that has wing form NACA4415 is similar in composition to an airplane. It has a big gasbag with airship form and two wing form. It is able to keep form of a wing by high internal pressure. We will report a plan for the balloon and instances of some observations.

  18. Identification of cerebral response to balloon distention of the bile duct

    Institute of Scientific and Technical Information of China (English)

    Masafumi; Suyama; Yoshihiro; Kubokawa; Yuuji; Matsumura; Koichi; Inami; Sumio; Watanabe; Eiji; Kirino

    2010-01-01

    AIM: To identify the brain loci that process human biliary sensation. METHODS: In 6 patients (age range: 42-74 years; 4 men), who underwent percutaneous transhepatic biliary drainage (PTBD), the distal biliary tract was stimulated by repeatedly inflating the balloon of the PTBD catheter so that it reached volumes that produced a definite painless sensation. The functional magnetic resonance imaging (fMRI) of the cortical response to biliary sensation was examined. RESULTS: Biliary balloon stimulation elicit...

  19. Balloon-guided navigation technique to perform stenting in an acutely angled anterior cerebral artery.

    Science.gov (United States)

    Cohen, José E; Gomori, John M; Moscovici, Samuel; Itshayek, Eyal

    2012-03-01

    The complex anatomic features of wide-necked anterior communicating artery aneurysms represent an endovascular challenge. Compliant balloons and microstents are frequently required to achieve aneurysm occlusion. When the angle between the A1 and A2 segments is acute, microcatheter navigation is hazardous, and may be difficult or sometimes impossible with standard techniques. We present our technique using a support balloon to facilitate guidewire engagement and navigation of A2, and to assist with microcatheterization in this unfavorable vascular anatomy.

  20. Current-diffusive ballooning mode in low shear and negative shear regions of tokamaks

    Energy Technology Data Exchange (ETDEWEB)

    Yagi, Masatoshi; Azumi, Masafumi (Japan Atomic Energy Research Inst., Naka, Ibaraki (Japan). Naka Fusion Research Establishment); Itoh, Kimitaka; Itoh, Sanae; Fukuyama, Atsushi

    1994-01-01

    The stability of the current-diffusive ballooning mode in tokamaks with high toroidal mode number is analyzed in the region of second stability against the ideal magnetohydrodynamic mode. It is found that the growth rate of the current-diffusive ballooning mode is decreased upon the reduction of the geodesic curvature driving force. The reduction of thermal conductivity in the limit of very weak shear or negative shear in comparison with standard shear is also shown. (author).

  1. Drug-Coated Balloon Treatment of Very Late Stent Thrombosis Due to Complicated Neoatherosclerosis

    Science.gov (United States)

    Alfonso, Fernando; Bastante, Teresa; Cuesta, Javier; Benedicto, Amparo; Rivero, Fernando

    2016-01-01

    We describe the treatment of a patient presenting with very-late stent thrombosis with the use of a drug-coated balloon. In this patient, optical coherence tomography disclosed that ruptured and complicated neoatherosclerosis was the underlying substrate responsible for the episode of very-late stent thrombosis. The potential use of drug-coated balloons in this unique scenario is discussed. PMID:27409130

  2. Turbulence fluxes and variances measured with a sonic anemometer mounted on a tethered balloon

    OpenAIRE

    Canut, Guylaine; Couvreux, Fleur; Lothon, Marie; Legain, Dominique; Piguet, Bruno; Lampert, Astrid; Maurel, William; Moulin, Eric

    2016-01-01

    This study presents the first deployment in field campaigns of a balloon-borne turbulence probe, developed with a sonic anemometer and an inertial motion sensor suspended below a tethered balloon. This system measures temperature and horizontal and vertical wind at high frequency and allows the estimation of heat and momentum fluxes as well as turbulent kinetic energy in the lower part of the boundary layer. The system was validated during three field experiments with differ...

  3. Drug-eluting balloon catheters for lower limb peripheral arterial disease: the evidence to date

    Directory of Open Access Journals (Sweden)

    Barkat M

    2016-05-01

    Full Text Available Mohamed Barkat,1 Francesco Torella,1 George A Antoniou2 1Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, 2Department of Vascular and Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, UK Abstract: A significant proportion of patients with severe lower limb peripheral arterial disease require revascularization. Over the past decade, an endovascular-first approach even for complex disease has gained widespread use among vascular specialists. An important limitation of percutaneous transluminal balloon angioplasty or stenting remains the occurrence of restenosis. Drug-coated balloons have emerged as an exciting technology developed to overcome the limitations of standard balloon angioplasty and stenting. Drug-eluting devices inhibit neointimal growth of vascular smooth muscle cells with the potential of preventing restenosis. This review provides a synopsis of the up-to-date evidence on the role of drug-coated balloons in the treatment of lower limb peripheral arterial disease. Bibliographic searches were conducted using MEDLINE, EMBASE, and the Cochrane Library electronic database. Eleven randomized clinical trials, two systematic reviews, and a published registry providing the best available evidence were identified. Current evidence suggests that angioplasty with drug-coated balloon is reliable, safe, and efficient in increasing patency rates and reducing target lesion revascularization and restenosis. However, it remains unknown whether these improved results can translate into beneficial clinical outcomes, as current randomized clinical trials have failed to demonstrate a significant benefit in limb salvage and mortality. Further randomized trials focusing on clinical and functional outcomes of drug-eluting balloons and on cost versus clinical benefit are required. Keywords: drug-eluting balloon, drug-coated balloon, angioplasty, peripheral arterial

  4. Limited endoscopic sphincterotomy plus large balloon dilation for choledocholithiasis with periampullary diverticula

    Institute of Scientific and Technical Information of China (English)

    Hyung; Wook; Kim; Dae; Hwan; Kang; Cheol; Woong; Choi; Jong; Hwan; Park; Jin; Ho; Lee; Min; Dae; Kim; Il; Doo; Kim; Ki; Tae; Yoon; Mong; Cho; Ung; Bae; Jeon; Suk; Kim; Chang; Won; Kim; Jun; Woo; Lee

    2010-01-01

    AIM: To investigate the effectiveness and safety of limited endoscopic sphincterotomy (EST) plus large balloon dilation (LBD) for removing choledocholithiasis in patients with periampullary diverticula (PAD). METHODS: A total of 139 patients with common bile duct (CBD) stones were treated with LBD (10-20 mm balloon diameter) after limited EST. Of this total, 73 patients had PAD and 66 patients did not have PAD (controls). The results of stone removal and complications were retrospectively evaluated. RESULTS...

  5. Comparative study of proliferation kinetics of paramecium tetraurelia aboard a satellite and a balloon flight

    Energy Technology Data Exchange (ETDEWEB)

    Tixador, R.; Richoilley, G.; Gasset, G.; Planel, H. (Faculte de Medecine, Toulouse-Purpan (France))

    1982-05-17

    A possible effect of cosmic rays on cell proliferation was investigated in cultures of Paramecium tetraurelia during a stratospheric balloon flight, with the techniques already used for the CYTOS experiments, performed aboard the orbital station Salyut 6. The results show that the stimulating effect of space on cell proliferation, reported in the CYTOS experiments, also occurs in the balloon flight. The respective roles of cosmic rays and weightlesness in the biological responses are discussed.

  6. FIREBALL: the Faint Intergalactic medium Redshifted Emission Balloon: overview and first science flight results

    OpenAIRE

    Milliard, Bruno; Martin, D. Christopher; Schiminovich, David; Evrard, Jean; Matuszewski, Matt; Rahman, Shahinur; Tuttle, Sarah; McLean, Ryan; Deharveng, Jean-Michel; Mirc, Frederi; Grange, Robert; Chave, Robert

    2010-01-01

    FIREBALL (the Faint Intergalactic Redshifted Emission Balloon) is a balloon-borne 1m telescope coupled to an ultraviolet fiber-fed spectrograph. FIREBALL is designed to study the faint and diffuse emission of the intergalactic medium, until now detected primarily in absorption. FIREBALL is a path finding mission to test new technology and make new constraints on the temperature and density of this gas. We report on the first successful science flight of FIREBALL, in June 2009, which proved ev...

  7. Modeling the ascent of sounding balloons: derivation of the vertical air motion

    Directory of Open Access Journals (Sweden)

    A. Gallice

    2011-06-01

    Full Text Available A new model to describe the ascent of sounding balloons in the troposphere and lower stratosphere (up to ~30–35 km altitude is presented. Contrary to previous models, detailed account is taken of both the variation of the drag coefficient with altitude and the heat imbalance between the balloon and the atmosphere. To compensate for the lack of data on the drag coefficient of sounding balloons, a reference curve for the relationship between drag coefficient and Reynolds number is derived from a dataset of flights launched during the Lindenberg Upper Air Methods Intercomparisons (LUAMI campaign. The transfer of heat from the surrounding air into the balloon is accounted for by solving the radial heat diffusion equation inside the balloon. The potential applications of the model include the forecast of the trajectory of sounding balloons, which can be used to increase the accuracy of the match technique, and the derivation of the air vertical velocity. The latter is obtained by subtracting the ascent rate of the balloon in still air calculated by the model from the actual ascent rate. This technique is shown to provide an approximation for the vertical air motion with an uncertainty error of 0.5 m s−1 in the troposphere and 0.2 m s−1 in the stratosphere. An example of extraction of the air vertical velocity is provided in this paper. We show that the air vertical velocities derived from the balloon soundings in this paper are in general agreement with small-scale atmospheric velocity fluctuations related to gravity waves, mechanical turbulence, or other small-scale air motions measured during the SUCCESS campaign (Subsonic Aircraft: Contrail and Cloud Effects Special Study in the orographically unperturbed mid-latitude middle troposphere.

  8. Environmental effects of the US Antarctic Program`s use of balloons in Antarctica

    Energy Technology Data Exchange (ETDEWEB)

    McCold, L.N.; Eddlemon, G.K.; Blasing, T.J.

    1995-06-01

    The USAP uses balloons in Antarctica to conduct scientific research, to facilitate safe air transport, and to provide data for global weather predictions. However, there is the possibility that balloons or their payloads may adversely affect Antarctic fauna or flora. The purpose of this study is to provide background information upon which the USAP may draw when complying with its responsibilities under the National Environmental Policy Act of 1969, the Antarctic Treaty, and the Madrid Protocol.

  9. Balloon-expandable covered stent therapy of complex endovascular pathology.

    Science.gov (United States)

    Giles, Heath; Lesar, Christopher; Erdoes, Luke; Sprouse, Richard; Myers, Stuart

    2008-11-01

    The current study was designed to investigate our hypotheses that balloon-expandable covered stents display acceptable function over longitudinal follow-up in patients with complex vascular pathology and provide a suitable alternative for the treatment of recurrent in-stent restenosis. All stents were Atrium iCast, which is a balloon-mounted, polytetrafluoroethylene-covered stent with a 6F/7F delivery system. A retrospective review was performed of 49 patients with 66 stented lesions. Data were analyzed with life tables and t-tests. The most commonly treated vessels were the iliac (61%) and renal (24%) arteries. Indications for covered stent placement were unstable atheromatous lesions (50%), recurrent in-stent restenosis (24%), aneurysm (8%), aortic bifurcation reconstruction (7.5%), dissection (4.5%), endovascular aneurysm repair-related (4.5%), and stent fracture (1.5%). Patency was assessed by angiogram or duplex ultrasonography. The primary end point was patency and secondary end points were technical success and access-site complications. Mean follow-up was 13 months (range 1.5-25). The technical success rate was 97%. Unsuccessful outcomes were due to deployment error (n=1) and stent malpositioning (n=1). The cohort (n=64) 6- and 12-month primary patency rates were 96% and 84%, respectively. Twelve-month assisted primary patency was 98%. Iliac artery stents (n=38) had a primary patency of 97% at 6 months and 84% at 12 months with an assisted primary patency of 100% at 12 months. Renal artery stents (n=16) had a primary patency of 92% at 6 months and 72% at 12 months with an assisted primary patency of 92% at 6 and 12 months. Stents placed for recurrent in-stent restenosis (n=16) had a primary patency of 85%, assisted primary patency of 93%, and a 15% restenosis rate at 12 months. Specifically, stents placed for renal artery recurrent in-stent restenosis (n=10) had a primary patency of 73%, assisted primary patency of 82%, and a restenosis rate of 27%. The

  10. Diagnostic and therapeutic direct peroral cholangioscopy using an intraductal anchoring balloon

    Institute of Scientific and Technical Information of China (English)

    Mansour A Parsi; Tyler Stevens; John J Vargo

    2012-01-01

    AIM:To report our experience using a recently introduced anchoring balloon for diagnostic and therapeutic direct peroral cholangioscopy (DPOC).METHODS:Consecutive patients referred for diagnostic or therapeutic peroral cholangioscopy were evaluated in a prospective cohort study.The patients underwent DPOC using an intraductal anchoring balloon,which was recently introduced to allow consistent access to the biliary tree with an ultraslim upper endoscope.The device was later voluntarily withdrawn from the market by the manufacturer.RESULTS:Fourteen patients underwent DPOC using the anchoring balloon.Biliary access with an ultraslim upper endoscope was accomplished in all 14 patients.In 12 (86%) patients,ductal access required sphincteroplasty with a 10-mm dilating balloon.Intraductal placement of the ultraslim upper endoscope allowed satisfactory visualization of the biliary mucosa to the level of the confluence of the right and left hepatic ducts in 13 of 14 patients (93%).Therapeutic interventions by DPOC were successfully completed in all five attempted cases (intraductal biopsy in one and DPOC guided laser lithotripsy in four).Adverse events occurred in a patient on immunosuppressive therapy who developed an intrahepatic biloma at the site of the anchoring balloon.This required hospitalization and antibiotics.Repeat endoscopic retrograde cholangiopancreatography 8 wk after the index procedure showed resolution of the biloma.CONCLUSION:Use of this anchoring balloon allowed consistent access to the biliary tree for performance of diagnostic and therapeutic DPOC distal to the biliary bifurcation.

  11. Long-Term Outcomes of Balloon Dilation for Acquired Subglottic Stenosis in Children

    Directory of Open Access Journals (Sweden)

    Aliye Filiz

    2014-01-01

    Full Text Available Objectives. Balloon dilation laryngoplasty has been suggested as an alternative treatment to open surgical treatment of acquired subglottic stenosis in children. We describe long-term outcomes of balloon dilation for acquired subglottic stenosis in children. Methods. The medical charts of children who had balloon dilation for subglottic stenosis secondary to intubation were reviewed. Data included demographics, relevant history and physical examination, diagnostic workup, and management. Outcomes of balloon dilation were assessed based on improvement in preoperative symptoms, grading of stenosis, complications, and need for additional procedures. Results. Three children (2 male, 1 female, age range: 14 weeks–1 year underwent balloon dilation for acquired subglottic stenosis. Patients presented with stridor and increased work of breathing. Duration of intubation ranged from 2 days to 3 weeks. Patients became symptomatic 5 days to 6 weeks after extubation. Grade of subglottic stenosis was II in 2 patients and III in one. Subglottic stenosis patients had 2-3 dilations within 2–10 weeks. All patients were asymptomatic during 14–21-month follow-up. Conclusions. Serial balloon dilation was safe and successful method to manage acquired subglottic stenosis in this group of children. No recurrence was noted in a follow-up more than a year after resolution of symptoms.

  12. Long-term outcomes of balloon dilation for acquired subglottic stenosis in children.

    Science.gov (United States)

    Filiz, Aliye; Ulualp, Seckin O

    2014-01-01

    Objectives. Balloon dilation laryngoplasty has been suggested as an alternative treatment to open surgical treatment of acquired subglottic stenosis in children. We describe long-term outcomes of balloon dilation for acquired subglottic stenosis in children. Methods. The medical charts of children who had balloon dilation for subglottic stenosis secondary to intubation were reviewed. Data included demographics, relevant history and physical examination, diagnostic workup, and management. Outcomes of balloon dilation were assessed based on improvement in preoperative symptoms, grading of stenosis, complications, and need for additional procedures. Results. Three children (2 male, 1 female, age range: 14 weeks-1 year) underwent balloon dilation for acquired subglottic stenosis. Patients presented with stridor and increased work of breathing. Duration of intubation ranged from 2 days to 3 weeks. Patients became symptomatic 5 days to 6 weeks after extubation. Grade of subglottic stenosis was II in 2 patients and III in one. Subglottic stenosis patients had 2-3 dilations within 2-10 weeks. All patients were asymptomatic during 14-21-month follow-up. Conclusions. Serial balloon dilation was safe and successful method to manage acquired subglottic stenosis in this group of children. No recurrence was noted in a follow-up more than a year after resolution of symptoms.

  13. Integrating Balloon and Satellite Operation Data Centers for Technology Readiness Assessment

    Science.gov (United States)

    Mattiello-Francisco, Fátima; Fernandes, Jose Oscar

    2016-07-01

    Stratospheric balloon-borne experiments have been one of the most effective ways to validate innovative space technology, taking the advantage of reduced development cycles and low cost in launching and operation. In Brazil, the National Institute for Space Research (INPE) has balloon and satellite ground infrastructures since the 1970´s and the 1990´s, respectively. In the recent past, a strategic approach was adopted on the modernization of balloon ground operation facilities for supporting the protoMIRAX experiment, an X-ray imaging telescope under development at INPE as a pathfinder for the MIRAX (Monitor e Imageador de Raios X) satellite mission. The strategic target was to reuse the SATellite Control System (SATCS), a software framework developed to control and monitor INPÉs satellites, for balloon operation. This paper presents the results of that effort and the new ongoing project, a computer-based framework named I2Bso, which strategic target is to Integrate INPÉs Balloon and Satellite Operation data centers. The I2Bso major purpose is to support the continuous assessment of an innovative technology after different qualification flights either on board balloons or satellites in order to acquire growing evidence for the technology maturity.

  14. Drug-eluting balloon catheters for lower limb peripheral arterial disease: the evidence to date

    Science.gov (United States)

    Barkat, Mohamed; Torella, Francesco; Antoniou, George A

    2016-01-01

    A significant proportion of patients with severe lower limb peripheral arterial disease require revascularization. Over the past decade, an endovascular-first approach even for complex disease has gained widespread use among vascular specialists. An important limitation of percutaneous transluminal balloon angioplasty or stenting remains the occurrence of restenosis. Drug-coated balloons have emerged as an exciting technology developed to overcome the limitations of standard balloon angioplasty and stenting. Drug-eluting devices inhibit neointimal growth of vascular smooth muscle cells with the potential of preventing restenosis. This review provides a synopsis of the up-to-date evidence on the role of drug-coated balloons in the treatment of lower limb peripheral arterial disease. Bibliographic searches were conducted using MEDLINE, EMBASE, and the Cochrane Library electronic database. Eleven randomized clinical trials, two systematic reviews, and a published registry providing the best available evidence were identified. Current evidence suggests that angioplasty with drug-coated balloon is reliable, safe, and efficient in increasing patency rates and reducing target lesion revascularization and restenosis. However, it remains unknown whether these improved results can translate into beneficial clinical outcomes, as current randomized clinical trials have failed to demonstrate a significant benefit in limb salvage and mortality. Further randomized trials focusing on clinical and functional outcomes of drug-eluting balloons and on cost versus clinical benefit are required. PMID:27274265

  15. Non-linear analysis and the design of Pumpkin Balloons: stress, stability and viscoelasticity

    Science.gov (United States)

    Rand, J. L.; Wakefield, D. S.

    Tensys have a long-established background in the shape generation and load analysis of architectural stressed membrane structures Founded upon their inTENS finite element analysis suite these activities have broadened to encompass lighter than air structures such as aerostats hybrid air-vehicles and stratospheric balloons Winzen Engineering couple many years of practical balloon design and fabrication experience with both academic and practical knowledge of the characterisation of the non-linear viscoelastic response of the polymeric films typically used for high-altitude scientific balloons Both companies have provided consulting services to the NASA Ultra Long Duration Balloon ULDB Program Early implementations of pumpkin balloons have shown problems of geometric instability characterised by improper deployment and these difficulties have been reproduced numerically using inTENS The solution lies in both the shapes of the membrane lobes and also the need to generate a biaxial stress field in order to mobilise in-plane shear stiffness Balloons undergo significant temperature and pressure variations in flight The different thermal characteristics between tendons and film can lead to significant meridional stress Fabrication tolerances can lead to significant local hoop stress concentrations particularly adjacent to the base and apex end fittings The non-linear viscoelastic response of the envelope film acts positively to help dissipate stress concentrations However creep over time may produce lobe geometry variations that may

  16. "ASSESSMENT OF BALLOON VALVULOPLASTY IN COMPARISON WITH SURGICAL VALVOTOMY FOR CONGENITAL AORTIC STENOSIS"

    Directory of Open Access Journals (Sweden)

    P. Akbari Asbagh A. Shahmohammadi

    2004-09-01

    Full Text Available Soon after successful results of balloon valvuloplasty in treatment of congenital pulmonary stenosis, use of this technique for relief of congenital aortic stenosis (AS was attempted in different parts of the world. With the purpose of assessment the value of valvuloplasty in comparison with surgical valvotomy in relief of congenital AS, we retrospectively studied 115 patients with valvar AS, 48 of whom underwent balloon valvuloplasty (mean age 9.63 years, and 67 subjected to surgical aortic valvotomy (mean age 10.32 years, in a six year period from 1991 to 1997 at Rajaie heart hospital. Comparison of balloon valvuloplasty with surgical valvotomy revealed that reduction in the mean pressure gradient in balloon valvuloplasty group was greater than those subjected to surgical valvotomy (73.54 vs. 45.03 mmHg, P < 0.0001. Decreased incidence of aortic insufficiency and mortality in balloon valvuloplasty in comparison with surgical valvotomy are other notable points in this study. Although it is difficult to compare the results of the two procedures and determine their different indications, our successful experience with balloon valvuloplasty for congenital AS and the safety of this procedure encourage us to use this technique for the patients with congenital AS more than ever. These results must be supported by future studies.

  17. [A new balloon-expandable plastic endoprosthesis. Initial report of experience with the malleable thermostent].

    Science.gov (United States)

    Beck, A

    1990-07-01

    A new system of balloon-expandable stents for different purposes is presented. A special plastic material that can be shaped by a hot balloon technique or other internal or external heating modalities has been developed. The plastic material - a distant derivative of polyurethane - is caprolactone, which is soft from 52 degrees C to 70 degrees C. Using balloon techniques, the "thermo-stent" can be modeled to suit the form of the vessels, the bile ducts or the bronchial tree, as required. The balloon can be heated simply by means of a warm NaCl solution, electric matter in the balloon itself or microwaves. The plastic material can even be heated directly, which is especially beneficial if the stent needs to be thicker, e.g. in the bronchial tree, by an electric network within the plastic material, which heats the material to the necessary temperature by electric current. When the balloon is cooled after the dilatation the new form, the plastic has been modeled to is maintained exactly. The advantages of this thermo-stent will be the perfect adaptation to every individual situation in the intraluminal vessels, the bile ducts, and even the bronchi. The problems encountered hitherto with conventional metallic stents, e.g. high thrombogenicity, risk of metal intoxication or metallic rupture of filaments, have not be seen so far in animal experiments.

  18. Significant skin burns may occur with the use of a water balloon in HIFU treatment

    Science.gov (United States)

    Ritchie, Robert; Collin, Jamie; Wu, Feng; Coussios, Constantin; Leslie, Tom; Cranston, David

    2012-10-01

    HIFU is a minimally-invasive therapy suitable for treating selected intra-abdominal tumors. Treatment is safe although skin burns may occur due to pre-focal heating. HIFU treatment of a renal transplant tumor located in the left lower abdomen was undertaken in our centre. Treatment was performed prone, requiring displacement of the abdominal wall away from the treatment field using a water balloon, constructed of natural rubber latex and filled with degassed water. Intra-operatively, ultrasound imaging and physical examination of the skin directly over the focal region was normal. Immediately post-operative, a full-thickness skin burn was evident at the periphery of the balloon location, outside the expected HIFU path. Three possibilities may account for this complication. Firstly, the water balloon may have acted as a lens, focusing the HIFU to a neo-focus off axis. Secondly, air bubbles may have been entrapped between the balloon and the skin, causing heating at the interface. Finally, heating of the isolated water within the balloon may have been sufficient to cause burning. In this case, the placement of a water balloon caused a significant skin burn. Care should be taken in their use as burns, situated off axis, may occur even if the overlying skin appears normal.

  19. Status of balloon production for KamLAND-Zen 800 kg phase

    Science.gov (United States)

    Obara, S.

    2017-02-01

    KamLAND-Zen is an experiment for neutrinoless double beta decay (0 ν 2 β) search with 136Xe, based on the large liquid scintillator detector KamLAND. KamLAND-Zen includes 16.5 m3 xenon loaded liquid scintillator in a 3.16 m diameter nylon balloon (inner-balloon) with 25 μm wall thickness. KamLAND-Zen 400 (383 kg 136Xe used) released a lower limit on the 0 ν 2 β half-life of 136Xe. However, the sensitivity is limited by the contamination of radioactive backgrounds from the inner-balloon. Then, we planned KamLAND-Zen 800, upgrading the detector with a new inner-balloon of 3.84 m diameter with 800 kg 136Xe and 31.4 m3 liquid scintillator. We present the current status of KamLAND-Zen, the new mini-balloon construction and methods to avoid background contaminations. In addition, the development of a scintillating balloon for future upgrades in order to remove the radioactive decay chain daughter nuclei bismuth is also introduced.

  20. Dosimetry of charged and neutral particles onboard a stratospheric balloon

    Science.gov (United States)

    Dönsdorf, Esther Miriam; Burmeister, Soenke; Heber, Bernd; Benton, Eric; Berger, Thomas

    The interaction of the primary galactic cosmic rays with constituents of the atmosphere leads to a complex secondary radiation field at high altitudes. Of special interest for aviation and thereby also for radiation protection is the height up to 30 km where the radiation field consists of charged and neutral particles. For the determination of the dose rates up to this altitude in the Earth's atmosphere a stratopheric balloon flight will be performed in central Oklahoma which has a cutoff rigidity of about 4 GV. Onboard there will be two different active radiation detector systems to measure the dose of charged and neutral particles in the stratosphere. The first one is a silicon telescope which consists of two 2 cm2 silicon PIN-photodiodes used as semiconductor detectors. This instrument will mainly be used to measure the charged component of the radiation field due to the fact that the silicon detectors have a rather low efficiency for the detection of neutrons and gammas with energies higher than 60 keV. The second instrument is a so called phoswich detector. It is composed of two dissimilar scintillators optically coupled to each other and to a common photomultiplier tube. For this experimental setup a combination of a fast plastic scintillator BC412 and a slow inorganic scintillator CsI(Na) is used. The pulses from the two scintillators will be separated by applying pulse shape analysis. These two different scintillator materials have been chosen because BC412 is hydrogen rich and thus the cross section for fast neutrons is relatively high and CsI(Na) has a high cross section for gamma radiation. The objective of the phoswich detector is to distinguish between gammas and neutrons but it is also possible to measure charged particles with this setup. The aim of the balloon flight is to determine the dose measured with these two different instruments and in particular to differentiate between the dose induced by charged particles and by the different neutral

  1. EBEX: A balloon-borne CMB polarization experiment

    CERN Document Server

    Reichborn-Kjennerud, Britt; Ade, Peter; Aubin, Françcois; Baccigalupi, Carlo; Bao, Chaoyun; Borrill, Julian; Cantalupo, Christopher; Chapman, Daniel; Didier, Joy; Dobbs, Matt; Grain, Julien; Grainger, William; Hanany, Shaul; Hillbrand, Seth; Hubmayr, Johannes; Jaffe, Andrew; Johnson, Bradley; Jones, Terry; Kisner, Theodore; Klein, Jeff; Korotkov, Andrei; Leach, Sam; Lee, Adrian; Levinson, Lorne; Limon, Michele; MacDermid, Kevin; Matsumura, Tomotake; Meng, Xiaofan; Miller, Amber; Milligan, Michael; Pascale, Enzo; Polsgrove, Daniel; Ponthieu, Nicolas; Raach, Kate; Sagiv, Ilan; Smecher, Graeme; Stivoli, Federico; Stompor, Radek; Tran, Huan; Tristram, Matthieu; Tucker, Gregory S; Vinokurov, Yury; Yadav, Amit; Zaldarriaga, Matias; Zilic, Kyle

    2010-01-01

    EBEX is a NASA-funded balloon-borne experiment designed to measure the polarization of the cosmic microwave background (CMB). Observations will be made using 1432 transition edge sensor (TES) bolometric detectors read out with frequency multiplexed SQuIDs. EBEX will observe in three frequency bands centered at 150, 250, and 410 GHz, with 768, 384, and 280 detectors in each band, respectively. This broad frequency coverage is designed to provide valuable information about polarized foreground signals from dust. The polarized sky signals will be modulated with an achromatic half wave plate (AHWP) rotating on a superconducting magnetic bearing (SMB) and analyzed with a fixed wire grid polarizer. EBEX will observe a patch covering ~1% of the sky with 8' resolution, allowing for observation of the angular power spectrum from \\ell = 20 to 1000. This will allow EBEX to search for both the primordial B-mode signal predicted by inflation and the anticipated lensing B-mode signal. Calculations to predict EBEX constrain...

  2. Proliferation kinetics of paramecium tetraurelia in balloon-borne experiments

    Energy Technology Data Exchange (ETDEWEB)

    Croute, F.; Soleilhavoup, J.P.; Vidal, S.; Rousseille, R.; Planel, H.

    1982-06-01

    Experiments were carried out to demonstrate the effect of cosmic radiation, at a balloon-flight ceiling of about 36,500 m (120,000 ft) on single-cell organism proliferation. Paramecium tetraurelia were placed in air-tight containers and maintained at 25 degrees +/- 0.1 degrees C. Cellular growth was determined by cell count, either after recovery or during the flight, by means of an automatic fixation device. Dosimetry was performed by a tissue equivalent proportional counter and was of about 0.5 mrad/h. Flight ceiling duration ranged from 48 min - 22 h. A secondary stimulating effect of growth rate, preceded by a temporary decrease, was observed after recovery. Because of the high bacterial concentration in the trans-Mediterranean flight culture medium, the temporary drop of the growth rate, due to the radiolysis products, disappears. Researchers consider that the stimulating effect can be the result of enzymatic intracellular scavenging of radiolysis products generated in the cell.

  3. Understanding cosmic rays with Balloon and Space Experiments

    Energy Technology Data Exchange (ETDEWEB)

    Picozza, P., E-mail: piergiorgio.picozza@roma2.infn.it [University of Rome Tor Vergata, Department of Physics, Via della Ricerca Scientifica 1, 00133 Rome (Italy); INFN, Sezione di Roma Tor Vergata, Via della Ricerca Scientifica 1, 00133 Rome (Italy); Di Felice, V. [INFN, Sezione di Roma Tor Vergata, Via della Ricerca Scientifica 1, 00133 Rome (Italy)

    2013-10-15

    Measurements of cosmic rays provide important information on their sources and on the mechanisms of acceleration and propagation of cosmic particles through the Galaxy. Positrons and antiprotons in cosmic rays are also the major candidates for searching signals from annihilation of dark matter and contributions from other exotic sources as nearby pulsars. Many balloon-borne experiments have been performed since the sixties, obtaining important results that strongly suggested the realization of the PAMELA and Fermi satellite missions, the latter mainly for gamma rays, and AMS-02 on the ISS. The precision of the measurements and the high statistics highlighted unexpected features in the cosmic particle energy spectra that are setting strong constraints to the nature of Dark Matter and are contributing to change our basic vision of their origin and propagation. The continuous particle detection in space experiments is allowing a constant monitoring of the solar activity and detailed study of the solar modulation for a long period, giving important improvements to the comprehension of the heliosphere mechanisms.

  4. Particle and thermal transport due to drift resistive ballooning modes

    Science.gov (United States)

    Goldstein, T.; Rafiq, T.; Kritz, A. H.; Bateman, G.; Pankin, A. Y.

    2009-11-01

    The ion-temperature-gradient and trapped electron modes are primary candidates for producing the turbulence that drives anomalous transport in the core of magnetically confined plasmas. The situation at the edge is different. Since the edge plasma is influenced strongly by collisions, it is expected that resistive ballooning modes (RBMs) are an important driver of turbulence in the edge region. In this work, a new advanced RBM model [1] is tested as a function of plasma parameters. In this model, the eigenvalues and eigenvectors are used together with a quasi-linear mixing length estimate to determine fluxes and diffusivities. Particle and thermal transport coefficients are investigated in systematic scans over plasma density, density gradient, electron and ion temperature gradients, magnetic q, collisions, magnetic shear, finite Larmor radius effects, and pressure gradient. In the low temperature plasma region, it is found that RBM diffusivities increase with increasing density gradient, magnetic q, and collisionality.[4pt] [1] T. Rafiq, et al, poster at this APS meeting

  5. Right ventricular function before and after percutaneous balloon mitral valvuloplasty.

    Science.gov (United States)

    Burger, W; Brinkies, C; Illert, S; Teupe, C; Kneissl, G D; Schräder, R

    1997-01-01

    Aim of this study was to evaluate right ventricular performance in patients with mitral stenosis and its modification by balloon valvuloplasty. Right ventricular volumes of 24 patients with postrheumatic mitral stenosis were determined by thermodilution 1 or 2 days before and 1 or 2 days after valvuloplasty. Right ventricular ejection fraction at rest was 43 (36-47)% (median and interquartile range). Right ventricular end-diastolic volume was 100 (86-119) ml/m2. Supine bicycle exercise (50 Watt) reduced right ventricular ejection fraction to 30 (29-37)% (P volume to 124 (112-141) ml/m2 (P improvement of right ventricular ejection fraction correlated inversely with the value of this parameter before valvuloplasty (r = -0.88, P volume (r = 0.57, P < 0.01). The right ventricular function curve, disturbed before commissurotomy, was reestablished by the procedure. In conclusion, at the here investigated stage of mitral stenosis right ventricular function is reversibly impaired. This is predominantly caused by the hemodynamic consequences of the valvular defect and not by an impairment of right ventricular myocardial function.

  6. Pointing control for the SPIDER balloon-borne telescope

    CERN Document Server

    Shariff, Jamil A; Amiri, Mandana; Benton, Steven J; Bock, Jamie J; Bond, J Richard; Bryan, Sean A; Chiang, H Cynthia; Contaldi, Carlo R; Crill, Brendan P; Doré, Olivier P; Farhang, Marzieh; Filippini, Jeffrey P; Fissel, Laura M; Fraisse, Aurelien A; Gambrel, Anne E; Gandilo, Natalie N; Golwala, Sunil R; Gudmundsson, Jon E; Halpern, Mark; Hasselfield, Matthew; Hilton, Gene C; Holmes, Warren A; Hristov, Viktor V; Irwin, Kent D; Jones, William C; Kermish, Zigmund D; Kuo, Chao-Lin; MacTavish, Carolyn J; Mason, Peter V; Megerian, Krikor G; Moncelsi, Lorenzo; Morford, Tracy A; Nagy, Johanna M; Netterfield, C Barth; O'Brient, Roger; Rahlin, Alexandra S; Reintsema, Carl D; Ruhl, John E; Runyan, Marcus C; Soler, Juan D; Trangsrud, Amy; Tucker, Carole E; Tucker, Rebecca S; Turner, Anthony D; Weber, Alexis C; Wiebe, Donald V; Young, Edward Y

    2014-01-01

    We present the technology and control methods developed for the pointing system of the SPIDER experiment. SPIDER is a balloon-borne polarimeter designed to detect the imprint of primordial gravitational waves in the polarization of the Cosmic Microwave Background radiation. We describe the two main components of the telescope's azimuth drive: the reaction wheel and the motorized pivot. A 13 kHz PI control loop runs on a digital signal processor, with feedback from fibre optic rate gyroscopes. This system can control azimuthal speed with < 0.02 deg/s RMS error. To control elevation, SPIDER uses stepper-motor-driven linear actuators to rotate the cryostat, which houses the optical instruments, relative to the outer frame. With the velocity in each axis controlled in this way, higher-level control loops on the onboard flight computers can implement the pointing and scanning observation modes required for the experiment. We have accomplished the non-trivial task of scanning a 5000 lb payload sinusoidally in az...

  7. CdZnTe Background Measurement at Balloon Altitudes

    CERN Document Server

    Bloser, P F; Narita, T; Harrison, F

    1998-01-01

    We report results of an experiment conducted in May 1997 to measure CdZnTe background and background reduction schemes in space flight conditions similar to those of proposed hard X-ray astrophysics missions. A 1 cm^2 CdZnTe detector was placed adjacent to a thick BGO anticoincidence shield and flown piggybacked onto the EXITE2 scientific balloon payload. The planar shield was designed to veto background countsproduced by local gamma-ray production in passive material and neutron interactions in the detector. The CdZnTe and BGO were partially surrounded by a Pb-Sn-Cu shield to approximate the grammage of an X-ray collimator, although the field of view was still ~2 pi sr. At an altitude of 127000 feet we find a reduction in background by a factor of 6 at 100 keV. The non-vetoed background is 9 X 10^{-4} cts /cm^2-sec-keV at 100 keV, about a factor of 2 higher than that of the collimated (4.5 deg FWHM) EXITE2 phoswich detector. We compare our recorded spectrum with that expected from simulations using GEANT and...

  8. The Balloon-borne Large Aperture Submillimeter Telescope: BLAST

    CERN Document Server

    Pascale, E; Bock, J J; Chapin, E L; Chung, J; Devlin, M J; Dicker, S; Griffin, M; Gundersen, J O; Halpern, M; Hargrave, P C; Hughes, D H; Klein, J; MacTavish, C J; Marsden, G; Martin, P G; Martin, T G; Mauskopf, P; Netterfield, C B; Olmi, L; Patanchon, G; Rex, M; Scott, D; Semisch, C; Thomas, N; Truch, M D P; Tucker, C; Tucker, G S; Viero, M P; Wiebe, D V

    2007-01-01

    The Balloon-borne Large Aperture Submillimeter Telescope (BLAST) is a sub-orbital survey-experiment designed to study the evolutionary history and processes of star formation in local galaxies (including the Milky Way) and galaxies at cosmological distances. The BLAST continuum camera, which consists of 270 detectors distributed between 3 arrays, observes simultaneously in broad-band (30%) spectral-windows at 250, 350, and 500 micron. The optical design is based on a 2m diameter Cassegrain telescope, providing a diffraction-limited resolution of 30" at 250 micron. The gondola pointing system enables raster-like maps of arbitrary geometry, with a repeatable positional accuracy of ~30" post-flight pointing reconstruction to ~<5" rms is also achieved. The on-board telescope control software permits autonomous execution of a pre-selected set of maps, with the option of manual intervention. In this paper we describe the primary characteristics and measured in-flight performance of BLAST. Since a test-flight in ...

  9. Application of new balloon catheters in the treatment of congenital heart defects

    Science.gov (United States)

    Fiszer, Roland; Szkutnik, Małgorzata; Smerdziński, Sebastian; Chodór, Beata; Białkowski, Jacek

    2016-01-01

    Introduction Balloon angioplasty (BAP) and aortic or pulmonary balloon valvuloplasty (BAV, BPV) are well-established treatment options in congenital heart defects. Recently, significant technological progress has been made and new catheters have been implemented in clinical practice. Aim To analyze the results of BAP, BAV and BPV with the new balloon catheter Valver and its second generation Valver II, which the company Balton (Poland) launched and developed. These catheters have not been clinically evaluated yet. Material and methods We performed 64 interventions with Valver I and Valver II. With Valver I the following procedures were performed: 17 BPV (including 9 in tetralogy of Fallot – TOF), 10 BAV and 27 BAP in coarctations of the aorta (CoA) – including 9 native and 18 after surgery. With Valver II ten interventions were done – 3 BPV, 2 pulmonary supravalvular BAP (after switch operations), 2 BAP of recoarctations and 3 other BAP. Age of the patients ranged from a few days to 40 years. Results All procedures were completed successfully, without rupture of any balloon catheters. The pressure gradient drop was statistically significant in all groups: BPV in isolated pulmonary valvular stenosis 28.1 mm Hg (mean), BPV in TOF 18.7 mm Hg, BAV 32.8 mm Hg, BAP in native CoA 15.4 mm Hg and in recoarctations 18.6 mm Hg. In 3 cases during rapid deflation of Valver I, wrinkles of the balloons made it impossible to insert the whole balloon into the vascular sheath (all were removed surgically from the groin). No such complication occured with Valver II. Conclusions Valver balloon catheters are an effective treatment modality in different valvular and vascular stenoses. PMID:27625686

  10. Effect of acupoint massage therapy on the insomnia of patients with therapeutic ERCP%穴位按摩疗法改善经内镜逆行胰胆管造影患者失眠的效果

    Institute of Scientific and Technical Information of China (English)

    刘淑艳; 黄岚; 郑秋; 潘金凤; 庄丽维

    2012-01-01

    目的 探讨穴位按摩疗法改善经内镜逆行胰胆管造影(ERCP)患者失眠的临床效果.方法 将124例患者随机分为对照组和实验组,各62例.对照组采用常规护理,实验组在对照组的基础上采用穴位按摩疗法进行护理干预,观察两组患者生理指标的变化情况,并用匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、睡眠状况自评量表(SRSS)对两组患者效果进行评估.结果 实验组患者实施治疗后,心率、收缩压与治疗前相比,差异有统计学意义(t分别为4.025,3.873;P <0.01);PSQI评分(30.10±5.82)分、SAS评分(5.02±3.41)分、SRSS评分(21.99±3.05)分均降低,与治疗前比较差异有统计学意义(t分别为15.868,6.360,14.076;P <0.01),与对照组治疗后相比差异亦有统计学意义(t分别为3.365,4.203,3.344;P<0.01);实验组患者疗效(有效率83.9%)优于对照组(有效率58.1%),差异有统计学意义(Z=-2.023,P<0.05).结论 穴位按摩疗法能够改善ERCP患者的焦虑情绪,有助于睡眠,提高睡眠质量.%Objective To explore the effect of acupoint massage therapy on the insomnia of patients with therapeutic ERCP(Endoscopic Retrograde Cholangiopancreatography).Methods Totals of 124 cases were randomly divided into control group and experimental group,with 62 cases in each groups.Control group received routine nursing care,while experimental group received acupoint massage therapy and routine care.Observed changes of physiological indexes in each group patients,and assessed therapeutic effect using Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS) and Seff-Rating Scale of Sleep(SRSS).Results After intervention,the heart rate (HR),nausea in experimental group were significantly improved than that of before intervention (P < 0.01),and the score of PSQI (30.10 ± 5.82),SAS (5.02 ± 3.41),SRSS (21.99 ± 3.05)were significantly lower than that of before intervention and control group (P < 0.01).The

  11. Anesthesia with Flurbiprofen Axetil and Propofol for Endoscopic Retrograde Cholangiopancreatography%ERCP 术中氟比洛芬酯复合异丙酚麻醉的效果

    Institute of Scientific and Technical Information of China (English)

    朱龙泉; 朱云生; 陈世彪; 赵为禄

    2012-01-01

      目的评价内镜下逆行胰导管造影(ERCP)术患者用氟比洛芬酯复合异丙酚麻醉的安全性和有效性.方法60例行ERCP患者,年龄20~70岁,ASAⅠ级或Ⅱ级,按随机数字表法分为氟比洛芬酯复合异丙酚组(F组)和对照组(C组),每组30例.鼻导管给氧情况下,每组以2 mg・kg -1异丙酚诱导,术中以10 mg・kg -1・h-1异丙酚维持麻醉,F组于诱导时缓慢追加氟比洛芬酯50 mg ,记录起效时间、恢复时间、术中体动(程度和次数)、镇痛效果、呼吸抑制评分和HR、MAP、SpO2及术后并发症的发生情况等.结果2组间麻醉起效时间和恢复时间差异无统计学意义(P>0.05),F组术中体动和呼吸抑制评分的例数低于C组(P0.05).结论氟比洛芬酯复合异丙酚麻醉用于ERCP术中麻醉效果较好,但术后嗜睡的发生率较高.

  12. 间苯三酚预防胆总管结石ERCP术后胰腺炎的效果%Effect of phloroglucinol on the prevention of postoperative pancreatitis in patients with common bile duct stones after ERCP surgery

    Institute of Scientific and Technical Information of China (English)

    林蕤; 顾卫; 黄慧

    2016-01-01

    Objective To study the value of preoperative application of phloroglucinol in the prevention of postoperative pancreatitis in patients with common bile duct stones undergoing endoscopic retrograde cholangiopancrea-tography (ERCP). Methods Thirty-eight patients with common bile duct stones received ERCP treatment in Depart-ment of Hepatobiliary Surgery in our hospital from June 2014 to June 2015 were selected and randomly divided into the observation group (n=19) and the control group (n=19). The control group received conventional surgery scheme, with diazepam, pethidine and anisodamine applied preoperatively. The observation group additionally applied phloroglucinol preoperatively on the basis of the control group. The adverse reactions, gastric peristalsis times, operation time, the pre-operative, postoperative 6 h, 24 h serum amylase level, as well as the incidence of postoperative hyperamylasemia and acute pancreatitis were compared between the two groups. Results The nausea and vomiting, hypertension and intraopera-tive gastric motility times in observation group were significantly lower than those in the control group [1 case vs 6 cases, 2 cases vs 9 cases, (1.6 ± 0.5) times vs (4.2 ± 0.6) times, P<0.05]. The operation time of observation group was significantly shorter than that in the control group [(34.7±6.7) min vs (48.2±12.1) min, P<0.05]. The serum amylase levels showed no sta-tistically significant difference between the two groups before operation [(55.8±12.5) c·µ-1·L-1 vs (56.3±13.7) c·µ -1·L-1]. The levels in the two groups at postoperative 6 h, 24 h were significantly lower than the preoperative level (P<0.05), and the levels at each postoperative time point of the observation group were significantly lower than those of the control group [(82.5±24.7) c·µ-1·L-1 vs (122.4±44.6) c·µ-1·L-1;(72.1±29.5) c·µ-1·L-1 vs (114.3±58.4) c·µ-1·L-1, P<0.05]. The to-tal incidence rates of postoperative hyperamylasemia and acute

  13. Sodium ferulate inhibits neointimal hyperplasia in rat balloon injury model.

    Directory of Open Access Journals (Sweden)

    Jing Zhang

    Full Text Available BACKGROUND/AIM: Neointimal formation after vessel injury is a complex process involving multiple cellular and molecular processes. Inhibition of intimal hyperplasia plays an important role in preventing proliferative vascular diseases, such as restenosis. In this study, we intended to identify whether sodium ferulate could inhibit neointimal formation and further explore potential mechanisms involved. METHODS: Cultured vascular smooth muscle cells (VSMCs isolated from rat thoracic aorta were pre-treated with 200 µmol/L sodium ferulate for 1 hour and then stimulated with 1 µmol/L angiotensin II (Ang II for 1 hour or 10% serum for 48 hours. Male Sprague-Dawley rats subjected to balloon catheter insertion were administrated with 200 mg/kg sodium ferulate (or saline for 7 days before sacrificed. RESULTS: In presence of sodium ferulate, VSMCs exhibited decreased proliferation and migration, suppressed intracellular reactive oxidative species production and NADPH oxidase activity, increased SOD activation and down-regulated p38 phosphorylation compared to Ang II-stimulated alone. Meanwhile, VSMCs treated with sodium ferulate showed significantly increased protein expression of smooth muscle α-actin and smooth muscle myosin heavy chain protein. The components of Notch pathway, including nuclear Notch-1 protein, Jagged-1, Hey-1 and Hey-2 mRNA, as well as total β-catenin protein and Cyclin D1 mRNA of Wnt signaling, were all significantly decreased by sodium ferulate in cells under serum stimulation. The levels of serum 8-iso-PGF2α and arterial collagen formation in vessel wall were decreased, while the expression of contractile markers was increased in sodium ferulate treated rats. A decline of neointimal area, as well as lower ratio of intimal to medial area was observed in sodium ferulate group. CONCLUSION: Sodium ferulate attenuated neointimal hyperplasia through suppressing oxidative stress and phenotypic switching of VSMCs.

  14. Double balloon enteroscopy in the old: Experience from China

    Institute of Scientific and Technical Information of China (English)

    Qiong He; Bing Xiao; Ya-Li Zhang; Bo Jiang; Yang Bai; Fa-Chao Zhi; Qiang Zhang; Jian-Dong Li; Ya-Dong Wang; Tian-Mo Wan; Zhen-Yu Chen; De-Shou Pan; Jian-Qun Cai; Si-De Liu

    2012-01-01

    AIM:To evaluate the safety,efficacy and management of double balloon enteroscopy (DBE) carried out in those aged individuals with suspicious small intestine diseases.METHODS:DBE is a wonderful invention of the past decade and is widely used as an examination tool for the gastrointestinal tract.From January 2003 to July 2011,data from patients who were ≥ 65 years old and underwent DBE examination in the Nanfang Hospital were included in a retrospective analysis.RESULTS:Fifty-nine individuals were found and subsequently analyzed.The mean age was 69.63 ± 3.89 years (range 65-84),34 were males.Indications for DBE were melena/hematochezia (36 cases),abdominal pain (15 cases),diarrhea (3 cases),stool change (1 case),weight loss (1 case),vomiting (2 cases),and de bilitation (1 case).The average duration of symptoms was 33.34 ± 64.24 mo.Twenty-seven patients suffered from age-related diseases.Severe complications were not found during and after DBE.Comparison between systolic and diastolic blood pressure before and after DBE was statistically significant (mean ± SD,P < 0.01,P < 0.05,respectively).Small bowel pathologies were found by DBE in 35 patients,definite diagnoses were made in 31 cases,and detection rate and diagnostic yield for DBE were 68.6% and 60.8%,respectively.CONCLUSION:DBE is a safe and effective method for gastrointestinal examination in the aged population.Aging alone is not a risk factor for elderly patients with suspicious gastrointestinal diseases and thorough preparation prior to the DBE procedure should be made for individuals with multiple diseases especially cardiopulmonary disorders.

  15. Material Properties Analysis of Structural Members in Pumpkin Balloons

    Science.gov (United States)

    Sterling, W. J.

    2003-01-01

    The efficient design, service-life qualification, and reliability predictions for lightweight aerospace structures require careful mechanical properties analysis of candidate structural materials. The demand for high-quality laboratory data is particularly acute when the candidate material or the structural design has little history. The pumpkin-shaped super-pressure balloon presents both challenges. Its design utilizes load members (tendons) extending from apex to base around the gas envelope to achieve a lightweight structure. The candidate tendon material is highly weight-efficient braided HM cord. Previous mechanical properties studies of Zylon have focused on fiber and yarn, and industrial use of the material in tensile applications is limited. For high-performance polymers, a carefully plamed and executed properties analysis scheme is required to ensure the data are relevant to the desired application. Because no directly-applicable testing standard was available, a protocol was developed based on guidelines fiom professional and industry organizations. Due to the liquid-crystalline nature of the polymer, the cord is very stiff, creeps very little, and does not yield. Therefore, the key material property for this application is the breaking strength. The pretension load and gauge length were found to have negligible effect on the measured breaking strength over the ranges investigated. Strain rate was found to have no effect on breaking strength, within the range of rates suggested by the standards organizations. However, at the lower rate more similar to ULDB operations, the strength was reduced. The breaking strength increased when the experiment temperature was decreased from ambient to 183K which is the lowest temperature ULDB is expected to experience. The measured strength under all test conditions was well below that resulting from direct scale-up of fiber strength based on the manufacturers data. This expected result is due to the effects of the

  16. Modeling the ascent of sounding balloons: derivation of the vertical air motion

    Directory of Open Access Journals (Sweden)

    A. Gallice

    2011-10-01

    Full Text Available A new model to describe the ascent of sounding balloons in the troposphere and lower stratosphere (up to ∼30–35 km altitude is presented. Contrary to previous models, detailed account is taken of both the variation of the drag coefficient with altitude and the heat imbalance between the balloon and the atmosphere. To compensate for the lack of data on the drag coefficient of sounding balloons, a reference curve for the relationship between drag coefficient and Reynolds number is derived from a dataset of flights launched during the Lindenberg Upper Air Methods Intercomparisons (LUAMI campaign. The transfer of heat from the surrounding air into the balloon is accounted for by solving the radial heat diffusion equation inside the balloon. In its present state, the model does not account for solar radiation, i.e. it is only able to describe the ascent of balloons during the night. It could however be adapted to also represent daytime soundings, with solar radiation modeled as a diffusive process. The potential applications of the model include the forecast of the trajectory of sounding balloons, which can be used to increase the accuracy of the match technique, and the derivation of the air vertical velocity. The latter is obtained by subtracting the ascent rate of the balloon in still air calculated by the model from the actual ascent rate. This technique is shown to provide an approximation for the vertical air motion with an uncertainty error of 0.5 m s−1 in the troposphere and 0.2 m s−1 in the stratosphere. An example of extraction of the air vertical velocity is provided in this paper. We show that the air vertical velocities derived from the balloon soundings in this paper are in general agreement with small-scale atmospheric velocity fluctuations related to gravity waves, mechanical turbulence, or other small-scale air motions measured during the SUCCESS campaign (Subsonic Aircraft: Contrail and Cloud Effects

  17. Formation and evolution of flapping and ballooning waves in magnetospheric plasma sheet

    Science.gov (United States)

    Ma, J. Z. G.; Hirose, A.

    2016-05-01

    By adopting Lembége & Pellat's 2D plasma-sheet model, we investigate the flankward flapping motion and Sunward ballooning propagation driven by an external source (e.g., magnetic reconnection) produced initially at the sheet center. Within the ideal MHD framework, we adopt the WKB approximation to obtain the Taylor-Goldstein equation of magnetic perturbations. Fourier spectral method and Runge-Kutta method are employed in numerical simulations, respectively, under the flapping and ballooning conditions. Studies expose that the magnetic shears in the sheet are responsible for the flapping waves, while the magnetic curvature and the plasma gradient are responsible for the ballooning waves. In addition, the flapping motion has three phases in its temporal development: fast damping phase, slow recovery phase, and quasi-stabilized phase; it is also characterized by two patterns in space: propagating wave pattern and standing wave pattern. Moreover, the ballooning modes are gradually damped toward the Earth, with a wavelength in a scale size of magnetic curvature or plasma inhomogeneity, only 1-7% of the flapping one; the envelops of the ballooning waves are similar to that of the observed bursty bulk flows moving toward the Earth.

  18. Parallel wire balloon angioplasty for undilatable venous stenosis in hemodialysis fistula

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Tae Beom; You, Jin Jong; Cho, Jae Min [Gyeongsang National University Hospital, Jinju (Korea, Republic of)] (and others)

    2007-05-15

    The purpose of this study was to assess the value of the parallel wire balloon angioplasty technique for treating dysfunctional hemdialysis fistula with rigid stenosis, and this type of lesion was resistant to conventional angioplasty. Between March 2002 and August 2003, we included 6 patients (mean age: 59, males: 2, females: 4) who were treated via parallel the wire balloon angioplasty technique and their hemodialysis fistula has stenoses that were resistant to conventional angioplasty. We performed conventional angioplasty in all patients, but we failed to achieve sufficient dilatation. In the cases of highly resistant stenosis, an additional 0.016 inch wire was inserted into the 7 F vascular sheath. During angioplasty, a 0.016 inch guide wire was inserted between the balloon and the stenosis and then it was pushed to and fro until the balloon indentation disappeared. After the procedure, we performed angiography to identify the residual stenosis and the procedure-related complications. The undilatable stenoses in 5 patients were successfully resolved without complications via the parallel wire angioplasty technique. In one patient, indentation of balloon was not resolved, but the residual stenosis was both minimal and hemodynamically insignificant. The parallel wire angioplasty technique seems to be a feasible and cost-effective method for treating a dysfunctional hemodialysis fistula with undilatable and rigid stenosis.

  19. Balloon Measurements of Electric Fields in Thunderstorms: A Modern Version of Benjamin Franklin's Kite

    Science.gov (United States)

    Marshall, T. C.; Stolzenburg, M.

    2006-12-01

    One of Benjamin Franklin's most famous experiments was the kite experiment, which showed that thunderstorms are electrically charged. It is not as commonly noted that the kite experiment was also one of the the first attempts to make an in situ measurement of any storm parameter. Franklin realized the importance of making measurements close to and within storms, and this realization has been shared by later atomspheric scientists. In this presentation we focus on a modern version of Franklin's kite--instrumented balloons--used for in situ measurements of electric field and other storm parameters. In particular, most of our knowledge of the charge structure inside thunderstorms is based on balloon soundings of electric field. Balloon measurements of storm electricity began with the work of Simpson and colleagues in the 1930's and 1940's. The next major instrumentation advances were made by Winn and colleagues in the 1970's and 1980's. Today's instruments are digital versions of the Winn design. We review the main instrument techniques that have allowed balloons to be the worthy successors to kites. We also discuss some of the key advances in our understanding of thunderstorm electrification made with in situ balloon-borne instruments.

  20. Approaching the knee -- balloon-borne observations of cosmic ray composition

    CERN Document Server

    Cherry, M L

    2005-01-01

    Below the knee in the cosmic ray spectrum, balloon and spacecraft experiments offer the capability of direct composition and energy measurements on the primary particles. A major difficulty is obtaining enough exposure to extend the range of direct measurements sufficiently high in energy to permit overlap with ground-based observations. Presently, balloon and space measurements extend only up to ~100 TeV, well below the range of ground-based experiments. The prospect of Ultra-Long Duration Balloon missions offers the promise of multiple long flights that can build up exposure. The status of balloon measurements to measure the high energy proton and nuclear composition and spectrum is reviewed, and the statistical considerations involved in searching for a steepening in the spectrum are discussed. Given the very steeply falling spectrum, it appears unlikely that balloon experiments will be able to extend the range of direct measurements beyond 1000 TeV any time in the near future. Especially given the recent ...

  1. Assessment of risk of carotid occlusion with balloon Matas testing and dynamic computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Terada, Tomoaki; Okuno, Takashi; Moriwaki, Hiroshi; Nakai, Ekini; Nishiguchi, Takashi; Hayashi, Seiji; Komai, Norihiko.

    1988-02-01

    Temporary occlusion of the internal carotid artery with a balloon catheter (balloon Matas test) and simultaneous dynamic computed tomographic scanning (DCT) were performed in four patients with intracranial aneurysms to determine their tolerance for permanent carotid occlusion. Five DCT parameters were evaluated: appearance time, peak time, peak height fitting, first effective moment, and transit time. The patients were characterized into three types: type I (2 patients) - lack of neurological deficit during the balloon Matas test and equally preserved cerebral blood flow (CBF) in the two hemispheres on DCT during carotid occlusion, type II (one patient) - a decreased CBF on the occluded side on DCT despite the lack of neurological deficit; type III (one patient) - neurological signs, such as disturbance of consciousness, aphasia, and right hemiparesis occuring immediately after the start of the balloon Matas test, and a decreased CBF in the region of the middle and anterior cerebral arteries on the occluded side. In the type III patient, occlusion of the internal carotid artery is contraindicated unless an EC-IC bypass procedure that can rapidly provide a large supply of blood is performed. It can be concluded that the balloon Matas/DCT method offers a reliable means of predicting the risk of carotid ligation. (Namekawa, K.).

  2. Status of the Balloon-Borne X-ray Polarimetry Mission X-Calibur

    Science.gov (United States)

    Krawczynski, Henric; Kislat, Fabian; Stuchlik, David; Okajima, Takashi; de Geronimo, Gianluigi

    2016-04-01

    We report on the status of the balloon borne hard X-ray polairmetry mission X-Calibur. The missions combines a focussing hard X-ray mirror from the InFOCuS collaboration with a scattering polarimeter and the WASP (Wallops Arc Second Pointer) pointing system. The mission is scheduled for a conventonal ~1 day balloon flight in Fall 2016 and a long duration (~30 day) balloon flight from McMurdo (Ross Island) in 2018/2019. X-Calibur will allow us to measure ~5% polarization fractions for strong sources with a Crab-like enegry spectra and fluxes. The science targets of the first balloon flights will include the stellar mass black holes GRS 1915+105 and Cyg X-1, Her X-1, Sco X-1, and the Crab nebula and pulsar. The long duration balloon flight will target several X-ray binaries and the extragalactic mass accreting supermassive black hole Cen A. In this contribution we give an update on the status of the mission, and the expected science return.

  3. Combined CT and fluoroscopic guidance of balloon kyphoplasty versus fluoroscopy-only procedures

    Energy Technology Data Exchange (ETDEWEB)

    Amoretti, Nicolas; Marcy, Pierre-Yves; Lesbats-Jacquot, Virginie; Fonquerne, Marie-Eve; Hericord, Olivier; Maratos, Yvonne [Centre Hospitalier Universitaire de Nice, Service de Radiologie, Nice (France); Hovorka, Istvan [Centre Hospitalier Universitaire de Nice, Spine Surgery Department, Nice (France); Roux, Christian; Euller-Ziegler, Liana [Centre Hospitalier Universitaire de Nice, Rheumatology Department, Nice (France)

    2009-07-15

    To evaluate the performance of combined (computed tomography (CT) and fluoroscopic) guidance of balloon kyphoplasty in comparison to fluoroscopic guidance alone. Forty-one kyphoplasties were performed between January 2005 and March 2006 according to two different protocols. Study group 1 consisted of 20 consecutive patients with 20 balloon kyphoplasty procedures under dual guidance (CT scan and fluoroscopy) for osteoporotic or traumatic vertebral fractures. Study group 2 consisted of 21 consecutive patients in whom kyphoplasty was performed with fluoroscopy alone. Visualization of the pedicles, the final of the balloon position, and cement distribution were evaluated(1 - poor, 2 - intermediate, 3 - good). Combined use of CT and fluoroscopy (group 1) was superior in identifying the pedicles (100% versus 66.7%, p = 0.009) and balloon placement (100% versus 71.4%, p = 0.02) but not in monitoring of cement distribution within the vertebral body (100% versus 90.5%, p = 0.49). The difference between the two groups was more pronounced in the thoracic spine than in the lumbar spine. CT/fluoroscopic guidance of kyphoplasty combines safe CT-guided insertion of the osteointroducers and balloons as well as fluoroscopic real-time monitoring of polymethylmethacrylate injection. (orig.)

  4. Balloon catheter dilation technology combined with a fibrolaryngoscope to treat a maxillary sinus cyst.

    Science.gov (United States)

    Xiao, Jianxin; Chen, Junming; Wang, Yuejian

    2016-02-01

    A prospective randomized controlled study was conducted to investigate the effect of balloon catheter dilation technology combined with a fibrolaryngoscope in the treatment of a maxillary sinus cyst. The clinical data of 14 cases (19 maxillary sinuses) with balloon catheter dilation technology combined with a fibrolaryngoscope to remove sinus cysts (balloon group) and 16 cases (23 maxillary sinuses) with conventional nasal endoscopic sinus surgery to remove sinus cysts (conventional group) were analyzed. All cases have completed the preoperative and postoperative SNOT-20, nasal endoscopy and coronal sinus CT scan. Lund-Kennedy endoscopic and Lund-Mackay CT scan staging scores were recorded. All patients were followed up for 24 weeks after the operation. The SNOT-20 scores, Lund-Kennedy endoscopic and Lund-Mackay CT scan staging scores were lower in the balloon group than that in the control group. Balloon catheter dilation technology combined with a fibrolaryngoscope can effectively preserve the function and structures of the nasal cavity and sinus, making it a good choice in the treatment of a retention cyst of the maxillary sinus.

  5. Femorofemoral grafts for lower limb ischemia caused by intra-aortic balloon pump.

    Science.gov (United States)

    Friedell, M L; Alpert, J; Parsonnet, V; Brief, D K; Brener, B J; Goldenkranz, R J; Nozick, J

    1987-01-01

    From January 1975 to December 1985, 1454 patients had an intra-aortic balloon inserted for cardiac assistance. Eighty balloon-dependent patients had severe limb ischemia and required a femorofemoral graft (FFG) (5% of the total group of patients). Twenty-nine of the 80 patients with grafts (or 36%) left the hospital and 28 were followed up for an average of 40 months to determine late complications associated with the crossover grafts. All grafts remained patent. The 28 patients were classified into five groups according to the degree and type of lower limb ischemia. Group I consisted of 13 asymptomatic patients (46%); group II had four (14%) patients with mild claudication caused by preexisting peripheral arteriosclerosis; group III comprised four patients (14%) without preexisting disease but claudication subsequent to the FFG; group IV had five patients with irreversible ischemic sequelae before grafting ending in amputation, foot drop, or persistent paresthesia; and group V consisted of two patients with graft infection (7%). The perioperative mortality rate of the balloon-dependent patients with an FFG (64%) reflects the gravity of the cardiac condition. Placement of an FFG to relieve limb ischemia in these patients is followed by few immediate or late complications in the survivors and any persistent limb changes were related to the prolonged ischemia present before revascularization. Our data suggest that in balloon-dependent patients with limb-threatening ischemia, aggressive use of the FFG is limb-saving, durable, and allows continuation of balloon support.

  6. Thermal design and performance of the balloon-borne large aperture submillimeter telescope for polarimetry BLASTPol

    CERN Document Server

    Soler, J D; Angilè, F E; Benton, S J; Devlin, M J; Dober, B; Fissel, L M; Fukui, Y; Galitzki, N; Gandilo, N N; Klein, J; Korotkov, A L; Matthews, T G; Moncelsi, L; Mroczkowski, A; Netterfield, C B; Novak, G; Nutter, D; Pascale, E; Poidevin, F; Savini, G; Scott, D; Shariff, J A; Thomas, N E; Truch, M D; Tucker, C E; Tucker, G S; Ward-Thompson, D

    2014-01-01

    We present the thermal model of the Balloon-borne Large-Aperture Submillimeter Telescope for Polarimetry (BLASTPol). This instrument was successfully flown in two circumpolar flights from McMurdo, Antarctica in 2010 and 2012. During these two flights, BLASTPol obtained unprecedented information about the magnetic field in molecular clouds through the measurement of the polarized thermal emission of interstellar dust grains. The thermal design of the experiment addresses the stability and control of the payload necessary for this kind of measurement. We describe the thermal modeling of the payload including the sun-shielding strategy. We present the in-flight thermal performance of the instrument and compare the predictions of the model with the temperatures registered during the flight. We describe the difficulties of modeling the thermal behavior of the balloon-borne platform and establish landmarks that can be used in the design of future balloon-borne instruments.

  7. Loss of Guide Wire: A Rare Complication of Intra-Aortic Balloon Pump Insertion

    Directory of Open Access Journals (Sweden)

    Manouchehr Hekmat

    2015-10-01

    Full Text Available At the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the Seldinger technique. However, while the balloon pump was being passed over the guide wire, the latter was completely lost.The guide wire should be held at the tip at all times to prevent passage into the vessel. Strict adherence to this rule will prevent guide-wire loss, which is, albeit rare and completely avoidable, a potentially life-threatening complication of central vein or artery catheterization, with reported fatality rates of up to 20% when the whole wire is lost. The literature contains several reports on guide-wire loss during central venous, arterial, and hemodialysis catheterization, but we report for the first time the loss of a guide wire as a rare complication of intra-aortic balloon pump insertion.

  8. Design and construction of a carbon fiber gondola for the SPIDER balloon-borne telescope

    CERN Document Server

    Soler, J D; Amiri, M; Benton, S J; Bock, J J; Bond, J R; Bryan, S A; Chiang, C; Contaldi, C C; Crill, B P; Doré, O P; Farhang, M; Filippini, J P; Fissel, L M; Fraisse, A A; Gambrel, A E; Gandilo, N N; Golwala, S; Gudmundsson, J E; Halpern, M; Hasselfield, M; Hilton, G C; Holmes, W A; Hristov, V V; Irwin, K D; Jones, W C; Kermish, Z D; Kuo, C L; MacTavish, C J; Mason, P V; Megerian, K G; Moncelsi, L; Nagy, J M; Netterfield, C B; O'Brient, R; Rahlin, A S; Reintsema, C D; Ruhl, J E; Runyan, M C; Shariff, J A; Trangsrud, A; Tucker, C; Tucker, R S; Turner, A D; Weber, A C; Wiebe, D V; Young, E Y

    2014-01-01

    We introduce the light-weight carbon fiber and aluminum gondola designed for the SPIDER balloon-borne telescope. SPIDER is designed to measure the polarization of the Cosmic Microwave Background radiation with unprecedented sensitivity and control of systematics in search of the imprint of inflation: a period of exponential expansion in the early Universe. The requirements of this balloon-borne instrument put tight constrains on the mass budget of the payload. The SPIDER gondola is designed to house the experiment and guarantee its operational and structural integrity during its balloon-borne flight, while using less than 10% of the total mass of the payload. We present a construction method for the gondola based on carbon fiber reinforced polymer tubes with aluminum inserts and aluminum multi-tube joints. We describe the validation of the model through Finite Element Analysis and mechanical tests.

  9. Balloon observations of Galactic cosmic ray helium before and during a Forbush decrease

    Science.gov (United States)

    Clem, J. M.; Guzik, T. G.; Lijowski, M.; Wefel, J. P.; Beatty, J. J.; Ficenec, D. J.; Tobias, S.; Mitchell, J. W.; Mckee, S.; Nutter, S.

    1993-01-01

    The energy spectrum of Galactic cosmic ray helium was measured in two different balloon experiments launched four days apart from Canada: SMILI-I on Sept 1, 1989 and MASS on Sept 5, 1989. A slow Forbush decrease began on Sept 4, 1989 and had not reached its maximum at the time of the MASS flight. Comparison of the balloon measurements shows a fractional decrease of 0.37 to 0.15 in the Helium flux between 200 and 450 MeV/nucleon (1.2-2.0 GV). The rigidity dependence is analyzed in two models and found to be steeper than previous observations. Interplanetary particle data and ground-based Neutron Monitor results are consistent with the balloon observations. Probable sources for this Forbush decrease are discussed.

  10. Multi-Modal Image Registration and Matching for Localization of a Balloon on Titan

    Science.gov (United States)

    Ansar, Adnan I.

    2011-01-01

    A solution was developed that matches visible/IR imagery aboard a balloon in Saturn's moon Titan's atmosphere to SAR (synthetic aperture radar) and visible/IR data acquired from orbit. A balloon in Titan's atmosphere must be able to localize itself autonomously both globally and with respect to local terrain. The orbital data is used to provide the balloon imagery with global context. The work is novel in applying mutual information (MI) to orbital vs. aerial data. There are unique challenges in this setting. Image offsets are much higher than in medical imaging, there is local distortion due to 3D terrain relief, and the fields of regard from orbit and from the air are quite different.

  11. A balloon-borne millimeter-wave telescope for cosmic microwave background anisotropy measurements

    CERN Document Server

    Fixsen, D J; Cottingham, D A; Folz, W C; Inman, C A; Kowitt, M S; Meyer, S; Page, L A; Puchalla, J L; Ruhl, J E; Silverberg, R F

    1995-01-01

    We report on the characteristics and design details of the Medium Scale Anisotropy Measurement (MSAM), a millimeter-wave, balloon-borne telescope that has been used to observe anisotropy in the Cosmic Microwave Background Radiation (CMBR) on 0\\fdg5 angular scales. The gondola is capable of determining and maintaining absolute orientation to a few arcminutes during a one-night flight. Emphasis is placed on the optical and pointing performance as well as the weight and power budgets. We also discuss the total balloon/gondola mechanical system. The pendulation from this system is a ubiquitous perturbation on the pointing system. A detailed understanding in these areas is needed for developing the next generation of balloon-borne instruments.

  12. Fibular free flap with arteria peronea magna: the role of preoperative balloon occlusion.

    Science.gov (United States)

    Rahmel, Benjamin B; Snow, Thomas M; Batstone, Martin D

    2011-03-01

    The free fibular osteocutaneous flap is a commonly used donor for reconstruction of mandibular defects. Vascular abnormalities and leg trauma are relative contraindications to the use of a fibular free flap. Peroneal arteria magna (PAM) is one such vascular abnormality that may preclude the use of the graft due to the high risk of lower-limb ischemia. Lower-limb angiography is the standard for assessing the lower-limb vascular anatomy; however, the indications remain controversial. Although balloon occlusion has been used to assess the vascular supply in distal bypass surgery, there have no reported cases of balloon occlusion to assess the viability of the distal extremity with PAM. Intraoperative assessment of vascular anatomy with an aborted harvest can lead to significant morbidity and cost. Balloon occlusion provides a relatively safe and minimally invasive technique for assessment of potential lower-limb ischemia in patients with PAM.

  13. Preliminary Electric Field Results From A Multiple Balloon Campaign to Study Relativistic Electron Loss

    Science.gov (United States)

    Bering, E. A.; Kokorowski, M.; Holzworth, R. H.; Sample, J. G.; McCarthy, M. P.; Smith, D. M.; Parks, G. K.; Millan, R. M.; Woodger, L.; Reddell, B. D.; Lay, E.; Bale, S. D.; Pulupa, M.; O'Brien, T. P.; Blake, J. B.; Lin, R. P.; Moraal, H.; Stoker, P.; Hughes, A. R.; Collier, A. B.

    2005-05-01

    The MINIS balloon campaign was successfully conducted in January 2005 to investigate relativistic electron loss mechanisms. Quantifying and understanding losses is an integral part of understanding the variability of relativistic electrons in the radiation belts. Balloon-based experiments directly measure precipitation and thus provide a method for quantifying losses, while the nearly stationary platform allows for the separation of temporal and spatial variations. A new class of precipitation event, characterized by extremely hard spectra, short durations, and complex temporal structure, occurring in the evening to midnight sector, was discovered by the INTERBOA balloon in 1996 and studied further by the MAXIS balloon in 2000. The MINIS campaign provided the first opportunities for multi-point measurements of electron precipitation up to MeV energies, including simultaneous measurements at different longitudes and at near-conjugate locations. Two balloons, each carrying an X-ray spectrometer for measuring the bremsstrahlung produced as electrons precipitate into the atmosphere, were launched from Churchill, Manitoba at 0850 UT on 21 January 2005 and 0140 UT on 25 January 2005. Four balloons, each carrying an X-ray spectrometer, a Z-axis search coil magnetometer, and a 3-axis electric field instrument providing DC electric field and VLF measurements in 3 frequency bands, were launched from the South African Antarctic Station (SANAE IV). The Southern launches took place at 1400 UT on 17 January, 1309 UT on 19 January, 2115 UT on 20 January, and 0950 UT on 24 January 2005. In this paper, we present the preliminary results from the MINIS South electric field instrumentation. We have good DC and VLF electric field data from all payloads, and the payload rotation mechanism worked in all four as well. The campaign began with two large solar flares. In the post-flare environment, some very magnetospherically active periods are included in our data, with strong and

  14. Preliminary X-ray Results From A Multiple Balloon Campaign to Study Relativistic Electron Loss

    Science.gov (United States)

    Sample, J. G.; Kokorowski, M.; Millan, R. M.; McCarthy, M.; Holzworth, R. H.; Bering, E. A.; Parks, G. K.; Woodger, L.; Reddell, B. D.; Lay, E.; Pulupa, M.; Bale, S.; O'Brien, T. P.; Blake, J. B.; Lin, R. P.; Moraal, H.; Stoker, P.; Hughes, A. R.; Collier Cameron, A.; Smith, D. M.

    2005-05-01

    The MINIS balloon campaign was successfully conducted in January 2005 to investigate relativistic electron loss mechanisms. Quantifying and understanding losses is an integral part of understanding the variability of relativistic electrons in the radiation belts. Balloon-based experiments directly measure precipitation and thus provide a method for quantifying losses, while the nearly stationary platform allows for the separation of temporal and spatial variations. A new class of precipitation event, characterized by extremely hard spectra, short durations, and complex temporal structure, occurring in the evening to midnight sector, was discovered by the INTERBOA balloon in 1996 and studied further by the MAXIS balloon in 2000. The MINIS campaign provided the first opportunities for multi-point measurements of electron precipitation up to MeV energies, including simultaneous measurements at different longitudes and at near-conjugate locations. Two balloons, each carrying an X-ray spectrometer for measuring the bremsstrahlung produced as electrons precipitate into the atmosphere, were launched from Churchill, Manitoba at 0850 UT on 21 January 2005 and 0140 UT on 25 January 2005. Four balloons, each carrying an X-ray spectrometer, a Z-axis search coil magnetometer, and a 3-axis electric field instrument providing DC electric field and VLF measurements in 3 frequency bands, were launched from the South African Antarctic Station (SANAE IV). The Southern launches took place at 1400 UT on 17 January, 1309 UT on 19 January, 2115 UT on 20 January, and 0950 UT on 24 January 24 2005. In this paper, we present the preliminary results from the MINIS North and South X-ray data. The first and second Southern payloads observed a rarely-seen phenomenon: gamma-ray line emission from nuclear interactions of solar protons in the Earth's atmosphere. When the solar particles abated, there were numerous opportunities for simultaneous observations of MeV precipitation from multiple

  15. Balloon Coating with Rapamycin Using an On-site Coating Device

    Energy Technology Data Exchange (ETDEWEB)

    Schmehl, Joerg, E-mail: joerg.schmehl@med.uni-tuebingen.de [Department of Diagnostic and Interventional Radiology, University Hospital of Tuebingen (Germany); Ruhr, Juergen von der [Institute of Anatomy, University of Tuebingen (Germany); Dobratz, Markus; Kehlbach, Rainer [Department of Diagnostic and Interventional Radiology, University Hospital of Tuebingen (Germany); Braun, Isabelle [Translumina GmbH (Germany); Greiner, Tim-Oliver [Clinic of Thoracic and Cardiovascular Surgery, University Hospital of Tuebingen (Germany); Claussen, Claus D. [Department of Diagnostic and Interventional Radiology, University Hospital of Tuebingen (Germany); Behnisch, Boris [Translumina GmbH (Germany)

    2013-06-15

    Purpose. The efficacy of drug-eluting balloons has been demonstrated in clinical trials. The drug predominantly used is paclitaxel because of its lipophilic properties and the rapid onset of action. The aim of the investigation was to evaluate the feasibility and efficacy of an alternative balloon coating with rapamycin that can be applied on site.MethodsThe balloon coating (3.0/18 and 3.0/12 mm, Cathy No. 4, Translumina GmbH) with rapamycin was conducted with a coating machine (Translumina GmbH). Concentrations were 2, 2 Multiplication-Sign 2, 3, and 4 %. Measurements regarding the amount of substance released to the vessel wall were carried out on explanted porcine coronaries by means of ultraviolet and visible-light spectroscopy. Inflation time varied between 30 and 120 s. The biological effect of the coating was evaluated in a porcine peripheral overstretch and stent implantation model. Results. The amount of rapamycin on the balloon surface ranged from 558 {+-} 108 {mu}g for the 2 % solution to 1,441 {+-} 228 {mu}g in the 4 % solution. An amount of 95 {+-} 63-193 {+-} 113 {mu}g was released into the vessel wall. The quantitative measurements of the angiographic examinations 4 weeks after treatment revealed a reduction of diameter stenosis from 20.6 {+-} 17.4 % in the control group to 11.6 {+-} 5.5 % in the drug-eluting balloon group. Conclusion. A balloon coating with rapamycin omitting an excipient is possible with a dose-adjustable coating machine. However, the biological effects are moderate, which make further optimization of the coating process and evaluation of appropriate excipients necessary.

  16. Lifting options for stratospheric aerosol geoengineering: advantages of tethered balloon systems.

    Science.gov (United States)

    Davidson, Peter; Burgoyne, Chris; Hunt, Hugh; Causier, Matt

    2012-09-13

    The Royal Society report 'Geoengineering the Climate' identified solar radiation management using albedo-enhancing aerosols injected into the stratosphere as the most affordable and effective option for geoengineering, but did not consider in any detail the options for delivery. This paper provides outline engineering analyses of the options, both for batch-delivery processes, following up on previous work for artillery shells, missiles, aircraft and free-flying balloons, as well as a more lengthy analysis of continuous-delivery systems that require a pipe connected to the ground and supported at a height of 20 km, either by a tower or by a tethered balloon. Towers are shown not to be practical, but a tethered balloon delivery system, with high-pressure pumping, appears to have much lower operating and capital costs than all other delivery options. Instead of transporting sulphuric acid mist precursors, such a system could also be used to transport slurries of high refractive index particles such as coated titanium dioxide. The use of such particles would allow useful experiments on opacity, coagulation and atmospheric chemistry at modest rates so as not to perturb regional or global climatic conditions, thus reducing scale-up risks. Criteria for particle choice are discussed, including the need to minimize or prevent ozone destruction. The paper estimates the time scales and relatively modest costs required if a tethered balloon system were to be introduced in a measured way with testing and development work proceeding over three decades, rather than in an emergency. The manufacture of a tether capable of sustaining the high tensions and internal pressures needed, as well as strong winds, is a significant challenge, as is the development of the necessary pumping and dispersion technologies. The greatest challenge may be the manufacture and launch of very large balloons, but means have been identified to significantly reduce the size of such balloons or aerostats.

  17. Healing after arterial dilatation with radiofrequency thermal and nonthermal balloon angioplasty systems.

    Science.gov (United States)

    Kaplan, J; Barry, K J; Connolly, R J; Nardella, P C; Hayes, L L; Lee, B I; Waller, B F; Becker, G J; Callow, A D

    1993-01-01

    Thermal balloon angioplasty has been proposed as a means of reducing acute and delayed reclosure of arteries after percutaneous transluminal balloon angioplasty. A radiofrequency (rf) balloon catheter was used to perform thermal balloon angioplasty on canine arteries in vivo. The histologic appearance of rf-treated sites was compared with that of control sites treated by conventional percutaneous transluminal angioplasty. Acutely, rf-treated sites showed a reduced medial cellularity with preservation of internal elastic lamina except at the transitional zone between thermal injury and normal artery, where localized internal elastic lamina disruption was found. Nonthermal sites showed generalized disruption of internal elastic lamina and normal medial cellularity. Both thermal and nonthermal sites displayed a return of intimal cover commencing at 1 to 2 weeks and completed by 4 weeks. Diffuse myointimal hyperplasia appeared by 2 weeks after injury at breaks in the internal elastic lamina along the nonthermal vessels but was localized to the transitional zone in thermal injury sites. In rf-treated vessels, repopulation of the acellular thermally modified media had commenced by 4 weeks, and by 8 weeks the media was diffusely repopulated by spindle-shaped cells resembling smooth muscle cells lying between and aligned with preserved connective tissue laminae. Overall, the distribution and extent of the proliferative response after rf thermal balloon angioplasty were less than those seen after nonthermal balloon angioplasty. Thermal sites, which underwent reintimalization before medial cells returned, were considerably less prone to the development of myointimal hyperplasia. These results suggest that this modality may have beneficial effects on arterial healing after angioplasty.

  18. Effect of low-grade conductive heating on vascular compliance during in vitro balloon angioplasty.

    Science.gov (United States)

    Mitchel, J F; Fram, D B; Aretz, T A; Gillam, L D; Woronick, C; Waters, D D; McKay, R G

    1994-07-01

    Radiofrequency-powered, thermal balloon angioplasty is a new technique that enhances luminal dilatation with less dissection than conventional angioplasty. The purpose of this study was to assess the effect of radiofrequency heating of balloon fluid on the pressure-volume mechanics of in vitro balloon angioplasty and to determine the histologic basis for thermal-induced compliance changes. In vitro, radiofrequency-powered, thermal balloon angioplasty was performed on 46 paired iliac segments freshly harvested from 23 nonatherosclerotic pigs. Balloon inflations at 60 degrees C were compared to room temperature inflations in paired arterial segments. Intraballoon pressure and volume were recorded during each inflation as volume infusion increased pressure over a 0 to 10 atm range. Pressure-volume compliance curves were plotted for all dilatations. Six segments were stained to assess the histologic abnormalities associated with thermal compliance changes. Radiofrequency heating acutely shifted the pressure-volume curves rightward in 20 of 23 iliac segments compared to nonheated controls. This increase in compliance persisted after heating and exceeded the maximum compliance shift caused by multiple nonheated inflations in a subset of arterial segments. Histologically, heated segments showed increased thinning and compression of the arterial wall, increased medial cell necrosis and altered elastic tissue fibers compared to nonheated specimens. In conclusion, radiofrequency heating of intraballoon fluid to 60 degrees C acutely increases vascular compliance during in vitro balloon angioplasty of nonatherosclerotic iliac arteries. The increased compliance persists after heating and can be greater than the compliance shifts induced by multiple conventional dilatations. Arterial wall thinning and irreversible alteration of elastic tissue fibers probably account for thermal compliance changes.

  19. Coriolis Mass-Flowmeter for aerostatic gas amount determination in zero pressure stratosperic balloons.

    Science.gov (United States)

    Behar, Jean-Baptiste

    2016-07-01

    The CNES ballooning community regularly operates zero pressure balloons in many countries around the world (recently in France, Sweden, Canada and soon, Australia in 2017). An important operational flight parameter is the aerostatic gas mass injected into the balloon (currently helium and hydrogen in the study). Besides the lifting force, it determines mainly the ascent rate from which the adiabatic expansion depends directly. A too high ascent velocity in very cold air temperature profiles could result in a gas temperature drop which if too great, might induce brittleness of the envelope. A precise gas mass determination is therefore critical for performance as well as for mission safety. The various gas supply tanks in various countries all have different characteristics with possible uncertainties with regard to their volumes. This makes the currently used gas mass determination method based on supply tank pressure measurements unreliable. This method also relies on tank temperature, another source of inaccuracy in the gas amount determination. CNES has therefore prospected for alternative methods to reduce inaccuracies and perhaps also ease the operational procedures during balloon inflation. Coriolis mass-flowmeters which have reached industrial maturity, offer the great advantage over other flowmeters to be able to directly measure the mass of the transferred fluid, and not deducing it from other parameters as other types of flowmeters would do. An industrial contractor has been therefore assigned to integrate this solution into the CNES operational setup. This new system is to be tested in February 2016. The presentation will briefly explain the Coriolis flowmeter's principle and display the February 2016 performance tests' results. The expected incidence on zero pressure balloons' trajectories will also be discussed based on simulations ran on a balloon flight simulator software.

  20. CNES super pressure balloons assessment and new developments to prepare Strateole-2 campaign

    Science.gov (United States)

    Venel, Stephanie; Spel, Martin; Cocquerez, Philippe; Meyer, Jean-Renaud; Nicot, Jean-Marc.; Parot, Gael; Perraud, Sophie

    The French Space Agency, CNES, has developed, since about twelve years ago, super pressure balloons (SPB) that float on constant density (isopycnic) surfaces in the lowermost stratosphere, carrying 40 to 50 kg payloads, during typically three months. These SPB have been successfully deployed in flotilla of about 20 balloons for different scientific campaigns all over the world in different configuration sizes from 8,5 to 12 m diameter, mainly to document the chemistry and dynamics of the atmosphere, to study gravity waves, and to provide in-situ atmospheric profiles thanks to the NCAR driftsonde payloada. This paper will describe the main results and lessons achieved during the last CONCORDIASI campaign in 2010 over the Antarctic region. Thus, anomalies on the on-board system were investigated and explained by the effect of atmospheric particles fluxes. Also related to these flights, an accurate thermal model was built to evaluate the temperature distribution in the balloon, and several ageing tests have been made to better understand the effect of solar exposure on the different balloon materials. This paper will also present the new developments in progress for the future STRATEOLE-2 campaign dedicated to advance the knowledge of coupling processes between the troposphere and the stratosphere in the deep tropics, and foreseen in 2018-2019. In particular, a new command-control system will be developed to be in conformity with the CNES safety rules, and in continuation with the new zero pressure balloons system named NOSYCA. New solar panels are under investigation. Finally, two new balloon sizes will grow the SPB family to respond to the scientist demand of two special altitude densities.

  1. The Effect of the BalloonSat Project on Middle and High School Students' Attitude toward Science

    Science.gov (United States)

    Verhage, L. Paul

    2012-01-01

    This study measured the effect of completing a BalloonSat project on student attitude toward science. Seven categories of student attitudes toward science were measured using the Test of Science Relate Attitudes survey (TOSRA). The research anticipated that the BalloonSat project would have similar effects on student attitudes as found in robotics…

  2. The removal of intravascular bullets by interventional radiology: the prevention of central migration by balloon occlusion--case report.

    Science.gov (United States)

    Sclafani, S J; Shatzkes, D; Scalea, T

    1991-10-01

    A migratory intravascular bullet fragment located within the hypogastric vein was removed successfully with the aid of interventional radiologic techniques. The authors describe the use of the technique of balloon trapping as part of this procedure. A balloon should be inflated between the foreign body and the heart before retrieval is attempted in order to prevent migration back to the heart during the manipulation.

  3. Treatment of hepatic venous stenosis by transfemoral venous balloon dilation following living donor liver transplantation: a case report

    Institute of Scientific and Technical Information of China (English)

    Weiwei Jiang; Yangsui Liu; Lianbao Kong

    2009-01-01

    Hepatic venous stenosis may be a cause of graft failure in living donor liver transplantation (LDLT). Balloon dilation and metallic frame approaches have been used successfully to treat hepatic venous stenosis. Here, we report the effect of transfemoral venous balloon dilation for treating a child with hepatic venous stenosis after LDLT.

  4. Microbiological sampling of the atmosphere using a latex sounding balloon

    Science.gov (United States)

    Adkins, W. P.; Bryan, N.; Christner, B. C.; Guzik, T. G.; Stewart, M. F.; Giammanco, J. R.

    2010-12-01

    The occurrence of microbes in the atmosphere has been the subject of scientific inquiry since Louis Pasteur’s time; however, data on the nature and diversity of microbial life in the upper troposphere and stratosphere is very limited. To experimentally address this, we have designed, constructed, and field-tested a lightweight, autonomous system that can sample at high altitudes using a latex sounding balloon. An important aspect of our sampling protocol is the ability to decontaminate and assess the level of background contamination during laboratory and field handling. Our approach involves the parallel decontamination and monitoring of 3 identical payloads: (i) one that remains in the laboratory, (ii) a control on the flight string, and (iii) a payload that opens and samples airborne particles in the atmosphere. Comparative analysis of various sterilization methods indicated that ethylene oxide was most effective at decreasing the concentration of DNA-containing cells, decreasing background cellular contamination by 94%. In conjunction, germicidal ultraviolet light, sodium hypochlorite, and 70% ethanol were used to decrease the concentration of microbes associated with payload surfaces. Bioaerosol collection is achieved by impact sampling on a 3.5 mm^2 retention surface covered with a thin layer of sterile silicone grease as the payload travels through the atmosphere. Initial flights have been successful in recovering viable microorganisms present in parcels of air at altitudes of 3 km to 9 km. Microscopic analysis on the collected cell assemblages implied that ~70% of the cells were potentially viable, and aerobic heterotrophic bacteria were cultured and isolated from liquid and agar-solidified culture media. Future plans include increasing the sampling altitude up to ~30 km in a series of discrete steps, maintaining our background controls and connection to lower altitude measurements. The pressure, temperature, and radiation levels in Earth’s stratosphere

  5. Exploring the interior structure of Venus with balloons and satellites

    Science.gov (United States)

    Mimoun, David; Cutts, Jim; Stevenson, Dave

    2015-04-01

    Although present daily in our sky as the brightest object at dusk and dawn, many characteristics of Venus remains a mystery. Its dense atmosphere hides the surface from orbital viewing, and the extreme conditions experienced at its surface (460°C, almost 100 bar of pressure at the surface) pose a formidable challenge to the sustained survival and operation of planetary landers. Despite their sharply contrasting atmospheres, Venus is not very different from Earth in size, its composition should be very similar, its orbit is very close to be circular and it is only a little closer to the Sun ( 0.7 A.U). So what are the processes that turned the twin sister of our planet into such a different object? And how can we better understand the processes that have shaped the terrestrial planets, and to understand their formation history? With its harsh surface environment, conventional seismology on Venus, requiring seismometers to be deployed at the surface for months or even years seems impractical. In June 2014, the Keck Institute for Space Studies (KISS) at the California Institute of Technology sponsored a one-week workshop with 30 specialists in the key techniques and technologies relevant to investigating Venus's interior structure focusing on alternative approaches to seismology . As the vertical component of surface motion on Venus is very efficiently coupled into the atmosphere as infrasonic waves, especially at low frequency, several alternative approaches to detecting seismic events can be considered. Seismo-acoustic waves propagate upwards producing pressure fluctuations in the middle atmosphere of Venus and the seismic wave energy is ultimately dissipated by local heating, ionospheric perturbation, or airglow. These atmospheric perturbations can therefore be recorded either in-situ (with a barometer network, deployed on balloons floating in the cloud layer near 55 km) or remotely via optical imaging or electromagnetic sounding deployed on a spacecraft. A report

  6. Sicily 2002 balloon campaign: a test of the HASI instrument

    Science.gov (United States)

    Bettanini, C.; Fulchignoni, M.; Angrilli, F.; Lion Stoppato, P. F.; Antonello, M.; Bastianello, S.; Bianchini, G.; Colombatti, G.; Ferri, F.; Flamini, E.; Gaborit, V.; Aboudan, A.

    2004-01-01

    A mock-up of the probe descending in the Titan atmosphere as part of the Huygens Cassini Mission was successfully launched and recovered on 30th May 2002 after a stratospheric balloon launch from the Italian Space Agency Base "Luigi Broglio" in Trapani, Sicily. To simulate the Huygens mission at Titan, the probe was lifted to an altitude of 32 km and then released to perform a 45 min parachute decelerated descent. The probe was hosting spares of HASI instruments, housekeeping sensors and other dedicated sensors, Beagle II UV Sensors and Huygens Tilt Sensor, for a total of 76 acquired sensor channels and sampled during the ascent, drift and descent phase. An integrated data acquisition and instrument control system was developed, based on PC architecture and soft-real-time application. Sensors channels were sampled at the nominal HASI data rates, with a max rate of 1 kHz. Software was developed for data acquisition, onboard storage and telemetry transmission satisfying all requests for real-time monitoring, diagnostic and redundancy. The main goal of this flight was to verify sensor performance and perform a realistic functional test for HASI hardware in dynamical and environmental conditions similar to those of the Titan atmosphere as well as the impact detection sequence of HASI accelerometer and HASI during ground landing. Aerodynamic study of the probe has contributed in achieving descent velocity and spin rate profiles close to the ones envisioned for the Huygens Titan descent. Profiles have been calculated by solving a system of ODE describing the translational and rotational motion of the probe through the Earth's atmosphere during parachute aided descent. Results of these calculations have driven the choice of an appropriate angle of attack of the blades in the bottom of the probe and ballast weight during flight. Passive thermal control of the probe has also been designed and implemented in order to guarantee proper temperature ranges on critical components

  7. Optimal patient positioning for ligamentotaxis during balloon kyphoplasty of the thoracolumbar and lumbar spine.

    LENUS (Irish Health Repository)

    Cawley, D T

    2011-06-01

    Percutaneous balloon kyphoplasty aims to restore vertebral height, correct angular deformity and stabilize the spine in the setting of vertebral compression fractures. The patient is positioned prone with supports under the iliac crests and upper thorax to allow gravity to extend the spine. In the treatment of lumbar fractures, we evaluated patient positioning with the contribution of hip extension to increase anterior ligamentotaxis, thus facilitating restoration of vertebral height. Our positioning technique created a mean anterior height increase from 72% to 78% of the average height of the cranial and caudal vertebrae (p=0.037). Balloon inflation did not significantly further increase anterior or posterior vertebral height, or Cobb angle.

  8. Overview Of The Scientific Balloon Activity in Sweden 2014-2016

    Science.gov (United States)

    Abrahamsson, Mattias; Lockowandt, Christian; Andersson, Kent

    2016-07-01

    SSC, formerly known as Swedish Space Corporation, is a Swedish state-owned company working in several different space related fields, including scientific stratospheric balloon launches. Esrange Space Centre (Esrange in short) located in the north of Sweden is the launch facility of SSC, where both sounding rocket launches and stratospheric balloon launches are conducted. At Esrange there are also facilities for satellite communication, including one of the largest civilian satellite data reception stations in the world. Stratospheric balloons have been launched from Esrange since 1974, when the first flights were performed together with the French space agency CNES. These balloon flights have normally flown eastward either only over Sweden or into Finland. Some flights have also had permission to fly into Russia, as far as the Ural Mountains. Normal flight times are from 4 to 12 hours. These eastward flights are conducted during the winter months (September to May). Long duration flights have been flown from Esrange since 2005, when NASA flew the BLAST payload from Sweden to north Canada. The prevailing westerly wind pattern is very advantageous for trans-Atlantic flights during summer (late May to late July). The long flight times of 4-5 days are very beneficial for astronomical payloads, such as telescopes that need long observation times. Circumpolar flights of more than two weeks are possible if Russian overflight permission exists. Typical scientific balloon payload fields include atmospheric research, including research on ozone depletion, astronomical and cosmological research, and research in technical fields such as aerodynamics. Since last COSPAR a number of interesting balloon flights have been performed from Esrange. In late 2014 parachute tests for the ExoMars programme was performed by drop-test from balloons. This was followed up on in the summer of 2015 with full end-to-end dynamic stability tests of Earth re-entry capsule shapes. Several balloon

  9. Balloon Occlusion Types in the Treatment of Coronary Perforation during Percutaneous Coronary Intervention

    Directory of Open Access Journals (Sweden)

    Xiangfei Wang

    2014-01-01

    Full Text Available Coronary artery perforation is an uncommon complication in patients with coronary heart disease undergoing percutaneous coronary intervention. However, pericardial tamponade following coronary artery perforation may be lethal, and prompt treatment is crucial in managing such patients. Balloon occlusion and the reversal of anticoagulant activity are the common methods used to prevent cardiac tamponade by reducing the amount of bleeding. Herein, we discuss the pros and cons of currently used occlusion types for coronary perforation. Optimal balloon occlusion methods should reduce the amount of bleeding and ameliorate subsequent myocardial ischemia injury, even during cardiac surgery.

  10. Bilateral bronchial balloon dilatation and Strecker stent implantation in a ventilated child with malignant carinal stenosis.

    Science.gov (United States)

    Nicolai, T; Huber, R M; Pfeifer, K J; Schneider, K; Mantel, K; Schött, C

    1996-05-01

    Tracheobronchial endoluminal reconstruction and stenting has become a valuable palliative tool in adults with intrathoracic tumors compromising the airways. Tracheobronchial balloon dilatation has been recently used in children and even neonates. We report a case of severe airway obstruction requiring emergency intubation and artificial ventilation in a 5-year-old child with intrathoracic recurrence of a rhabdomyosarcoma. Endoscopic balloon dilatation through the endotracheal tube with subsequent implantation of a non self-expanding metal mesh stent was used successfully, allowing extubation and discharge of the child from ICU.

  11. Stabilisation of ballooning modes in torsatrons with an externally applied toroidal current

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, W.A. [Ecole Polytechnique Federale, Lausanne (Switzerland). Centre de Recherche en Physique des Plasma (CRPP)

    1996-09-01

    It has been found that ideal ballooning modes can impose very restrictive volume average {beta} limits in torsatrons much below the typical values close to 5% that are required to be economically realisable as reactor systems and it has been shown that externally applied toroidal currents that are peaked can destabilise the Mercier criterion in this type of configuration. We will show here that if the applied currents are hollow, they can stabilise the ballooning modes without triggering Mercier instabilities and as a result raise the limiting {beta}* from 2% to 5%. (author) 3 figs., 10 refs.

  12. PoGOLino: a scintillator-based balloon-borne neutron detector

    CERN Document Server

    Kole, Merlin; Fukazawa, Yasushi; Fukuda, Kentaro; Ishizu, Sumito; Jackson, Miranda; Kamae, Tune; Kawaguchi, Noriaki; Kawano, Takafumi; Kiss, Mozsi; Moretti, Elena; Pearce, Mark; Rydström, Stefan; Takahashi, Hiromitsu; Yanagida, Takayuki

    2014-01-01

    PoGOLino is a balloon-borne scintillator-based experiment developed to study the largely unexplored high altitude neutron environment at high geomagnetic latitudes. The instrument comprises two detectors that make use of LiCAF, a novel neutron sensitive scintillator, sandwiched by BGO crystals for background reduction. The experiment was launched on March 20th 2013 from the Esrange Space Centre, Northern Sweden (geomagnetic latitude of $65^\\circ$), for a three hour flight during which the instrument took data up to an altitude of 30.9 km. The detector design and ground calibration results are presented together with the measurement results from the balloon flight.

  13. The pGAPS experiment: an engineering balloon flight of prototype GAPS

    CERN Document Server

    Fuke, Hideyuki; Aramaki, Tsuguo; Bando, Nobutaka; Boggs, Steven E; Doetinchem, Philip v; Gahbauer, Florian H; Hailey, Charles J; Koglin, Jason E; Madden, Norm; Mognet, Samuel Adam I; Mori, Kaya; Okazaki, Shun; Perez, Kerstin M; Yoshida, Tetsuya; Zweerink, Jeffrey

    2013-01-01

    The General Anti-Particle Spectrometer (GAPS) project is being carried out to search for primary cosmic-ray antiparticles especially for antideuterons produced by cold dark matter. GAPS plans to realize the science observation by Antarctic long duration balloon flights in late 2010's. In preparation for the Antarctic science flights, an engineering balloon flight using a prototype of the GAPS instrument, "pGAPS", was successfully carried out in June 2012 in Japan to verify the basic performance of each GAPS subsystem. The outline of the pGAPS flight campaign is briefly reported.

  14. Photodynamic therapy for Barrett's esophagus using a 20-mm diameter light-delivery balloon

    Science.gov (United States)

    Panjehpour, Masoud; Overholt, Bergein F.; Phan, Mary N.; Haydek, John M.; Robinson, Amy R.

    2002-06-01

    Background and Objective: Patients with high grade dysplasia (HGD) in Barrett's esophagus are at a high risk for developing esophageal adenocarcinoma. Esophagectomy is the standard treatment for such patients. The objective of this study was to evaluate the safety and efficacy of photodynamic therapy (PDT) using an improved light delivery balloon for ablation of Barrett's esophagus with high grade dysplasia and/or early cancer. Materials and Methods: 20 patients with HGD or early cancer (19 with HGD, 1 with T1 cancer) received 2 mg/kg of porfimer sodium, intravenously. Two to three days after the injection, laser light was delivered using a cylindrical diffuser inserted inside a 20-mm diameter reflective esophageal PDT balloon. Initially, the balloon was inflated to a pressure of 80 mm Hg. The balloon pressure was gradually reduced to 30 mm Hg. A KTP/dye laser at 630 nm was used as the light source. Light dose of 115 J/cm was delivered at an intensity of 270 mw/cm. Nodules were pre- treated with an extra 50 J/cm using a short diffuser inserted through the scope. Patients were maintained on PPI therapy to keep the gastric pH higher than 4. Eighteen patients required one treatment, while two patients were treated twice. Follow-up consisted of endoscopy with four quadrant biopsies at every 2 cm of the treated area. Thermal ablation was used to treat small residual islands on the follow-ups. The follow-up endoscopies ranged from 6 to 17 months. Results: On follow-up endoscopy, 12 patients had complete replacement of their Barrett's mucosa with neosquamous mucosa. Five patients had residual non-dysplastic Barrett's mucosa, one had indefinite dysplasia, two had low grad dysplasia. There were no residual HGD or cancers. The average length of Barrett's was reduced from 5.4 cm to 1.2 cm. High balloon pressure resulted in wide variation in PDT response among patients. Lower balloon pressures resulted in more consistent destruction of Barrett's mucosa among patients. Five

  15. Efficacy analysis of endoscopic sphincterotomy plus endoscopic papillary balloon dilation for remove of common bile duct stons%内镜下乳头小切开联合球囊扩张治疗胆总管结石临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    闫方博; 张健康

    2014-01-01

    Objective To explore the effectiveness and safety of endoscopic sphincterotomy(EST)plus endoscopic pap-illary balloon dilation (EPBD) for the removal of common bile duct stones. Methods One hundred patients who re-ceived endoscopic retrograde pancreatic angiography(ERCP)in the first hospital of shanxi medical university from June 2012 to March 2014 were randomly divided into EST group and ESBD group. ESBD group in advance nipples small in-cision after balloon expansion; EST group used normal operation. The successful rate of stone clear-ance,operation time,the rate of mechanical lithotripsy and related complications were observed.Results After one time,all stones were removed one time from 46 cases(92%) assigned EST and 48 cases(96%) assigned EPBD(P>0.05); Mechanical lithotripsy was used to fragment stones 8 cases(16%) in EST group and 2 cases(4%) in ESBD group(P0.05); Average operation time,respectively (45.3±13.0) min and (30.5±9.2) min(P0.05);使用机械碎石分别有8例(16%)和2例(4%),差异有统计学意义(P0.05);两组平均操作时间分别为(45.3±13.0)min和(30.5±9.2)min,差异有统计学意义(P<0.05)。结论内镜下乳头括<肌小切开联合球囊扩张术取石成功率及术后并发症发生率与常规括<肌切开术相当,但平均操作时间及使用机械碎石的机率与EST相比较低,是治疗胆总管结石安全、有效的方法。

  16. Balloon-based adjuvant radiotherapy in breast cancer: comparison between 99mTc and HDR 192Ir*

    Science.gov (United States)

    de Campos, Tarcísio Passos Ribeiro; de Lima, Carla Flavia; Cuperschmid, Ethel Mizrahy

    2016-01-01

    Objective To perform a comparative dosimetric analysis, based on computer simulations, of temporary balloon implants with 99mTc and balloon brachytherapy with high-dose-rate (HDR) 192Ir, as boosts to radiotherapy. We hypothesized that the two techniques would produce equivalent doses under pre-established conditions of activity and exposure time. Materials and Methods Simulations of implants with 99mTc-filled and HDR 192Ir-filled balloons were performed with the Siscodes/MCNP5, modeling in voxels a magnetic resonance imaging set related to a young female. Spatial dose rate distributions were determined. In the dosimetric analysis of the protocols, the exposure time and the level of activity required were specified. Results The 99mTc balloon presented a weighted dose rate in the tumor bed of 0.428 cGy.h-1.mCi-1 and 0.190 cGyh-1.mCi-1 at the balloon surface and at 8-10 mm from the surface, respectively, compared with 0.499 and 0.150 cGyh-1.mCi-1, respectively, for the HDR 192Ir balloon. An exposure time of 24 hours was required for the 99mTc balloon to produce a boost of 10.14 Gy with 1.0 Ci, whereas only 24 minutes with 10.0 Ci segments were required for the HDR 192Ir balloon to produce a boost of 5.14 Gy at the same reference point, or 10.28 Gy in two 24-minutes fractions. Conclusion Temporary 99mTc balloon implantation is an attractive option for adjuvant radiotherapy in breast cancer, because of its availability, economic viability, and similar dosimetry in comparison with the use of HDR 192Ir balloon implantation, which is the current standard in clinical practice. PMID:27141131

  17. Balloon-based adjuvant radiotherapy in breast cancer: comparison between {sup 99m}Tc and HDR {sup 192}Ir

    Energy Technology Data Exchange (ETDEWEB)

    Campos, Tarcisio Passos Ribeiro de; Lima, Carla Flavia de; Cuperschmid, Ethel Mizrahy, E-mail: tprcampos@pq.cnpq.br [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil)

    2016-03-15

    Objective: To perform a comparative dosimetric analysis, based on computer simulations, of temporary balloon implants with {sup 99m}Tc and balloon brachytherapy with high-dose-rate (HDR) {sup 192}Ir, as boosts to radiotherapy. We hypothesized that the two techniques would produce equivalent doses under pre-established conditions of activity and exposure time. Materials and methods: simulations of implants with {sup 99m}Tc-filled and HDR {sup 192}Ir-filled balloons were performed with the Siscodes/MCNP5, modeling in voxels a magnetic resonance imaging set related to a young female. Spatial dose rate distributions were determined. In the dosimetric analysis of the protocols, the exposure time and the level of activity required were specified. Results: the {sup 99m}Tc balloon presented a weighted dose rate in the tumor bed of 0.428 cGy.h{sup -1}.mCi{sup -1} and 0.190 cGyh{sup -1} at the balloon surface and at 8-10 mm from the surface, respectively, compared with 0.499 and 0.150 cGyh{sup -1}.mCi{sup -1}, respectively, for the HDR {sup 192}Ir balloon. An exposure time of 24 hours was required for the {sup 99m}Tc balloon to produce a boost of 10.14 Gy with 1.0 Ci, whereas only 24 minutes with 10.0 Ci segments were required for the HDR {sup 192}Ir balloon to produce a boost of 5.14 Gy at the same reference point, or 10.28 Gy in two 24-minutes fractions. Conclusion: temporary {sup 99m}Tc balloon implantation is an attractive option for adjuvant radiotherapy in breast cancer, because of its availability, economic viability, and similar dosimetry in comparison with the use of HDR {sup 192}Ir balloon implantation, which is the current standard in clinical practice. (author)

  18. Cost-effectiveness analysis of orbital atherectomy plus balloon angioplasty vs balloon angioplasty alone in subjects with calcified femoropopliteal lesions

    Directory of Open Access Journals (Sweden)

    Weinstock B

    2014-03-01

    Full Text Available Barry Weinstock,1 Raymond Dattilo,2 Tiffini Diage3 1Orlando Health Heart Institute, Mid-Florida Cardiology Specialists, Orlando, FL, USA; 2Department of Cardiology, St Francis Health Center, Topeka, KS, USA; 3North American Science Association (NAMSA, Sunnyvale, CA, USA Introduction: As cost considerations become increasingly critical when selecting optimal endovascular treatment strategies, a cost-benefit analysis was conducted comparing the Diamondback 360°® Orbital Atherectomy System (OAS (Cardiovascular Systems, Inc., St Paul, MN, USA and balloon angioplasty (BA vs BA alone for treatment of calcified femoropopliteal lesions. Patients and methods: The clinical outcomes from COMPLIANCE 360°, a prospective, multicenter, randomized study comparing OAS+BA vs BA alone for treatment of calcified femoropopliteal lesions, were correlated with cost data and previously published quality of life data. Site of service, hospital charges, and associated medical resource utilization were obtained from Uniform Billing statements for index treatments and associated revascularizations out to 1 year. Hospital costs were estimated using hospital-specific, procedure-specific cost-to-charge ratios. Length of stay and procedural data were collected from participating study sites. Results: Twenty-five subjects with 38 lesions and 25 subjects with 27 lesions were randomized to the OAS+BA and BA-alone groups, respectively. Mean hospital charges (US$51,755 vs US$39,922 and estimated hospital costs (US$15,100 vs US$11,016 were higher for OAS+BA compared with BA alone (not statistically significant. Stent utilization was statistically significantly higher with BA-alone treatment for all subjects (1.1 vs 0.1, P=0.001 and in the subset of subjects with one lesion (1.0 vs 0.1, P<0.00001. There was a significant difference in cost for single-lesion versus multiple-lesion treatment. Using costs and quality-adjusted life years (QALYs for the single-lesion cohort, the 1-year

  19. Global Structures of Alfven-Ballooning Modes in Magnetospheric Plasmas.

    Science.gov (United States)

    Vetoulis, Georgios

    1995-01-01

    The problem of radial localization of kinetically excited Alfven-type waves in the terrestial magnetosphere is examined using WKB approximations in the radial direction. These modes have been called drift Alfven ballooning modes (DABM) by CHEN and HASEGAWA, (1991)^1 and are the prime candidates to explain Pc4-Pc5 waves observed during storms. Pc4-5 type geomagnetic oscillations are long-lasting pulsations with large amplitudes and periods on the order of 500 sec. They are typically observed in the inner magnetosphere. Up to now, work on the theory of these pulsations has been done in one dimension, along the equilibrium magnetic field. In this dissertation, we include the effects of both parallel and perpendicular plasma inhomogeneities and investigate the issue of whether such a wave can be radially localized. In the first part, we formulate the theoretical approach neglecting the wave -particle resonances and using the one-fluid MHD limit. A local dispersion relationship is found on each flux surface of the equilibrium, and a global quantization condition is derived. To each flux surface correspond certain characteristic frequencies, (determined as eigenvalues of appropriate one-dimensional problems along the equilibrium magnetic field), and if the appropriate frequency matches the global mode frequency, then this surface is called resonant. In the picture developed here, the global mode is trapped at the outer side of a storm-time ring current by a steep pressure gradient. At the same time, energy from it tunnels through a barrier, and gets absorbed at its corresponding resonant flux surface, which in space physics terminology is called field line resonance. This energy absorption would lead to the damping of the mode, in the absence of an excitation mechanism. A strong dependence of the damping rate on the azimuthal wave number m is established, as well as on the equilibrium profile. First, it is found that the equilibrium pressure gradient has to be steeper

  20. Combining Undergraduate Student Curriculum, Research, and Outreach: High-altitude Balloon and Rockets

    Science.gov (United States)

    Davis, E. J.; Nielsen, K.

    2015-12-01

    The Society of Physics Students chapter at Utah Valley University (UVU) recently established a high altitude balloon project to provide students with research opportunities. This highly successful program involves students not only from physics but also from other STEM fields and non-STEM subjects, and as such acts as a unique outreach program for the department of physics. Examples of experiments performed with the balloon project are: 3D-acceleration measurements, altitude/pressure/temperature measurements, ozone monitoring, bio-aerosol collection, and solar panel performance output. All these experiment are designed and build by groups of students either as part of research projects or through class participation as the projects link with the curriculum in several courses. Most recently, a group of UVU students have initiated the implementation of small rockets capable of carrying payloads to this high-altitude program. Both balloon and rocket platforms are fundamental in-situ measuring techniques for numerous geoscience subjects, and are arguably best illustrated by the NASA balloon and sounding rocket programs. In this presentation, we give an overview of the program and how it is 1) being implemented into the curriculum, 2) provide unique research opportunities for students, and 3) specific outreach activities.

  1. Double-balloon enteroscopy reliably directs surgical intervention for patients with small intestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    Mou-Bin Lin; Lu Yin; Jian-Wen Li; Wei-Guo Hu; Qian-Jian Qian

    2008-01-01

    AIM: To evaluate preoperative double-balloon enteroscopy for determining bleeding lesions of small intestine, thus directing selective surgical intervention.METHODS: We retrospectively reviewed 56 patients who underwent double-balloon enteroscopy to localize intestinal bleeding prior to surgical intervention, and compared enteroscopic findings with those of intraoperation to determine the accuracy of enteroscopy in identifying and localizing the sites of small intestinal bleeding.RESULTS: Double-balloon enteroscopy was performed in all 56 patients in a 30-mo period. A possible site of blood loss was identified in 54 (96%) patients. Enteroscopy provided accurate localization of the bleeding in 53 (95%) of 56 patients, but failed to disclose the cause of bleeding in 4 (7%). There was one case with negative intraoperative finding (2%). Resection of the affected bowel was carried out except one patient who experienced rebleeding after operation. Gastrointestinal stromal tumor (GIST) was most frequently diagnosed (55%).CONCLUSION: Double-balloon enteroscopy is a safe, reliable modality for determining bleeding lesion of small intestine. This technique can be used to direct selective surgical intervention.

  2. Bakri balloon as a uterus preserving treatment of uncontrollable haemorrhage one month post-partum

    DEFF Research Database (Denmark)

    Bonnici, Mia; Markauskas, Algirdas; Munk, Torben

    2014-01-01

    In this case Bakri balloon was used to stop haemorrhage one month post-partum. The case introduces the use of this device outside usual indications. A 27-year-old woman was admitted several times with vaginal bleeding after caesarean section. She was treated pharmacologically and with curettage...

  3. The Effect of Plasma Beta on High-n Ballooning Stability at Low Magnetic Shear

    CERN Document Server

    Connor, J W; Hastie, R J

    2016-01-01

    An explanation of the observed improvement in H-mode pedestal characteristics with increasing core plasma pressure or poloidal beta, as observed in MAST and JET, is sought in terms of the impact of the Shafranov shift, d', on ideal ballooning MHD stability.

  4. Design and Implementation of an experiment-specific Payload Orientation Platform for balloon-borne Experiment .

    Science.gov (United States)

    Devarajan, Anand; Rodi, Ashish; Ojha, Devendra

    2012-07-01

    To investigate the mesospheric dynamics and its coupling to the upper atmospheric regions above, a Balloon-borne optical Investigation of Regional-atmospheric Dynamics (BIRD) experiment was jointly conducted by Physical Research Laboratory Ahmedabad and Boston University, on 08 March 2010 from TIFR Balloon Facility, Hyderabad. Along with the BIRD payload, a nano payload of University of York, Canada was also flown for aerosol studies during sunset. The balloon carrying a 335kg BIRD payload was launched at 1052 hrs, reached a float altitude of 34.8km amsl at 1245 hrs and was allowed to float till 1825 hrs before it was parachuted down. To achieve the experimental objectives, it was essential that the payload Gandola, comprising of two optical spectrographs, is programmed to rotate azimuthally in 3 steps of 30 degrees each from East-West (E-W) to North-South (N-S) direction, stop at each step for 5 minutes for data acquisition, return to the original E-W position and keep repeating the sequence continuously with a provision to start or stop the orientation from Ground station through telecommand. To meet these unique requirements, we designed developed and implemented a Payload Orientation Platform (POP), using flux-gate magnetometer for direction-finding, which worked satisfactorily in the BIRD flight. This paper presents an overview of the POP implemented, focuses on the design considerations of the associated electronics and finally presents the results of the performance during the entire balloon flight.

  5. Balloon laryngoplasty for acquired subglottic stenosis in children: predictive factors for success

    Directory of Open Access Journals (Sweden)

    Rebecca Maunsell

    2014-10-01

    Full Text Available INTRODUCTION: The treatment of subglottic stenosis in children remains a challenge for the otorhinolaryngologist, and may involve both endoscopic and open surgery. OBJECTIVE: To report the experience of two tertiary facilities in the treatment of acquired subglottic stenosis in children with balloon laryngoplasty, and to identify predictive factors for success of the technique and its complications. METHODS: Descriptive, prospective study of children diagnosed with acquired subglottic stenosis and submitted to balloon laryngoplasty as primary treatment. RESULTS: Balloon laryngoplasty was performed in 37 children with an average age of 22.5 months; 24 presented chronic subglottic stenosis and 13 acute subglottic stenosis. Success rates were 100% for acute subglottic stenosis and 32% for chronic subglottic stenosis. Success was significantly associated with acute stenosis, initial grade of stenosis, children of a smaller age, and the absence of tracheostomy. Transitory dysphagia was the only complication observed in three children. CONCLUSION: Balloon laryngoplasty may be considered the first line of treatment for acquired subglottic stenosis. In acute cases, the success rate is 100%, and although the results are less promising in chronic cases, complications are not significant and the possibility of open surgery remains without prejudice.

  6. Anaesthetic management for balloon dilation of cor triatriatum dexter in a dog.

    Science.gov (United States)

    De Monte, Valentina; Staffieri, Francesco; Caivano, Domenico; Bufalari, Antonello

    2015-06-10

    A three-month-old female Rottweiler puppy was referred for intravascular correction of a previously identified cor triatriatum dexter. Echocardiography confirmed the presence of a hyperechoic membrane that divided the right atrium into a cranial and caudal chamber. A foramen in this membrane allowed the blood to flow from the caudal to the cranial chamber. Balloon dilation of the defect under transthoracic echocardiographic guidance was scheduled for the following day. The dog was premedicated with 0.5 μg/kg sufentanil and 0.2 mg/kg midazolam administered intravenously. General anaesthesia was induced with 2 mg/kg propofol and maintained with inhaled isoflurane in oxygen; at the same time, a constant rate infusion of 0.5 μg/kg/h sufentanil was administered by means of an infusion pump. Uneventful ventricular and supraventricular tachyarrhythmias developed during the placement of catheters and balloon dilation. At the end of procedure, when the guide wire and balloon catheter were removed, normal sinus rhythm was observed. To the authors' knowledge, no previous reports have described the anaesthetic management of a balloon dilation procedure for cor triatriatum dexter in dogs.

  7. A system for visualization and automatic placement of the endoclamp balloon catheter

    NARCIS (Netherlands)

    Furtado, H.; Stüdeli, T.; Sette, M.; Samset, E.; Gersak, B.

    2010-01-01

    The European research network "Augmented Reality in Surgery" (ARIS*ER) developed a system that supports minimally invasive cardiac surgery based on augmented reality (AR) technology. The system supports the surgical team during aortic endoclamping where a balloon catheter has to be positioned and ke

  8. The advantages of balloon assistance in endovascular embolization of spinal dural arteriovenous fistulas.

    Science.gov (United States)

    Cohen, José E; Moscovici, Samuel; Itshayek, Eyal

    2013-01-01

    Endovascular embolization is accepted as an alternative to surgical management of spinal dural arteriovenous fistulas (DAVF) in most patients; however, when the feeder vessel arises from the trunk vessel with an acutely angled origin, microcatheter navigation may be difficult, hazardous, and sometimes impossible. We propose a technique that eases microguidewire engagement and microcatheterization of arteries that arise at very acute angles with the assistance of a parallel compliant balloon that acts as supporter, guider, and protector. This technique was successfully applied in three consecutive patients with spinal DAVF with unfavorable vascular anatomy that limited selective microcatheterization. The balloon supports and guides the microguidewire along the feeder (supportive role). The balloon can then be placed at the origin of the feeder vessel and inflated during embolization to prevent liquid agent reflux (protective role). Use of this technique as a first option reduces procedure time and radiation exposure. A limiting factor is the need for a relatively large working channel to allow the combined use of a balloon and a microcatheter.

  9. 78 FR 79300 - Cardiovascular Devices; Reclassification of Intra-Aortic Balloon and Control Systems for Acute...

    Science.gov (United States)

    2013-12-30

    ... Intra-Aortic Balloon and Control Systems for Acute Coronary Syndrome, Cardiac and Non- Cardiac Surgery... coronary syndrome, cardiac and non- cardiac surgery, or complications of heart failure, a preamendments..., Drug, and Cosmetic Act (the FD&C Act), as amended by the Medical Device Amendments of 1976 (the...

  10. Balloon Flight Tests of a Gas-Ionization-Chamber-Based Isotope Spectrometer

    Science.gov (United States)

    Wiedenbeck, M. E.; Milliken, B.

    1995-01-01

    High resolution studies of the isotopic composition of heavy elements in the galactic cosmic radiation have been performed using satellites. The performance of the Tracking Heavy Isotope Spectrometer Telescopes for Low Energies (THISTLE) is investigated using data from a balloon flight carried out in 1993. The instrument design is discussed; and data, and additional analysis, is shown.

  11. Rubber Balloons, Buoyancy and the Weight of Air: A Look Inside

    Science.gov (United States)

    Calza, G.; Gratton, L. M.; Lopez-Arias, T.; Oss, S.

    2009-01-01

    We discuss three methods of measuring the density of air most commonly used in a teaching context. Emphasis is put on the advantages and/or difficulties of each method. In particular, we show that the 'rubber balloon' method can still be performed with meaningful physical insight, but it requires a very careful approach. (Contains 4 figures and 3…

  12. Peripheral Applications of Drug-Coated Balloons: Past, Present and Future

    Energy Technology Data Exchange (ETDEWEB)

    Krokidis, Miltiadis, E-mail: mkrokidis@hotmail.com; Spiliopoulos, Stavros, E-mail: stavspiliop@upatras.gr; Katsanos, Konstantinos, E-mail: katsanos@med.upatras.gr; Sabharwal, Tarun, E-mail: tarun_sabharwal@yahoo.co.uk [Guy' s and St. Thomas' Hospitals, NHS Foundation Trust, Department of Radiology (United Kingdom)

    2013-04-15

    Drug-coated balloon (DCB) technologies represent the latest and hottest development in the field of endovascular treatment of peripheral arterial disease. Initial experience with paclitaxel-coated balloon use in the femoral artery has demonstrated lower mid-term restenosis and superior mid-term clinical outcomes in terms of improved wound healing and reduced repeat angioplasty rates compared with standard balloon angioplasty. Many companies are presently developing and/or improving DCB catheters and therefore ongoing, technical improvements of the already existing platforms, new drugs, and innovative carriers are expected. The ongoing basic research studies and various multicenter randomized, controlled trials that are currently in progress will offer valuable scientific insights regarding the long-term effectiveness and other crucial issues, such as efficacy in various vascular beds, optimal balloon dosage, and post angioplasty antiplatelet therapy. Future applications of these devices also could include in-stent restenosis, anastomotic stenosis of surgical bypass, and benign stenoses of the central venous system. The authors envision that DCB angioplasty will evolve to a major paradigm shift in the endovascular treatment of occlusive vascular diseases.

  13. Cephalic arch stenosis in autogenous brachiocephalic hemodialysis fistulas: results of cutting balloon angioplasty

    DEFF Research Database (Denmark)

    Heerwagen, Søren Thorup; Lönn, Lars; Schroeder, Torben V;

    2010-01-01

    Cephalic arch stenosis is a known cause of hemodialysis access failure in patients with brachiocephalic fistulas (BCFs). Outcomes of endovascular treatment are affected by resistance of the stenosis to balloon dilation, a high vein rupture rate and the development of early restenosis. The purpose...

  14. BALLOON-BASED HIGH-TIME RESOLUTION MEASUREMENTS OF X-RAY EMISSIONS FROM LIGHTNING

    Energy Technology Data Exchange (ETDEWEB)

    K. EACK; D. SUSZCYNSKY; ET AL

    2000-08-01

    This is the final report of a three-year, Laboratory-Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). The project consisted of a series of balloon flights to collect high-time-resolution x-ray and electric-field-change measurements in thunderstorms in order to validate the existence of the runaway air-breakdown mechanism during lightning and/or sprite production. The runaway air-breakdown mechanism is currently the leading theory to account for unexplained balloon and aircraft-based measurements of x-ray enhancements associated with sprites. Balloon-borne gamma-ray and electric-field-change instruments were launched into a daytime summer thunderstorm. A greater than three-fold increase in the gamma-ray flux was observed as the balloon descended through a thunderstorm anvil where a strong electric field was present. These observations suggest that gamma-ray production in thunderstorms may not be as uncommon as previously believed.

  15. Failure of Sengstaken balloon tamponade for rebleeding after tissue adhesive injection in a fundic varix

    NARCIS (Netherlands)

    Nieuwenhuis, JA; Peters, FTM; Sanders, J; Van der Werf, TS; Zijlstra, JG

    1998-01-01

    A 61-year-old man developed a huge fundic varix due to portal hypertension in alcoholic liver cirrhosis. After a third injection therapy session with tissue adhesive (Histoacryl(R)) massive hemorrhage developed. Sengstaken (gastric) balloon tamponade failed. Autopsy showed a huge, solid varix with a

  16. A Therapeutic Wireless Capsule for Treatment of Gastrointestinal Haemorrhage by Balloon Tamponade Effect.

    Science.gov (United States)

    Leung, Billy H K; Poon, Carmen C Y; Zhang, Ruikai; Zheng, Y L; Chan, C K W; Chiu, Philip W Y; Lau, James Y W; Sung, Joseph J Y

    2016-07-13

    Wireless capsule endoscope (WCE) is a revolutionary approach to diagnose small bowel pathologies. Currently available WCEs are mostly passive devices with image capturing function only, while on-going efforts have been placed on robotizing WCEs or to enhance them with therapeutic functions. In this paper, the authors present a novel inflatable WCE for haemostasis in the gastrointestinal tracts by balloon tamponade effect.

  17. New developments in the clinical use of drug-coated balloon catheters in peripheral arterial disease

    Directory of Open Access Journals (Sweden)

    Naghi J

    2016-06-01

    Full Text Available Jesse Naghi, Ethan A Yalvac, Ali Pourdjabbar, Lawrence Ang, John Bahadorani, Ryan R Reeves, Ehtisham Mahmud, Mitul Patel Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California, San Diego, CA, USA Abstract: Peripheral arterial disease (PAD involving the lower extremity is a major source of morbidity and mortality. Clinical manifestations of PAD span the spectrum from lifestyle limiting claudication to ulceration and gangrene leading to amputation. Advancements including balloon angioplasty, self-expanding stents, drug-eluting stents, and atherectomy have resulted in high technical success rates for endovascular therapy in patients with PAD. However, these advances have been limited by somewhat high rates of clinical restenosis and clinically driven target lesion revascularization. The recent introduction of drug-coated balloon technology shows promise in limiting neointimal hyperplasia induced by vascular injury after endovascular therapies. This review summarizes the contemporary clinical data in the emerging area of drug-coated balloons. Keywords: drug-coated balloons, endovascular, percutaneous transluminal angioplasty, paclitaxel, peripheral arterial disease

  18. Migration of BTEX and phthalates from natural rubber latex balloons obtained from the Sri Lankan market.

    Science.gov (United States)

    Jayawardena, Imanda; Godakumbura, Pahan I; Prashantha, M A B

    2016-01-01

    The current study evaluates the migration of benzene, toluene, ethylbenzene, xylene (BTEX) and phthalates into artificial saliva from natural rubber latex (NRL) balloons available for sale in Sri Lanka. It was discovered that at least one BTEX compound migrated from almost all the brands. The migration of four phthalates; diethyl phthalate, dibutyl phthalate, di-isobutyl phthalate and butyl benzyl phthalate were also observed. Migratory levels of BTEX and phthalates in most of the balloon brands were above the permissible levels set by the European Union. Assessment of factors affecting the migratory levels indicated migration under active mouthing conditions and migration from the neck region of the balloons were significantly higher. The migratory levels were observed to decrease with storage time, and in certain brands the BTEX levels decreased below the permissible level. One-way ANOVA indicated no significant differences (p ≥ 0.05) in migratory levels of each individual compound within the same brand for both BTEX and phthalates. When compared among different brands, BTEX levels indicated significant differences (p ≤ 0.05), while phthalate levels were observed to not be significantly different (p ≥ 0.05). A significant difference was also observed (p ≤ 0.05) among the migratory levels of compounds under each test condition evaluated as factors affecting the migratory level. Furthermore, the solvent based colorants added to color the latex were found to be the source of BTEX and phthalates in the NRL balloons.

  19. Human percutaneous and intraoperative laser thermal angioplasty: initial clinical results as an adjunct to balloon angioplasty.

    Science.gov (United States)

    Sanborn, T A; Greenfield, A J; Guben, J K; Menzoian, J O; LoGerfo, F W

    1987-01-01

    In this study, the safety and efficacy of percutaneous laser thermal angioplasty as an adjunct to balloon angioplasty were investigated in 13 patients with severe peripheral vascular disease. By means of a novel fiberoptic laser delivery system (Laserprobe) in which argon laser energy is converted to heat in a metallic tip at the end of the fiberoptic fiber, improvement in the angiographic luminal diameter was noted in 14 of 15 femoropopliteal vessels (93%) by delivering 8 to 13 watts of continuous argon laser energy as the Laserprobe was advanced through the lesion. Initial clinical success (indicated by relief of symptoms and increase in Doppler index) for the combined laser and balloon angioplasty procedures was obtained in 12 of 15 vessels (80%), with inadequate balloon dilatation being the limiting factor in three patients. No significant complications of vessel perforation, dissection, pain, spasm, or embolization of debris occurred. Of the 12 patients who had procedures with initial angiographic and clinical success, 10 (83%) were asymptomatic in the initial follow-up period of 1 to 9 months (mean 6 months). Thus, laser thermal angioplasty with a Laserprobe is a safe and effective adjunct to peripheral balloon angioplasty. This technique has the potential to increase the initial success rate of angioplasty for lesions that are difficult or impossible to treat by conventional means. By removing most of the obstructing lesion, this technique may also reduce recurrent stenosis.

  20. Aortic valvuloplasty of calcific aortic stenosis with monofoil and trefoil balloon catheters: practical considerations

    NARCIS (Netherlands)

    S. Plante (Sylvain); M.J.B.M. van den Brand (Marcel); L.C.P. van Veen; C. di Mario (Carlo); C.E. Essed; K.J. Beatt (Kevin); P.W.J.C. Serruys (Patrick)

    1990-01-01

    textabstractIn order to evaluate the relation between balloon design (monofoil, trefoil) and valvular configuration, experimental aortic valvuloplasty was performed in four post-mortem hearts with calcific aortic stenosis of various morphology. The degree of obstruction of the aortic orifice was ass

  1. Inflammatory status in patients with rheumatic mitral stenosis: Guilty before and after balloon mitral valvuloplasty

    Directory of Open Access Journals (Sweden)

    Mohamed Ahmed Abdel Rahman

    2016-06-01

    Conclusion: Inflammatory pathogenesis of rheumatic fever, suggested by hsCRP, seems fixed both before, and after BMV. A basal increase in hsCRP before BMV is related to BMV success and an acute increase immediately after BMV seems related to trauma of balloon dilatations.

  2. Balloon-borne hard X-ray polarimetry with PoGOLite

    CERN Document Server

    ,

    2012-01-01

    PoGOLite is a hard X-ray polarimeter operating in the 25-100 keV energy band. The instrument design is optimised for the observation of compact astrophysical sources. Observations are conducted from a stabilised stratospheric balloon platform at an altitude of approximately 40 km. The primary targets for first balloon flights of a reduced effective area instrument are the Crab and Cygnus-X1. The polarisation of incoming photons is determined using coincident Compton scattering and photo-absorption events reconstructed in an array of plastic scintillator detector cells surrounded by a bismuth germanate oxide (BGO) side anticoincidence shield and a polyethylene neutron shield. A custom attitude control system keeps the polarimeter field-of-view aligned to targets of interest, compensating for sidereal motion and perturbations such as torsional forces in the balloon rigging. An overview of the PoGOLite project is presented and the outcome of the ill-fated maiden balloon flight is discussed.

  3. Balloon-occluded percutaneous transheptic obliteration of isolated vesical varices causing gross hematuria

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Dong Hoon; Kim, Dong Hyun; Kim, Min Seok; Kim, Chul Sung [Department of Urology, College of Medicine, Chosun University, Gwangju (Korea, Republic of)

    2013-01-15

    Gross hematuria secondary to vesical varices is an unusual presentation. We report such a case recurrent gross hematuria in a male patient who had a history of bladder substitution with ileal segments that had been treated by balloon-occluded percutaneous transhepatic obliteration of vesical varices.

  4. An Overview of High-Altitude Balloon Experiments at the Indian Institute of Astrophysics

    CERN Document Server

    Safonova, Margarita; Sreejith, A G; Mathew, Joice; Sarpotdar, Mayuresh; Ambily, S; Nirmal, K; Talnikar, Sameer; Hadigal, Shripathy; Prakash, Ajin; Murthy, Jayant

    2016-01-01

    The High-Altitude Ballooning programme began at Indian Institute of Astrophysics, Bangalore, in the year 2011 with the primary purpose of developing and flying low-cost scientific payloads on a balloon-borne platform. Some of the science goals are studies of the phenomena occurring in the upper atmosphere, of airglow and zodiacal light, and observations of extended astronomical objects such as, for example, comets, from near space (20 to 30 km). A brief summary and results of the tethered flights carried out at CREST campus are given in Ref.~1. Here we present a complete overview of the 9 free-flying balloon experiments conducted from March 2013 to November 2014. We describe the launch procedures, payloads, methods of tracking and recovery of the payloads. Since we fall in the light/medium balloon category, the weight of the payload is limited to less than 5 kg --- we use a 3-D printer to fabricate lightweight boxes and structures for our experiments. We are also developing in-house lightweight sensors and co...

  5. Effect of balloon atrial septostomy on cerebral oxygenation in neonates with transposition of the great arteries

    NARCIS (Netherlands)

    van der Laan, Michelle E.; Verhagen, Elise A.; Bos, Arend F.; Berger, Rolf M. F.; Kooi, Elisabeth M. W.

    2013-01-01

    BACKGROUND: The aim of this study was to determine the effect of balloon atrial septostomy (BAS) on cerebral oxygenation in neonates with transposition of the great arteries (TGA). METHODS: In term neonates with TGA, regional cerebral tissue oxygen saturation (r(c)SO(2)) was measured using, near-inf

  6. [Complications in morbid obesity treatment--pylorus obstruction caused by a deflated intragastric balloon].

    Science.gov (United States)

    Constantin, V; Socea, B; Moculescu, C; Sireţeanu, G; Ciofoaia, V; Popa, F

    2009-01-01

    An aggressive array of new treatments and improvements of existing approaches for addressing morbid obesity were developed during the last two decades in response to the recognition that a new pandemic affects humanity, i.e. obesity. Initially used as a temporizing solution for other specific interventions used for obesity treatment, the endoscopic placement of an intragastric balloons has currently became in certain cases a complete therapeutic solution. Multiple studies emphasize the efficiency of this new therapeutic method, in some cases resulting in a 45 kg weight loss at the end of the monitoring period. The intragastric balloon, after endoscopic placement can be kept into position for an average period of 4-6 months. After this period, balloon extraction is recommended because of the complications that can occur with prolonged intragastric placement. This paper presents a case of pyloric obstruction by an intragastric balloon kept for 14 months. In this case, the initial approach was endoscopic, but the surgical approach offered the definitive therapeutic solution.

  7. 78 FR 36702 - Cardiovascular Devices; Reclassification of Intra-Aortic Balloon and Control Systems (IABP) for...

    Science.gov (United States)

    2013-06-19

    ...., Holland-Rantos Co. v. United States Department of Health, Education, and Welfare, 587 F.2d 1173, 1174 n.1... debilitating or fatal thromboemboli. Aortic rupture or dissection: Improper sizing or over inflation of the... circulation by the balloon, including obstruction, dissection or perforation; or complications resulting...

  8. The TopHat experiment: A balloon-borne instrument for mapping millimeter and submillimeter emission

    DEFF Research Database (Denmark)

    Silverberg, R.F.; Cheng, E.S.; Aguirre, J.E.

    2005-01-01

    The TopHat experiment was designed to measure the anisotropy in the cosmic microwave background radiation on angular scales from 0.degrees 3 to 30 degrees and the thermal emission from both Galactic and extragalactic dust. The balloon-borne instrument had five spectral bands spanning frequencies...

  9. 络筒的气圈和张力%Balloon and tension in winding

    Institute of Scientific and Technical Information of China (English)

    王元昌; 薛卫; 肖荣

    2003-01-01

    In winding, when the yarn is unwinding from the cop under certain conditions it may form multi-sections balloon. The balloon is the rotational standing wave according to the string vibration theory. Applying this theory, the calculation of the yarn initial tension in winding is more correct than others, and the winding balloon phenomenon may be explained perfectly. It has been proved mathematically that the string vibration will form standing waves if its upper end is fixed while the lower end moves round a circle. In this paper, the authors point out that the study of the shapes, sections and tension of unwinding balloon in winding must be based upon the theory of string vibration.%从数学上证明了上端固定、下端作圆周运动的弦振动会形成驻波.在络筒工程中,一定条件下纱从管纱上退绕,会形成多节气圈,它是一种旋转的驻波.用此理论计算络筒的初始张力,比其它公式要好,而且可完美地解释气圈观象.文中还指出,对气圈形状、节数和张力的研究应该以弦振动理论为基础.

  10. The clinic application of propofol combined with different analgesics in patients of ERCP%丙泊酚复合不同镇痛药用于内镜下经胰胆管造影术的临床研究

    Institute of Scientific and Technical Information of China (English)

    熊江琴; 陈世彪; 刘添银; 朱云生; 高素清

    2012-01-01

    目的 观察丙泊酚复合芬太尼、舒芬太尼、布托啡诺、氟比洛芬酯用于内镜下经胰胆管造影(ERCP)术麻醉时对患者的影响.方法 250例ASA Ⅰ或Ⅱ级拟行ERCP术患者,排除手术时间短于5 min和长于60 min的患者,随机均分为五组,丙泊酚分别复合芬太尼(A组)、舒芬太尼(B组)、布托啡诺(C组)、氟比洛芬酯(D组)和生理盐水(E组)进行麻醉.观察并记录不同时点的生命体征、术中体动、丙泊酚的诱导和维持用量、麻醉苏醒时间、患者对麻醉的满意度等指标.结果 术后患者对麻醉的舒适满意度均较高;A、B、C、D组患者丙泊酚诱导和维持剂量均少于E组(P<0.05);A组和B组丙泊酚诱导后即刻及手术开始后2minRR减慢明显(P<0.05);E组术中体动多于A、B、C、D组(P<0.05);D组有呃逆现象,明显多于A、B、C、E组(P<0.05).结论 五组患者术后对麻醉的舒适满意度均较高,上述五种麻醉方法均可用于ERCP术静脉全身麻醉.复合使用镇痛药后,丙泊酚诱导和维持剂量明显减少,术中体动减少.其中布托啡诺麻醉更加平稳.%Objective To observe the effects of propofol combined with fentanyl, sufentanil, butorphanol and flurbiprofen in the patients with endoscopic retrograde cholangiopanereatography (ERCP) operations. Methods Two hundreds and fifty ASA I or II patients with ERCP operations (time between 5-60 minutes) were given with propofol combined analgesics, they were randomly devided into five groups. Propofol combined with fentanyl (group A), sufentanil (group B), butorphanol (group C),flurbiprofen(group D),flurbiprofen saline(group E). Blood pressure (BP), heart rate (HR) and body activity, the consumption of propofol for induction and maintenance, recovery time and the comfort level of anesthesia were recorded. Results The comfort level of anesthesia was relatively great and had no differences in each group. Compared with group E, the consumption of

  11. Estudo prospectivo e comparativo do escovado obtido pela CPER à ecoendoscopia associada à punção aspirativa com agulha fina (EE-PAAF no diagnóstico diferencial das estenoses biliares Prospective comparative study of ERCP brush cytology and EUS-FNA for the diferential diagnosis of biliary strictures

    Directory of Open Access Journals (Sweden)

    Monica Novis

    2010-06-01

    Full Text Available OBJETIVO: Avaliar o desempenho diagnóstico da citologia obtida pela CPER, aquele obtido pela EE-PAAF e a concordância entre patologistas gerais (PG e especialistas (PE em pacientes com estenose biliar. MÉTODOS: Incluímos pacientes com estenose biliar identificados pela CPER. A EE-PAAF foi realizada apenas em áreas com efeito de massa ou da parede espessada do ducto biliar. O padrão-ouro foi a cirurgia, histologia e/ou o seguimento. As amostras teciduais foram consideradas: malignas, suspeitas, atípicas, insuficientes ou benignas. Os espécimes obtidos por cada método foi interpretado (cego por um PG e outro PE. RESULTADO: 46 pacientes foram incluídos (37 malignos e 9 benignos. O diagnóstico final foi de tumor pancreático (26, biliar (11, pancreatite crônica (8 e estenose inflamatória do ducto biliar (1. Sensibilidade e acurácia da CPER foram 43,2% e 52,2% para o PG e 51,4% e 58,7% para o PE. Sensibilidade e acurácia da EE-PAAF foi 52,8% e 58,5% para o PG e 69,4% e 73,2% para o PE. A combinação entre a CPER e EE-PAAF demonstrou maior sensibilidade e acurácia para ambos PG (64,9% e 69,6% e PE (83,8% e 84,8%, respectivamente. CONCLUSÃO: A citologia obtida pelo escovado da via biliar durante a CPER e as amostras teciduais colhidas pela EE-PAAF tem rendimento semelhante para o diagnóstico das estenoses biliares. No entanto, a combinação dos métodos resulta em uma maior acurácia. Além disso, espera-se que a interpretação das amostras ocorra com maior precisão pelo PE se comparado ao PG.OBJECTIVE: To evaluate and to compare the diagnostic yield of ERCP brush cytology (ERCP and EUS-FNA in patients with biliary strictures and evaluates the agreement between general pathologists (GP and expert GI pathologists (GIP in the final diagnosis of biliary strictures. METHODS: Patients with biliary strictures documented by ERCP were included. Brush cytology was performed and during EUS, only visible mass lesions or localized bile duct

  12. Modular and Reusable Power System Design for the BRRISON Balloon Telescope

    Science.gov (United States)

    Truesdale, Nicholas A.

    High altitude balloons are emerging as low-cost alternatives to orbital satellites in the field of telescopic observation. The near-space environment of balloons allows optics to perform near their diffraction limit. In practice, this implies that a telescope similar to the Hubble Space Telescope could be flown for a cost of tens of millions as opposed to billions. While highly feasible, the design of a balloon telescope to rival Hubble is limited by funding. Until a prototype is proven and more support for balloon science is gained, projects remain limited in both hardware costs and man hours. Thus, to effectively create and support balloon payloads, engineering designs must be efficient, modular, and if possible reusable. This thesis focuses specifically on a modular power system design for the BRRISON comet-observing balloon telescope. Time- and cost-saving techniques are developed that can be used for future missions. A modular design process is achieved through the development of individual circuit elements that span a wide range of capabilities. Circuits for power conversion, switching and sensing are designed to be combined in any configuration. These include DC-DC regulators, MOSFET drivers for switching, isolated switches, current sensors and voltage sensing ADCs. Emphasis is also given to commercially available hardware. Pre-fabricated DC-DC converters and an Arduino microcontroller simplify the design process and offer proven, cost-effective performance. The design of the BRRISON power system is developed from these low-level circuits elements. A board for main power distribution supports the majority of flight electronics, and is extensible to additional hardware in future applications. An ATX computer power supply is developed, allowing the use of a commercial ATX motherboard as the flight computer. The addition of new capabilities is explored in the form of a heater control board. Finally, the power system as a whole is described, and its overall

  13. Flow Past an Accumulator Unit of an Underwater Energy Storage System:Three Touching Balloons in a Floral Configuration

    Institute of Scientific and Technical Information of China (English)

    Ahmadreza Vasel-Be-Hagh; Rupp Carriveau; David S-K Ting

    2014-01-01

    An LES simulation of flow over an accumulator unit of an underwater compressed air energy storage facility was conducted. The accumulator unit consists of three touching underwater balloons arranged in a floral configuration. The structure of the flow was examined via three dimensional iso surfaces of the Q criterion. Vortical cores were observed on the leeward surface of the balloons. The swirling tube flows generated by these vortical cores were depicted through three dimensional path lines. The flow dynamics were visualized via time series snapshots of two dimensional vorticity contours perpendicular to the flow direction;revealing the turbulent swinging motions of the aforementioned shedding-swirling tube flows. The time history of the hydrodynamic loading was presented in terms of lift and drag coefficients. Drag coefficient of each individual balloon in the floral configuration was smaller than that of a single balloon. It was found that the total drag coefficient of the floral unit of three touching balloons, i.e. summation of the drag coefficients of the balloons, is not too much larger than that of a single balloon whereas it provides three times the storage capacity. In addition to its practical significance in designing appropriate foundation and supports, the instantaneous hydrodynamic loading was used to determine the frequency of the turbulent swirling-swinging motions of the shedding vortex tubes;the Strouhal number was found to be larger than that of a single sphere at the same Reynolds number.

  14. Balloon laryngoplasty for subglottic stenosis caused by orotracheal intubation at a tertiary care pediatric hospital.

    Science.gov (United States)

    Avelino, Melissa Gomes Ameloti; Fernandes, Edson Junior de Melo

    2014-01-01

    Introduction In recent years, there has been a reduction in mortality rates in neonatal intensive care units (NICUs) due to the impact of modern technological advances in the perinatal field. As a consequence, prolonged orotracheal intubation is used more frequently, and there has been an increase in acquired subglottic stenosis (SGS) in children. Subglottic stenosis is a narrowing of the endolarynx and one of the most common causes of stridor and respiratory distress in children. The laryngoplasty balloon has proven effective in dealing with stenosis both as primary and secondary treatments, after open surgery, with the added advantage of being less invasive and not requiring external access. Materials and Methods This study involved children from pediatric intensive care units or NICUs suffering from respiratory distress and who presented an endoscopic diagnosis of Myer and Cotton grade I to III SGS. These patients underwent balloon laryngoplasty with different numbers of interventions depending on the response in each individual case. Results All the patients responded satisfactorily to the balloon laryngoplasty. None required tracheostomy after treatment and all remained asymptomatic even after 6-month follow-up. One patient required just 1 dilation, 4 required 2, 3 underwent the procedure 3 times, and another had 5 dilations. Conclusion The experience presented here is that of balloon laryngoplasty post-orotracheal intubation SGS with very satisfactory results at a tertiary care pediatric hospital. Although the number of patients is limited, our incidence corroborates other studies that demonstrate the efficacy and safety of balloon dilatation in the treatment of SGS.

  15. Balloon Laryngoplasty for Subglottic Stenosis Caused by Orotracheal Intubation at a Tertiary Care Pediatric Hospital

    Directory of Open Access Journals (Sweden)

    Avelino, Melissa Gomes Ameloti

    2014-01-01

    Full Text Available Introduction In recent years, there has been a reduction in mortality rates in neonatal intensive care units (NICUs due to the impact of modern technological advances in the perinatal field. As a consequence, prolonged orotracheal intubation is used more frequently, and there has been an increase in acquired subglottic stenosis (SGS in children. Subglottic stenosis is a narrowing of the endolarynx and one of the most common causes of stridor and respiratory distress in children. The laryngoplasty balloon has proven effective in dealing with stenosis both as primary and secondary treatments, after open surgery, with the added advantage of being less invasive and not requiring external access. Materials and Methods This study involved children from pediatric intensive care units or NICUs suffering from respiratory distress and who presented an endoscopic diagnosis of Myer and Cotton grade I to III SGS. These patients underwent balloon laryngoplasty with different numbers of interventions depending on the response in each individual case. Results All the patients responded satisfactorily to the balloon laryngoplasty. None required tracheostomy after treatment and all remained asymptomatic even after 6-month follow-up. One patient required just 1 dilation, 4 required 2, 3 underwent the procedure 3 times, and another had 5 dilations. Conclusion The experience presented here is that of balloon laryngoplasty post–orotracheal intubation SGS with very satisfactory results at a tertiary care pediatric hospital. Although the number of patients is limited, our incidence corroborates other studies that demonstrate the efficacy and safety of balloon dilatation in the treatment of SGS.

  16. Balloon-occluded retrograde transvenous obliteration for gastric variceal bleeding patient

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Hwan; Seong, Chang Kyu; Kim, Yong Joo; Park, Noh Hyuk [Kyungpook National University School of Medicine, Daegu (Korea, Republic of); Shin, Tae Beom [Dong-A University Medical Center, Pusan (Korea, Republic of); Choi, Jin Soo [Soonchunhyang University College of Medicine, Asan (Korea, Republic of)

    2003-03-01

    To evaluate the technical feasibility and clinical efficacy of balloon-occluded retrograde transvenous obliteration (BRTO) in the treatment of gastric variceal bleeding. Between September 2001 and March 2002, ten patients with gastric variceal bleeding and gastrorenal shunt, underwent BRTO. Three of the ten also had hepatic encephalopathy. To evaluated the gastrorenal shunt and exclude portal vein thrombosis, all patients underwent pre-procedural CT scanning. An occlusion balloon catheter was inserted from the right internal jugular vein and on ballooning was wedged into the left adrenal vein. A sclerosing agent (5% ethanolamine oleate-lipiodol mixture) was injected until the varices were completely filled. In four patients, the collateral veins seen at balloon-occluded adrenal venography were embolized with coils prior to sclerotherapy. Post-procedural follow-up CT (n=3) or endoscopy (n=8) was performed 1-4 weeks later, and both before and after the procedure, hepatic function was also monitored. Treatment was successful in nine cases: the failure involed rupture of the occlusion balloon during inflation, and a transjugular intrahepatic portosystemic shunt was performed. The cessation of bleeding was confirmed endoscopically or clinically; in three patients, follow-up CT showed complete obliteration of the varices. Hepatic function improved in eight patients, but three weeks after the procedure, one expired due to progressive infiltrative hepatoma. The clinical symptoms of the three patients with hepatic encephalopathy showed remarkable improvement. Although more extensive studies and long-term follow up are needed to overcome the limitations of our study, we believe that BRTO is a technically feasible and clinically effective treatment for gastric varices and hepatic encephalopathy.

  17. Balloon catheters for induction of labor at term after previous cesarean section: a systematic review.

    Science.gov (United States)

    Kehl, Sven; Weiss, Christel; Rath, Werner

    2016-09-01

    To systematically review the application of balloon catheters for cervical ripening and labor induction at term after previous cesarean section. All pregnancies at term with previous cesarean section were included when cervical ripening or labor induction was conducted with balloon catheters. MEDLINE, Cochrane database and bibliography of identified articles were searched for English language studies. Reviews and meta-analysis, randomized and non-randomized controlled trials, prospective and retrospective cohort studies as well as case-control studies were considered. A total of 48 potentially relevant studies were identified. The title and abstract were screened for eligibility and 32 articles were excluded. The remaining 16 publications included 1447 women (single-balloon catheter: n=1329, double-balloon catheter: n=118). There were no randomized controlled trials. Most of the trials were retrospective studies (n=10). The rate of uterine rupture after labor induction was low (n=18, 1.2%). Meta-analysis of studies comparing the risk of uterine rupture between labor induction and spontaneous onset of labor found a higher risk after induction (OR 2.45, 95%CI 1.34-4.47, NNH 186). The average rate of oxytocin application was 68.4%, and vaginal birth was achieved in 56.4%. The risk for cesarean delivery was higher when labor was induced (OR 2.63, 95%CI 2.24-3.10). Data on balloon catheters for labor induction after previous cesarean section are limited by small sample size and retrospective analyses. The present data show a moderately increased risk for uterine rupture (OR=2.45) compared to spontaneous onset of labor. However, for evidence based recommendations much more well-conducted trials are needed.

  18. Determination of the Mixing Layer Height Over two Sites, Using Pilot Balloons During the MILAGRO Campaign

    Science.gov (United States)

    Wohrnschimmel, H.; Alonso, A. L.; Ángeles, F.; Sosa, G.; Varela, J.; Cárdenas, B.

    2007-12-01

    Among the mechanisms that affect air quality there is a variety of meteorological processes. An important process in this context are the changes in the mixing layer height during a day and over the year. The mixing layer height is the portion of the atmosphere close to the surface layer where air pollutants get diluted, without leaving this layer. Therefore, it is important to describe the variations in the height of the mixing layer, i.e. the vertical dilution of air pollution, since this is a process mitigating naturally the impact of emissions. There exist different methods to obtain information on the mixing layer height, among them radio soundings, the application of vertical wind profilers, and launching pilot balloons. In this study, pilot balloons have been used simultaneously over two sites of the Mexico City Metropolitan Area during the MILAGRO campaign in March 2006. The objective was to determine the vertical wind profiles and derive information on the mixing layer height. Daily, four pilot balloons were launched, at 9:00, 12:00, 15:00, and 18:00 hours, over Tenango del Aire (a rural area in the Southeast of Mexico City), and over Ciudad Universitaria, in the Southern metropolitan area. At some occasions, night time measurements have been carried out at 21:00 and 24:00. A variability of the diurnal evolution of the mixing layer was observed along March, which could be related to surface temperature. The diurnal evolution showed a sudden growth of the mixing layer between 9:00 and 12:00 hours. Data intercomparisons were carried out for pilot balloons versus radio soundings during a few days at a third site, Tula, in the North of Mexico City. Both intercomparisons showed that pilot balloons are an effective method to obtain information about the development of the mixing layer.

  19. Serum Fucosylated Haptoglobin as a Novel Diagnostic Biomarker for Predicting Hepatocyte Ballooning and Nonalcoholic Steatohepatitis.

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    Yoshihiro Kamada

    Full Text Available Nonalcoholic fatty liver disease (NAFLD is a growing medical problem around the world. NAFLD patients with nonalcoholic steatohepatitis (NASH can develop cirrhosis and hepatocellular carcinoma. The ability to distinguish NASH from simple steatosis would be of great clinical significance. Ballooning hepatocytes are characteristic of typical pathological NASH; here, the polarized secretion of proteins is disrupted due to destruction of the cytoskeleton. We previously reported that fucosylated glycoproteins are secreted into bile, but not into sera in normal liver. Therefore, we hypothesized that the fucosylation-based sorting machinery would be disrupted in ballooning hepatocytes, and serum fucosylated glycoproteins would increase in NASH patients. To confirm our hypothesis, we evaluated serum fucosylated haptoglobin (Fuc-Hpt levels in biopsy-proven NAFLD patients (n = 126 using a lectin-antibody ELISA kit. Fuc-Hpt levels were significantly increased in NASH patients compared with non-NASH (NAFLD patients without NASH patients. Interestingly, Fuc-Hpt levels showed a significant stepwise increase with increasing hepatocyte ballooning scores. Multiple logistic regression analysis showed that Fuc-Hpt levels were independent and significant determinants of the presence of ballooning hepatocytes. Moreover, Fuc-Hpt levels were useful in monitoring liver fibrosis staging. Next, to investigate the significance of serum Fuc-Hpt in a larger population, we measured Fuc-Hpt levels in ultrasound-diagnosed NAFLD subjects (n = 870 who received a medical health checkup. To evaluate NAFLD disease severity, we used the FIB-4 index (based on age, serum AST and ALT levels, and platelet counts. Fuc-Hpt levels increased stepwise with increasing FIB-4 index.Measurement of serum Fuc-Hpt levels can distinguish NASH from non-NASH patients, and predict the presence of ballooning hepatocytes in NAFLD patients with sufficient accuracy. These results support the

  20. Endoscopic treatment of vesicoureteral reflux with a self-detachable balloon system.

    Science.gov (United States)

    Atala, A; Peters, C A; Retik, A B; Mandell, J

    1992-08-01

    There is controversy about the use of polytetrafluoroethylene (Teflon) paste in children for the endoscopic treatment of vesicoureteral reflux due to evidence of particle migration. However, there are definite advantages in treating patients endoscopically. It is evident that the ideal substance should be able to be delivered endoscopically, conserve its volume, and be nonmigratory and nonantigenic. Towards this goal we developed a catheter with an inflatable, detachable and self-sealing silicone balloon that would fit through a 19 gauge cystoscopic needle. Hydroxy-ethyl-methyl acrylate, a hydrophilic polymer that solidifies within 60 minutes after the addition of ferrous sulfate, was chosen as the filling material for the balloon. Conceptually, the sealed balloon would prevent the migration of hydroxy-ethyl-methyl acrylate and the solidified polymer would prevent volume loss. To test this system reflux was created in 6 Hanford mini-pigs by unroofing the ureters bilaterally. In 2 pigs a previously described method of open surgery was used and in the other 4 reflux was created endoscopically using the resectoscope and laparoscopic scissors. The presence of bilateral reflux was confirmed 4 weeks later with a cystogram and the balloon was implanted unilaterally through a cystoscope. The opposite ureter served as an internal control in all animals. A repeat cystogram was performed 2 to 4 weeks after implantation, demonstrating resolution of reflux in the treated side and persistence of reflux in the opposite untreated ureter. Serial cystograms, ultrasound and excretory urography showed no reflux on the implanted side nor any evidence of obstruction. Tissue sections from various organs showed no evidence of particle migration, granuloma formation or inflammatory reaction. Short-term results show that the balloon implants are able to correct reflux without evidence of obstruction.