Sample records for calculating electrolytic shunt

  1. Leakage Inductance Calculation for Planar Transformers with a Magnetic Shunt

    DEFF Research Database (Denmark)

    Jun, Zhang; Ouyang, Ziwei; Duffy, M. C.


    with a magnetic shunt by means of the stored magnetic energy in the primary and secondary sides of the transformer using the magnetomotive force (MMF) variation method, as well as the stored energy in the shunt based on the reluctance model. The detailed calculation method is described. Both the FEA simulation...

  2. Leakage Inductance Calculation for Planar Transformers with a Magnetic Shunt

    DEFF Research Database (Denmark)

    Zhang, Jun; Ouyang, Ziwei; Duffy, Maeve C.


    with a magnetic shunt by means of the stored magnetic energy in the primary and secondary sides of the transformer using the magnetomotive force (MMF) variation method, as well as the stored energy in the shunt based on the reluctance model. The detailed calculation method is described. Both the FEA simulation...

  3. Rational design of electrolyte components by ab initio calculations

    Energy Technology Data Exchange (ETDEWEB)

    Johansson, Patrik; Jacobsson, Per [Department of Applied Physics, Chalmers University of Technology, SE-412 96 Goeteborg (Sweden)


    This paper is a small review of the use of computer simulations and especially the use of standard quantum-mechanical ab initio electronic structure calculations to rationally design and investigate different choices of chemicals/systems for lithium battery electrolytes. Covered systems and strategies to enhance the performance of electrolytes will range from assisting the interpretation of vibrational spectroscopy experiments over development of potentials for molecular dynamics simulations, to the design of new lithium salts and the lithium ion coordination in liquid, polymer, and gel polymer electrolytes. Examples of studied properties include the vibrational spectra of anions and ion pairs to characterize the nature and extent of the interactions present, the lithium ion affinities of anions, important for the salt solvation and the ability to provide a high concentration of charge carriers, the HOMO energies of the anions to estimate the stability versus oxidation, the anion volumes that correlate to the anion mobility, the lithium ion coordination and dynamics to reveal the limiting steps of lithium ion transport, etc. (author)

  4. The effectiveness of using the calculated braking current for longitudinal differential protection of 110 - 750 kV shunt reactors

    Energy Technology Data Exchange (ETDEWEB)

    Vdovin, S. A. [JSC ' E and E' (Russian Federation); Shalimov, A. S. [LLC Selekt Co. (Russian Federation)


    The use of the function of effective current braking of the longitudinal differential protection of shunt reactors to offset current surges, which enables the sensitivity of differential protection to be increased when there are short circuits with low damage currents, is considered. It is shown that the use of the calculated braking characteristic enables the reliability of offset protection from transients to be increased when the reactor is connected, which is accompanied by the flow of asymmetric currents containing an aperiodic component.

  5. Molar conductivity calculation of Li-ion battery electrolyte based on mode coupling theory (United States)

    Pu, Weihua; He, Xiangming; Lu, Jiufang; Jiang, Changyin; Wan, Chunrong


    A method is proposed to calculate molar conductivity based on mode coupling theory in which the ion transference number is introduced into the theory. The molar conductivities of LiPF6, LiClO4, LiBF4, LiAsF6 in PC (propylene carbonate) are calculated based on this method. The results fit well to the literature data. This presents a potential way to calculate the conductivities of Li-ion battery electrolytes.

  6. Prediction of the Conductance of Strong Electrolytes and the Calculation of the Ionization Constant of Weak Electrolytes in a Dilute Solution by a New Equation

    Institute of Scientific and Technical Information of China (English)


    In order to predict the conductance for dilute 1-1 valent electrolyte solutions,a new conductance equation was proposed based on the Onsager and Onsagar-Fuoss-Chen conductance equation.It has only one parameter A,which can be obtained directly from the data of ionic limiting molar conductivity Λ∞m,and its expression is very simple.The new equation has been verified by the experimental molar conductivities of some single strong electrolyte and mixed electrolyte solutions at 298.15 K reported in literatures.The results are in good agreement with the experimental data.Meanwhile the ionization constants of some weak electrolyte solutions were calculated by a modified equation of this new equation,and it was also found that the calculation results are in good agreement with the data in the literature.

  7. Implementation of equilibrium aqueous speciation and solubility (EQ3 type) calculations into Cantera for electrolyte solutions.

    Energy Technology Data Exchange (ETDEWEB)

    Moffat, Harry K.; Jove-Colon, Carlos F.


    In this report, we summarize our work on developing a production level capability for modeling brine thermodynamic properties using the open-source code Cantera. This implementation into Cantera allows for the application of chemical thermodynamics to describe the interactions between a solid and an electrolyte solution at chemical equilibrium. The formulations to evaluate the thermodynamic properties of electrolytes are based on Pitzer's model to calculate molality-based activity coefficients using a real equation-of-state (EoS) for water. In addition, the thermodynamic properties of solutes at elevated temperature and pressures are computed using the revised Helgeson-Kirkham-Flowers (HKF) EoS for ionic and neutral aqueous species. The thermodynamic data parameters for the Pitzer formulation and HKF EoS are from the thermodynamic database compilation developed for the Yucca Mountain Project (YMP) used with the computer code EQ3/6. We describe the adopted equations and their implementation within Cantera and also provide several validated examples relevant to the calculations of extensive properties of electrolyte solutions.

  8. Ionic limiting molar conductivity calculation of Li-ion battery electrolyte based on mode coupling theory. (United States)

    He, Xiangming; Pu, Weihua; Han, Jingli; Chen, Jian; Lu, Jiufang; Jiang, Changyin; Wan, Chunrong


    A method is proposed based on mode coupling theory in which the ion transference number is introduced into the theory. The ionic limiting molar conductivities of LiPF6, LiClO4, LiBF4, LiCF3SO3, Li(CF3SO3)2N, LiC4F9SO3, and LiAsF6 in PC(propylene carbonate), GBL(gamma-butyrolactone), PC(propylene carbonate)/EMC(ethylmethyl carbonate), and PC(propylene carbonate)/DME(dimethoxyethane) are calculated based on this method, which does not involve any adjustable parameter. The results fit well to the literature data which are calculated by an empirically adjusted formula. This presents a potential way to calculate the conductivities of Li-ion battery electrolytes.

  9. Capacity Calculation of Shunt Active Power Filters for Electric Vehicle Charging Stations Based on Harmonic Parameter Estimation and Analytical Modeling

    Directory of Open Access Journals (Sweden)

    Niancheng Zhou


    Full Text Available The influence of electric vehicle charging stations on power grid harmonics is becoming increasingly significant as their presence continues to grow. This paper studies the operational principles of the charging current in the continuous and discontinuous modes for a three-phase uncontrolled rectification charger with a passive power factor correction link, which is affected by the charging power. A parameter estimation method is proposed for the equivalent circuit of the charger by using the measured characteristic AC (Alternating Current voltage and current data combined with the charging circuit constraints in the conduction process, and this method is verified using an experimental platform. The sensitivity of the current harmonics to the changes in the parameters is analyzed. An analytical harmonic model of the charging station is created by separating the chargers into groups by type. Then, the harmonic current amplification caused by the shunt active power filter is researched, and the analytical formula for the overload factor is derived to further correct the capacity of the shunt active power filter. Finally, this method is validated through a field test of a charging station.

  10. An investigation of lithium solid electrolyte materials with first principles calculations (United States)

    Lepley, Nicholas

    Inorganic solid electrolyte materials have recently become the focus of considerable interest due to the discovery of novel compounds with high ionic conductivities (> 1e-4 S/cm ). Sulfur based solid electrolytes are particularly notable in this regard, as well as for their compatibility for Li-S electrode systems. This work applies compu- tational methods based on density functional theory to the problem of identifying and characterizing novel electrolyte materials, with an emphasis on the Li2S-P2S5 system. In addition to a broad overview of likely materials, two compounds are studied in depth, Li7P3S11 and Li3PS4 . For Li7P3 S11 the results show excellent agreement with respect to migration energetics, and good agreement with the experimentally described structure and observed stability. For Li3PS4 , in addition to structure, stability, and migration energetics, the properties of the interface between the electrolyte and vacuum and the electrolyte and lithium metal are considered.

  11. 全钒液流电池支路电流的理论计算及实验分析%Theoretical calculation and experimental analysis of shunt current in all vanadium redox flow battery

    Institute of Scientific and Technical Information of China (English)

    马军; 李爱魁; 杨祥军; 刘飞; 张爱芳


    The calculation of shunt current in the all vanadium redox flow battery was described and the calculation process was completed by MATLAB software. The regularity of distribution and effect factors of shunt current was reviewed. In addition, the energy efficiency of 7.5 kW stack was tested. The results show that the center battery has the minimum feed port shunt current and the maximum manifold road shunt current. The modular construction has lower shunt current and higher energy efficiency.%提出了钒电池支路电流计算方法,采用MATLAB软件对不同结构7.5 kW钒电池的支路电流进行了理论计算,分析了支路电流的分布规律及影响因素,并对7.5 kW钒电池进行效率测试,结果表明:支管上的支路电流在电堆中心最小,而总管及主路上的支路电流在电堆中心为最大值,同时单电池个数减少有利于减小支路电流;采用模块化结构的7.5 kW电堆(由2组共30个单电池串联而成,即15个单电池组成一个模块)的支路电流明显降低,其能量效率达到74.4%,高于一体化结构电堆(由1组共30个单电池串联而成,即每组30个单电池)的能量效率(69.4%).

  12. Enhanced Piezoelectric Shunt Design

    Directory of Open Access Journals (Sweden)

    Chul H. Park


    Full Text Available Piezoceramic material connected to an electronic shunt branch circuit has formed a successful vibration reduction device. One drawback of the conventional electronic shunt circuit is the large inductance required when suppressing low frequency vibration modes. Also, the large internal resistance associated with this large inductance exceeds the optimal design resistance needed for low frequency vibration suppression. To solve this problem, a modified and enhanced piezoelectric shunt circuit is designed and analyzed by using mechanical-electrical analogies to present the physical interpretation. The enhanced shunt circuit developed in this paper is proved to significantly reduce the targeted vibration mode of a cantilever beam, theoretically and experimentally.

  13. Lumbar peritoneal shunt

    Directory of Open Access Journals (Sweden)

    Yadav Yad


    Full Text Available A lumbar peritoneal (LP shunt is a technique of cerebrospinal fluid (CSF diversion from the lumbar thecal sac to the peritoneal cavity. It is indicated under a large number of conditions such as communicating hydrocephalus, idiopathic intracranial hypertension, normal pressure hydrocephalus, spinal and cranial CSF leaks, pseudomeningoceles, slit ventricle syndrome, growing skull fractures which are difficult to treat by conventional methods (when dural defect extends deep in the cranial base or across venous sinuses and in recurrent cases after conventional surgery, raised intracranial pressure following chronic meningitis, persistent bulging of craniotomy site after operations for intracranial tumors or head trauma, syringomyelia and failed endoscopic third ventriculostomy with a patent stoma. In spite of the large number of indications of this shunt and being reasonably good, safe, and effective, very few reports about the LP shunt exist in the literature. This procedure did not get its due importance due to some initial negative reports. This review article is based on search on Google and PubMed. This article is aimed to review indications, complications, results, and comparison of the LP shunt with the commonly practiced ventriculoperitoneal (VP shunt. Shunt blocks, infections, CSF leaks, overdrainage and acquired Chiari malformation (ACM are some of the complications of the LP shunt. Early diagnosis of overdrainage complications and ACM as well as timely appropriate treatment especially by programmable shunts could decrease morbidity. Majority of recent reports suggest that a LP shunt is a better alternative to the VP shunt in communicating hydrocephalus. It has an advantage over the VP shunt of being completely extracranial and can be used under conditions other than hydrocephalus when the ventricles are normal sized or chinked. More publications are required to establish its usefulness in the treatment of wide variety of indications.

  14. Rate of shunt revision as a function of age in patients with shunted hydrocephalus due to myelomeningocele. (United States)

    Dupepe, Esther B; Hopson, Betsy; Johnston, James M; Rozzelle, Curtis J; Jerry Oakes, W; Blount, Jeffrey P; Rocque, Brandon G


    OBJECTIVE It is generally accepted that cerebrospinal fluid shunts fail most frequently in the first years of life. The purpose of this study was to describe the risk of shunt failure for a given patient age in a well-defined cohort with shunted hydrocephalus due to myelomeningocele (MMC). METHODS The authors analyzed data from their institutional spina bifida research database including all patients with MMC and shunted hydrocephalus. For the entire population, the number of shunt revisions in each year of life was determined. Then the number of patients at risk for shunt revision during each year of life was calculated, thus enabling them to calculate the rate of shunt revision per patient in each year of life. In this way, the timing of all shunt revision operations for the entire clinic population and the likelihood of having a shunt revision during each year of life were calculated. RESULTS A total of 655 patients were enrolled in the spina bifida research database, 519 of whom had a diagnosis of MMC and whose mean age was 17.48 ± 11.7 years (median 16 years, range 0-63 years). Four hundred seventeen patients had had a CSF shunt for the treatment of hydrocephalus and thus are included in this analysis. There were 94 shunt revisions in the 1st year of life, which represents a rate of 0.23 revisions per patient in that year. The rate of shunt revision per patient-year initially decreased as age increased, except for an increase in revision frequency in the early teen years. Shunt revisions continued to occur as late as 43 years of age. CONCLUSIONS These data substantiate the idea that shunt revision surgeries in patients with MMC are most common in the 1st year of life and decrease thereafter, except for an increase in the early teen years. A persistent risk of shunt failure was observed well into adult life. These findings underscore the importance of routine follow-up of all MMC patients with shunted hydrocephalus and will aid in counseling patients and

  15. Hydrocephalus and Shunts (United States)

    SBA National Resource Center: 800-621-3141 Hydrocephalus and Shunts Approximately 80% of people with SB have Hydrocephalus Hydrocephalus means there is a build-up of cerebrospinal also called CSF, around ...

  16. Distal splenorenal shunt (United States)

    ... path. As a result, swollen blood vessels called varices form. They develop thin walls that can break ... or x-rays show that you have bleeding varices. Distal splenorenal shunt surgery reduces pressure on the ...

  17. A multi-stack simulation of shunt currents in vanadium redox flow batteries (United States)

    Wandschneider, F. T.; Röhm, S.; Fischer, P.; Pinkwart, K.; Tübke, J.; Nirschl, H.


    A model for the shunt currents in an all-vanadium redox flow battery consisting of 3 stacks which are electrically connected in series. It is based on an equivalent circuit which treats the shunt current pathways as Ohmic resistors. The conductivity of the vanadium electrolyte has been measured for different state-of-charges in order to implement a dependency of the resistances on the state-of-charge of the system. Published results are used to validate the simulation data of a single stack. Three setups of pipe networks are evaluated using the model. The pipe connections between the stacks give rise to external shunt currents, which also increase the amount of shunt currents within the stacks. These connections also lead to a nonuniform distribution of the shunt currents. The effects of the shunt currents on the Coulombic efficiency and the energy efficiency of the system are studied by the means of the model.

  18. Pathophysiology of shunt dysfunction in shunt treated hydrocephalus

    DEFF Research Database (Denmark)

    Blegvad, C.; Skjolding, A D; Broholm, H


    We hypothesized that shunt dysfunction in the ventricular catheter and the shunt valve is caused by different cellular responses. We also hypothesized that the cellular responses depend on different pathophysiological mechanisms....

  19. Molecular simulation of aqueous electrolyte solubility. 2. Osmotic ensemble Monte Carlo methodology for free energy and solubility calculations and application to NaCl. (United States)

    Moučka, Filip; Lísal, Martin; Škvor, Jiří; Jirsák, Jan; Nezbeda, Ivo; Smith, William R


    We present a new and computationally efficient methodology using osmotic ensemble Monte Carlo (OEMC) simulation to calculate chemical potential-concentration curves and the solubility of aqueous electrolytes. The method avoids calculations for the solid phase, incorporating readily available data from thermochemical tables that are based on well-defined reference states. It performs simulations of the aqueous solution at a fixed number of water molecules, pressure, temperature, and specified overall electrolyte chemical potential. Insertion/deletion of ions to/from the system is implemented using fractional ions, which are coupled to the system via a coupling parameter λ that varies between 0 (no interaction between the fractional ions and the other particles in the system) and 1 (full interaction between the fractional ions and the other particles of the system). Transitions between λ-states are accepted with a probability following from the osmotic ensemble partition function. Biasing weights associated with the λ-states are used in order to efficiently realize transitions between them; these are determined by means of the Wang-Landau method. We also propose a novel scaling procedure for λ, which can be used for both nonpolarizable and polarizable models of aqueous electrolyte systems. The approach is readily extended to involve other solvents, multiple electrolytes, and species complexation reactions. The method is illustrated for NaCl, using SPC/E water and several force field models for NaCl from the literature, and the results are compared with experiment at ambient conditions. Good agreement is obtained for the chemical potential-concentration curve and the solubility prediction is reasonable. Future improvements to the predictions will require improved force field models.

  20. residue and shunting pinholes (United States)

    Gorji, Nima E.


    The present work considers two observable phenomena through the experimental fabrication and electrical characterization of the rf-sputtered CdS/CdTe thin film solar cells that extremely reduce the overall conversion efficiency of the device: CdCl2 residue on the surface of the semiconductor and shunting pinholes. The former happens through nonuniform treatment of the As-deposited solar cells before annealing at high temperature and the latter occurs by shunting pinholes when the cell surface is shunted by defects, wire-like pathways or scratches on the metallic back contact caused from the external contacts. Such physical problems may be quite common in the experimental activities and reduce the performance down to 4-5 % which leads to dismantle the device despite its precise fabrication. We present our electrical characterization on the samples that received wet CdCl2 surface treatment (uniform or nonuniform) and are damaged by the pinholes.

  1. Portasystemic shunt fraction quantification with colonic iodine-123 iodoamphetamine

    Energy Technology Data Exchange (ETDEWEB)

    Yen, C.K.; Pollycove, M.; Crass, R.; Lin, T.H.; Baldwin, R.; Lamb, J.


    Portasystemic shunting was quantified in dogs with (/sup 123/I)iodoamphetamine (IMP) administered transrectally into the colon and monitored externally with a gamma camera. IMP was absorbed rapidly and unchanged from the colon. After direct injection into the portal vein, IMP was almost completely extracted by the liver on the first pass, and the washout half-life was approximately 60 min. Based on these kinetic data, computer simulation of this biologic system was carried out. Errors associated with simplified models are calculated. The simplest model with insignificant error, which assumed that the tracer behaved like microspheres, was used to quantitate portasystemic shunt fraction in animals with surgically created shunts. Results were compared with the standard of /sup 99m/Tc-labeled macroaggregated albumin infused into a branch of inferior mesenteric vein. For shunt fractions ranging from 0 to 100%, an excellent correlation was seen, indicating that this approach is potentially a simple, noninvasive method of portasystemic shunt fraction quantification.

  2. Calculation of CO2,CH4 and H2S Solubilities in Aquenous Electrolyte Solution at High Prssure and High Temperature

    Institute of Scientific and Technical Information of China (English)


    This paper reports an investigation into the characterisation of liquid-vapor electrolyte solutions at high pressure and high temperature,A procedure to enable calculations of methane,carbon dioxide and hydrogen sulphide solubilities in brines(0-6m.) for temperature from 25 to 350℃ and for pressures from 1 to 1800 bar is presented.The model is based on Helgeson,Kirkham and Flowers modified equations of state(HKF)and on the semi-empirical interaction model introduced by Pitzer,HKF modified equations of state are used to calculate the reference fugacity of gas species,and the Pitzer ionic interaction model is used to calculate the activity coefficient of dissolved species(i.e.ionic or neutral).The efficiency of the combination of the two models is confirmed by several comparisons with data in the literature.

  3. Congenital extrahepatic portosystemic shunts

    Energy Technology Data Exchange (ETDEWEB)

    Murray, Conor P.; Yoo, Shi-Joon; Babyn, Paul S. [Department of Diagnostic Imaging, Hospital for Sick Children, 555 University Avenue, M5G 1X8, Toronto, Ontario (Canada)


    A congenital extrahepatic portosystemic shunt (CEPS) is uncommon. A type 1 CEPS exists where there is absence of intrahepatic portal venous supply and a type 2 CEPS where this supply is preserved. The diagnosis of congenital portosystemic shunt is important because it may cause hepatic encephalopathy. To describe the clinical and imaging features of three children with CEPS and to review the cases in the published literature. The diagnostic imaging and medical records for three children with CEPS were retrieved and evaluated. An extensive literature search was performed. Including our cases, there are 61 reported cases of CEPS, 39 type 1 and 22 type 2. Type 1 occurs predominantly in females, while type 2 shows no significant sexual preponderance. The age at diagnosis ranges from 31 weeks of intrauterine life to 76 years. Both types of CEPS have a number of associations, the most common being nodular lesions of the liver (n=25), cardiac anomalies (n=19), portosystemic encephalopathy (n=10), polysplenia (n=9), biliary atresia (n=7), skeletal anomalies (n=5), and renal tract anomalies (n=4). MRI is recommended as an important means of diagnosing and classifying cases of CEPS and examining the associated cardiovascular and hepatic abnormalities. Screening for CEPS in patients born with polysplenia is suggested. (orig.)

  4. Outcome analysis of shunt surgery in hydrocephalus

    Directory of Open Access Journals (Sweden)

    Ahmed Ashraf


    Full Text Available Aim: To study the clinical outcome of shunt surgeries in children suffering from hydrocephalus. Methods: A prospective study of 50 children with hydrocephalus who underwent a ventriculo-peritoneal shunt insertion over a period of two years. These patients were then followed up for shunt related complications, shunt revisions and outcome. Results : Twenty six of the 50 patients (52% suffered from complications. The most common complications were shunt blockage (n=7 and shunt infection (n=6. These complications necessitated repeated shunt revisions. Conclusions: Infective complications of hydrocephalus are more likely to leave behind an adverse neurological outcome in the form of delayed milestones and mental retardation.

  5. Quantitative evaluation fo cerebrospinal fluid shunt flow

    Energy Technology Data Exchange (ETDEWEB)

    Chervu, S.; Chervu, L.R.; Vallabhajosyula, B.; Milstein, D.M.; Shapiro, K.M.; Shulman, K.; Blaufox, M.D.


    The authors describe a rigorous method for measuring the flow of cerebrospinal fluid (CSF) in shunt circuits implanted for the relief of obstructive hydrocephalus. Clearance of radioactivity for several calibrated flow rates was determined with a Harvard infusion pump by injecting the Rickham reservoir of a Rickham-Holter valve system with 100 of Tc-99m as pertechnetate. The elliptical and the cylindrical Holter valves used as adjunct valves with the Rickham reservoir yielded two different regression lines when the clearances were plotted against flow rats. The experimental regression lines were used to determine the in vivo flow rates from clearances calculated after injecting the Rickham reservoirs of the patients. The unique clearance characteristics of the individual shunt systems available requires that calibration curves be derived for an entire system identical to one implanted in the patient being evaluated, rather than just the injected chamber. Excellent correlation between flow rates and the clinical findings supports the reliability of this method of quantification of CSF shunt flow, and the results are fully accepted by neurosurgeons.

  6. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

    Medline Plus

    Full Text Available ... bear denotes child-specific content. Related Articles and Media Radiation Dose in X-Ray and CT Exams Contrast Materials Venography Images related to Transjugular Intrahepatic Portosystemic Shunt (TIPS) Sponsored ...

  7. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

    Medline Plus

    Full Text Available ... risks? What are the limitations of TIPS? What is a Transjugular Intrahepatic Portosystemic Shunt (TIPS)? A transjugular ... bleeding from enlarged veins. top of page How is the procedure performed? Image-guided, minimally invasive procedures ...

  8. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

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    Full Text Available ... functions properly. top of page Who interprets the results and how do I get them? Prior to ... TIPS is designed to produce the same physiological results as a surgical shunt or bypass, without the ...

  9. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

    Medline Plus

    Full Text Available ... the liver using x-ray guidance to connect two veins within the liver. The shunt is kept ... examination consists of a radiographic table, one or two x-ray tubes and a television-like monitor ...

  10. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

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    Full Text Available ... What are the limitations of TIPS? What is a Transjugular Intrahepatic Portosystemic Shunt (TIPS)? A transjugular intrahepatic ... code: Phone no: Thank you! Do you have a personal story about radiology? Share your patient story ...

  11. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

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    Full Text Available ... vs. risks? What are the limitations of TIPS? What is a Transjugular Intrahepatic Portosystemic Shunt (TIPS)? A ... likely to require a TIPS. top of page What are some common uses of the procedure? A ...

  12. Universal thermodynamic model of calculating the mass action concentrations of components in a ternary strong electrolyte aqueous solution and its application in the NaCl-KCI-H2O system

    Institute of Scientific and Technical Information of China (English)

    Weijie Zhao; Hanjie Guo; Xuemin Yang; higang Dan


    A universal thermodynamic model of calculating the mass action concentrations of components in a ternary strong elec-trolyte aqueous solution has been developed based on the ion and molecule coexistence theory, and verified in the NaCl-KCl-H2Oternary system at 298.15 K, To compare the difference of the thermodynamic model in binary and ternary strong electrolyte aqueous solutions, the mass action concentrations of components in the NaCI-H20 binary strong electrolyte aqueous solution were also com-puted at 298.15K. A transformation coefficient was required to compare the calculated mass action concentration and reported activ-ity because they were obtained at different standard states and concentration units. The results show that the transformation coeffi-cients between calculated mass action concentrations and reported activities of the same components change in a very narrow range.The calculated mass action concentrations of components in the NaCl-H2O and NaCl-KCl-H2O systems are in good agreement with the reported activities. This indicates that the developed thermodynamic model can reflect the structural characteristics of solutions,and the mass action concentration also strictly follows the mass action law.

  13. Piezoelectric RL shunt damping of flexible structures

    DEFF Research Database (Denmark)

    Høgsberg, Jan Becker; Krenk, Steen


    Resonant RL shunt circuits represent a robust and effective approach to piezoelectric damping, provided that the individual shunt circuit components are calibrated accurately with respect to the dynamic properties of the corresponding flexible structure. The balanced calibration procedure applied...

  14. Syringosubarachnoid shunting using a myringotomy tube

    Directory of Open Access Journals (Sweden)

    Jack M Leschke


    Conclusion: We used a myringotomy tube for syringosubarachnoid shunting for the surgical management of a posttraumatic syrinx with good results. This technique minimizes suturing and may minimize shunt-related complications.

  15. Ventriculoperitoneal shunt blockage by hydatid cyst

    Directory of Open Access Journals (Sweden)

    Abrar A Wani


    Full Text Available Ventriculoperitoneal (VP shunt is one of the commonest procedures done in neurosurgical practice throughout the world. One of the commonest problems after putting the VP shunt is the shunt obstruction, which can be due to varied causes. Shunt obstruction secondary to the parasitic infections is rarely seen. We are presenting a 15-year-old child, a case of operated cerebral hydatid cyst with hydrocephalus. She presented with shunt malfunction after 1 year of surgical excision of the hydatid cyst. Revision of the VP shunt was done and peroperatively, it was found that the shunt tubing was obstructed due to small hydatid cysts. This is the first reported case of VP shunt obstruction by hydatid cyst.

  16. Shunting ratios for MHD flows

    Energy Technology Data Exchange (ETDEWEB)

    Birzvalk, Yu.


    The shunting ratio and the local shunting ratio, pertaining to currents induced by a magnetic field in a flow channel, are properly defined and systematically reviewed on the basis of the Lagrange criterion. Their definition is based on the energy balance and related to dimensionless parameters characterizing an MHD flow, these parameters evolving from the Hartmann number and the hydrodynamic Reynolds number as well as the magnetic Reynolds number, and the Lundquist number. These shunting ratios, of current density in the core of a stream (uniform) or equivalent mean current density to the short-circuit (maximum) current density, are given here for a slot channel with nonconducting or conducting walls, for a conduction channel with heavy side rails, and for an MHD-flow around bodies. 5 references, 1 figure.

  17. Tunable band gaps in acoustic metamaterials with periodic arrays of resonant shunted piezos

    Institute of Scientific and Technical Information of China (English)

    Chen Sheng-Bing; Wen Ji-Hong; Wang Gang; Wen Xi-Sen


    Periodic arrays of resonant shunted piezoelectric patches are employed to control the wave propagation in a twodimensional (2D) acoustic metamaterial.The performance is characterized by the finite element method.More importantly,we propose an approach to solving the conventional issue of the nonlinear eigenvalue problem,and give a convenient solution to the dispersion properties of 2D metamaterials with periodic arrays of resonant shunts in this article.Based on this modeling method,the dispersion relations of a 2D metamaterial with periodic arrays of resonant shunted piezos are calculated.The results show that the internal resonances of the shunting system split the dispersion curves,thereby forming a locally resonant band gap.However,unlike the conventional locally resonant gap,the vibrations in this locally resonant gap are unable to be completely localized in oscillators consisting of shunting inductors and piezo-patches.

  18. Tunable band gaps in acoustic metamaterials with periodic arrays of resonant shunted piezos (United States)

    Chen, Sheng-Bing; Wen, Ji-Hong; Wang, Gang; Wen, Xi-Sen


    Periodic arrays of resonant shunted piezoelectric patches are employed to control the wave propagation in a two-dimensional (2D) acoustic metamaterial. The performance is characterized by the finite element method. More importantly, we propose an approach to solving the conventional issue of the nonlinear eigenvalue problem, and give a convenient solution to the dispersion properties of 2D metamaterials with periodic arrays of resonant shunts in this article. Based on this modeling method, the dispersion relations of a 2D metamaterial with periodic arrays of resonant shunted piezos are calculated. The results show that the internal resonances of the shunting system split the dispersion curves, thereby forming a locally resonant band gap. However, unlike the conventional locally resonant gap, the vibrations in this locally resonant gap are unable to be completely localized in oscillators consisting of shunting inductors and piezo-patches.


    Institute of Scientific and Technical Information of China (English)

    李春喜; 宋红燕; 李以圭; 陆九芳


    An equation of state for electrolyte aqueous solution is developed by treating the ion-ion electrostatic and ion-solvent molecule interactions with primitive MSA and perturbation theory, respectively. The effect of the dielectric constant on the ionic chemical potential and the calculation accuracy of ionic mean activity coefficients for 2∶1 and 1∶1 type halide aqueous solution are discussed.By taking ionic Pauling diameter as ionic hard sphere diameter for anions and treating the cation hard sphere diameter as ionic strength dependent, the equation can be used to calculate ionic activity coefficients in the moderate concentration range with good accuracy.

  20. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

    Medline Plus

    Full Text Available ... What are the limitations of TIPS? What is a Transjugular Intrahepatic Portosystemic Shunt (TIPS)? A transjugular intrahepatic ... encourage linking to this site. × Recommend RadiologyInfo to a friend Send to (friend's e-mail address): From ( ...

  1. Transjugular Intrahepatic Portosystemic Shunt (TIPS)

    Medline Plus

    Full Text Available ... What are the limitations of TIPS? What is a Transjugular Intrahepatic Portosystemic Shunt (TIPS)? A transjugular intrahepatic ... encourage linking to this site. × Recommend RadiologyInfo to a friend Send to (friend's e-mail address): From ( ...

  2. Method of dosing electrolyte in a sealed storage battery

    Energy Technology Data Exchange (ETDEWEB)

    Boldin, R.V.; Akbulatova, A.D.; Mel' nikova, T.A.; Perugina, T.P.


    A method is proposed for dosing electrolyte in a sealed storage battery by weighing the storage battery before pouring in the electrolyte, pouring in the electrolyte, forming, removing the surplus electrolyte, repeated weighing, calculation for the difference in the weight of the quantity of the remaining electrolyte and correction for the weight of the quantity of electrolyte according to theoretical calculations. In order to improve accuracy after repeated weighing, a measurement is made of the magnitude of free gas space of the storage battery and a volume of electrolyte is added until it reaches 90-95% of the degree of filling of the pores included in the volume of the gas space.

  3. Ventriculopleural shunting with new technology valves. (United States)

    Martínez-Lage, J F; Torres, J; Campillo, H; Sanchez-del-Rincón, I; Bueno, F; Zambudio, G; Poza, M


    Ventriculoperitoneal shunting constitutes the standard procedure for draining cerebrospinal fluid (CSF) in children with hydrocephalus. Ventriculoatrial and ventriculopleural shunting are alternative methods of CSF drainage, which have gained less acceptance. Ventriculopleural shunts are seldom used owing to justified fears of pneumothorax and symptomatic effusions of CSF. The addition of an antisiphon device to standard shunt systems seems to have prevented CSF pleural effusion. From 1988 to 1998, we treated each of six hydrocephalic children with a ventriculopleural shunt. In five cases we used new-technology valves designed to prevent the effects of siphoning with current differential pressure valves. Peritoneal adhesions, recent peritonitis, ascites, and obstruction of a previous ventriculoatrial shunt were the indications for pleural shunting. After a mean follow-up period of 2.5 years all shunts were functioning adequately. Only one patient showed transient symptoms of CSF overdrainage, which were corrected by up-grading the valve setting with the magnet. A late death was unrelated to the pleural shunting procedure. The use of valves of a new design designed to prevent overdrainage seems to account for the satisfactory outcomes observed in this series. We suggest that ventriculopleural shunting should be considered as the preferred alternative to peritoneal drainage in children with intra-abdominal adhesions or with a history of recent peritoneal infection.

  4. Ventriculoperitoneal shunt perforations of the gastrointestinal tract. (United States)

    Thiong'o, Grace Muthoni; Luzzio, Christopher; Albright, A Leland


    OBJECT The purposes of this study were to evaluate the frequency with which children presented with ventriculoperitoneal (VP) shunt perforations of the gastrointestinal (GI) tract, to determine the type of shunts that caused the perforations, and to compare the stiffness of perforating catheters with the stiffness of catheters from other manufacturers. METHODS Medical records were reviewed of 197 children who were admitted with VP shunt malfunction. Catheter stiffness was evaluated by measuring relative resistance to cross-sectional compression, resistance to column buckling, and elasticity in longitudinal bending. Catheter frictional force was measured per unit length. RESULTS Six children were identified whose VP shunts had perforated the GI tract; 2 shunts subsequently protruded through the anal orifice, 1 protruded through the oral cavity, and 3 presented with subcutaneous abscesses that tracked upward from the intestine to the chest. All perforating shunts were Chhabra shunts. Catheter stiffness and resistance to bending were greatest with a Medtronic shunt catheter, intermediate with a Codman catheter, and least with a Chhabra catheter. Frictional force was greatest with a Chhabra catheter and least with a Medtronic catheter. CONCLUSIONS The frequency of perforations by Chhabra shunts appears to be higher than the frequency associated with other shunts. The increased frequency does not correlate with their stiffness but may reflect their greater frictional forces.

  5. Pediatric ventriculoperitoneal shunts and their complications: An analysis

    Directory of Open Access Journals (Sweden)

    Nitin Agarwal


    Conclusion: With this retrospective review of complications of VP shunts, age at initial shunt insertion and the interval between the age of initial shunt placement and onset of complications were the most important patient-related predictors of shunt failure. The different predominant etiological factors responsible for early and late shunt failure were infective and mechanical complications, respectively.

  6. A wireless monitoring system for Hydrocephalus shunts. (United States)

    Narayanaswamy, A; Nourani, M; Tamil, L; Bianco, S


    Patients with Hydrocephalus are usually treated by diverting the excess Cerebrospinal Fluid (CSF) to other parts of the body using shunts. More than 40 percentage of shunts implanted fail within the first two years. Obstruction in the shunts is one of the major causes of failure (45 percent) and the detection of obstruction reduces the complexity of the revision surgery. This paper describes a proposed wireless monitoring system for clog detection and flow measurement in shunts. A prototype was built using multiple pressure sensors along the shunt catheters for sensing the location of clog and flow rate. Regular monitoring of flow rates can be used to adjust the valve in the shunt to prevent over drainage or under drainage of CSF. The accuracy of the flow measurement is more than 90 percent.

  7. Electrolytes Test (United States)

    ... mean? High or low electrolyte levels can be caused by several conditions and diseases. Generally, they are affected by how much is consumed in the diet and absorbed by the body, the amount of water in a person's body, and the amount eliminated ...

  8. NMR T1 relaxation time measurements and calculations with translational and rotational components for liquid electrolytes containing LiBF4 and propylene carbonate (United States)

    Richardson, P. M.; Voice, A. M.; Ward, I. M.


    Longitudinal relaxation (T1) measurements of 19F, 7Li, and 1H in propylene carbonate/LiBF4 liquid electrolytes are reported. Comparison of T1 values with those for the transverse relaxation time (T2) confirm that the measurements are in the high temperature (low correlation time) limit of the T1 minimum. Using data from pulsed field gradient measurements of self-diffusion coefficients and measurements of solution viscosity measured elsewhere, it is concluded that although in general there are contributions to T1 from both translational and rotational motions. For the lithium ions, this is mainly translational, and for the fluorine ions mainly rotational.

  9. Lumboperitoneal shunts: Review of 409 cases

    Directory of Open Access Journals (Sweden)

    Yadav Y


    Full Text Available BACKGROUND AND AIMS: A prospective study was carried out to evaluate the lumboperitoneal shunt procedure. MATERIAL AND METHODS: Four hundred and nine patients having communicating hydrocephalus were selected for the procedure during a 10-year period from March 1992 to February 2002. The average follow-up was 45.34 months. RESULTS: Tubercular meningitis (TBM-related hydrocephalus was detected in 285 patients. Forty per cent of the patients were less than 15 years of age. Glasgow Coma Scale (GCS of less than 8 was seen in 40% patients and 14.9% patients were in GCS 13-15. At the time of discharge 56.7% patients improved in their GCS to 13 -15 and 14.9% were in GCS 8 or less. The overall mortality was 5.13% and shunt-related mortality was seen in 2% patients. Shunt malfunction requiring revision was seen in 32 patients (7.8% and the total number of shunt revisions was 44 (11%. Shunt infection was noted in 3.4% patients. CSF leak at the lumbar end occurred in 12 patients. Four patients required conversion of LP shunt to VP shunt. CONCLUSIONS: Lumboperitoneal shunt is an effective shunting procedure in communicating hydrocephalus.

  10. Organic electrolytes for sodium batteries (United States)

    Vestergaard, B.


    A summary of earlier given status reports in connection with the project on organic electrolytes for sodium batteries is presented. The aim of the investigations was to develop new room temperature molten salts electrolytes mainly with radical substituted heterocyclic organic chlorides mixed with aluminum chloride. The new electrolytes should have an ionic conductivity comparable with MEIC1:AlCl3 or better. A computer model program MOPAC (Molecular Orbital Package) was to be included to calculate theoretically reduction potentials for a variety of organic cations. Furthermore, MOPAC could be utilized to predict the electron densities, and then give a prediction of the stability of the organic cation.

  11. Subacute bacterial endocarditis and subsequent shunt nephritis from ventriculoatrial shunting 14 years after shunt implantation

    DEFF Research Database (Denmark)

    Burström, Gustav; Andresen, Morten; Bartek, Jiri Jr.


    Fourteen years after shunt implantation, a 26-year-old patient with myelomeningocele, concomitant hydrocephalus and a ventriculoatrial cerebrospinal fluid (CSF) shunt presented with brief but recurrent episodes of fever predominantly when taking showers or during physical exertion. After 4 years...

  12. 直流入地电流经交流电网分流计算模型的简化及算法分析%Model Simplication and Calculation Method Analysis About the Shunt of DC Grounding Current Via AC Grid

    Institute of Scientific and Technical Information of China (English)

    任志超; 吴广宁; 甄威; 吴超; 张一坤


    直流入地电流经交流电网分流的计算过程复杂,涉及到大范围地质分层结构.旨在简化计算模型,指出直流地电位分布与直流地电流分流的关系.首先分析了土层结构的Hummel法简化及其对地电位分布的影响;其次,研究了直流地电位分布规律及地电流分流特性;最后,讨论了直流通路等效电阻的构成,得出了直流地电位的计算方法.研究结果表明:当站点距离接地极较远时,土层简化可用于直流地电位计算;直流地电位在接地网附近小范围内会发生畸变,交流输电线的存在导致相连站点间的直流地电位差减小;接地极入地电流及复杂大地分层电阻可等效为电压源及电源内阻,在求解等效电压源电动势时,可利用贝塞尔函数的衰减余弦等价式取代无穷级数.%The calculation about the shunt of DC grounding current via AC grid is a complex process, involving a large range of geological hierarchical structure. To simplify the calculation model so as to put forward the relationship of the DC earth potential distribution and the shunt of DC grounding current, firstly, we analyzed the Hummel method by applying soil-layer structure simplification and its impact to the grounding potential distribution; secondly, we studied the law of the DC earth potential distribution and the characteristic of the shunt of DC grounding current; finally, we discussed the composition of equivalent resistance in the DC Pathway, and put forward the calculation method of DC earth potential. The results show that: the method of simplification layer can be adopted to calculate DC earth potential when the distance between substaions and DC grounding electrode is far enough. The distortion will occur nearby the grounding network in a small range, and the existence of AC transmission line will decrease the difference value of DC earth potential between the connected sites. The grounding current into the earth and complicated

  13. Congenital Portosystemic Shunt: Our Experience

    Directory of Open Access Journals (Sweden)

    Tiziana Timpanaro


    Full Text Available Introduction. Congenital portosystemic venous malformations are rare abnormalities in which the portal blood drains into a systemic vein and which are characterized by extreme clinical variability. Case Presentations. The authors present two case reports of a congenital extrahepatic portosystemic shunt (Type II. In the first patient, apparently nonspecific symptoms, such as headache and fatigue, proved to be secondary to hypoglycemic episodes related to the presence of a portosystemic shunt, later confirmed on imaging. During portal vein angiography, endovascular embolization of the portocaval fistula achieved occlusion of the anomalous venous tract. In the second patient, affected by Down’s syndrome, the diagnosis of a portosystemic malformation was made by routine ultrasonography, performed to rule out concurrent congenital anomalies. Because of the absence of symptoms, we chose to observe this patient. Conclusions. These two case reports demonstrate the clinical heterogeneity of this malformation and the need for a multidisciplinary approach. As part of a proper workup, clinical evaluation must always be followed by radiographic diagnosis.

  14. Electrolytic fixer. (United States)



    Interest in the recovery of silver from radiographic film generates a need to understand the operating procedures of recovery units utilizing the electrolytic fixer principle. Tailing or terminal units and recirculation units using electrolysis are evaluated. Difficulties encountered in the number of Coulombs applied to a specific amount of fixer are discussed. Reduction of sulfiding as a result of electrolysis and variations in film volumes are noted. The quantity and quality of silver collected can be improved by being aware of alterations in chemical activity used in a silver recovery program.

  15. Investigation of electrolyte electric discharge characteristics (United States)

    Kirko, D. L.; Savjolov, A. S.


    The most important electrical characteristics of electrolyte electric discharge were investigated. The electric burning discharge was obtained with the help of different electrolytes. The spectral composition of the electric discharge electromagnetic radiation was determined, the plasma temperature was determined. The spectrum of the electric discharge high-frequency oscillations was calculated in the region v=10 kHz-80 MHz. The most appropriate modes of the electric burning discharge in different electrolytes were proposed.

  16. Ventriculoperitoneal shunt complications needing shunt revision in children: A review of 5 years of experience with 48 revisions

    Directory of Open Access Journals (Sweden)

    Rajendra K Ghritlaharey


    Full Text Available Background: The aim of this study was to review the management of ventriculoperitoneal (VP shunt complications in children. Patients and Methods: During the last 5 years (January 1, 2006 to December 31, 2010, 236 VP shunt operations were performed in children under 12 years of age; of these, 40 (16.94% developed shunt complications and those who underwent VP shunt revisions were studied. Results: This prospective study included 40 (28 boys and 12 girls children and required 48 shunt revisions. Complications following VP shunts that required shunt revisions were peritoneal catheter/peritoneal end malfunction (18, shunt/shunt tract infections (7, extrusion of peritoneal catheter through anus (5, ventricular catheter malfunction (4, cerebrospinal fluid (CSF leak from abdominal wound (4, shunt system failure (2, ventricular end/shunt displacement (2, CSF pseudocysts peritoneal cavity (2, extrusion of peritoneal catheter from neck, chest, abdominal scar and through umbilicus, one each. Four-fifth of these shunt complications occurred within 6 months of previous surgery. Surgical procedures done during shunt revisions in order of frequency were revision of peritoneal part of shunt (27, 56.25%, revision of entire shunt system (6, 12.5%, extra ventricular drainage and delayed re-shunt (5, 10.41%, shunt removal and delayed re-shunt (5, 10.41%, opposite side shunting (2, 4.16%, cysts excision and revision of peritoneal catheter (2, 4.16% and revision of ventricular catheter (1, 2.08%. The mortalities following VP shunt operations were 44 (18.64% and following shunt revisions were 4 (10%. Conclusions: VP shunt done for hydrocephalus in children is not only prone for complications and need for revision surgery but also associated with considerable mortality.

  17. Gender-dependent reduction of spontaneous motor activity and growth in rats subjected to portacaval shunt. (United States)

    Conjeevaram, H S; Mullen, K D; May, E J; McCullough, A J


    Alterations in behavior are frequently described in rats subjected to portacaval shunt. Previous work has reported reduced spontaneous motor activity in various settings (nighttime, red light, decreased illumination) in this animal model. We investigated this phenomenon in rats of both genders subjected to portacaval shunt to determine whether our previously observed divergent growth patterns (males reduced, females unchanged) had any impact on the alterations in spontaneous motor activity in this model. Dietary intake, growth, motor activity and serum ammonia and amino acid concentrations were measured, in addition to final liver and spleen weights, in each animal after 3 to 4 wk of observation. Our results reconfirm the differential impact of portacaval shunt on growth in male (35% reduction p < 0.01) but not female rats (5% reduction, NS) compared with their respective-gender sham-operated controls. In addition, spontaneous motor activity was significantly reduced in male (congruent to 50%, p = 0.01) but not female rats subjected to portacaval shunt. The reduction of activity in male rats subjected to portacaval shunt did not correlate with any of the measured biochemical data or calculated nutritional/growth parameters. Thus we observed gender-dependent reduction in spontaneous motor activity after portacaval shunt in the rat. The mechanism for this phenomenon is unknown, but it is easily investigated with this reproducible model.

  18. Preoperative shunts in thalamic tumours.

    Directory of Open Access Journals (Sweden)

    Goel A


    Full Text Available Thirty one patients with thalamic glioma underwent a pre-tumour resection shunt surgery. The procedure was uneventful in 23 patients with relief from symptoms of increased intracranial pressure. Eight patients worsened after the procedure. The level of sensorium worsened from excessively drowsy state to unconsciousness in seven patients. Three patients developed hemiparesis, 4 developed paresis of extra-ocular muscles and altered pupillary reflexes, and 1 developed incontinence of urine and persistent vomiting. Alteration in the delicately balanced intracranial pressure and movements in the tumour and vital adjacent brain areas could be the probable cause of the worsening in the neurological state in these 8 patients. On the basis of these observations and on review of literature, it is postulated that the ventricular dilatation following an obstruction in the path of the cerebrospinal fluid flow by a tumour could be a natural defense phenomenon of the brain.

  19. Vascular Shunts in Civilian Trauma (United States)

    Abou Ali, Adham N.; Salem, Karim M.; Alarcon, Louis H.; Bauza, Graciela; Pikoulis, Emmanuel; Chaer, Rabih A.; Avgerinos, Efthymios D.


    Experience with temporary intravascular shunts (TIVS) for vessel injury comes from the military sector and while the indications might be clear in geographically isolated and under resourced war zones, this may be an uncommon scenario in civilian trauma. Data supporting TIVS use in civilian trauma have been extrapolated from the military literature where it demonstrated improved life and limb salvage. Few non-comparative studies from the civilian literature have also revealed similar favorable outcomes. Still, TIVS placement in civilian vascular injuries is uncommon and by some debatable given the absence of clear indications for placement, the potential for TIVS-related complications, the widespread resources for immediate and definitive vascular repair, and the need for curtailing costs and optimizing resources. This article reviews the current evidence and the role of TIVS in contemporary civilian trauma management. PMID:28775985

  20. Ventriculoperitoneal Shunting Surgery with Open Distal Shunt Catheter Placement in the Treatment of Hydrocephalus. (United States)

    Zhang, Yang; Zhu, Xiaobo; Zhao, Jinchuan; Hou, Kun; Gao, Xianfeng; Sun, Yang; Wang, Wei; Zhang, Xiaona


    Ventriculoperitoneal shunting (VPS) is a major therapy for hydrocephalus, but has a significant risk of device malfunctioning. In this study, we explored a novel distal shunt catheter placement method in VPS for the treatment of hydrocephalus. Five patients with different etiologies of hydrocephalus underwent VPS with open distant shunt catheter attached outside. We analyzed different variables (age, gender, medical history, clinical presentation, indication for surgery and surgical technique, postoperative complications) and occurrence of shunt failure and infection. All hydrocephalus patients who received the distal shunt catheter placed outside can undergo regular VPS again after the condition improves. The modified VPS in the treatment of hydrocephalus with the distal shunt catheter placed outside could potentially reduce the necessity of repeat surgery for addressing the complications caused by catheter obstruction and infections, reduce the chance of adhesions, and would be of benefit to those patients who need future revisions.

  1. CSF ascites : a rare complication of ventriculoperitoneal shunt surgery.

    Directory of Open Access Journals (Sweden)

    Chidambaram B


    Full Text Available CSF ascites is a very rare complication of ventriculoperitoneal (VP shunt procedure. No definite explanation has been offered for the inability of the peritoneum to absorb the CSF. Two children who underwent VP shunting for hydrocephalus, presented with ascites 3 (1/2 years and 4 months respectively, after the shunt was placed. The treatment of choice is conversion of the VP shunt to a ventriculoatrial shunt.

  2. Idiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts--case series and literature review.

    LENUS (Irish Health Repository)

    Abubaker, Khalid


    OBJECTIVES: Idiopathic intracranial hypertension (IIH) is an uncommon but important cause of headache that can lead to visual loss. This study was undertaken to review our experience in the treatment of IIH by neuronavigation-assisted ventriculoperitoneal (VP) shunts with programmable valves as compared to lumboperitoneal (LP) shunts. METHODS: A retrospective chart review was conducted on 25 patients treated for IIH between 2001 and 2009. Age, sex, clinical presentation, methods of treatment and failure rates were recorded. RESULTS: Seventy-two per cent were treated initially with LP shunts. Failure rate was 11% in this group. Neuronavigation-assisted VP shunts were used to treat 28%. In this group, the failure rate was 14%. CONCLUSION: Our experience indicates that both LP shunts and VP shuts are effective in controlling all the clinical manifestations of IIH in the immediate postoperative period. Failure rates are slightly higher for VP shunts (14%) than LP shunts (11%). However, revision rates are higher with LP shunts (60%) than with VP shunts (30%).

  3. Delayed diagnosis of shunt overdrainage following functional hemispherotomy and ventriculoperitoneal shunt placement in a hemimegalencephaly patient

    Directory of Open Access Journals (Sweden)

    Yasunori Nagahama


    Full Text Available Shunt overdrainage represents a nebulous condition of variable clinical and imaging presentations, where the diagnosis is primarily clinical. The condition presents a diagnostic challenge particularly in patients with cognitive impairment and developmental delays. Here we present a 3-year-old boy with drug-resistant focal onset seizures due to hemimegalencephaly who previously underwent functional hemispherotomy followed by ventriculoperitoneal shunt placement for postoperative hydrocephalus. The subsequent clinical course was complicated by delayed diagnosis of shunt overdrainage in the absence of significant image findings. Maintaining a high index of suspicion for the possibility of shunt overdrainage is critical even in the face of unremarkable imaging findings.

  4. Delayed diagnosis of shunt overdrainage following functional hemispherotomy and ventriculoperitoneal shunt placement in a hemimegalencephaly patient. (United States)

    Nagahama, Yasunori; Peters, David; Kumonda, Sho; Vesole, Adam; Joshi, Charuta; J Dlouhy, Brian; Kawasaki, Hiroto


    Shunt overdrainage represents a nebulous condition of variable clinical and imaging presentations, where the diagnosis is primarily clinical. The condition presents a diagnostic challenge particularly in patients with cognitive impairment and developmental delays. Here we present a 3-year-old boy with drug-resistant focal onset seizures due to hemimegalencephaly who previously underwent functional hemispherotomy followed by ventriculoperitoneal shunt placement for postoperative hydrocephalus. The subsequent clinical course was complicated by delayed diagnosis of shunt overdrainage in the absence of significant image findings. Maintaining a high index of suspicion for the possibility of shunt overdrainage is critical even in the face of unremarkable imaging findings.

  5. Congenital portosystemic shunts with and without gastrointestinal bleeding - case series

    Energy Technology Data Exchange (ETDEWEB)

    Gong, Ying; Chen, Jun; Chen, Qi; Ji, Min; Pa, Mier; Qiao, Zhongwei [Children' s Hospital of Fudan University, Department of Radiology, Shanghai (China); Zhu, Hui [Fudan University Shanghai Cancer Center, Department of Radiology, Shanghai (China); Zheng, Shan [Children' s Hospital of Fudan University, Department of Surgery, Shanghai (China)


    The clinical presentation of congenital portosystemic shunt is variable and gastrointestinal bleeding is an uncommon presentation. To describe the imaging features of congenital portosystemic shunt as it presented in 11 children with (n = 6) and without gastrointestinal bleeding (n = 5). We performed a retrospective study on a clinical and imaging dataset of 11 children diagnosed with congenital portosystemic shunt. A total of 11 children with congenital portosystemic shunt were included in this study, 7 with extrahepatic portosystemic shunts and 4 with intrahepatic portosystemic shunts. Six patients with gastrointestinal bleeding had an extrahepatic portosystemic shunt, and the imaging results showed that the shunts originated from the splenomesenteric junction (n = 5) or splenic vein (n = 1) and connected to the internal iliac vein. Among the five cases of congenital portosystemic shunt without gastrointestinal bleeding, one case was an extrahepatic portosystemic shunt and the other four were intrahepatic portosystemic shunts. Most congenital portosystemic shunt patients with gastrointestinal bleeding had a shunt that drained portal blood into the iliac vein via an inferior mesenteric vein. This type of shunt was uncommon, but the concomitant rate of gastrointestinal bleeding with this type of shunt was high. (orig.)

  6. Resonant Electromagnetic Shunt Damping of Flexible Structures

    DEFF Research Database (Denmark)

    Høgsberg, Jan Becker


    Electromagnetic transducers convert mechanical energy to electrical energy and vice versa. Effective passive vibration damping of flexible structures can therefore be introduced by shunting with an accurately calibrated resonant electrical network thatcontains a capacitor to create the desired...

  7. Temporary intravascular shunts for peripheral vascular trauma.

    Directory of Open Access Journals (Sweden)

    Husain A


    Full Text Available Polyvinylchloride (PVC disposable endotracheal suction catheters were successfully used as temporary intravascular shunts in 5 patients of popliteal artery trauma. These simple shunts should be used routinely in such conditions to immediately re-establish blood supply to the ischaemic limb particularly in patients of polytrauma where systemic anticoagulation is contraindicated. This avoids the inherent delay prior to vascular repair and reduces the incidence of irreversible ischemia.

  8. Syringoperitoneal shunt - a promising treatment in syringomyelia

    Energy Technology Data Exchange (ETDEWEB)

    Wester, K.; Midgard, R.; Kjosavik, I.F.


    Five patients with radiologically relatively pronounced multicystic syringomyelia were operated with an open, non-valved syringoperitoneal shunt. In the postoperative MRI scans there was an immediate and pronounced reduction of all cystic compartments, and within a few months the cysts had virtually disappeared. Two of the patients experienced marked neurological improvement. In one patient the shunt procedure led to additional moderate neurological deficits caused by postoperative rotation of the intrameduallary T-drain. For this reason straight intramedullary drains are now used.

  9. Cell shunt resistance and photovoltaic module performance

    Energy Technology Data Exchange (ETDEWEB)

    McMahon, T.J.; Basso, T.S.; Rummel, S.R. [National Renewable Energy Lab., Golden, CO (United States)


    Shunt resistance of cells in photovoltaic modules can affect module power output and could indicate flawed manufacturing processes and reliability problems. The authors describe a two-terminal diagnostic method to directly measure the shunt resistance of individual cells in a series-connected module non-intrusively, without deencapsulation. Peak power efficiency vs. light intensity was measured on a 12-cell, series-connected, single crystalline module having relatively high cell shunt resistances. The module was remeasured with 0.5-, 1-, and 2-ohm resistors attached across each cell to simulate shunt resistances of several emerging technologies. Peak power efficiencies decreased dramatically at lower light levels. Using the PSpice circuit simulator, the authors verified that cell shunt and series resistances can indeed be responsible for the observed peak power efficiency vs. intensity behavior. The authors discuss the effect of basic cell diode parameters, i.e., shunt resistance, series resistance, and recombination losses, on PV module performance as a function of light intensity.

  10. Endoscopic Third Ventriculostomy in Previously Shunted Children

    Directory of Open Access Journals (Sweden)

    Eva Brichtova


    Full Text Available Endoscopic third ventriculostomy (ETV is a routine and safe procedure for therapy of obstructive hydrocephalus. The aim of our study is to evaluate ETV success rate in therapy of obstructive hydrocephalus in pediatric patients formerly treated by ventriculoperitoneal (V-P shunt implantation. From 2001 till 2011, ETV was performed in 42 patients with former V-P drainage implantation. In all patients, the obstruction in aqueduct or outflow parts of the fourth ventricle was proved by MRI. During the surgery, V-P shunt was clipped and ETV was performed. In case of favourable clinical state and MRI functional stoma, the V-P shunt has been removed 3 months after ETV. These patients with V-P shunt possible removing were evaluated as successful. In our group of 42 patients we were successful in 29 patients (69%. There were two serious complications (4.7%—one patient died 2.5 years and one patient died 1 year after surgery in consequence of delayed ETV failure. ETV is the method of choice in obstructive hydrocephalus even in patients with former V-P shunt implantation. In case of acute or scheduled V-P shunt surgical revision, MRI is feasible, and if ventricular system obstruction is diagnosed, the hydrocephalus may be solved endoscopically.

  11. Ventriculoperitoneal shunt in cryptococcal meningitis with hydrocephalus. (United States)

    Tang, L M


    Fourteen patients with cryptococcal meningitis were reviewed. All patients had a ventriculoperitoneal shunt for hydrocephalus. Early recognitions and prompt relief of hydrocephalus were useful for eight patients who showed rapid deterioration of consciousness or signs of cerebral herniation. There was no surgical response in four patients who had had weeks of confusion or mental change. It seems, therefore, that the duration of disturbance of consciousness or change of mentality before shunting is critical in determination of the outcome of the treatment. Ventricular shunting was effective in relieving papilledema in five patients. However, the surgery did not prevent the development of papilledema to optic atrophy and subsequent blindness in two patients. Hence, in addition to hydrocephalus with increased intracranial pressure, conditions such as direct invasion of the optic pathways by Cryptococcus neoformans or optochiasmatic arachnoiditis may be responsible for the visual failure. Ventricular shunting was also helpful in restoring paraparesis in one patient. Of the cerebrospinal fluid determinations, low protein concentration was a favorable indicator for surgery. Of the seven patients who received the surgical procedure before the start of antifungal therapy, four showed a significant improvement despite active infection of the central nervous system. None of the seven patients deteriorated because of the surgical operation. Thus, active stage of cryptococcal meningitis does not contraindicate the necessity of shunting, and premedication with antifungal drugs is unnecessary. Also, no shunt-related morbidity and mortality was seen in this study.

  12. Quaternary ammonium room-temperature ionic liquid including an oxygen atom in side chain/lithium salt binary electrolytes: ab initio molecular orbital calculations of interactions between ions. (United States)

    Tsuzuki, Seiji; Hayamizu, Kikuko; Seki, Shiro; Ohno, Yasutaka; Kobayashi, Yo; Miyashiro, Hajime


    Interactions of the lithium bis(trifluoromethylsulfonyl)amide (LiTFSA) complex with N, N-diethyl-N-methyl-N-(2-methoxyethyl) ammonium (DEME), 1-ethyl-3-methylimidazolium (EMIM) cations, neutral diethylether (DEE), and the DEMETFSA complex were studied by ab initio molecular orbital calculations. An interaction energy potential calculated for the DEME cation with the LiTFSA complex has a minimum when the Li atom has contact with the oxygen atom of DEME cation, while potentials for the EMIM cation with the LiTFSA complex are always repulsive. The MP2/6-311G**//HF/6-311G** level interaction energy calculated for the DEME cation with the LiTFSA complex was -18.4 kcal/mol. The interaction energy for the neutral DEE with the LiTFSA complex was larger (-21.1 kcal/mol). The interaction energy for the DEMETFSA complex with LiTFSA complex is greater (-23.2 kcal/mol). The electrostatic and induction interactions are the major source of the attraction in the two systems. The substantial attraction between the DEME cation and the LiTFSA complex suggests that the interaction between the Li cation and the oxygen atom of DEME cation plays important roles in determining the mobility of the Li cation in DEME-based room temperature ionic liquids.

  13. Modelling electrolyte conductivity in a water electrolyzer cell

    DEFF Research Database (Denmark)

    Caspersen, Michael; Kirkegaard, Julius Bier


    An analytical model describing the hydrogen gas evolution under natural convection in an electrolyzer cell is developed. Main purpose of the model is to investigate the electrolyte conductivity through the cell under various conditions. Cell conductivity is calculated from a parallel resistor app...... for electrolyte conductivity from combinations of pressure, current density and electrolyte width among others....

  14. Measurement of shunt amount using radionuclide angiocardiography: accuracy according to level of shunt and associated lesion

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yang Min [Sejong General Hospital, Bucheon (Korea, Republic of)


    Determination of pulmonary to systemic blood flow ratio (QP/QS) is important for the management of patients with left-to-right shunt. This study was performed to assess the agreement of Qp/Qs ratio using the radionuclide method and oxymetry, to investigate the factors influencing the agreement, and to know how interchangeable the results of each technique. We compared the Qp/Qs measured by single-pass radionuclide angiocardiography and oxymetry during catheterization in 207 patients who underwent both studies. In radionuclide method, Qp/Qs was calculated from the pulmonary time-activity curves using a gamma variate fit. The correlation and Bland-Altman analysis were performed according to the levels of shunt and associated lesions. The mean Qp/Qs was 1.83 {+-} 0.50 by radionuclide, and 1.74 {+-} 0.51 by oxymetry. The overall correlation coefficient was 0.86 ({rho} 0.001), and Bland-Altman range of agreement encompassing 4SD was 1.05. For atrial septal defect, ventricular septal defect, patent ductus arteriosus, tricuspid and mitral insufficiency, the correlation coefficient was 0.78, 0.90, 0.84, 0.63 and 0.44 and Bland-Altman range was 1.52, 0.74, 0.96, 1.57 and 1.50, respectively. There is good agreement but wide variance between the Qp/Qs ratios by radionuclide method and oxymetry. Associated atrioventricular valvar insufficiency decreases the correlation coefficient and widens the variance. Wide overall variance suggests that Qp/Qs measurements by two techniques should not be used interchangeably.

  15. Comparative study of lumboperitoneal shunt versus ventriculoperitoneal shunt in post meningitis communicating hydrocephalus in children

    Directory of Open Access Journals (Sweden)

    Amit Singh


    Full Text Available Background: Managing post meningitis hydrocephalus in children is a herculean task for the treating pediatric surgeon or neurosurgeon because of the morbidity associated with the disease per se and the complications of shunt surgery. By this study, the effectiveness of lumboperitoneal (LP shunt and ventriculoperitoneal (VP shunt in cases of post meningitis communicating hydrocephalus was assessed in children. Materials and Methods: This was a retrospective analysis of the records of children admitted in our institute between December 2005 and March 2008. Only children with post meningitis communicating hydrocephalus who underwent either LP or VP with a minimum follow-up period of 36 months were included in the study. Children with non-communicating hydrocephalus or hydrocephalus due to another etiology were excluded. Investigations were included plain brain computed tomography scan, air encephalography and X-ray skull. Medium pressure Chabbra shunt with slit valves was used in all cases of VP and LP shunt. A comparative analysis of the outcome was carried out between the two groups. Results: There were 66 males and 24 females (M: F 2.7:1. The average age at presentation was 40.3 months. LP shunt was performed in 37 while VP shunt in 53 cases Complication rate in the LP and VP shunt was 15% and 29% respectively with non-obstructed complications higher in VP group when compared to LP group. Obstructed complication rate was similar in both groups. Conclusion: Due to less morbidity and ease of placement, LP shunt can be an alternative to VP shunt in cases of communicating hydrocephalus in children, which has more non-obstructed complication rates as compared to LP shunt.

  16. Piezoelectric vibration damping using resonant shunt circuits: an exact solution (United States)

    Soltani, P.; Kerschen, G.; Tondreau, G.; Deraemaeker, A.


    The objective of this paper is to propose an exact closed-form solution to the {{H}∞ } optimization of piezoelectric materials shunted with inductive-resistive passive electrical circuits. Realizing that Den Hartog's method which imposes fixed points of equal height in the receptance transfer function is approximate, the parameters of the piezoelectric tuned vibration absorber are calculated through the direct minimization of the maxima of the receptance. The method is applied to a one-degree-of-freedom primary oscillator considering various values of the electromechanical coupling coefficients.

  17. Idiopathic intracranial hypertension: lumboperitoneal shunts versus ventriculoperitoneal shunts--case series and literature review.

    LENUS (Irish Health Repository)

    Abubaker, Khalid


    Idiopathic intracranial hypertension (IIH) is an uncommon but important cause of headache that can lead to visual loss. This study was undertaken to review our experience in the treatment of IIH by neuronavigation-assisted ventriculoperitoneal (VP) shunts with programmable valves as compared to lumboperitoneal (LP) shunts.

  18. Ventriculoperitoneal shunt migration and coiling: A report of two cases

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    Shahram Shahsavaran


    Full Text Available Migration of the proximal and distal catheters of the ventriculoperitoneal shunt is a very rare event. Here, we report two infants with hydrocephalus and ventriculoperitoneal shunt who presented later with shunt coiling and migration. The first infant was admitted with scalp swelling around proximal incision 3 months after shunt insertion and migration and coiling of both ventricular and peritoneal catheters occurred under the scalp at that point. The second patient was referred 1 month after shunting with tense fontanel and vomiting. New brain imaging confirmed the whole shunt inside both lateral ventricles. The possible mechanisms causing this very uncommon complication and the management are explained.

  19. Noncavernous arteriovenous shunts mimicking carotid cavernous fistulae (United States)

    Kobkitsuksakul, Chai; Jiarakongmun, Pakorn; Chanthanaphak, Ekachat; Singhara Na Ayudya, Sirintara (Pongpech)


    PURPOSE The classic symptoms and signs of carotid cavernous sinus fistula or cavernous sinus dural arteriovenous fistula (AVF) consist of eye redness, exophthalmos, and gaze abnormality. The angiography findings typically consist of arteriovenous shunt at cavernous sinus with ophthalmic venous drainage with or without cortical venous reflux. In rare circumstances, the shunts are localized outside the cavernous sinus, but mimic symptoms and radiography of the cavernous shunt. We would like to present the other locations of the arteriovenous shunt, which mimic the clinical presentation of carotid cavernous fistulae, and analyze venous drainages. METHODS We retrospectively examined the records of 350 patients who were given provisional diagnoses of carotid cavernous sinus fistulae or cavernous sinus dural AVF in the division of Interventional Neuroradiology, Ramathibodi Hospital, Bangkok between 2008 and 2014. Any patient with cavernous arteriovenous shunt was excluded. RESULTS Of those 350 patients, 10 patients (2.85%) were identified as having noncavernous sinus AVF. The angiographic diagnoses consisted of three anterior condylar (hypoglossal) dural AVF, two traumatic middle meningeal AVF, one lesser sphenoid wing dural AVF, one vertebro-vertebral fistula (VVF), one intraorbital AVF, one direct dural artery to cortical vein dural AVF, and one transverse-sigmoid dural AVF. Six cases (60%) were found to have venous efferent obstruction. CONCLUSION Arteriovenous shunts mimicking the cavernous AVF are rare, with a prevalence of only 2.85% in this series. The clinical presentation mainly depends on venous outflow. The venous outlet of the arteriovenous shunts is influenced by venous afferent-efferent patterns according to the venous anatomy of the central nervous system and the skull base, as well as by architectural disturbance, specifically, obstruction of the venous outflow. PMID:27767958

  20. 基于正余弦表的并联型有源电力滤波器指令电流生成方法%A Method Based on Sine and Cosine Table of Calculating Current Reference for Shunt Active Power Filters

    Institute of Scientific and Technical Information of China (English)

    卢超慧; 田铭兴


    提出了一种新的并联型有源电力滤波器指令电流生成方法.通过给定与电源电压基波正序分量同频率的正余弦表来提取电源电压的基波正序分量,再利用同步检测方法生成指令电流.该方法省却了锁相环电路,避免了锁相环电路的检测误差及延时问题,提高了检测的准确性;适用范围广,尤其是能适用于电源电压畸变和不对称条件下.理论推导和仿真结果都验证了该方法的正确性和可行性.%A new method to calculate the current reference for shunt active power filter (APF) is presented. The fundamental positive component of the supply voltage is obtained by given the sine and cosine table whose frequency is the same as the supply voltage fundamental positive component, generate the current reference with the synchronous detection method. The method obviates the phase-locked loop circuit, avoid the problem of the detection error and delay of the phase-locked loop circuit, the detection accuracy is improved; The proposed method works well under various load conditions, especially in the case of a distorted and asymmetric supply. The theoretical analysis and simulation results verify the validity and feasibility of the proposed method.

  1. [Examination of R-L shunt ratio mensuration using dynamic images in lung perfusion scintigraphy]. (United States)

    Ichikawa, Hajime; Yamada, Sayaka; Yoshioka, Chiho; Tamaoki, Toyoshi; Miura, Syunichi; Suzuki, Motoki; Makino, Tetsuzou


    We examined a method of quantitative analysis that used dynamic and static images to measure the Right-left (R-L) shunt ratio in lung perfusion scintigraphy. A total of 18 patients suspected of having R-L shunt brought on by congenital heart disease were referred for lung perfusion scintigraphy from November 2005 to February 2007 at our hospital. We acquired anterior dynamic images, set ROIs in all fields of view, and measured the highest count. We acquired anterior and posterior static images of the chest and measured lung counts. We considered the highest count on dynamic images to be the total injection dose per one second, normalized the acquisition time of static images, and calculated the R-L shunt ratio. We weighed the measurement results of the R-L shunt ratio obtained by the dynamic method against that of the whole-body method by t-test and the least-squares method. When we used a posterior static image in the dynamic method, we found that the coefficient of correlation (r) was 0.9831. The result of the t-test was that there was no significant difference at a level of significance of 1%. We think the use of the dynamic method is possible in R-L shunt ratio measurement and can shorten the examination time.

  2. Simulation model for port shunting yards (United States)

    Rusca, A.; Popa, M.; Rosca, E.; Rosca, M.; Dragu, V.; Rusca, F.


    Sea ports are important nodes in the supply chain, joining two high capacity transport modes: rail and maritime transport. The huge cargo flows transiting port requires high capacity construction and installation such as berths, large capacity cranes, respectively shunting yards. However, the port shunting yards specificity raises several problems such as: limited access since these are terminus stations for rail network, the in-output of large transit flows of cargo relatively to the scarcity of the departure/arrival of a ship, as well as limited land availability for implementing solutions to serve these flows. It is necessary to identify technological solutions that lead to an answer to these problems. The paper proposed a simulation model developed with ARENA computer simulation software suitable for shunting yards which serve sea ports with access to the rail network. Are investigates the principal aspects of shunting yards and adequate measures to increase their transit capacity. The operation capacity for shunting yards sub-system is assessed taking in consideration the required operating standards and the measure of performance (e.g. waiting time for freight wagons, number of railway line in station, storage area, etc.) of the railway station are computed. The conclusion and results, drawn from simulation, help transports and logistics specialists to test the proposals for improving the port management.

  3. Adaptive-Fuzzy Controller Based Shunt Active Filter for Power Line Conditioners

    Directory of Open Access Journals (Sweden)

    KamalaKanta Mahapatra


    Full Text Available This paper presents a novel Fuzzy Logic Controller (FLC in conjunction with Phase Locked Loop (PLL based shunt active filter for Power Line Conditioners (PLCs to improve the power quality in the distribution system. The active filter is implemented with current controlled Voltage Source Inverter (VSI for compensating current harmonics and reactive power at the point of common coupling. The VSI gate control switching pulses are derived from proposed Adaptive-Fuzzy-Hysteresis Current Controller (HCC and this method calculates the hysteresis bandwidth effectively using fuzzy logic. The bandwidth can be adjusted based on compensation current variation, which is used to optimize the required switching frequency and improves active filter substantially. These shunt active power filter system is investigated and verified under steady and transient-state with non-linear load conditions. This shunt active filter is in compliance with IEEE 519 and IEC 61000-3 recommended harmonic standards.

  4. The Study of Magnetic Flux Shunts Effects on the Leakage Reactance of Transformers via FEM

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    Karim Abbaszadeh


    Full Text Available The influence of arrangement, dimensions, and magnetic permeability of the magnetic flux shunts on the flux distribution and leakage reactance of the power transformers is studied in this paper by using a finite elements method and a simple modeling approach. By using magneto-static analysis and finite element method, first the flux distribution in the 2D model of a core-type three phase power transformer and then using the magnetic stored energy method the leakage reactance of the transformer windings is calculated. By studying the different models including magnetic flux shunts, the effect of the arrangement, geometric dimensions as well as the magnetic permeability of the magnetic flux shunt on the leakage reactance of the transformer are studied and some interesting results are obtained. It is shown that the variation of these parameters in the transformer model has significant effects on the leakage reactance of the transformer.

  5. [Temporary vascular shunt technique for resource scarce environments]. (United States)

    Ouattara, N; Mlynski, A; Pierret, C


    The purpose of this report is to describe a simple and reproducible technique for temporary vascular shunting. This technique is appropriate only for exceptional situations involving scant resource availability. It is not intended to replace conventional vascular shunting techniques.

  6. Shunt Active Filter in Damping Harmonics Propagation

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    Full Text Available This paper deals with a hybrid shunt active power filter applied on 500 kV HVDC, after a description of the causes and effects harmonic pollution which may damage equipments and interrupt electric power customers service; in this paper we present the deferent solutions of this problem among one has to study the two most recent types of filtering: passive and hybrid filter. The hybrid filter consists of active filter connected in shunt with passive filter. The hybrid shunt active filter proposed is based on three levels PWM inverter and characterized by detecting the harmonic current flowing into the passive filter and controlled by notch algorithm. This structure has been applied on a test HVDC power system, is presented as a technical solution makes it possible to eliminate the disadvantages from passive filtering, and also economic price of active filtering part. The simulation results justified the effectiveness of this type of filter face of the classic passive filter.

  7. Delayed Intracerebral Hemorrhage Secondary to Ventriculoperitoneal Shunt (United States)

    Ma, Li; Chen, Yi-Li; Yang, Shu-Xu; Wang, Yi-Rong


    Abstract The ventriculoperitoneal (VP) shunt is a routine procedure for cerebrospinal fluid (CSF) diversion, and is associated with many complications. A delayed hemorrhage after the VP shunt surgery, however, is quite rare. In this study, we report a case involving late-onset hemorrhage. The 67-year-old male patient with a history of head trauma and brain surgery underwent a VP shunt placement for hydrocephalus. The surgery course was uneventful and no bleeding was revealed in the first computed tomographic (CT) scan after the procedure. However, a massive intraparenchymal and intraventricular hemorrhage occurred 8 h following adjustment of the valve system on the 8th day after surgery. Erosion of the vasculature by catheter cannulation and a sudden reduction of CSF pressure after downregulation of the valve could be one of the possible causes of the intracerebral hemorrhage (ICH). PMID:26632700

  8. Delayed otogenic pneumocephalus complicating ventriculoperitoneal shunt

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    Francesco Pieri


    Full Text Available Tension pneumocephalus complicating ventriculoperitoneal shunt is extremely rare. We report an elderly male who developed delayed tension pneumocephalus 12 months after ventriculoperitoneal shunt for hydrocephalus complicating aneurysmal subarachnoid hemorrhage. Fine-cut reformatted computer tomography scan revealed a large pneumatocele on the petrous apex associated with tegmen tympani defect. The shunt valve pressure was temporarily raised from 120 mm H 2 O to 200 mm H 2 O, and the patient underwent successful subtemporal extradural repair of the bony defect in the temporal bone. Although extremely rare, otogenic tension pneumocephalus is a potentially life-threatening condition, and urgent surgical repair of the bony defect in the temporal bone reduces the risk of both the morbidity and mortality.

  9. Ventricular shunt infections: Immunopathogenesis and clinical management (United States)

    Gutierrez-Murgas, Yenis; Snowden, Jessica N.


    Ventricular shunts are the most common neurosurgical procedure performed in the United States. This hydrocephalus treatment is often complicated by infection of the device with biofilm-forming bacteria. In this review, we discuss the pathogenesis of shunt infection, as well as the implications of the biofilm formation on treatment and prevention of these infections. Many questions remain, including the contribution of glia and the impact of inflammation on developmental outcomes following infection. Immune responses within the CNS must be carefully regulated to contain infection while minimizing bystander damage; further study is needed to design optimal treatment strategies for these patients. PMID:25156073

  10. Distal splenorenal shunt with partial spleen resection

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    Gajin Predrag


    Full Text Available Introduction: Hypersplenism is a common complication of portal hypertension. Cytopenia in hypersplenism is predominantly caused by splenomegaly. Distal splenorenal shunt (Warren with partial spleen resection is an original surgical technique that regulates cytopenia by reduction of the enlarged spleen. Objective. The aim of our study was to present the advantages of distal splenorenal shunt (Warren with partial spleen resection comparing morbidity and mortality in a group of patients treated by distal splenorenal shunt with partial spleen resection with a group of patients treated only by a distal splenorenal shunt. Method. From 1995 to 2003, 41 patients with portal hypertension were surgically treated due to hypersplenism and oesophageal varices. The first group consisted of 20 patients (11 male, mean age 42.3 years who were treated by distal splenorenal shunt with partial spleen resection. The second group consisted of 21 patients (13 male, mean age 49.4 years that were treated by distal splenorenal shunt only. All patients underwent endoscopy and assessment of oesophageal varices. The size of the spleen was evaluated by ultrasound, CT or by scintigraphy. Angiography was performed in all patients. The platelet and white blood cell count and haemoglobin level were registered. Postoperatively, we noted blood transfusion, complications and total hospital stay. Follow-up period was 12 months, with first checkup after one month. Results In the first group, only one patient had splenomegaly postoperatively (5%, while in the second group there were 13 patients with splenomegaly (68%. Before surgery, the mean platelet count in the first group was 51.6±18.3x109/l, to 118.6±25.4x109/l postoperatively. The mean platelet count in the second group was 67.6±22.8x109/l, to 87.8±32.1x109/l postoperatively. Concerning postoperative splenomegaly, statistically significant difference was noted between the first and the second group (p<0.05. Comparing the

  11. Round worm migration along ventriculoperitoneal shunt tract: a rare complication.

    Directory of Open Access Journals (Sweden)

    Agarwal P


    Full Text Available Though a ventriculoperitoneal shunt has been associated with myriads of unusual complications, so has been that with roundworms. A case of a three-year-old boy is presented who had an unusual complication of roundworm migration along the shunt tract that presented as shunt tract infection.

  12. Impact resistant electrolytes

    Energy Technology Data Exchange (ETDEWEB)

    Veith, Gabriel M.; Armstrong, Beth L.; Tenhaeff, Wyatt E.; Dudney, Nancy J.


    A passively impact resistant composite electrolyte composition includes an electrolyte solvent, up to 2M of an electrolyte salt, and shear thickening ceramic particles having a polydispersity index of no greater than 0.1, an average particle size of in a range of 50 nm to 1 .mu.m, and an absolute zeta potential of greater than .+-.40 mV.

  13. Damping Analyses of Structural Vibrations and Shunted Piezoelectric Transducers

    Directory of Open Access Journals (Sweden)

    Saber Mohammadi


    Full Text Available Piezoelectric transducers in conjunction with appropriate electric networks can be used as a mechanical energy dissipation device. Alternatively, undesired mechanical energy of a structure could be converted into electrical energy that can be dissipated through a shunt network in the form of Joule heating. This paper presents an experimental method to calculate damping energy in mechanical systems. However, the mathematical description of damping mechanism is much more complicated, and any process responsible for the occurrence of damping is very intricate. Structural and piezoelectric damping are calculated and analysed in the case of pulse switching or SSDI semiactive vibration control technique. This technique which was developed in the field of piezoelectric damping consists in triggering the inverting switch on each extremum of the piezoelectric voltage which induces an increase of the electromechanical energy conversion.

  14. Nanoporous polymer electrolyte (United States)

    Elliott, Brian [Wheat Ridge, CO; Nguyen, Vinh [Wheat Ridge, CO


    A nanoporous polymer electrolyte and methods for making the polymer electrolyte are disclosed. The polymer electrolyte comprises a crosslinked self-assembly of a polymerizable salt surfactant, wherein the crosslinked self-assembly includes nanopores and wherein the crosslinked self-assembly has a conductivity of at least 1.0.times.10.sup.-6 S/cm at C. The method of making a polymer electrolyte comprises providing a polymerizable salt surfactant. The method further comprises crosslinking the polymerizable salt surfactant to form a nanoporous polymer electrolyte.

  15. Episodic ventriculomegaly due to hypernatremia mimicking shunt malfunction: case report. (United States)

    Jernigan, Sarah C; Stone, Scellig S D; Aronson, Joshua P; Putman, Melissa; Proctor, Mark R


    Patients with shunted hydrocephalus presenting with altered mental status and ventriculomegaly are generally considered to be in shunt failure requiring surgical treatment. The authors describe a case of shunted hydrocephalus secondary to a disseminated neuroectodermal tumor in a pediatric patient in whom rapid fluctuations in sodium levels due to diabetes insipidus repeatedly led to significant changes in ventricle size, with invasively confirmed normal shunt function and low intracranial pressure. This clinical picture exactly mimics shunt malfunction, requires urgent nonsurgical therapy, and underscores the importance of considering serum osmolar abnormalities in the differential diagnosis for ventriculomegaly.

  16. [Cerebrospinal fluid shunts for hydrocephalus and related disorders]. (United States)

    Ito, Masaki; Houkin, Kiyohiro; Saito, Hisayasu; Shimbo, Daisuke; Motegi, Hiroaki; Kawabori, Masahito; Miyamoto, Michiyuki; Yamauchi, Tomohiro


    Cerebrospinal fluid (CSF) shunts are commonly employed to treat patients with hydrocephalus. A large number of papers have been published focusing on complications and failures of CSF shunts. However, there appears to be a paucity of knowledge comprehensively covering both common complications and rare ones. In this systematic review, we surveyed articles about surgical complications of CSF shunts as comprehensively as possible. Quantitative analysis was performed to determine the frequency of well-known complications, mortality and revision rates of CSF shunts. Furthermore, rare complications of CSF shunts have also been reviewed.

  17. Liver Abscesses after Peritoneal Venous Shunt

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    Hideto Kawaratani


    Full Text Available A 70-year-old man was referred to our hospital for high-grade fever with chills. He has visited our hospital for alcoholic liver cirrhosis and diabetes mellitus for over 20 years. Nine months earlier, he had received a peritoneal venous shunt (Denver shunt® because of refractory ascites. Laboratory examinations revealed elevated C-reactive protein and liver dysfunction. Ultrasonography and abdominal enhanced computed tomography showed multiple small abscesses in the right lobe of the liver. Blood culture test did not detect the pathogenic bacteria of liver abscesses. The patient was treated with antibiotics for more than 2 months and cured from the infection, but 3 months later, he developed high-grade fever again. He had a recurrence of multiple small liver abscesses involving both lobes of the liver. He was treated with antibiotics, and the abscesses disappeared within a month. After the antibiotic treatment, he had selective intestinal decontamination with kanamycin. He has had no recurrence of liver abscess for over a year. To our knowledge, this is the first report of liver abscess in a cirrhotic patient with Denver shunt. Clinicians should bear liver abscess in mind when treating patients with high-grade fever and liver dysfunction following Denver shunt implantation.


    NARCIS (Netherlands)



    A compact three-stage shunt valve system (Orbis SigmaTM Valve) which operates as a flow regulator within certain differential pressure values has been clinically evaluated in the treatment of hydrocephalus. Clinical trials were performed in 134 cases, covering 128 patients aged from 1 day to 79 year

  19. Laparoscopic management of complicated ventriculoperitoneal shunts

    Directory of Open Access Journals (Sweden)

    Jain S


    Full Text Available Intra-abdominal migration of the catheter and formation of a cerebrospinal fluid pseudocyst are both rare complications of a ventriculoperitoneal shunt. Traditionally, each condition is treated by a formal laparotomy. Laparoscopic management of the complications in two patients is described.

  20. Treatment of syringomyelia with a syringosubarachnoid shunt. (United States)

    Tator, C H; Briceno, C


    The surgical results in 40 patients with syringomyelia, treated with a syringosubarachnoid shunt or other procedures are reviewed. The principal indication for surgery was that of significant neurological deterioration. There were 12 patients with idiopathic syringomyelia without tonsillar ectopia, 12 with an associated Chiari malformation, 11 with post-traumatic syringomyelia and five patients with spinal arachnoiditis. There were 38 syringosubarachnoid shunts performed in 35 patients, and an excellent or good result was achieved in 26 patients (74.3%). In terms of the type of syringomyelia, the best results were obtained in the idiopathic group without tonsillar ectopia and in the post-traumatic group. A short duration of pre-operative symptoms favoured a better outcome, and in our opinion, early surgical treatment is indicated for all patients with neurological deterioration. All eight patients in whom a posterior fossa decompression was performed as the initial surgical procedure required a second operation, either a syringosubarachnoid or syringoperitoneal shunt to achieve neurological improvement or stabilization. Thus, the syringosubarachnoid shunt is an effective therapeutic modality for patients with syringomyelia, particularly for the idiopathic and post-traumatic groups. More than one surgical procedure may be required to achieve cessation of deterioration. Overall, excellent or good results were achieved in 29 (72.5%) of the 40 patients.

  1. Platypnea-Orthodeoxia Syndrome: To Shunt or Not to Shunt, That is the Question. (United States)

    Klein, Michael R; Kiefer, Todd L; Velazquez, Eric J


    Platypnea-orthodeoxia syndrome is a rare disease defined by dyspnea and deoxygenation, induced by an upright position, and relieved by recumbency. Causes include shunting through a patent foramen ovale and pulmonary arteriovenous malformations. A 79-year-old woman experienced 2 syncopal episodes at rest and presented at another hospital. In the emergency department, she was hypoxic, needing 6 L/min of oxygen. Her chest radiograph showed nothing unusual. Transthoracic echocardiograms with saline microcavitation evaluation were mildly positive early after agitated-saline administration, suggesting intracardiac shunting. She was then transferred to our center. Right-sided heart catheterization revealed no oximetric evidence of intracardiac shunting while the patient was supine and had a low right atrial pressure. However, her oxygen saturation dropped to 78% when she sat up. Repeat transthoracic echocardiography while sitting revealed a dramatically positive early saline microcavitation-uptake into the left side of the heart. Transesophageal echocardiograms showed a patent foramen ovale, with right-to-left shunting highly dependent upon body position. The patient underwent successful percutaneous patent foramen ovale closure, and her oxygen supplementation was suspended. In patients with unexplained or transient hypoxemia in which a cardiac cause is suspected, it is important to evaluate shunting in both the recumbent and upright positions. In this syndrome, elevated right atrial pressure is not necessary for significant right-to-left shunting. Percutaneous closure, if feasible, is first-line therapy in these patients.

  2. Passively Shunted Piezoelectric Damping of Centrifugally-Loaded Plates (United States)

    Duffy, Kirsten P.; Provenza, Andrew J.; Trudell, Jeffrey J.; Min, James B.


    Researchers at NASA Glenn Research Center have been investigating shunted piezoelectric circuits as potential damping treatments for turbomachinery rotor blades. This effort seeks to determine the effects of centrifugal loading on passively-shunted piezoelectric - damped plates. Passive shunt circuit parameters are optimized for the plate's third bending mode. Tests are performed both non-spinning and in the Dynamic Spin Facility to verify the analysis, and to determine the effectiveness of the damping under centrifugal loading. Results show that a resistive shunt circuit will reduce resonant vibration for this configuration. However, a tuned shunt circuit will be required to achieve the desired damping level. The analysis and testing address several issues with passive shunt circuit implementation in a rotating system, including piezoelectric material integrity under centrifugal loading, shunt circuit implementation, and tip mode damping.

  3. Intraparenchymal pericatheter cyst following disconnection of ventriculoperitoneal shunt system

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    S Balasubramaniam


    Full Text Available Ventriculoperitoneal (VP shunt is one of the most commonly performed procedures in neurosurgery, but it is also the procedure, which is most prone to complications. Spread of cerebrospinal fluid (CSF into the brain parenchyma is a rare complication of VP shunt and can take the form of CSF edema or a porencephalic cyst. We describe a case of a 1½-year-old child who presented to us with seizures. Computed tomography scan revealed pericatheter porencephalic cyst. Surgical exploration revealed a disconnected VP shunt system. Patient was neurologically observed after shunt extraction. He was seizure free and radiological follow-up showed resolution of cyst. Ours is the first case to document the presence of pericatheter cyst following complete disconnection of shunt system. Though shunt revision is the accepted treatment modality, careful neurological observation can be done after shunt removal especially in asymptomatic cases with compensated hydrocephalus.

  4. Quantitative analysis of continuous intracranial pressure recordings in symptomatic patients with extracranial shunts. (United States)

    Eide, P K


    To explore the outcome of management of possible shunt related symptoms using intracranial pressure (ICP) monitoring, and to identify potential methodological limitations with the current strategies of ICP assessment. The distribution of persistent symptoms related to extracranial shunt treatment was compared before and after management of shunt failure in 69 consecutive hydrocephalic cases. Management was heavily based on ICP monitoring (calculation of mean ICP and visual determination of plateau waves). After the end of patient management, all ICP curves were re-evaluated using a quantitative method and software (Sensometrics pressure analyser). The ICP curves were presented as a matrix of numbers of ICP elevations (20 to 35 mm Hg) or depressions (-10 to -5 mm Hg) of different durations (0.5, 1, or 5 minutes). The numbers of ICP elevations/depressions standardised to 10 hours recording time were calculated to allow comparisons of ICP between individuals. After ICP monitoring and management of the putative shunt related symptoms, the symptoms remained unchanged in as many as 58% of the cases, with the highest percentages in those patients with ICP considered normal or too low at the time of ICP monitoring. The quantitative analysis revealed a high frequency of ICP elevations (20 to 35 mm Hg lasting 0.5 to 1 minute) and ICP depressions (-10 to -5 mm Hg lasting 0.5, 1, or 5 minutes), particularly in patients with ICP considered normal. The value of continuous ICP monitoring with ICP analysis using current criteria appears doubtful in the management of possible shunt related symptoms. This may reflect limitations in the strategies of ICP analysis. Calculation of the exact numbers of ICP elevations and depressions may provide a more accurate description of the ICP profile.

  5. Pathological Predictors of Shunt Stenosis and Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt

    Directory of Open Access Journals (Sweden)

    Fuliang He


    Full Text Available Background. Transjugular intrahepatic portosystemic shunt (TIPS is an artificial channel from the portal vein to the hepatic vein or vena cava for controlling portal vein hypertension. The major drawbacks of TIPS are shunt stenosis and hepatic encephalopathy (HE; previous studies showed that post-TIPS shunt stenosis and HE might be correlated with the pathological features of the liver tissues. Therefore, we analyzed the pathological predictors for clinical outcome, to determine the risk factors for shunt stenosis and HE after TIPS. Methods. We recruited 361 patients who suffered from portal hypertension symptoms and were treated with TIPS from January 2009 to December 2012. Results. Multivariate logistic regression analysis showed that the risk of shunt stenosis was increased with more severe inflammation in the liver tissue (OR, 2.864; 95% CI: 1.466–5.592; P=0.002, HE comorbidity (OR, 6.266; 95% CI, 3.141–12.501; P<0.001, or higher MELD score (95% CI, 1.298–1.731; P<0.001. Higher risk of HE was associated with shunt stenosis comorbidity (OR, 6.266; 95% CI, 3.141–12.501; P<0.001, higher stage of the liver fibrosis (OR, 2.431; 95% CI, 1.355–4.359; P=0.003, and higher MELD score (95% CI, 1.711–2.406; P<0.001. Conclusion. The pathological features can predict individual susceptibility to shunt stenosis and HE.

  6. Who Needs a Revision? 20 Years of Cambridge Shunt Lab. (United States)

    Czosnyka, Zofia; Czosnyka, Marek; Pickard, John D; Chari, Aswin


    Shunt testing independent of manufacturers provides knowledge that can significantly improve the management of patients with hydrocephalus. The Cambridge Shunt Evaluation Laboratory was created 20 years ago. Thanks to financial support from the Department of Health (1993-1998), all shunts in use in the UK were systematically evaluated, with "blue reports" being published. Later new devices were tested as they appeared in public domain.Twenty-six models have been evaluated. The majority of the valves had a non-physiologically low hydrodynamic resistance that may result in over-drainage, both related to posture and during nocturnal cerebral vasogenic waves. A long distal catheter increases the resistance of these valves by 100-200 %. Drainage through valves without a siphon-preventing mechanism is very sensitive to body posture. Shunts with siphon-preventing accessories offer a reasonable resistance to negative outlet pressure. Bench parameters were used to test shunt performance in vivo using infusion tests. A criterion for correctly performing a shunt procedure was established. Pressure measured in the shunt prechamber during the plateau phase of infusion should not remain more than 5 mmHg above the le shunt's operating pressure plus hydrodynamic resistance of the valve multiplied by the infusion rate. "Critical levels" for every shunt and every performance level have been used in the shunt testing wizard of ICM+ software.

  7. Factors influencing shunt malfunction in patients with tuberculous meningitis

    Directory of Open Access Journals (Sweden)

    Sudheer Ambekar


    Full Text Available Background: Hydrocephalus secondary to tuberculous meningitis (TBM is a challenging condition to treat. Though ventriculo-peritoneal (VP shunt is an accepted modality of treatment for hydrocephalus in TBM, there is a high rate of complications associated with the same. Objective: The study was planned to evaluate various factors associated with shunt malfunction in patients undergoing VP shunt surgery for hydrocephalus due to TBM. Materials and Methods: A retrospective review of all the patients undergoing VP shunt and shunt revision for TBM between 2004 and 2008 was performed. 449 VP shunt surgeries were performed in 432 patients for hydrocephalus due to TBM. Among these 70 shunt revisions were performed in 53 patients. Results: Shunt malfunction rate in our series was 16.2%. High cerebrospinal fluid (CSF protein concentration (>200 mg/dL was associated with 5 times increased incidence of shunt malfunction. Patients with hyponatremia (Na + <130 mEq/dL prior to surgery had a 3 times increased incidence of shunt malfunction (P < 0.05. Other factors such as duration of symptoms, presence of neurological deficits, Evan′s index, third ventricular diameter, thickness of exudates, presence of infarcts, anemia, CSF cellularity and CSF glucose concentration were not associated with increased incidence of shunt malfunction. Analysis showed that shunt viability was longest in patients with normal serum sodium levels and CSF protein concentration less than 200 mg/dL and shortest in patients with low serum sodium and CSF protein concentration more than 200 mg/dL. Conclusions: Patients with pre-operative hyponatremia and high CSF protein concentration have a higher incidence of shunt malfunction and need to be followed-up closely.

  8. Optimally tuned resonant negative capacitance for piezoelectric shunt damping based on measured electromechanical impedance (United States)

    Salloum, Rogério; Heuss, Oliver; Götz, Benedict; Mayer, Dirk


    In this paper, a new tuning method for shunt damping with a series resistance, inductance and negative capacitance is proposed and its validity is investigated. It is based on the measured electromechanical impedance of a piezoelectric system, which is represented through an equivalent electrical circuit that takes into account the characteristics of the piezoelectric transducer and the host structure. Afterwards, an additional circuit representing the shunt is connected and the Norton equivalent impedance is obtained at the terminals that represent the mechanical mode of interest. During the tuning process, the optimal shunt parameters are found by minimizing the maximum absolute value of the Norton equivalent impedance over a defined frequency range through a numerical optimization. Taking benefit from the analogy between electrical impedance and mechanical admittance, the minimization of different mechanical responses (displacement, velocity or acceleration) is also proposed and the different optimum shunt parameters obtained are compared. In view of real technical applications, this method allows the integration of a real negative capacitance circuit, i.e., a negative impedance converter, rather than an ideal component. It is thus possible to use the impedance of this circuit and optimize the individual component values. Since this method is based on one simple measurement, it can be applied to arbitrary structures without the need of complex dynamic tests or expensive finite elements calculations. Finally, an experimental analysis is carried out in order to compare the damping performance of the proposed method and the conventional analytical method that minimizes a mechanical frequency response function.

  9. Shunt and series resistance of photovoltaic module evaluated from the I-V curve; I-V tokusei kara hyokashita taiyo denchi no shunt teiko to chokuretsu teiko

    Energy Technology Data Exchange (ETDEWEB)

    Asano, K.; Kawamura, H.; Yamanaka, S.; Kawamura, H.; Ono, H. [Meijo University, Nagoya (Japan)


    With an objective of discussing I-V characteristics when a shadow has appeared on part of a photovoltaic module, evaluations were given as a first stage of the study on saturation current, shunt resistance and series resistance for the solar cell module. As a result of measuring change in amount of power generated in a sunny day with a shadow appearing over the solar cell module, reduction in power generation capability of about 23% was verified. In other words, the I-V characteristics of the solar cell module change largely because of existence of the shadow caused on the module. The I-V characteristics curve may be expressed and calculated as a function of the shunt resistance and series resistance. By curve-fitting measurement data for a case of changing insolation without existence of partial shadow, values of the shunt resistance and series resistance were derived. As a result, it was found that the calculations agree well with measurements. It was made also clear that each parameter shows temperature dependence. 6 refs., 10 figs., 1 tab.

  10. Dc SQUIDs with asymmetric shunt resistors

    Energy Technology Data Exchange (ETDEWEB)

    Rudolph, Matthias; Nagel, Joachim; Kemmler, Matthias; Koelle, Dieter; Kleiner, Reinhold [Physikalisches Institut - Experimentalphysik II and Center for Collective Quantum Phenomena in LISAplus, Universitaet Tuebingen (Germany); Meckbach, Johannes Maximilian; Ilin, Konstantin; Siegel, Michael [Institut fuer Mikro- und Nanoelektronische Systeme, Karlsruhe Institute of Technology, Karlsruhe (Germany)


    We have investigated asymmetrically shunted Nb/Al-AlO{sub x}/Nb dc SQUIDs. Simulations based on the coupled Langevin equations predict that the optimum energy resolution ε, and thus also the noise performance of such an asymmetric SQUID, can be 3-4 times better than that of its symmetric counterpart. While keeping the total resistance R identical to a comparable symmetric SQUID with R{sup -1} = R{sub 1}{sup -1} + R{sub 2}{sup -1}, we shunted only one of the two Josephson junctions with R = R{sub 1,2}/2. Both types of SQUIDs were characterized with respect to their transport and noise properties at temperature T = 4.2 K, and we compared the experimental results with numerical simulations. Experiments yielded ε ∼ 32 ℎ for an asymmetric SQUID with an inductance L = 22 pH, whereas a comparable symmetric device achieved ε = 110 ℎ.

  11. Nitrogen heat pipe for cryocooler thermal shunt

    Energy Technology Data Exchange (ETDEWEB)

    Prenger, F.C.; Hill, D.D.; Daney, D.E.; Daugherty, M.A. [Los Alamos National Lab., NM (United States); Green, G.F.; Roth, E.W. [Naval Surface Warfare Center, Annapolis, MD (United States)


    A nitrogen heat pipe was designed, built and tested for the purpose of providing a thermal shunt between the two stages of a Gifford-McMahan (GM) cryocooler during cooldown. The nitrogen heat pipe has an operating temperature range between 63 and 123 K. While the heat pipe is in the temperature range during the system cooldown, it acts as a thermal shunt between the first and second stage of the cryocooler. The heat pipe increases the heat transfer to the first stage of the cryocooler, thereby reducing the cooldown time of the system. When the heat pipe temperature drops below the triple point, the nitrogen working fluid freezes, effectively stopping the heat pipe operation. A small heat leak between cryocooler stages remains because of axial conduction along the heat pipe wall. As long as the heat pipe remains below 63 K, the heat pipe remains inactive. Heat pipe performance limits were measured and the optimum fluid charge was determined.

  12. Analysis of new actuation methods for capacitive shunt micro switchs

    Directory of Open Access Journals (Sweden)

    Ben Sassi S


    Full Text Available This work investigates the use of new actuation methods in capacitive shunt micro switches. We formulate the coupled electromechanical problem by taking into account the fringing effects and nonlinearities due to mid-plane stretching. Static analysis is undertaken using the Differential Quadrature Method (DQM to obtain the pull in voltage which is verified by means of the Finite Element Method (FEM. Based on Galerkin approximation, a single degree of freedom dynamic model is developed and limit-cycle solutions are calculated using the Finite Difference Method (FDM. In addition to the harmonic waveform signal, we apply novel actuation waveform signals to simulate the frequency-response. We show that, biased signals, using a square wave signal reduces significantly the pull-in voltage compared to the triangular and harmonic signal . Finally, these results are validated experimentally.

  13. The transjugular intrahepatic portosystemic shunt (TIPS)

    Energy Technology Data Exchange (ETDEWEB)

    Owen, A.R. [Department of Radiology, Austin Health, Heidelberg, Melbourne (Australia)], E-mail:; Stanley, A.J. [Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow (United Kingdom); Vijayananthan, A. [Department of Biomedical Imaging, University of Malaya, Kuala Lumpur (Malaysia); Moss, J.G. [Department of Radiology, Gartnavel General Hospital, Glasgow (United Kingdom)


    The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatments fail, and in the management refractory ascites. This review discusses the development and execution of the technique, with focus on its clinical efficacy. Patient selection, imaging surveillance, revision techniques, and complications are also discussed.

  14. Portacaval Shunt for Portal Hypertensive Gastropathy

    Directory of Open Access Journals (Sweden)

    John Craig Collins


    Full Text Available Portal hypertensive gastropathy is a vascular disorder of the gastric mucosa distinguished by ectasia of the mucosal capillaries and submucosal veins without inflammation. During 1988 to 1993, 12 patients with biopsyproven cirrhosis (10 alcoholic, 2 posthepatitic were evaluated and treated prospectively by portacaval shunt for active bleeding from severe portal hypertensive gastropathy. Eleven patients had been hospitalized for bleeding three to nine times previously, and one was bleeding uncontrollably for the first time. Requirement for blood transfusions ranged from 11 to 39 units cumulatively, of which 8 to 30 units were required specifically to replace blood lost from portal hypertensive gastropathy. Admission findings were ascites in 9 patients, jaundice in 8, severe muscle wasting in 10, hyperdynamic state in 9. Child's risk class was C in 7, B in 4, A in 1. Ten of the 12 patients had previously received repetitive endoscopic sclerotherapy for esophageal varices, which has been reported to precipitate portal hypertensive gastropathy. Eight patients had failed propranolol therapy for bleeding. Portacaval shunt was performed emergently in 11 patients and electively in 1, and permanently stopped bleeding in all by reducing the mean portal vein-inferior vena cava pressure gradient from 251 to 16 mm saline. There were no operative deaths, and two unrelated late deaths after 13 and 24 months. During 1 to 6.75 years of followup, all shunts remained patent by ultrasonography, the gastric mucosa reverted to normal On serial endoscopy, and there was no gastrointestinal bleeding. Recurrent portal-systemic encephalopathy developed in only 8% of patients. Quality of life was generally good. It is concluded that portacaval shunt provides definitive treatment of bleeding portal hypertensive gastropathy by eliminating the underlying cause, and makes possible prolonged survival with an acceptable quality of life.

  15. Rescue endoscopic third ventriculostomy for repeated shunt blockage

    Directory of Open Access Journals (Sweden)

    Puneet K Goyal


    Full Text Available The role of endoscopic third ventriculostomy (ETV is getting more popular for all types of hydrocephalus. It has several advantages and is also being considered for malfunctioning of ventriculo-peritoneal shunt. A 16-year-old child had fourteen shunt revisions in his life. He was eventually treated with ETV with successful result. Repeated shunt failure can be an additional indication of ETV.

  16. Major complication after intrauterine vesico-amniotic shunting

    Directory of Open Access Journals (Sweden)

    Springer Alexander


    Full Text Available Bilateral foetal uropathy is the leading cause of chronic renal failure in childhood. Vesico-amniotic shunting (VAS is a simple, feasible, and widely used procedure for decompressing the foetal urinary system. We report a case of a boy with bilateral foetal uropathy who underwent VAS at a gestational age of 29 weeks. Vesico-abdominal shunt dislodgement occurred and led to urinary ascites and anhydramnios. Postpartal laparotomy showed a shunt perforation between the urinary bladder and the peritoneal cavity.

  17. Morbidity and mortality after peritoneovenous shunt surgery for refractory ascites.


    Rubinstein, D; McInnes, I; Dudley, F


    A prospective analysis of the morbidity and mortality after peritoneovenous shunting was carried out in 25 patients who had a total of 27 shunts for refractory ascites. Major complications were limited to the patients in whom ascites was secondary to hepatic rather than peritoneal disease. Immediate postoperative complications followed 17 out of the 23 shunts carried out in patients with liver disease and included septicaemia (two), profound hypotension (two), pulmonary oedema (one), and clin...

  18. Some investigations on thickness-dependent electrical behaviour of CdS:As/electrolyte solar cells

    Energy Technology Data Exchange (ETDEWEB)

    Deshmukh, L.P. (Dept. of Applied Electronics, Shivaji Univ., Solapur (India)); Hankare, P.P. (Dept. of Polymer Chemistry, Shivaji Univ., Solapur (India)); Sawant, V.S. (Dept. of Electronics, Y.C. Inst. of Science, Satara (India))


    An investigation has been made into the effect of photoelectrode thickness of the photovoltaic properties of cadmium sulphide/electrolyte solar cells. CdS photoelectrodes of various thicknesses doped with 0.25wt.% arsenic were prepared by a chemical deposition process on plane mirror smooth stainless steel substrates. An electrode/electrolyte junction cell was designed for use in a glass cuvette and has been analysed in terms of its electrical parameters. The thickness of the photoelectrode was found to cause significant changes in cell parameters such as short-circuit current, open-circuit voltage, series and shunt resistances, fill factor, junction quality factors and flat band potential. (orig.).

  19. New control algorithm for shunt active filters, based on self-tuned vector filter


    Perales Esteve, Manuel Ángel; Mora Jiménez, José Luis; Carrasco Solís, Juan Manuel; García Franquelo, Leopoldo


    A new, improved, method for calculating the reference of a shunt active filter is presented. This method lays on a filter, which is able to extract the main component of a vector signal. This filter acts as a Phase-Locked Loop, capturing a particular frequency. The output of this filter is in phase with the frequency isolated, and has its amplitude. Simulation and experimental results confirms the validity of the proposed algorithm.

  20. A compact, coaxial shunt current diagnostic for X pinches. (United States)

    Wang, Liangping; Zhang, Jinhai; Li, Mo; Zhang, Xinjun; Zhao, Chen; Zhang, Shaoguo


    A compact coaxial shunt was applied in X-pinches experiments on Qiangguang pulsed power generator. The coaxial shunt was designed to have a compact construction for smaller inductance and more, for conveniently assembling upon the X pinch load structure. The coaxial shunt is also a cheap current probe and was easily built by research groups. The shunt can monitor a 100 kA high current with a 100 ns rise time. The calibration results showed that the probe used in the experiments has a resistance of 3.2 mΩ with an uncertainty of 3%, and its response time to the step signal is less than 7 ns.

  1. Optimization methods for the Train Unit Shunting Problem

    DEFF Research Database (Denmark)

    Haahr, Jørgen Thorlund; Lusby, Richard Martin; Wagenaar, Joris Camiel


    We consider the Train Unit Shunting Problem, an important planning problem for passenger railway operators. This problem entails assigning train units from shunting yards to scheduled train services in such a way that the resulting operations are without conflicts. The problem arises at every...... shunting yard in the railway network and involves matching train units to arriving and departing train services as well as assigning the selected matchings to appropriate shunting yard tracks. We present an extensive comparison benchmark of multiple solution approaches for this problem, some of which...

  2. Ventriculoperitoneal shunt malfunction caused by proximal catheter fat obstruction. (United States)

    Mizrahi, Cezar José; Spektor, Sergey; Margolin, Emil; Shoshan, Yigal; Ben-David, Eliel; Cohen, José E; Moscovici, Samuel


    Ventriculoperitoneal (VP) shunt placement is the mainstay of treatment for hydrocephalus, yet shunts remain vulnerable to a variety of complications. Although fat droplet migration into the subarachnoid space and cerebrospinal fluid pathways following craniotomy has been observed, a VP shunt obstruction with fat droplets has never been reported to our knowledge. We present the first reported case of VP shunt catheter obstruction by migratory fat droplets in a 55-year-old woman who underwent suboccipital craniotomy for removal of a metastatic tumor of the left medullocerebellar region, without fat harvesting. A VP shunt was inserted 1month later due to communicating hydrocephalus. The patient presented with gait disturbance, intermittent confusion, and pseudomeningocele 21days after shunt insertion. MRI revealed retrograde fat deposition in the ventricular system and VP shunt catheter, apparently following migration of fat droplets from the fatty soft tissue of the craniotomy site. Spinal tap revealed signs of aseptic meningitis. Steroid treatment for aseptic "lipoid" meningitis provided symptom relief. MRI 2months later revealed partial fat resorption and resolution of the pseudomeningocele. VP shunt malfunction caused by fat obstruction of the ventricular catheter should be acknowledged as a possible complication in VP shunts after craniotomy, even in the absence of fat harvesting. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Superconducting fault current-limiter with variable shunt impedance (United States)

    Llambes, Juan Carlos H; Xiong, Xuming


    A superconducting fault current-limiter is provided, including a superconducting element configured to resistively or inductively limit a fault current, and one or more variable-impedance shunts electrically coupled in parallel with the superconducting element. The variable-impedance shunt(s) is configured to present a first impedance during a superconducting state of the superconducting element and a second impedance during a normal resistive state of the superconducting element. The superconducting element transitions from the superconducting state to the normal resistive state responsive to the fault current, and responsive thereto, the variable-impedance shunt(s) transitions from the first to the second impedance. The second impedance of the variable-impedance shunt(s) is a lower impedance than the first impedance, which facilitates current flow through the variable-impedance shunt(s) during a recovery transition of the superconducting element from the normal resistive state to the superconducting state, and thus, facilitates recovery of the superconducting element under load.

  4. Staging of portal hypertension and portosystemic shunts using dynamic nuclear medicine investigations (United States)

    Dragoteanu, Mircea; Balea, Ioan A; Dina, Liliana A; Piglesan, Cecilia D; Grigorescu, Ioana; Tamas, Stefan; Cotul, Sabin O


    AIM: To explore portal hypertension and portosystemic shunts and to stage chronic liver disease (CLD) based on the pathophysiology of portal hemodynamics. METHODS: Per-rectal portal scintigraphy (PRPS) was performed on 312 patients with CLD and liver angioscintigraphy (LAS) on 231 of them. The control group included 25 healthy subjects. We developed a new model of PRPS interpretation by introducing two new parameters, the liver transit time (LTT) and the circulation time between right heart and liver (RHLT). LTT for each lobe was used to evaluate the early portal hypertension. RHLT is useful in cirrhosis to detect liver areas missing portal inflow. We calculated the classical per-rectal portal shunt index (PRSI) at PRPS and the hepatic perfusion index (HPI) at LAS. RESULTS: The normal LTT value was 24 ± 1 s. Abnormal LTT had PPV = 100% for CLD. Twenty-seven non-cirrhotic patients had LTT increased up to 35 s (median 27 s). RHLT (42 ± 1 s) was not related to liver disease. Cirrhosis could be excluded in all patients with PRSI 30% had PPV = 100% for cirrhosis. Based on PRPS and LAS we propose the classification of CLD in 5 hemodynamic stages. Stage 0 is normal (LTT = 24 s, PRSI 30%. RHLT and HPI were used to subtype stage 4. In our study stage 0 had NPV = 100% for CLD, stage 1 had PPV = 100% for non-cirrhotic CLD, stages 2 and 3 represented the transition from chronic hepatitis to cirrhosis, stage 4 had PPV = 100% for cirrhosis. CONCLUSION: LTT allows the detection of early portal hypertension and of opening of transhepatic shunts. PRSI is useful in CLD with extrahepatic portosystemic shunts. Our hemodynamic model stages the evolution of portal hypertension and portosystemic shunts. It may be of use in the selection of patients for interferon therapy. PMID:18609707

  5. Radionuclide Angiocardiographic Evaluation of Left-to-Right Cardiac Shunts: Analysis of Time-Active Curves

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ok Hwa; Bahk, Yong Whee; Kim, Chi Kyung [Catholic University College of Medicine, Seoul (Korea, Republic of)


    The noninvasive nature of the radionuclide angiocardiography provided a useful approach for the evaluation of left-to-right cardiac shunts (LRCS). While the qualitative information can be obtained by inspection of serial radionuclide angiocardiograms, the quantitative information of radionuclide angiocardiography can be obtained by the analysis of time-activity curves using advanced computer system. The count ratios method and pulmonary-to-systemic flow ratio (QP/QS) by gamma variate fit method were used to evaluate the accuracy of detection and localization of LRCS. One hundred and ten time-activity curves were analyzed. There were 46 LRCS (atrial septal defects 11, ventricular septal defects 22, patent ductus arteriosus 13) and 64 normal subjects. By computer analysis of time-activity curves of the right atriurn, ventricle and the lungs separately, the count ratios modified by adding the mean cardiac transit time were calculated in each anatomic site. In normal subjects the mean count ratios in the right atrium, ventricle and lungs were 0.24 on average. In atrial septal defects, the count ratios were high in the right atrium, ventricle and lungs, whereas in ventricular septal defects the count ratios were higher only in the right ventricle and lungs. Patent ductus arteriosus showed normal count ratios in the heart but high count ratios were obtained in the lungs. Thus, this count ratios method could be separated normal from those with intracardiac or extracardiac shunts, and moreover, with this method the localization of the shunt level was possible in LRCS. Another method that could differentiate the intracardiac shunts from extracardiac shunts was measuring QP/QS in the left and right lungs. In patent ductus arteriosus, the left lung QP/QS was higher than those of the right lung, whereas in atrial septal defects and ventricular septal defects QP/ QS ratios were equal in both lungs. From this study, it was found that by measuring QP/QS separately in the lungs

  6. Ultrasonography of portosystemic shunting in dogs : Doppler studies before, during and after surgery

    NARCIS (Netherlands)

    Szatmári, V.


    Portosystemic shunting occurs when anomalous veins allow the portal blood to enter the systemic veins directly without first flowing through the hepatic sinusoids. Portosystemic shunting can occur via acquired portosystemic collaterals or via congenital portosystemic shunts and may result in

  7. Towards Prognostics of Electrolytic Capacitors (United States)

    National Aeronautics and Space Administration — A remaining useful life prediction algorithm and degradation model for electrolytic capacitors is presented. Electrolytic capacitors are used in several applications...

  8. Flexible electrochromic windows: a comparison using liquid and solid electrolytes

    Directory of Open Access Journals (Sweden)

    Girotto Emerson Marcelo


    Full Text Available In the present work, two electrochromic devices (or electrochromic windows based on intrinsically conducting polymers were assembled and characterized. For both devices, the materials used on the assembling were the same except for the electrolyte layer. In the first, we used as electrolyte a propylene carbonate solution and in the second the elastomer poly(epichlorohydrin-co-ethylene oxide, both containing LiClO4. The conductivity of the liquid electrolyte (10-3 S cm-1 is approximately two orders of magnitude higher than for the solid electrolyte and we obtained very good electrochromic properties in both cases. The calculated electrochromic efficiency at 640 nm was 700 C cm-2 for the liquid electrolyte device and 360 C cm-2 for the solid state device. Solid state electrochromic windows have been investigated and some of its advantages over windows with liquid electrolytes are discussed.

  9. Electrolyte for batteries with regenerative solid electrolyte interface

    Energy Technology Data Exchange (ETDEWEB)

    Xiao, Jie; Lu, Dongping; Shao, Yuyan; Bennett, Wendy D.; Graff, Gordon L.; Liu, Jun; Zhang, Ji-Guang


    An energy storage device comprising: an anode; and a solute-containing electrolyte composition wherein the solute concentration in the electrolyte composition is sufficiently high to form a regenerative solid electrolyte interface layer on a surface of the anode only during charging of the energy storage device, wherein the regenerative layer comprises at least one solute or solvated solute from the electrolyte composition.

  10. Portal flow and arterioportal shunting after transjugular intrahepatic portosystemic shunt creation. (United States)

    Itkin, Maxim; Trerotola, Scott O; Stavropoulos, S William; Patel, Aalpen; Mondschein, Jeffrey I; Soulen, Michael C; Tuite, Catherine M; Shlansky-Goldberg, Richard D; Faust, Thomas W; Reddy, K Rajender; Solomon, Jeffrey A; Clark, Timothy W I


    It was postulated that a transjugular intrahepatic portosystemic shunt (TIPS) produces arterioportal shunting and accounts for reversed flow in the intrahepatic portal veins (PVs) after creation of the TIPS. This study sought to quantify this shunting in patients undergoing TIPS creation and/or revision with use of a direct catheter-based technique and by measuring changes in blood oxygenation within the TIPS and the PV. This prospective study consisted of 26 patients. Median Model for End-stage Liver Disease and Child-Pugh scores were 13 and 9, respectively. Primary TIPS creation was attempted in 21 patients and revision of failing TIPS was undertaken in five. In two patients, TIPS creation was unsuccessful. All TIPS creation procedures but one were performed with use of polytetrafluoroethylene-covered stent-grafts. Flow within the main PV (Q(portal)) was measured with use of a retrograde thermodilutional catheter before and after TIPS creation/revision, and TIPS flow (Q(TIPS)) was measured at procedure completion. The amount of arterioportal shunting was assumed to be the increase between final Q(portal) and Q(TIPS), assuming Q(TIPS) was equivalent to the final Q(portal) plus the reversed flow in the right and left PVs. Oxygen saturation within the TIPS and the PV was determined from samples obtained during TIPS creation and revision. Mean Q(portal) before TIPS creation was 691 mL/min; mean Q(portal) after TIPS creation was 1,136 mL/min, representing a 64% increase (P = .049). Mean Q(TIPS) was 1,631 mL/min, a 44% increase from final Q(portal) (P = .0009). Among cases of revision, baseline Q(portal) was 1,010 mL/min and mean Q(portal) after TIPS revision was 1,415 mL/min, a 40% increase. Mean Q(TIPS) was 1,693 mL/min, a 20% increase from final Q(portal) (P = .42). Arterioportal shunting rates were 494 mL/min after TIPS creation and 277 mL/min after TIPS revision, representing 30% of total Q(TIPS) after TIPS creation and 16% of Q(TIPS) after TIPS revision. No

  11. Train shunting at a workshop area

    DEFF Research Database (Denmark)

    Jacobsen, Per Munk; Pisinger, David


    We consider the problem of planning the shunting of train units at a railway workshop area. Before and after the maintenance check, a train unit is parked at a depository track. The problem is to schedule the trains to workshops and depot tracks in order to complete the repairs as soon as possible......, while avoiding train blockings at the tracks. We give a formal definition of the problem and present three heuristic approaches based on, respectively, Guided Local Search (GLS), Guided Fast Local Search (GFLS) and Simulated Annealing (SA). Computational experiments are reported for realistic instances...

  12. Novel current monitoring techniques without shunt resistors

    Directory of Open Access Journals (Sweden)

    VODA Adriana


    Full Text Available Current measurement for automotiveelectrical actuator applications (with motors or valvesis necessary for appropriate control in many cases anda safety requirement in all cases: the control algorithmmay be dependent on the data but safety relevantfunctions will use it to determine possible over-current,over-temperature or failure conditions. This paperproposes an alternative method of monitoring thecurrent, without using sensors or current shunts.Instead, measurements are made on the motor in thedevelopment stages and low/high frequency variationsin the supply line are monitored, through low/highpassfilters, by available AD channels in the system.This results in cost reduction for the final product, byreducing hardware complexity.

  13. Electrolyte management considerations in modern nickel/hydrogen and nickel/cadmium cell and battery designs (United States)

    Thaller, Lawrence H.; Zimmerman, Albert H.

    In the early 1980s, the battery group at the NASA Lewis Research Center (LeRC) reviewed the design issues associated with nickel/hydrogen cells for low-earth orbit applications. In 1984, these issues included gas management, liquid management, plate expansion, and the recombination of oxygen during overcharge. The design effort by that group followed principles set forth in an earlier LeRC paper that introduced the topic of pore size engineering. Also in 1984, the beneficial effect of lower electrolyte concentrations on cycle life was verified by Hughes Aircraft as part of a LeRC-funded study. Subsequent life cycle tests of these concepts have been carried out that essentially have verified all of this earlier work. During the past decade, some of the mysteries involved in the active material of the nickel electrode have been resolved by careful research done at several laboratories. While attention has been paid to understanding and modeling abnormal nickel/hydrogen cell behaviors, not enough attention has been paid to the potassium ion content in these cells, and more recently, in batteries. Examining the potassium ion content of different portions of the cell or battery is a convenient way of following the conductivity, mass transport properties, and electrolyte volume in each of the cell or battery portions under consideration. Several of the consequences of solvent and solute changes within fuel cells have been well known for some time. However, only recently have these consequences been applied to nickel/hydrogen and nickel/cadmium cell designs. As a result of these studies, several unusual cell performance signatures can now be satisfactorily explained in terms of movement of the solvent and solute components in the electrolyte. This paper will review three general areas where the potassium ion content can impact the performance and life of nickel/hydrogen and nickel/cadmium cells. Sample calculations of the concentration or volume changes that can take

  14. Clopidogrel in infants with systemic-to-pulmonary-artery shunts

    DEFF Research Database (Denmark)

    Wessel, David L; Berger, Felix; Li, Jennifer S


    BACKGROUND: Infants with cyanotic congenital heart disease palliated with placement of a systemic-to-pulmonary-artery shunt are at risk for shunt thrombosis and death. We investigated whether the addition of clopidogrel to conventional therapy reduces mortality from any cause and morbidity relate...

  15. Spontaneous knot; a rare cause of ventriculoperitoneal shunt blockage.

    LENUS (Irish Health Repository)

    Mohammed, Wail


    A 14-year old X linked congenital hydrocephalus presented with unexplained headaches and vomiting. He had external ventricular drain and intracranial pressure monitoring (ICP). Subsequently, he underwent exploration and removal of previously inserted ventriculoperitoneal (VP) shunts. On retrieval of peritoneal catheters a double knot was noted between his two distal catheters. This case illustrates a rare cause of ventriculoperitoneal shunt malfunction.

  16. Spontaneous knot; a rare cause of ventriculoperitoneal shunt blockage.

    LENUS (Irish Health Repository)

    Mohammed, Wail


    A 14-year old X linked congenital hydrocephalus presented with unexplained headaches and vomiting. He had external ventricular drain and intracranial pressure monitoring (ICP). Subsequently, he underwent exploration and removal of previously inserted ventriculoperitoneal (VP) shunts. On retrieval of peritoneal catheters a double knot was noted between his two distal catheters. This case illustrates a rare cause of ventriculoperitoneal shunt malfunction.

  17. Internal carotid artery rupture caused by carotid shunt insertion. (United States)

    Illuminati, Giulio; Caliò, Francesco G; Pizzardi, Giulia; Vietri, Francesco


    Shunting is a well-accepted method of maintaining cerebral perfusion during carotid endarterectomy (CEA). Nonetheless, shunt insertion may lead to complications including arterial dissection, embolization, and thrombosis. We present a complication of shunt insertion consisting of arterial wall rupture, not reported previously. A 78-year-old woman underwent CEA combined with coronary artery bypass grafting (CABG). At the time of shunt insertion an arterial rupture at the distal tip of the shunt was detected and was repaired via a small saphenous vein patch. Eversion CEA and subsequent CABG completed the procedure whose postoperative course was uneventful. Shunting during combined CEA-CABG may be advisable to assure cerebral protection from possible hypoperfusion due to potential hemodynamic instability of patients with severe coronary artery disease. Awareness and prompt management of possible shunt-related complications, including the newly reported one, may contribute to limiting their harmful effect. Arterial wall rupture is a possible, previously not reported, shunt-related complication to be aware of when performing CEA. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Clinical outcomes after ventriculoatrial shunting for idiopathic normal pressure hydrocephalus. (United States)

    Liu, Ann; Sankey, Eric W; Jusué-Torres, Ignacio; Patel, Mira A; Elder, Benjamin D; Goodwin, C Rory; Hoffberger, Jamie; Lu, Jennifer; Rigamonti, Daniele


    Idiopathic normal pressure hydrocephalus (iNPH) is a neurological disorder that classically presents with a triad of progressive gait impairment, urinary incontinence, and cognitive deterioration. Treatment predominantly involves ventriculoperitoneal (VP) shunting, but one alternative is ventriculoatrial (VA) shunting. This study sought to describe and evaluate the clinical outcomes of patients with iNPH primarily treated with VA shunting. A retrospective review of patients with iNPH who were treated with VA shunting at a single institution, from 2003 to 2013, was performed. 58 patients with iNPH underwent primary VA shunting at a median age of 74 (IQR: 70-80) years. The most common comorbidities included hypertension (n=39, 67%) and diabetes mellitus (n=11, 19%). Median duration of symptoms prior to VA shunting was 24 (IQR: 12-36) months. All patients had gait impairment, 52 (90%) had cognitive decline, and 43 (74%) had urinary incontinence. Forty-three (74%) patients had all three symptoms. At a median last follow-up of 16 (IQR: 7-26) months, median iNPH score improved from 6 to 3 (pTinetti score improved from 19 to 25 (pscore, TUG, and Tinetti score, while improvement in MMSE trended toward significance. Patients also had improvement of clinical symptoms related to gait, urinary function and cognition. These results suggest that VA shunting can be an effective primary treatment alternative to VP shunting for iNPH. Published by Elsevier B.V.

  19. Shunted-Josephson-junction model. II. The nonautonomous case

    DEFF Research Database (Denmark)

    Belykh, V. N.; Pedersen, Niels Falsig; Sørensen, O. H.


    The shunted-Josephson-junction model with a monochromatic ac current drive is discussed employing the qualitative methods of the theory of nonlinear oscillations. As in the preceding paper dealing with the autonomous junction, the model includes a phase-dependent conductance and a shunt capacitance...

  20. Percutaneous peritoneovenous shunt positioning: technique and preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Orsi, Franco; Grasso, Rosario Francesco; Bonomo, Guido; Marinucci, Irene [Division of Radiology, European Institute of Oncology, Milan (Italy); Monti, Cinzia [Institute of Radiology, University of Milan (Italy); Bellomi, Massimo [Division of Radiology, European Institute of Oncology, Milan (Italy); Institute of Radiology, University of Milan (Italy)


    Nine peritoneovenous shunts were positioned by percutaneous technique in seven patients with advanced malignancy causing severe refractory ascites, and in two patients with hepatic cirrhosis (one with hepatocarcinoma). In all patients the shunts were percutaneously placed through the subclavian vein in the angiographic suite under digital fluoroscopic guide. No complications directly related to the procedure occurred. The shunt was successfully positioned in all patients in 60 min average time. No patient showed symptoms related to pulmonary overload or to disseminated intravascular coagulation. All patients had a significant improvement of the objective symptoms related to ascites such as respiratory symptoms, dyspepsia, and functional impairment to evacuation describing an improvement of their quality of life. Maximum shunt patency was 273 days. Percutaneous placement of peritoneovenous shunt is a safe, fast, and inexpensive procedure, extremely useful in resolution of refractory ascites, reducing symptoms, and allowing effective palliation, with a great improvement in quality of life. (orig.)

  1. Syringomyelia regression after shunting of a trapped fourth ventricle

    Directory of Open Access Journals (Sweden)

    Dukagjin Morina


    Full Text Available We describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV, which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and meningitis developed a hydrocephalus with TFV. After 3 years she developed disturbance of walking and coordination. Cranial-CT revealed an enlargement of the shunted fourth ventricle as a result of shunt dysfunction. Furthermore a cervical syringomyelia developed. The patient underwent a revision of a failed fourth ventriculo- peritoneal shunt. Postoperatively, syringomyelia resolved within 6 months and the associated neurological deficits improved significantly. An insufficiency of cerebrospinal fluid draining among patients with TFV can be associated with communicating syringomyelia. An early detection and treatment seems important on resolving syringomyelia and avoiding permanent neurological deficits. Ventriculo-peritoneal shunt in trapped fourth ventricles can resolve a secondary syringomyelia.

  2. The role of lumboperitoneal shunts in the treatment of syringomyelia. (United States)

    Oluigbo, Chima O; Thacker, Karen; Flint, Graham


    OBJECT The role of thecoperitoneal shunts in the management of syringomyelia is not well defined. In this study, the authors analyze the outcome of lumboperitoneal shunt procedures carried out to treat syringomyelia in their institution. METHODS The authors retrospectively reviewed the medical records of 19 patients who underwent lumboperitoneal shunt procedures for syringomyelia. RESULTS The mean follow-up duration was 25 months (range 3-51 months). Of 16 cases followed up, only 5 patients reported clinical improvement in their preoperative symptoms, but of these, 2 had clear radiological evidence of improvement. Three of 6 patients with syringomyelia due to spinal arachnoiditis improved. CONCLUSIONS Lumboperitoneal shunts may lead to useful improvement in the symptoms of a patient with syringomyelia while avoiding the risk of neurological deterioration inherent in myelotomies required for syrinx shunting procedures.

  3. Electrolytic oxidation of anthracite (United States)

    Senftle, F.E.; Patton, K.M.; Heard, I.


    An anthracite slurry can be oxidized only with difficulty by electrolytic methods in which aqueous electrolytes are used if the slurry is confined to the region of the anode by a porous pot or diaphragm. However, it can be easily oxidized if the anthracite itself is used as the anode. No porous pot or diaphragm is needed. Oxidative consumption of the coal to alkali-soluble compounds is found to proceed preferentially at the edges of the aromatic planes. An oxidation model is proposed in which the chief oxidants are molecular and radical species formed by the electrolytic decomposition of water at the coal surface-electrolyte interface. The oxidation reactions proposed account for the opening of the aromatic rings and the subsequent formation of carboxylic acids. The model also explains the observed anisotropic oxidation and the need for the porous pot or diaphragm used in previous studies of the oxidation of coal slurries. ?? 1981.

  4. Solid electrolytic fuel cell

    Energy Technology Data Exchange (ETDEWEB)

    Sakai, Masayasu; Yamauchi, Yasuhiro; Kamisaka, Mitsuo; Notomi, Kei.


    Concerning a solid electrolytic fuel cell with a gas permeable substrate pipe, a fuel electrode installed on this substrate pipe and an air electrode which is laminated on this fuel electrode with the electrolyte in between, the existing fuel cell of this kind uses crystals of CaMnO3, etc. for the material of the air electrode, but its electric resistance is big and in order to avert this, it is necessary to make the film thickness of the air electrode big. However, in such a case, the entry of the air into its inside worsens and the cell performance cannot develop satisfactorily. In view of the above, in order to obtain a high performance solid electrolytic fuel cell which can improve electric conductivity without damaging diffusion rate of the air, this invention proposes with regard to the aforementioned solid electrolytic fuel cell to install a heat resistant and conductive member inside the above air electrode. 6 figs.

  5. Polymer electrolyte reviews. 1

    Energy Technology Data Exchange (ETDEWEB)

    Mac Callum, J.R.; Vincent, C.A.


    The development of polymer electrolytes which have potential applications in battery technology has resulted in an escalation of research into the synthesis of new macromolecular supports and the mechanisms of ionic transport within the solid matrix. Investigation of the properties of polymer electrolytes has brought together polymer chemists and electrochemists, and the understanding of the solubility and transport of electrolytes in organic polymers is now developing from this pooled experience. This book deals with experimental, theoretical and applied aspects of solid solutions of electrolytes used in coordinating polymer matrices. Attention is focused on the synthesis and properties of these new materials, the mechanisms of conduction processes and practical applications, especially with regard to battery technology.

  6. Flexural waves focusing through shunted piezoelectric patches (United States)

    Yi, K.; Collet, M.; Ichchou, M.; Li, L.


    In this paper, we designed and analyzed a piezo-lens to focus flexural waves in thin plates. The piezo-lens is comprised of a host plate and piezoelectric arrays bonded on the surfaces of the plate. The piezoelectric patches are shunted with negative capacitance circuits. The effective refractive indexes inside the piezo-lens are designed to fit a hyperbolic secant distribution by tuning the negative capacitance values. A homogenized model of a piezo-mechanical system is adopted in the designing process of the piezo-lens. The wave focusing effect is studied by the finite element method. Numerical results show that the piezo-lens can focus flexural waves by bending their trajectories, and is effective in a large frequency band. The piezo-lens has the ability to focus flexural waves at different locations by tuning the shunting negative capacitance values. The piezo-lens is shown to be effective for flexural waves generated by different types of sources.

  7. Ventriculoperitoneal shunt infection with Listeria innocua. (United States)

    Karli, Arzu; Sensoy, Gulnar; Unal, Nevzat; Yanik, Keramettin; Cigdem, Halit; Belet, Nursen; Sofuoglu, Ayse


    Listeria species may cause life-threatening events including meningitis and invasive infection in newborns, pregnant women, older and immunodeficient people. The most common Listeria species that causes infection is L. monocytogenes. It is known that Listeria innocua has no pathogenicity. A 9-month-old baby had ventriculoperitoneal shunt and was treated with adrenocorticotropic hormone because of infantile spasms. He was brought to hospital with fever and vomiting. Upon physical examination, the patient seemed uncomfortable and had a temperature of 38.6°C. Laboratory results were as follows: hemoglobin, 6.7 g/dL; leukocyte count, 5420/mm(3) ; platelet count, 169,000/mm(3) ; and C-reactive protein, 100 mg/L (normal <5 mg/L). On analysis of cerebrospinal fluid (CSF), leukocyte count was 480/mm(3) , protein was 46 mg/dL and CSF glucose was 35 mg/dL. L. innocua was isolated in CSF culture. We describe this unusual case of ventriculoperitoneal shunt infection with L. innocua.

  8. Prevention of ventriculoperitoneal shunt complications after intraperitoneal urological surgeries. (United States)

    Ikeda, Takashi; Akiyama, Sayaka; Kim, Woo Jin; Ito, Susumu; Yamazaki, Yuichiro


    To evaluate perioperative management for the prevention of postoperative shunt infection and malfunction after intraperitoneal urological surgery in patients with myelodysplasia and a ventriculoperitoneal shunt. From 2005 to 2015, 20 consecutive patients with myelodysplasia and a ventriculoperitoneal shunt who underwent intraperitoneal urological surgeries were managed with the same perioperative regimen. Intraperitoneal surgeries involved opening gastrointestinal tracts, including bladder augmentation by enterocystoplasty, creating continent catheterizable channels and Malone antegrade continent enema. We compared results with those from seven previous reports regarding postoperative shunt complications, surgical histories of previous shunt revisions, management of bacteriuria before surgery preoperative bowel preparation, antibiotic regimens, and duration of indwelling drain. Of 20 patients, 18 received prior shunt revisions, and 14 had positive urine culture before surgery that was managed with oral antibiotics. Thirteen patients underwent bladder augmentation with ileum, and one underwent augmentation with sigmoid colon. Nineteen patients underwent Malone antegrade continent enema using the appendix. All parenteral antibiotics were stopped on postoperative day 2.5. Mean duration of indwelling peritoneal drain was 2.7days. Mean follow-up period was 59.8months. Neither postoperative shunt infections nor intraperitoneal shunt malfunctions were recognized during follow-up period. This is the first study to evaluate postoperative ventriculoperitoneal shunt complications in patients with myelodysplasia who underwent intraperitoneal urological surgeries with a specific perioperative regimen. Shunt complications are greatly reduced by rigorous perioperative management, including preoperative control of bacteriuria, appropriate administration of prophylactic antibiotics, and early removal of intraperitoneal drains. The type of study: Case series with no comparison group

  9. Parylene MEMS patency sensor for assessment of hydrocephalus shunt obstruction. (United States)

    Kim, Brian J; Jin, Willa; Baldwin, Alexander; Yu, Lawrence; Christian, Eisha; Krieger, Mark D; McComb, J Gordon; Meng, Ellis


    Neurosurgical ventricular shunts inserted to treat hydrocephalus experience a cumulative failure rate of 80 % over 12 years; obstruction is responsible for most failures with a majority occurring at the proximal catheter. Current diagnosis of shunt malfunction is imprecise and involves neuroimaging studies and shunt tapping, an invasive measurement of intracranial pressure and shunt patency. These patients often present emergently and a delay in care has dire consequences. A microelectromechanical systems (MEMS) patency sensor was developed to enable direct and quantitative tracking of shunt patency in order to detect proximal shunt occlusion prior to the development of clinical symptoms thereby avoiding delays in treatment. The sensor was fabricated on a flexible polymer substrate to eventually allow integration into a shunt. In this study, the sensor was packaged for use with external ventricular drainage systems for clinical validation. Insights into the transduction mechanism of the sensor were obtained. The impact of electrode size, clinically relevant temperatures and flows, and hydrogen peroxide (H2O2) plasma sterilization on sensor function were evaluated. Sensor performance in the presence of static and dynamic obstruction was demonstrated using 3 different models of obstruction. Electrode size was found to have a minimal effect on sensor performance and increased temperature and flow resulted in a slight decrease in the baseline impedance due to an increase in ionic mobility. However, sensor response did not vary within clinically relevant temperature and flow ranges. H2O2 plasma sterilization also had no effect on sensor performance. This low power and simple format sensor was developed with the intention of future integration into shunts for wireless monitoring of shunt state and more importantly, a more accurate and timely diagnosis of shunt failure.

  10. Nanoscale Organic Hybrid Electrolytes

    KAUST Repository

    Nugent, Jennifer L.


    Nanoscale organic hybrid electrolytes are composed of organic-inorganic hybrid nanostructures, each with a metal oxide or metallic nanoparticle core densely grafted with an ion-conducting polyethylene glycol corona - doped with lithium salt. These materials form novel solvent-free hybrid electrolytes that are particle-rich, soft glasses at room temperature; yet manifest high ionic conductivity and good electrochemical stability above 5V. © 2010 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  11. Vascular collateralization along ventriculoperitoneal shunt catheters in moyamoya disease. (United States)

    Singla, Amit; Lin, Ning; Ho, Allen L; Scott, R Michael; Smith, Edward R


    Surgically created openings such as bur holes can serve as avenues for the development of collateral blood supply to the brain in patients with moyamoya disease. When such collateralization occurs through preexisting shunt catheter sites, the potential exists for perioperative stroke if these vessels are damaged during revision of a ventricular catheter for shunt malfunction. In this paper the authors report on a series of patients with a history of ventriculoperitoneal (VP) shunts who later developed moyamoya disease and were found to have spontaneous transdural collateral vessels at ventricular catheter sites readily visualized on diagnostic angiography. A consecutive surgical series of 412 patients with moyamoya disease treated at Boston Children's Hospital from 1990 to 2010 were reviewed to identify patients with concomitant moyamoya and a VP shunt. The clinical records and angiograms of these patients were reviewed to determine the extent of bur hole collaterals through the shunt site. Three patients were identified who had VP shunts placed for hydrocephalus and subsequently developed moyamoya disease. All 3 patients demonstrated spontaneous transdural collaterals at the ventricular catheter bur hole, as confirmed by angiography during the workup for moyamoya disease. No patients required subsequent revision of their ventricular catheters following the diagnosis of moyamoya. All patients have remained stroke free and clinically stable following pial synangiosis. Although the association of moyamoya and shunted hydrocephalus is rare, it may present a significant potential problem for the neurosurgeon treating a shunt malfunction in this patient population, because shunt bur holes may become entry sites for the ingrowth of significant cortical transdural collateral blood supply to the underlying brain. Shunt revision might therefore be associated with an increased risk of postoperative stroke or operative-site hemorrhage in this population if this

  12. Staging of portal hypertension and portosystemic shunts using dynamic nuclear medicine investigations

    Institute of Scientific and Technical Information of China (English)

    Mircea Dragoteanu; Ioan A Balea; Liliana A Dina; Cecilia D Piglesan; Ioana Grigorescu; Stefan Tamas; Sabin O Cotul


    AIM: To explore portal hypertension and portosystemic shunts and to stage chronic liver disease (CLD)based on the pathophysiology of portal hemodynamics.METHODS: Per-rectal portal scintigraphy (PRPS) was performed on 312 patients with CLD and liver angioscintigraphy (LAS) on 231 of them.The control group included 25 healthy subjects.We developed a new model of PRPS interpretation by introducing two new parameters,the liver transit time (LIT) and the circulation time between right heart and liver (RHLT).LTT for each lobe was used to evaluate the early portal hypertension.RHLT is useful in cirrhosis to detect liver areas missing portal inflow.We calculated the classical per-rectal portal shunt index (PRSI) at PRPS and the hepatic perfusion index (HPI) at LAS.RESULTS: The normal LTT value was 24 ±1 s.Abnormal LTT had PPV = 100% for CLD.Twenty-seven noncirrhotic patients had L-IT increased up to 35 s (median 27 s).RHLT (42 ±1 s) was not related to liver disease.Cirrhosis could be excluded in all patients with PRSI< 5% (P < 0.01).PRSI > 30% had PPV = 100% for cirrhosis.Based on PRPS and LAS we propose the classification of CLD in 5 hemodynamic stages.Stage 0 is normal (LIT = 24 s,PRSI < 5%).In stage 1,LIT is increased,while PRSI remains normal.In stage 2,LIT is decreased between 16 s and 23 s,whereas PRSI is increased between 5% and 10%.In stage 3,PRSI is increased to 10%-30%,and LTT becomes undetectable by PRPS due to the portosystemic shunts.Stage 4 includes the patients with PRSI > 30%.RHLT and HPI were used to subtype stage 4.In our study stage 0 had NPV = 100% for CLD,stage 1 had PPV = 100% for non-cirrhotic CLD,stages 2 and 3 represented the transition from chronic hepatitis to cirrhosis,stage 4 had PPV = 100% for cirrhosis.CONCLUSION: LTT allows the detection of early portal hypertension and of opening of transhepatic shunts.PRSI is useful in CLD with extrahepatic portosystemic shunts.Our hemodynamic model stages the evolution of portal hypertension

  13. Evaluation of Shunt Losses in Industrial Silicon Solar Cells

    Directory of Open Access Journals (Sweden)

    P. Somasundaran


    Full Text Available Shunting is one of the key issues in industrial silicon solar cells which degrade cell performance. This paper presents an approach for investigation of the performance degradation caused by the presence of ohmic extended shunts at various locations in industrial silicon solar cells. Location, nature, and area of the shunts existing in solar cells have been examined by lock-in infrared thermography (LIT. Based on LIT images and experimental dark I-V curves of solar cell, shunted cell has been modeled, from which loss in fill factor and efficiency due to the specific shunt has been obtained. Distributed diode modeling approach of solar cell has been exploited for obtaining simulation results which were supported by experimental measurements. The presented approach is useful to estimate performance reduction due to specific shunts and to quantify losses, which can help in improving the efficiency of solar cell during production by tackling the shunt related problems based on the level of severity and tolerance.

  14. A plasma polymerization technique to overcome cerebrospinal fluid shunt infections. (United States)

    Cökeliler, D; Caner, H; Zemek, J; Choukourov, A; Biederman, H; Mutlu, M


    Prosthetic devices, mainly shunts, are frequently used for temporary or permanent drainage of cerebrospinal fluid. The pathogenesis of shunt infection is a very important problem in modern medicine and generally this is characterized by staphylococcal adhesion to the cerebrospinal fluid shunt surfaces. In this paper, the prevention of the attachment of test microorganism Staphylococcus epidermidis on the cerebrospinal fluid shunt surfaces by 2-hydroxyethylmethacrylate (HEMA) precursor modification in the plasma polymerization system, is reported. Different plasma polymerization conditions (RF discharge power 10-20-30 W, exposure time 5-10-15 min) were employed during the surface modification. The surface chemistry and topology of unmodified and modified shunts was characterized by x-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM) and atomic force microscopy (AFM). Also, static contact angle measurements were performed to state the change of surface hydrophilicity. All samples were tested in vitro with Staphylococcus epidermidis. A plasma-polymerized HEMA film (PP HEMA) was found to be an alternative simple method to decrease the microorganism attachment and create bacterial anti-fouling surfaces. The attachment of the model microorganism Staphylococcus epidermidis on the shunt surface modified by PP HEMA at 20 W and 15 min was reduced 62.3% if compared to the unmodified control surface of the shunt.

  15. The hydrokinetic parameters of shunts for hydrocephalus might be inadequate. (United States)

    Sotelo, Julio


    Long-term treatment of hydrocephalus continues to be dismal. Shunting is the neurosurgical procedure more frequently associated with complications, which are mostly related with dysfunctions of the shunting device, rather than to mishaps of the rather simple surgical procedure. Overdrainage and underdrainage are the most common dysfunctions; of them, overdrainage is a conspicuous companion of most devices. Even when literally hundreds of different models have been proposed, developed, and tested, overdrainage has plagued all shunts for the last 60 years. Several investigations have demonstrated that changes in the posture of the subject induce unavoidable and drastic differences of intraventricular hydrokinetic pressure and cerebrospinal fluid (CSF) drainage through the shunt. Of all the parameters that participate in the pathophysiology of hydrocephalus, the only invariable one is cerebrospinal fluid production at a constant rate of approximately 0.35 ml/min. However, this feature has not been considered in the design of currently available shunts. Our experimental and clinical studies have shown that a simple shunt, whose drainage capacity complies with this unique parameter, would prevent most complications of shunting for hydrocephalus.

  16. A plasma polymerization technique to overcome cerebrospinal fluid shunt infections

    Energy Technology Data Exchange (ETDEWEB)

    Coekeliler, D [Plasma Aided Bioengineering and Biotechnology Research Laboratory, Engineering Faculty, Hacettepe University, 06532, Ankara (Turkey); Caner, H [Department of Neurosurgery, School of Medicine, Baskent University, 06610, Ankara (Turkey); Zemek, J [Institute of Physics, Academy of Sciences of the Czech Republic, Cukrovarnicka 10, 162 53, Prague, Czech Republic (Czech Republic); Choukourov, A [Department of Macromolecular Physics, Charles University, V Holesovickach 2, 18000 Prague (Czech Republic); Biederman, H [Department of Macromolecular Physics, Charles University, V Holesovickach 2, 18000 Prague (Czech Republic); Mutlu, M [Plasma Aided Bioengineering and Biotechnology Research Laboratory, Engineering Faculty, Hacettepe University, 06532, Ankara (Turkey)


    Prosthetic devices, mainly shunts, are frequently used for temporary or permanent drainage of cerebrospinal fluid. The pathogenesis of shunt infection is a very important problem in modern medicine and generally this is characterized by staphylococcal adhesion to the cerebrospinal fluid shunt surfaces. In this paper, the prevention of the attachment of test microorganism Staphylococcus epidermidis on the cerebrospinal fluid shunt surfaces by 2-hydroxyethylmethacrylate (HEMA) precursor modification in the plasma polymerization system, is reported. Different plasma polymerization conditions (RF discharge power 10-20-30 W, exposure time 5-10-15 min) were employed during the surface modification. The surface chemistry and topology of unmodified and modified shunts was characterized by x-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM) and atomic force microscopy (AFM). Also, static contact angle measurements were performed to state the change of surface hydrophilicity. All samples were tested in vitro with Staphylococcus epidermidis. A plasma-polymerized HEMA film (PP HEMA) was found to be an alternative simple method to decrease the microorganism attachment and create bacterial anti-fouling surfaces. The attachment of the model microorganism Staphylococcus epidermidis on the shunt surface modified by PP HEMA at 20 W and 15 min was reduced 62.3% if compared to the unmodified control surface of the shunt.

  17. Power System Harmonic Compensation Using Shunt Active Power Filter.

    Directory of Open Access Journals (Sweden)

    Shiuly Mukherjee


    Full Text Available This paper shows the method of improving the power quality using shunt active power filter. The proposedtopic comprises of PI controller, filter hysteresis current control loop, dc link capacitor. The switching signal generation for filter is fromhysteresis current controller techniques. With the all these element shunt active power filter reduce the total harmonic distortion. Thispaper represents the simulation and analysis of the using three phase three wire system active filter to compensate harmonics .Theproposed shunt active filter model uses balanced non-linear load. This paper successfully lowers the THD within IEEE norms and satisfactorily works to compensatecurrent harmonics.

  18. Ion beam sputter-etched ventricular catheter for hydrocephalus shunt (United States)

    Banks, B. A. (Inventor)


    A cerebrospinal fluid shunt in the form of a ventricular catheter for controlling the condition of hydrocephalus by relieving the excessive cerebrospinal fluid pressure is described. A method for fabrication of the catheter and shunting the cerebral fluid from the cerebral ventricles to other areas of the body is also considered. Shunt flow failure occurs if the ventricle collapse due to improper valve function causing overdrainage. The ventricular catheter comprises a multiplicity of inlet microtubules. Each microtubule has both a large openings at its inlet end and a multiplicity of microscopic openings along its lateral surfaces.

  19. Return to the emergency department after ventricular shunt evaluation. (United States)

    Sarda, Samir; Simon, Harold K; Hirsh, Daniel A; Wang, Andrew; Shane Tubbs, R; Chern, Joshua J


    OBJECT Patients with CSF shunts are medically complex and frequently present to the emergency department (ED) with suspected shunt malfunction. After adequate evaluation in the ED and proper disposition, some patients return to the ED within a short period of time. In this study, the authors examined the reasons for ED revisits within 7 days of the index ED visit to discern possible preventable returns. METHODS There were 3080 index ED visits made by patients with shunted hydrocephalus between 2010 and 2013. Index ED visits preceded by another ED visit or neurosurgical procedure within 60 days were excluded. Index ED visits for reasons unrelated to shunt function and those that led directly to admissions and shunt revision surgeries were also excluded. The remaining 1509 ED visits were eligible for analysis in this study. Final dispositions from the index ED visit included home (1176 cases), admission to the neurosurgery service for observation (134 cases), and admission to other services (199 cases). Subsequent events within 7 days, including ED revisits, hospital admissions, and shunt-related surgery were recorded, and reasons for the ED revisits were categorized based on whether the visit was related to shunt function concerns. Clinical and socioeconomic factors were analyzed for their association with ED revisits by using statistical methods. RESULTS Of the 1176 patients discharged home from the ED after shunt function evaluation, 101 (8.6%) returned to the ED within 7 days. Of the 134 patients admitted to the neurosurgery service for observation only, 8 (6.0%) returned to the ED within 7 days of discharge. Of the 199 patients admitted to hospital services other than neurosurgery, 13 (6.5%) returned to the ED within 7 days of discharge. The reasons for ED revisits vary (total of 122 visits combining the 3 groups), but at least 60% of the revisits were clearly unrelated to shunt function. A younger age, daytime arrival to the ED, and living within the

  20. Ventriculoperitoneal shunt for intracranial hypertension in cryptococcal meningitis without hydrocephalus. (United States)

    Petrou, Panayota; Moscovici, Samuel; Leker, Ronen R; Itshayek, Eyal; Gomori, John M; Cohen, José E


    The use of a ventriculoperitoneal (VP) shunt to treat uncontrollable intracranial hypertension in patients with cryptococcal meningitis without hydrocephalus is somewhat unusual and still largely unreported. However, uncontrollable intracranial hypertension without hydrocephalus in these patients is a potentially life-threatening condition. Early diagnosis and shunt placement are essential to improve survival and neurological function. We report uncontrollable intracranial hypertension without hydrocephalus in a 23-year-old woman, which was successfully managed by VP shunt placement. Copyright © 2012 Elsevier Ltd. All rights reserved.

  1. Pollutants removal in subsurface infiltration systems by shunt distributing wastewater with/without intermittent aeration under different shunt ratios. (United States)

    Pan, Jing; Yuan, Fang; Zhang, Yang; Huang, Linli; Yu, Long; Zheng, Fanping; Cheng, Fan; Zhang, Jiadi


    Matrix dissolved oxygen (DO), removal of COD, TP and nitrogen in subsurface infiltration systems (SISs), named SIS A (without intermittent aeration and shunt distributing wastewater), SIS B (with shunt distributing wastewater) and SIS C (with intermittent aeration and shunt distributing wastewater) were investigated. Aerobic conditions were developed in 50cm depth and anoxic or anaerobic conditions were not changed in 80 and 110cm depth by intermittent aeration. Under appropriate shunt ratios, shunt distributing wastewater improved denitrification and had little influence on COD, TP and NH3-N removal. Under the optimal shunt ratio of 1:2 for SIS C, high average removal rates of COD (90.06%), TP (93.17%), NH3-N (88.20%) and TN (85.79%) were obtained, which were higher than those in SIS A (COD: 82.56%, TP: 92.76%, NH3-N: 71.08%, TN: 49.24%) and SIS B (COD: 81.12%, TP: 92.58%, NH3-N: 69.14%, TN: 58.73%) under the optimal shunt ratio of 1:3.

  2. Gel electrolytes and electrodes

    Energy Technology Data Exchange (ETDEWEB)

    Fleischmann, Sven; Bunte, Christine; Mikhaylik, Yuriy V.; Viner, Veronika G.


    Gel electrolytes, especially gel electrolytes for electrochemical cells, are generally described. In some embodiments, the gel electrolyte layers comprise components a) to c). Component a) may be at least one layer of at least one polymer comprising polymerized units of: a1) at least one monomer containing an ethylenically unsaturated unit and an amido group and a2) at least one crosslinker. Component b) may be at least one conducting salt and component c) may be at least one solvent. Electrodes may comprise the components a), d) and e), wherein component a) may be at least one layer of at least one polymer as described herein. Component d) may be at least one electroactive layer and component e) may be at least one ceramic layer. Furthermore, electrochemical cells comprising component a) which may be at least one layer of at least one polymer as described herein, are also provided.

  3. Seebeck effect in electrolytes. (United States)

    Chikina, I; Shikin, V; Varlamov, A A


    We study Seebeck effect in liquid electrolytes, starting from its simple neutral analog--thermodiffusion (so-called Ludwig-Soret or Soret effect). It is observed that when two or more subsystems of mobile particles are subjected to the temperature gradient, various types of them respond to it differently. In the case when these fractions, with different mobility parameters (Soret coefficients), are oppositely charged (a case typical for electrolytes), the nonhomogeneous internal electric field is generated. The latter field prevents these fractions from space separation and determines the intensity of the appearing Seebeck effect.

  4. Multichannel discharge between jet electrolyte cathode and jet electrolyte anode

    NARCIS (Netherlands)

    Shakirova, E. F.; Gaitsin, Al. F.; Son, E. E.


    We present the results of an experimental study of multichannel discharge between a jet electrolyte cathode and jet electrolyte anode within a wide range of parameters. We pioneer the reveal of the burning particularities and characteristics of multichannel discharge with jet electrolyte and droplet

  5. Factors affecting ventriculoperitoneal shunt survival in adult patients

    Directory of Open Access Journals (Sweden)

    Farid Khan


    Conclusions: Patients with increased age, prolonged hospital stay, GCS score of less than 13, extra-ventricular drains in situ, or excision of brain tumors were more likely to experience early shunt malfunction.

  6. Hearing Loss in Patients with Shunt-Treated Hydrocephalus

    Directory of Open Access Journals (Sweden)

    Panova Margarita V.


    Full Text Available Hearing loss is a common manifestation of the long-term complications in patients with shunt treated hydrocephalus along with motor development disturbance, cognitive and visual impairment, epilepsy and endocrine disorders.

  7. Effects of an interatrial shunt on rest and exercise hemodynamics

    DEFF Research Database (Denmark)

    Kaye, David; Shah, Sanjiv J; Borlaug, Barry A


    of the conditions tested. CONCLUSIONS: The interatrial shunt reduced left-sided cardiac output with a marked reduction in PCWP. This approach may reduce the propensity for heart failure exacerbations and allow patients to exercise longer, thus attaining higher heart rates and cardiac outputs with the shunt compared......BACKGROUND: A treatment based on an interatrial shunt device has been proposed for counteracting elevated pulmonary capillary wedge pressure (PCWP) in patients with heart failure and mildly reduced or preserved ejection fraction (HFpEF). We tested the theoretical hemodynamic effects...... of this approach with the use of a previously validated cardiovascular simulation. METHODS AND RESULTS: Rest and exercise hemodynamics data from 2 previous independent studies of patients with HFpEF were simulated. The theoretical effects of a shunt between the right and left atria (diameter up to 12 mm) were...

  8. Operative timing and patient survival following distal splenorenal shunt. (United States)

    Pomerantz, R A; Eckhauser, F E; Knol, J A; Guirre, K; Raper, S E; Turcotte, J G


    The importance of "operative timing" in cirrhotic patients with variceal hemorrhage is often underemphasized. To evaluate the effects of immediate versus delayed selective portasystemic decompression on hepatic function, operative mortality, and long-term patient survival, we reviewed the records of 77 patients who underwent distal splenorenal shunts (DSRS) over a 14-year period. A hepatic risk status score was calculated at the time of the index bleed (HRS1) or presentation and again just prior to operation (HRS2). Variables analyzed included age, sex, prior bleeding episodes, time from index bleed to operation, transfusion requirements, and etiology of cirrhosis. Operative mortality rates for immediate versus delayed DSRS were 46.2 per cent and 17 per cent, respectively. HRS improved significantly in elective DSRS patients from 1.46 to 1.30. Predictors of HRS2 included HRS1 and time in days from the index bleed to operation. The most important predictor of early survival for all patients after elective DSRS was the HRS2; however, for patients who underwent elective DSRS and survived, HRS1 was a better predictor of length of survival than HRS2. No other variable analyzed accurately predicted survival. We conclude that HRS can be expected to improve with supportive inhospital therapy; improved HRS at the time of operation is associated with decreased operative mortality; and the extent of liver disease as determined by HRS1 appears to be the chief determinant of long-term patient survival.

  9. Radiation doses to children with shunt-treated hydrocephalus

    Energy Technology Data Exchange (ETDEWEB)

    Holmedal, Lise J. [Helse Fonna, Department of Radiology, Stord Hospital, Stord (Norway); Friberg, Eva G.; Boerretzen, Ingelin; Olerud, Hilde [The Norwegian Radiation Protection Authority, Oesteraas (Norway); Laegreid, Liv [Haukeland University Hospital, Department of Paediatrics, Bergen (Norway); Rosendahl, Karen [University of Bergen, Department of Surgical Sciences, Radiology Section, Bergen (Norway); Great Ormond Street Hospital for Children, Department of Diagnostic Radiology, London (United Kingdom)


    Children with shunt-treated hydrocephalus are still followed routinely with frequent head CT scans. To estimate the effective dose, brain and lens doses from these examinations during childhood, and to assess dose variation per examination. All children born between 1983 and 1995 and treated for hydrocephalus between 1983 and 2002 were included. We retrospectively registered the number of examinations and the applied scan parameters. The effective dose was calculated using mean conversion factors from the CT dose index measured free in air, while doses to the lens and brain were estimated using tabulated CT dose index values measured in a head phantom. A total of 687 CT examinations were performed in 67 children. The mean effective dose, lens dose and brain dose to children over 6 months of age were 1.2 mSv, 52 mGy and 33 mGy, respectively, and the corresponding doses to younger children were 3.2 mSv, 60 mGy and 48 mGy. The effective dose per CT examination varied by a factor of 64. None of the children was exposed to doses known to cause deterministic effects. However, since the threshold for radiation-induced damage is not known with certainty, alternative modalities such as US and MRI should be used whenever possible. (orig.)

  10. Multicenter evaluation of temporary intravascular shunt use in vascular trauma. (United States)

    Inaba, Kenji; Aksoy, Hande; Seamon, Mark J; Marks, Joshua A; Duchesne, Juan; Schroll, Rebecca; Fox, Charles J; Pieracci, Fredric M; Moore, Ernest E; Joseph, Bellal; Haider, Ansab A; Harvin, John A; Lawless, Ryan A; Cannon, Jeremy; Holland, Seth R; Demetriades, Demetrios


    The indications and outcomes associated with temporary intravascular shunting (TIVS) for vascular trauma in the civilian sector are poorly understood. The objective of this study was to perform a contemporary multicenter review of TIVS use and outcomes. Patients sustaining vascular trauma, requiring TIVS insertion (January 2005 to December 2013), were retrospectively identified at seven Level I trauma centers. Clinical demographics, operative details, and outcomes were abstracted. A total of 213 injuries (2.7%; 94.8% arterial) requiring TIVS were identified in 7,385 patients with vascular injuries. Median age was 27.0 years (range, 4-89 years), 91.0% were male, Glasgow Coma Scale (GCS) score was 15.0 (interquartile range, 4.0), Injury Severity Score (ISS) was 16.0 (interquartile range, 15.0), 26.0% had an ISS of 25 or greater, and 71.1% had penetrating injuries. The most common mechanism was gunshot wound (62.7%), followed by auto versus pedestrian (11.4%) and motor vehicle collision (6.5%). Shunts were placed for damage control in 63.4%, staged repair for combined orthopedic and vascular injuries in 36.1%, and for insufficient surgeon skill set in 0.5%. The most common vessel shunted was the superficial femoral artery (23.9%), followed by popliteal artery (18.8%) and brachial artery (13.2%). An argyle shunt (81.2%) was the most common conduit, followed by Pruitt-Inahara (9.4%). Dwell time was less than 6 hours in 61.4%, 24 hours in 86.5%, 48 hours in 95.9%, with only 4.1% remaining in place for more than 48 hours. Of the patients, 81.6% survived to definitive repair, and 79.6% survived overall. Complications included shunt thrombosis (5.6%) and dislodgment (1.4%). There was no association between dwell time and shunt thrombosis. The use of a noncommercial shunt (chest tube/feeding tube) did not impact shunt thrombosis but was an independent risk factor for subsequent graft failure. The limb salvage rate was 96.3%. No deaths could be attributed to a shunt

  11. Digital implementation of shunting-inhibitory cellular neural network (United States)

    Hammadou, Tarik; Bouzerdoum, Abdesselam; Bermak, Amine


    Shunting inhibition is a model of early visual processing which can provide contrast and edge enhancement, and dynamic range compression. An architecture of digital Shunting Inhibitory Cellular Neural Network for real time image processing is presented. The proposed architecture is intended to be used in a complete vision system for edge detection and image enhancement. The present hardware architecture, is modeled and simulated in VHDL. Simulation results show the functional validity of the proposed architecture.

  12. Hearing Loss in Patients with Shunt-Treated Hydrocephalus. (United States)

    Panova, Margarita V; Geneva, Ina E; Madjarova, Kalina I; Bosheva, Miroslava N


    Hearing loss is a common manifestation of the long-term complications in patients with shunt treated hydrocephalus along with motor development disturbance, cognitive and visual impairment, epilepsy and endocrine disorders. The aim of the present study was to investigate the alterations of hearing in patients with shunt treated hydrocephalus of non-tumor etiology and at least one year after implantation of ventriculo-peritoneal shunt, as well as their impact on the quality of life of patients. The study included 70 patients (age range 1.25 years - 21.25 years) with shunted non-tumor hydrocephalus and at least one year after placement of the shunt system. Hearing alterations were proved by measuring the brainstem auditory evoked potentials (BAEP) for children up to 5 years of age and children with mental retardation; audiograms was used for children older than 5 years with normal neuro-psychological development (NPD). Of the 70 studied patients 17 (24%) had hearing loss (10 bilateral and 7-unilateral) and all of them had sensorineural hearing loss, which is associated with low weight at birth, posthemorrhagic hydrocephalus and brainstem symptoms at the time of diagnosis of hydrocephalus. Hearing pathology was found more often in shunt-treated patients with NPD retardation, poor functional status and low quality of life. Children with shunt-treated hydrocephalus have hearing loss of sensorineural type. Children with brain stem symptomatology at diagnosing hydrocephalus and children with post-hemorrhagic hydrocephalus show higher risk of hearing loss. Children with shunted hydrocephalus and hearing loss show lower NPD, lower quality of life and lower functional status.

  13. Ventriculoperitoneal shunt infection with Mycobacterium fortuitum: a rare offending organism. (United States)

    Cadena, Gilbert; Wiedeman, Jean; Boggan, James E


    Postsurgical infection is one of the greatest potential morbidities of ventriculoperitoneal shunt surgery. The majority of infections can be linked to contamination with skin flora at the time of surgery, a phenomenon that has been well described. However, there is a paucity of literature regarding infection with nontuberculous mycobacteria. The authors report a case of postoperative ventriculoperitoneal shunt infection with Mycobacterium fortuitum and review the available neurosurgical literature and treatment strategies.

  14. Cross-species functionality of pararetroviral elements driving ribosome shunting.

    Directory of Open Access Journals (Sweden)

    Mikhail M Pooggin

    Full Text Available BACKGROUND: Cauliflower mosaic virus (CaMV and Rice tungro bacilliform virus (RTBV belong to distinct genera of pararetroviruses infecting dicot and monocot plants, respectively. In both viruses, polycistronic translation of pregenomic (pg RNA is initiated by shunting ribosomes that bypass a large region of the pgRNA leader with several short (sORFs and a stable stem-loop structure. The shunt requires translation of a 5'-proximal sORF terminating near the stem. In CaMV, mutations knocking out this sORF nearly abolish shunting and virus viability. METHODOLOGY/PRINCIPAL FINDINGS: Here we show that two distant regions of the CaMV leader that form a minimal shunt configuration comprising the sORF, a bottom part of the stem, and a shunt landing sequence can be replaced by heterologous sequences that form a structurally similar configuration in RTBV without any dramatic effect on shunt-mediated translation and CaMV infectivity. The CaMV-RTBV chimeric leader sequence was largely stable over five viral passages in turnip plants: a few alterations that did eventually occur in the virus progenies are indicative of fine tuning of the chimeric sequence during adaptation to a new host. CONCLUSIONS/SIGNIFICANCE: Our findings demonstrate cross-species functionality of pararetroviral cis-elements driving ribosome shunting and evolutionary conservation of the shunt mechanism. We are grateful to Matthias Müller and Sandra Pauli for technical assistance. This work was initiated at Friedrich Miescher Institute (Basel, Switzerland. We thank Prof. Thomas Boller for hosting the group at the Institute of Botany.

  15. In vitro flow measurements in ion sputtered hydrocephalus shunts (United States)

    Cho, Y. I.; Back, L. H.


    This paper describes an experimental procedure for accurate measurements of the pressure-drop/flow rate relationship in hydrocephalus shunts. Using a fish-hook arrangement, small flow rates in a perforated ion-sputtered Teflon microtubule were measured in vitro in a pressured system and were correlated with pressure in the system. Results indicate that appropriate drainage rates could be obtained in the physiological range for hydrocephalus shunts.

  16. Hemodynamics of patient-specific aorta-pulmonary shunt configurations


    Pekkan, Kerem; Pişkin, Senol; Altın, H. Fırat; Yıldız, Okan; Bakır, İhsan


    Optimal hemodynamics in aorta-pulmonary shunt reconstruction is essential for improved post-operative recovery of the newborn congenital heart disease patient. However, prior to in vivo execution, the prediction of post-operative hemodynamics is extremely challenging due to the interplay of multiple confounding physiological factors. It is hypothesized that the post-operative performance of the surgical shunt can be predicted through computational blood flow simulations that consider patient ...

  17. Triggerless vacuum shunting plasma by metallic and solid materials (United States)

    Yukimura, Ken; Tani, Yuuji; Masamune, Sadao


    Shunting discharge is an alternating capacitor discharge through a rod of solid-state or metallic materials. Optimization of the discharge condition has realized self-ignition of the arc discharge with low input power to the rod, leading to a much longer rod life time than in conventional shunting arc or peripheral arc. The shunting-arc-produced plasma contains mainly the ions of the solid-state material, and ion extraction from the plasma has also been demonstrated. Thus, the shunting arc works as a pulsed ion source for solid-state materials for plasma-based ion implantation (PBII) and ion processing. This article describes the characteristics of pulsed shunting arc, using the materials of carbon, niobium and silicon. The capacitor of 10 nF of which charging voltage is 10 to 25 kV using a thyratron as a closing switch. Glow discharge is firstly produced after the heat of the materials and then the plasma changes the style to the arc discharge. A negative high voltage pulse of -5 to -10 kV was applied to a target which was located at 30 cm away from the electrodes. We will discuss the ion species of the shunting plasma and ion extraction from the plasma using the time evolution of target current.

  18. Calibration of piezoelectric RL shunts with explicit residual mode correction (United States)

    Høgsberg, Jan; Krenk, Steen


    Piezoelectric RL (resistive-inductive) shunts are passive resonant devices used for damping of dominant vibration modes of a flexible structure and their efficiency relies on the precise calibration of the shunt components. In the present paper improved calibration accuracy is attained by an extension of the local piezoelectric transducer displacement by two additional terms, representing the flexibility and inertia contributions from the residual vibration modes not directly addressed by the shunt damping. This results in an augmented dynamic model for the targeted resonant vibration mode, in which the residual contributions, represented by two correction factors, modify both the apparent transducer capacitance and the shunt circuit impedance. Explicit expressions for the correction of the shunt circuit inductance and resistance are presented in a form that is generally applicable to calibration formulae derived on the basis of an assumed single-mode structure, where modal interaction has been neglected. A design procedure is devised and subsequently verified by a numerical example, which demonstrates that effective mitigation can be obtained for an arbitrary vibration mode when the residual mode correction is included in the calibration of the RL shunt.

  19. Foaming-electrolyte fuel cell (United States)

    Nanis, L.; Saunders, A. P.


    Foam structure feeds fuel gas solution into electrolyte. Fuel gas reacts at static, three-phase interface between fuel gas, electrolyte, and electrode material. The foam forms an electrical contact between main body of electrolyte and the electrode, and aids in removal of by-products of the chemical reaction.

  20. The utility of the plain radiograph ''shunt series'' in the evaluation of suspected ventriculoperitoneal shunt failure in pediatric patients

    Energy Technology Data Exchange (ETDEWEB)

    Desai, Kapil R.; Babb, James S.; Amodio, John B. [New York University School of Medicine, Department of Radiology, Pediatric Radiology Section, New York, NY (United States)


    To our knowledge, the sensitivity of plain radiography, known as the shunt series, in diagnosing an etiology of ventriculoperitoneal (VP) shunt malfunction in children has not been previously investigated. To determine the accuracy of plain radiography in diagnosing VP shunt failure in children in whom shunt malfunction is clinically suspected. We retrospectively reviewed the charts of 238 children who had undergone plain radiographic examination for evaluation of clinically suspected VP shunt failure over a 5-year period. The results were compared with those of CT, MRI, and nuclear cisternography. Just 6.72% of patients demonstrated plain radiographic signs of shunt failure. Of patients with normal plain radiographs, 43% demonstrated shunt abnormalities on CT, MRI or cisternography. Statistical analysis indicated that no more than 10.46% (P < 0.05) of plain radiographs showed signs of failure and that the sensitivity of plain radiography for the detection of VP shunt failure is no higher than 31%. Furthermore, there was poor agreement between the results of plain radiography and those of CT, MRI and cisternography. Children with clinically suspected VP shunt failure should proceed directly to cross-sectional or nuclear imaging, as plain radiographic examinations have low sensitivity and significant false-negative rates for detecting shunt abnormalities in all-comers. Use of the shunt series should be limited to patients who specifically have suspected mechanical causes of shunt failure. (orig.)

  1. [A case of repeated shunt malfunctions with eosinophilic meningitis caused by silicone allergy]. (United States)

    Kambara, Mizuki; Miyazaki, Takeshi; Yoshikane, Tsutomu; Sugimoto, Keiji; Akiyama, Yasuhiko


    The ventricular-peritoneal shunt for hydrocephalus is a well-known and established method but is sometimes complicated by shunt malfunction due to several causes. Eosinophilic meningitis is a rare disease, but has occasionally been reported as a cause of shunt malfunction. Here, we report the case of a 74-year-old woman with repeated shunt malfunction and eosinophilic meningitis due to a silicone allergy. Originally, the patient received a ventricular-peritoneal shunt for normal pressure hydrocephalus secondary to subarachnoid hemorrhage. However, shunt malfunction was identified 6 weeks later, and the first shunt revision was performed using a new shunt system from a different company. Further evaluation to identify the cause of the shunt malfunction revealed no abnormal findings, except for eosinophilia in the serum and cerebrospinal fluid. A second shunt malfunction was identified 16 weeks after the first shunt revision. We therefore concluded that eosinophilic meningitis caused by a silicone allergy might be the real culprit and a second shunt revision was performed using a silicone "extracted" tube. Since then, the patient's course has been free from shunt malfunction. In this case, the serum and cerebrospinal fluid eosinophilia were useful markers for identifying the cause of repeated shunt malfunctions. The silicone "extracted" tube may be helpful for diagnosis and therapy.

  2. Charge neutrality breakdown in confined aqueous electrolytes: Theory and simulation. (United States)

    Colla, Thiago; Girotto, Matheus; Dos Santos, Alexandre P; Levin, Yan


    We study, using Density Functional theory (DFT) and Monte Carlo simulations, aqueous electrolyte solutions between charged infinite planar surfaces, in contact with a bulk salt reservoir. In agreement with recent experimental observations [Z. Luo et al., Nat. Commun. 6, 6358 (2015)], we find that the confined electrolyte lacks local charge neutrality. We show that a DFT based on a bulk-HNC expansion properly accounts for strong electrostatic correlations and allows us to accurately calculate the ionic density profiles between the charged surfaces, even for electrolytes containing trivalent counterions. The DFT allows us to explore the degree of local charge neutrality violation, as a function of plate separation and bulk electrolyte concentration, and to accurately calculate the interaction force between the charged surfaces.

  3. Gel polymer electrolytes for batteries (United States)

    Balsara, Nitash Pervez; Eitouni, Hany Basam; Gur, Ilan; Singh, Mohit; Hudson, William


    Nanostructured gel polymer electrolytes that have both high ionic conductivity and high mechanical strength are disclosed. The electrolytes have at least two domains--one domain contains an ionically-conductive gel polymer and the other domain contains a rigid polymer that provides structure for the electrolyte. The domains are formed by block copolymers. The first block provides a polymer matrix that may or may not be conductive on by itself, but that can soak up a liquid electrolyte, thereby making a gel. An exemplary nanostructured gel polymer electrolyte has an ionic conductivity of at least 1.times.10.sup.-4 S cm.sup.-1 at C.

  4. Reducing CSF shunt placement in patients with spinal myelomeningocele

    Directory of Open Access Journals (Sweden)

    Suresh Sankhla


    Full Text Available Object: The incidence of hydrocephalus requiring shunts in children with myelomeningocele (MMC is reported to be very high. Shunt-related complications are a significant cause of morbidity and mortality in this population. In order to minimize shunt placements, we used very rigid clinical selection criteria and followed them in all patients who had myelomeningocele and enlarged ventricles. The follow-up outcome of this retrospective study is reported. Methods: From 2000 to 2007, 23 patients with myelomeningocele and variable degree of hydrocephalus were treated at our institute with primary surgical closure of their myelomeningoceles without a CSF diversion procedure. Patients with severe hydrocephalus who required immediate shunt insertion, and those with no significant associated hydrocephalus were not included in this study. Data regarding the surgical results and complications, postoperative management, and the outcome at follow-up were obtained from their hospital records. Results: Initially increased size of the ventricular system was found to have decreased or stabilized in 17 (81% patients postoperatively. However, ventriculomegaly continued to progress further in 4 (19% out of 21 patients. Of 11 patients who presented with enlarged head, eight (73% patients showed reduction or stabilization in their head circumference. Three (27% children continued to have progressive head enlargement in the postoperative period and required shunt placement. Signs of raised intracranial pressure observed in six patients on admission, improved in two (33% and persisted or worsened in four (67% patients who eventually improved after the insertion of a shunt. Eight (35% patients experienced wound-related complications following closure of the MMC, including CSF leak in four, wound infection in three, wound breakdown in three, and pseudomeningocele in two patients. Shunt placement was required in the postoperative period in 13 (56.5% patients to treat

  5. Harmonic Resonance in Power Transmission Systems due to the Addition of Shunt Capacitors (United States)

    Patil, Hardik U.

    Shunt capacitors are often added in transmission networks at suitable locations to improve the voltage profile. In this thesis, the transmission system in Arizona is considered as a test bed. Many shunt capacitors already exist in the Arizona transmission system and more are planned to be added. Addition of these shunt capacitors may create resonance conditions in response to harmonic voltages and currents. Such resonance, if it occurs, may create problematic issues in the system. It is main objective of this thesis to identify potential problematic effects that could occur after placing new shunt capacitors at selected buses in the Arizona network. Part of the objective is to create a systematic plan for avoidance of resonance issues. For this study, a method of capacitance scan is proposed. The bus admittance matrix is used as a model of the networked transmission system. The calculations on the admittance matrix were done using Matlab. The test bed is the actual transmission system in Arizona; however, for proprietary reasons, bus names are masked in the thesis copy intended for the public domain. The admittance matrix was obtained from data using the PowerWorld Simulator after equivalencing the 2016 summer peak load (planning case). The full Western Electricity Coordinating Council (WECC) system data were used. The equivalencing procedure retains only the Arizona portion of the WECC. The capacitor scan results for single capacitor placement and multiple capacitor placement cases are presented. Problematic cases are identified in the form of 'forbidden response. The harmonic voltage impact of known sources of harmonics, mainly large scale HVDC sources, is also presented. Specific key results for the study indicated include: (1) The forbidden zones obtained as per the IEEE 519 standard indicates the bus 10 to be the most problematic bus. (2) The forbidden zones also indicate that switching values for the switched shunt capacitor (if used) at bus 3 should be

  6. Hepatopulmonary shunting in patients with primary and secondary liver tumors scheduled for radioembolization

    Energy Technology Data Exchange (ETDEWEB)

    Powerski, Maciej Janusz, E-mail: [Department of Radiology and Nuclear Medicine, Otto-von-Guericke University, Leipziger Strasse 44, 39120 Magdeburg (Germany); Erxleben, Christoph, E-mail: [Department of Radiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin (Germany); Scheurig-Münkler, Christian, E-mail: [Department of Radiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin (Germany); Geisel, Dominik, E-mail: [Department of Radiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin (Germany); Heimann, Uwe, E-mail: [Department of Radiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin (Germany); Hamm, Bernd, E-mail: [Department of Radiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin (Germany); Gebauer, Bernhard, E-mail: [Department of Radiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin (Germany)


    Purpose: In patients undergoing transarterial radioembolization (RE) of malignant liver tumors, hepatopulmonary shunts (HPS) can lead to nontarget irradiation of the lungs. This study aims at analyzing the HPS fraction in relation to liver volume, tumor volume, tumor-to-liver volume ratio, tumor vascularity, type of tumor, and portal vein occlusion. Materials and methods: In the presented retrospective study the percentage HPS fraction was calculated from SPECT/CT after infusion of Tc-99m macroaggregated albumin (Tc-99m MAA) into the proper hepatic artery of 233 patients evaluated for RE. Results: HPS fractions correlate very weakly with liver volume (r = 0.303), tumor volume (r = 0.345), and tumor-to-liver volume ratio (r = 0.340). Tumors with strong contrast enhancement (HPS{sub median(range)} = 11.7%(46.3%); n = 73) have significantly larger shunt fractions than tumors with little enhancement (HPS = 8.3%(16.4%); n = 61; p < 0.001). Colorectal cancer metastases (HPS = 10.6%(28.6%); n = 68) and hepatocellular cancers (HPS = 11.7%(39.4%); n = 63) have significantly larger HPS fractions than metastases from breast cancer (HPS = 7.4%(16.7%); n = 40; p = 0.012 and p = 0.001). Patients with compression (HPS = 13.9%(43.7%); n = 33) or tumor thrombosis (HPS = 15.8% (31.2%); n = 33) of a major portal vein branch have significantly higher degrees of shunting than patients with normal portal vein perfusion (HPS = 8.1% (47.0%); n = 167; both p < 0.001). The shunt fraction is largest in patients with HCC and thrombosis or occlusion of a major portal vein branch (HPS = 16.6% (31.0%); n = 32). Conclusion: The degree of hepatopulmonary shunting depends on the type of liver tumor, tumor vascularity, and portal vein perfusion. There is little to no correlation of HPS with liver volume, tumor volume, or tumor-to-liver volume ratio.

  7. Intrahepatic arterioportal shunt: helical CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Quiroga, S.; Sebastia, M.C.; Moreiras, M.; Pallisa, E.; Rius, J.M.; Alvarez-Castells, A. [I. D. I. Hospital General i Universitari Vall d`Hebron, Barcelona (Spain). Servei de Radiodiagnostic


    The purpose of this study was to characterize the appearance of intrahepatic arterioportal shunts (APS) on two-phase helical CT, with emphasis on the importance of the hepatic arterial-dominant phase (HAP) to demonstrate perfusion disorders. We review eight cases of APS diagnosed by helical CT in our institution from January 1996 to March 1997 and describe the CT findings that established diagnosis. Five of them were confirmed by angiography. In seven (87.5 %) cases of APS we found early enhancement of the peripheral portal branches during the HAP of helical CT, whereas the superior mesenteric and splenic veins remained unenhanced. In five (62.5 %) cases of APS, transient, peripheral, triangular parenchymal enhancement was depicted during the HAP of helical CT; in four of these cases there was associated early enhancement of the portal branches. Helical CT can show perfusion alterations that might remain undiagnosed with conventional CT. An understanding of the hemodynamic changes that occur in APS can help in the interpretation of focal transient hepatic parenchymal enhancement and to differentiate APS from hypervascular tumors. We believe that the helical CT findings described herein are characteristic enough to suggest the diagnosis of APS. (orig.) With 3 figs., 1 tab., 16 refs.

  8. Radionuclide detection and differential diagnosis of left-to-right cardiac shunts by analysis of time-activity curves

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ok-Hwa


    The noninvasive nature of the radionuclide angiocardiography provided a useful approach for the evaluation of left-to-right cardiac shunts (LRCS). While the qualitative information can be obtained by inspection of serial radionuclide angiocardiograms, the quantitative information of radionuclide angiocardiography can be obtained by the analysis of time-activity curves using advanced computer system. The count ratios method and pulmonary-to-systemic flow ratio (QP/QS) by gamma variate fit method were used to evaluate the accuracy of detection and localization of LRCS. One hundred and ten time-activity curves were analyzed. There were 46 LRCS (atrial septal defects 11, ventricular septal defects 22, patent ductus arteriosus 13) and 64 normal subjects. By computer analysis of time-activity histograms of the right atrium, ventricle and the lungs separately, the count ratios modified by adding the mean cardiac transit time were calculated in each anatomic site. In normal subjects the mean count ratios in the right atrium, ventricle and lungs were 0.24 on average. In atrial septal defects, the count ratios were high in the right atrium, ventricle and lungs, whereas in ventricular septal defects the count ratios were higher only in the right ventricle and lungs. Patent ductus arteriosus showed normal count ratios in the heart but high count ratios were obtained in the lungs. Thus, this count ratios method could be separated normal from those with intracardiac or extracardiac shunts, and moreover, with this method the localization of the shunts level was possible in LRCS. Another method that could differentiate the intracardiac shunts from extracardiac shunts was measuring QP/QS in the left and right lungs. In patent ductus arteriosus, the left lung QP/QS was hight than those of the right lung, whereas in atrial septal defects and ventricular septal defects QP/QS ratios were equal in both lungs. (J.P.N.).

  9. The value of the cerebrospinal fluid tap test for predicting shunt effectiveness in idiopathic normal pressure hydrocephalus

    Directory of Open Access Journals (Sweden)

    Ishikawa Masatsune


    Full Text Available Abstract Background The cerebrospinal fluid (CSF tap test (TT has been regarded as an important test for the prediction of shunt effectiveness in patients with suspected idiopathic normal pressure hydrocephalus (iNPH. Although its specificity and sensitivity are reportedly high, there remains some disagreement over this point. Herein, the TT as a test for predicting shunt effectiveness was investigated in our multicenter prospective study named SINPHONI and strategies to increase its predictability were examined. Methods One hundred suspected iNPH patients with the following entry criteria were enrolled in the study: (1 60 to 85 years old, (2 one or more of the NPH triad signs, (3 ventriculomegaly (Evans index > 0.3, (4 high convexity tightness in coronal-section MRI, and (5 no antecedent disorders. Changes in NPH triad symptoms were assessed using the iNPH grading scale and other measures before and after removal of 30 ml lumbar CSF. A positive response to TT was pre-defined by specific improvements on the grading and other scales. A ventriculoperitoneal shunt was performed with a programmable valve. The sensitivity and specificity of the TT was calculated with a contingency table. A decision tree analysis was performed to increase the predictability of the TT. Results Among 100 patients, 80 were shunt responders. A statistically-significant variable between shunt responders and non-responders was CSF pressure. The changes in single variables in the iNPH grading scale after TT showed high specificity with low sensitivity. In contrast, change of the total score in the iNPH grading scale showed a relatively high sensitivity of 71.3% with specificity of 65%. A decision tree analysis revealed that using the iNPH grading scale total score and pre-shunt CSF pressure ≥ 15 cmH20, sensitivity increased to 82.5%, without a decrease in specificity. Conclusions The sensitivity and specificity of the TT for predicting shunt responsiveness were optimum

  10. Electrolytes for advanced batteries

    Energy Technology Data Exchange (ETDEWEB)

    Blomgren, G.E. [Energizer, Westlake, OH (United States)


    The choices of the components of the electrolyte phase for advanced batteries (lithium and lithium ion batteries) are very sensitive to the electrodes which are used. There are also a number of other requirements for the electrolyte phase, which depend on the cell design and the materials chosen for the battery. The difficulty of choice is compounded when the cell is a rechargeable one. This paper looks at each of these requirements and the degree to which they are met for lithium and lithium ion batteries. The discussion is broken into sections on anode or negative electrode stability requirements, cathode or positive electrode stability requirements, conductivity needs, viscosity and wetting requirements. The effects of these properties and interactions on the performance of batteries are also discussed. (orig.)

  11. Nanoporous hybrid electrolytes

    KAUST Repository

    Schaefer, Jennifer L.


    Oligomer-suspended SiO2-polyethylene glycol nanoparticles are studied as porous media electrolytes. At SiO2 volume fractions, , bracketing a critical value y ≈ 0.29, the suspensions jam and their mechanical modulus increase by more than seven orders. For >y, the mean pore diameter is close to the anion size, yet the ionic conductivity remains surprisingly high and can be understood, at all , using a simple effective medium model proposed by Maxwell. SiO 2-polyethylene glycol hybrid electrolytes are also reported to manifest attractive electrochemical stability windows (0.3-6.3 V) and to reach a steady-state interfacial impedance when in contact with metallic lithium. © 2010 The Royal Society of Chemistry.

  12. Electrochemical polymer electrolyte membranes

    CERN Document Server

    Fang, Jianhua; Wilkinson, David P


    Electrochemical Polymer Electrolyte Membranes covers PEMs from fundamentals to applications, describing their structure, properties, characterization, synthesis, and use in electrochemical energy storage and solar energy conversion technologies. Featuring chapters authored by leading experts from academia and industry, this authoritative text: Discusses cutting-edge methodologies in PEM material selection and fabricationPoints out important challenges in developing PEMs and recommends mitigation strategies to improve PEM performanceAnalyzes the cur

  13. Electrolyte Concentrates Treat Dehydration (United States)


    Wellness Brands Inc. of Boulder, Colorado, exclusively licensed a unique electrolyte concentrate formula developed by Ames Research Center to treat and prevent dehydration in astronauts returning to Earth. Marketed as The Right Stuff, the company's NASA-derived formula is an ideal measure for athletes looking to combat dehydration and boost performance. Wellness Brands also plans to expand with products that make use of the formula's effective hydration properties to help treat conditions including heat stroke, altitude sickness, jet lag, and disease.

  14. Electrolyte materials - Issues and challenges

    Energy Technology Data Exchange (ETDEWEB)

    Balbuena, Perla B. [Department of Chemical Engineering, and Department of Materials Science and Engineering, Texas A and M University, College Station, Texas, 77843 (United States)


    Electrolytes are vital components of an electrochemical energy storage device. They are usually composed of a solvent or mixture of solvents and a salt or a mixture of salts which provide the appropriate environment for ionic conduction. One of the main issues associated with the selection of a proper electrolyte is that its electronic properties have to be such that allow a wide electrochemical window - defined as the voltage range in which the electrolyte is not oxidized or reduced - suitable to the battery operating voltage. In addition, electrolytes must have high ionic conductivity and negligible electronic conductivity, be chemically stable with respect to the other battery components, have low flammability, and low cost. Weak stability of the electrolyte against oxidation or reduction leads to the formation of a solid-electrolyte interphase (SEI) layer at the surface of the cathode and anode respectively. Depending on the materials of the electrolyte and those of the electrode, the SEI layer may be composed by combinations of organic and inorganic species, and it may exert a passivating role. In this paper we discuss the current status of knowledge about electrolyte materials, including non-aqueous liquids, ionic liquids, solid ceramic and polymer electrolytes. We also review the basic knowledge about the SEI layer formation, and challenges for a rational design of stable electrolytes.

  15. Laparoscopy for ventriculoperitoneal shunt implantation and revision surgery

    Institute of Scientific and Technical Information of China (English)

    Fernando; Campos; Gomes; Pinto; Matheus; Fernandes; de; Oliveira


    Ventriculoperitoneal shunting(VPS) is a widely accepted technique for the treatment of hydrocephalus. The probability of shunt dysfunction is pretty high throughout life. Laparoscopy has become a valuable tool to perform VPS and treat abdominal complications. An electronic literature search was performed to reveal the published data relating laparoscopy and ventriculoperitoneal shunt in Medline, Embase, Scielo and Lilacs databases. The keywords employed were “laparoscopy” OR “laparoscopic surgery” AND “ventriculoperitoneal shunt” OR “shunt” AND “surgery” OR “implantation” OR “revision” OR “complication”. No high quality trials were developed comparing conventional laparotomic incision vs laparoscopic approach. Both approaches have evolved and currently there are less invasive options for laparotomy, like periumbilical small incisions; and for laparoscopy, like smaller and less incisions. Operating room time, blood loss and hospital stay may be potentially smaller in laparoscopic surgery and complications are probably the same as laparotomy. In revision surgery for abdominal complications after VPS,visualization of whole abdominal cavity is fundamental to address properly the problem and laparoscopic approach is valuable once it is safe, fast and much less invasive than laparotomy. Ventriculoperitoneal shunting is a widely accepted technique for the treatment of hydrocephalus. Laparoscopy assisted shunt surgery in selected cases might be a less invasive and more effective option for intrabdominal manipulation. The laparoscopic approach allows a better catheter positioning, lysis of fibrotic bundles and peritoneal inspection as well, without any additional complication.

  16. Shunt insufficiency due to knot formation in the peritoneal catheter. (United States)

    Fekete, Gábor; Nagy, Andrea; Pataki, István; Bognar, László; Novák, László


    The authors report a rare case of the peripheral obstruction of a ventriculoperitoneal shunt. Premature baby was operated on hydrocephalus due to germinal matrix bleeding. After two months of implantation of venticuloperitoneal shunt peripheral insufficiency of the system was emerged. During the shunt revision extensive knot formation became visible. We simply cut the catheter above the knot and the working shunt was replaced into the abdominal cavity. The postoperative course was uneventful and the baby was free of complaints for more than one year. The pathomechanism of knot formation is not clear thus the discovery of the problem during the operation is an unexpected event. In our opinion tight knot cannot be spontaneously formed intraabdominally. Loose knots can be developed and can reduce the capacity of liquor flow. We think that the knot tightens during pulling out. Longer peritoneal catheters can precipitate multiple looping and/or axial torquations and increase the peripheral resistance of the shunt. In such cases when the pulling out is challenged conversion to laparotomy is suggested.

  17. Model of Shunting Technology Based on System Structure

    Directory of Open Access Journals (Sweden)

    Anton Pepevnik


    Full Text Available Railway transport is facing a growing liquidity problem.The major problem in small systems is the detention of wagonsat marshalling yards, which prolongs the time of freight travel.To avoid this problem it is of great importance to search for parametersthat would enable creation of a model of technologythat would provide shorter wagon detention time at stations aswell as optimising the number of marshalling yards for smallsystems. It is at the same time a great opportunity to search for alink between the shunting work in the railway transport and thetheoretical system approach which presents it as a current scientificproblem. In classical technology the shunting work iscarried out with no application of and no regard for the systemapproach. With new shunting systems in the railway transportthe regard for theory of transport systems is crucial as the secondarylevel of classical methods.As already pointed out, from the theoretical point of viewan important contribution will be made to the use of system theoryfor shunting purposes, since the suggested model effectivelyprovides the approach of analysing separate elements in therailway transport structure into integral shunting operations atthe railway stations.

  18. Favorable results with syringosubarachnoid shunts for treatment of syringomyelia. (United States)

    Tator, C H; Meguro, K; Rowed, D W


    From 1969 to 1979, 20 patients with syringomyelia were treated with a syringosubarachnoid shunt. The principal indications for this procedure were: significant progressive neurological deterioration and absent or minimal tonsillar ectopia. There were 15 patients with idiopathic syringomyelia, four with posttraumatic syringomyelia, and one with syringomyelia secondary to spinal arachnoiditis. The operations were performed with an operating microscope, and attention was directed to preserving thearachnoid membrane to ensure proper placement of the distal end of the shunt in an intact subarachnoid space. In all cases, a silicone rubber ventricular catheter was inserted into the syrinx through a posterior midline myelotomy. The average follow-up period was 5 years. A favorable result was obtained in 15 of the 20 patients (75%), including an excellent result with improvement of neurological deficit in 11 patients and a good result with cessation of progression in four patients. In the remaining five patients the result was poor with further progression of neurological deficit. A short duration of preoperative symptoms was usually a favorable prognostic feature. Four patients with a history of less than 6 months all had excellent results. Thirteen patients had a syringosubarachnoid shunt only, and all had good or excellent results. Seven patients had other surgical procedures, before, accompanying, or after shunt placement, and two had favorable results. Thus, the syringosubarachnoid shunt is an effective therapeutic modality for many patients with syringomyelia, particularly if there is little or no tonsillar herniation.

  19. Predicting ventriculoperitoneal shunt infection in children with hydrocephalus using artificial neural network. (United States)

    Habibi, Zohreh; Ertiaei, Abolhasan; Nikdad, Mohammad Sadegh; Mirmohseni, Atefeh Sadat; Afarideh, Mohsen; Heidari, Vahid; Saberi, Hooshang; Rezaei, Abdolreza Sheikh; Nejat, Farideh


    The relationships between shunt infection and predictive factors have not been previously investigated using Artificial Neural Network (ANN) model. The aim of this study was to develop an ANN model to predict shunt infection in a group of children with shunted hydrocephalus. Among more than 800 ventriculoperitoneal shunt procedures which had been performed between April 2000 and April 2011, 68 patients with shunt infection and 80 controls that fulfilled a set of meticulous inclusion/exclusion criteria were consecutively enrolled. Univariate analysis was performed for a long list of risk factors, and those with p value artificial neural networks can predict shunt infection with a high level of accuracy in children with shunted hydrocephalus. Also, the contribution of different risk factors in the prediction of shunt infection can be determined using the trained network.

  20. Delayed intracerebellar hemorrhage secondary to lumboperitoneal shunt insertion (United States)

    Er, Uygur; Akyol, Çetin; Bavbek, Murad


    Aim of this paper is to present and discuss a case of a delayed cerebellar parenchymal hemorrhage developing after L/P shunt placement with a NPH patient. A hypertensive patient admitted to our clinic with a diagnosis of NPH. The patient was placed a pressure adjustable L/P shunt without any surgical complication. He was discharged with an uneventful period. The patient was admitted to the emergency clinic of our hospital with a 1.5 × 1.5 cm diameter hematoma at the left cerebellar hemisphere on 2 days after his discharge. CSF drainage by an L/P shunt can generate intracerebellar hemorrhages especially in hypertensive patients. PMID:27695558

  1. The Behaviour of Mistuned Piezoelectric Shunt Systems and Its Estimation

    Directory of Open Access Journals (Sweden)

    M. Berardengo


    Full Text Available This paper addresses monoharmonic vibration attenuation using piezoelectric transducers shunted with electric impedances consisting of a resistance and an inductance in series. This type of vibration attenuation has several advantages but suffers from problems related to possible mistuning. In fact, when either the mechanical system to be controlled or the shunt electric impedance undergoes a change in their dynamical features, the attenuation performance decreases significantly. This paper describes the influence of biases in the electric impedance parameters on the attenuation provided by the shunt and proposes an approximated model for a rapid prediction of the vibration damping performance in mistuned situations. The analytical and numerical results achieved within the paper are validated using experimental tests on two different test structures.

  2. [Usefulness of IPC continuous monitoring in shunt dysfunction]. (United States)

    Horcajadas, A; Román, A; Olivares, G; Saura, E; Jorques, A; Cordero, N; Ibáñez, B; Sánchez, C; Roldán, M A


    Shunt dysfunction is a common situation in neurosurgery. Often symptoms, physical examination and radiology are not enough to set a diagnosis. ICP continuous monitoring is a safe and reliable tool that provides valuable information about CSF dynamics in these patients. Not only quantitative analysis is needed but also a qualitative one that enables pathological waves identification, because high amplitude B waves are strongly related to shunt dysfunction. In this paper experience about ICP continuous monitoring in patients with shunt dysfunction suspect is presented. Quantitative and qualitative data analysis led to a correct diagnosis, improving all the patients treated according to this criterion. An intraparenchymatous Camino® sensor and neuroPICture software (developed by first author) for data collection and graphic representation were used. Complications related to monitoring were absent and graphics obtained useful for qualitative analysis.

  3. Cerebrospinal fluid galactorrhea: a rare complication of ventriculoperitoneal shunting. (United States)

    Lee, Sai-Cheung; Chen, Jyi-Feng; Tu, Po-Hsun; Lee, Shih-Tseng


    In this report we describe a 26-year-old woman who had an intra-abdominal pseudocyst located at the peritoneal catheter tip following ventriculo-peritoneal (VP) shunt implantation. Retrograde cerebrospinal fluid (CSF) flowed outside the catheter and communicated with the right breast lactiferous ductal system and leaked from the nipple orifice. CSF galactorrhea only occurs when the lactiferous duct is injured during VP shunt implantation, in combination with the formation of an intra-abdominal CSF pseudocyst prior to lactiferous duct healing. Leakage of CSF from the nipple orifice can be successfully treated by simply guiding the peritoneal catheter tip into the peritoneal cavity through a new laparotomy; that is, shunt revision is not always required.

  4. Suppress Method for Armature Melting Based on Muzzle Shunt%基于炮口分流的电枢熔化抑制方法

    Institute of Scientific and Technical Information of China (English)

    王志恒; 万敏; 李小将; 黄勇


    For effectively solving the problem of the armature melting, this paper proposed suppress method of armature melting based on muzzle shunt for reducing contact resistance Joule heat. The mechanism of armature melting is analyzed, design three reducing contact resistance Joule heat schemes:resistor muzzle shunt, inductance muzzle shunt, and capacitor muzzle shunt. The heat power and output of 3 schemes are simulated and calculated, and analyzed suppress effect of 3 schemes on armature melting. The results show that the resistor muzzle shunt scheme and inductance muzzle shunt scheme can significantly reduce the contact resistance of Joule heat, thereby suppressing the armature melting, while, these two schemes have to increase the input current to compensate the effect of muzzle shunt on armature electromagnetic force. The effect of capacity muzzle shunt scheme is very limited. Thus, the capacity muzzle shunt scheme cannot suppress armature melting.%为有效解决轨道炮电枢熔化问题,提出一种基于炮口分流降低接触电阻焦耳热功率的电枢熔化抑制方法。分析了电枢熔化形成机理,设计了电阻器、电感器和电容器炮口分流3种降低接触电阻焦耳热方案,仿真计算了3种炮口分流方案接触电阻焦耳热功率和产生量,分析了3种方案对电枢熔化的抑制效果。结果表明:电阻器和电感器炮口分流方案可使接触电阻焦耳热产生量显著降低,能够抑制电枢熔化,但是需要增加输入电流补偿炮口分流对电枢电磁力的影响;电容器炮口分流效果十分有限,起不到抑制电枢熔化的作用。

  5. Application of several activity coefficient models to water-organic-electrolyte aerosols of atmospheric interest

    Directory of Open Access Journals (Sweden)

    T. Raatikainen


    Full Text Available In this work, existing and modified activity coefficient models are examined in order to assess their capabilities to describe the properties of aqueous solution droplets relevant in the atmosphere. Five different water-organic-electrolyte activity coefficient models were first selected from the literature. Only one of these models included organics and electrolytes which are common in atmospheric aerosol particles. In the other models, organic species were solvents such as alcohols, and important atmospheric ions like NH4+ could be missing. The predictions of these models were compared to experimental activity and solubility data in aqueous single electrolyte solutions with 31 different electrolytes. Based on the deviations from experimental data and on the capabilities of the models, four predictive models were selected for fitting of new parameters for binary and ternary solutions of common atmospheric electrolytes and organics. New electrolytes (H+, NH4+, Na+, Cl-, NO3- and SO42- and organics (dicarboxylic and some hydroxy acids were added and some modifications were made to the models if it was found useful. All new and most of the existing parameters were fitted to experimental single electrolyte data as well as data for aqueous organics and aqueous organic-electrolyte solutions. Unfortunately, there are very few data available for organic activities in binary solutions and for organic and electrolyte activities in aqueous organic-electrolyte solutions. This reduces model capabilities in predicting solubilities. After the parameters were fitted, deviations from measurement data were calculated for all fitted models, and for different data types. These deviations and the calculated property values were compared with those from other non-electrolyte and organic-electrolyte models found in the literature. Finally, hygroscopic growth factors were calculated for four 100 nm organic-electrolyte particles and these predictions were compared to

  6. Treatment of Portosystemic Shunt Myelopathy with a Stent Graft Deployed through a Transjugular Intrahepatic Route

    Energy Technology Data Exchange (ETDEWEB)

    Jain, Deepak, E-mail:; Arora, Ankur, E-mail: [Institute of Liver and Biliary Sciences, Department of Radiology (India); Deka, Pranjal, E-mail: [Institute of Liver and Biliary Sciences, Department of Hepatopancreatobiliary Surgery (India); Mukund, Amar, E-mail:; Bhatnagar, Shorav, E-mail: [Institute of Liver and Biliary Sciences, Department of Radiology (India); Jindal, Deepti, E-mail:; Kumar, Niteen, E-mail:; Pamecha, Viniyendra, E-mail: [Institute of Liver and Biliary Sciences, Department of Hepatopancreatobiliary Surgery (India)


    A case of surgically created splenorenal shunt complicated with shunt myelopathy was successfully managed by placement of a stent graft within the splenic vein to close the portosystemic shunt and alleviate myelopathy. To our knowledge, this is the first report of a case of shunt myelopathy in a patient with noncirrhotic portal fibrosis without cirrhosis treated by a novel technique wherein a transjugular intrahepatic route was adopted to deploy the stent graft.

  7. Rectal extrusion of the catheter and air ventriculography following bowel perforation in ventriculo-peritoneal shunt

    Energy Technology Data Exchange (ETDEWEB)

    Arico, M.; Podesta, A.F.; Bianchi, E.; Beluffi, G.; Fiori, P.; Chiari, G.; Pezzotta, S.


    Ventriculo-peritoneal shunt is frequently carried out in infantile hydrocephalus. The peritoneal shunt has a lower morbidity than ventriculo-atrial shunt and severe complications are uncommon. Abdominal complications include intestinal perforation, shunt migration, inguinal hernia, cerebrospinal fluid pseudocysts and hollow viscus perforation. A few cases of catheter extrusion from the rectum, vagina, umbilicus and urethra have been described. We report a new case of intestinal perforation with rectal extrusion of the catheter associated with a ventriculogram.

  8. Ventriculoperitoneal shunt complications in hydrocephalus patients with intracranial tumors: an analysis of relevant risk factors. (United States)

    Reddy, G Kesava; Bollam, Papireddy; Caldito, Gloria; Willis, Brian; Guthikonda, Bharat; Nanda, Anil


    Patients with intracranial tumors are predisposed to persistent hydrocephalus, often requiring a permanent CSF diversion procedure with shunts. This study reviews the long-term experience with ventriculoperitoneal shunts for the management of hydrocephalus in patients with intracranial tumors. Patients with intracranial tumors who underwent ventriculoperitoneal shunt placement for hydrocephalus from October 1990 to October 2009 were included in this study. During the 19-year period, medical charts, operative reports, imaging studies, and clinical follow- up evaluations were reviewed and analyzed retrospectively for all patients. A total of 187 intracranial tumor patients with hydrocephalus were included. The median follow up was 391 days. Malignant tumors were present in 40% of the patients. Overall shunt failure was 27.8%. Single shunt revision occurred in 13% of the patients and 14% had multiple shunt revision. Tumor histology, age and a procedure prior to shunt placement (ventriculostomy/Ommaya reservoirs) were significantly associated with the shunt revisions. Shunt system replacement and proximal shunt complication were significantly attributed to multiple shunt revisions. The overall shunt revision within 3 months, 6 months, 1 year and 5 years was 17.7%, 18.7%, 19.8% and 24.1%, respectively. The results of the study demonstrate that VP shunting is an effective for the management of hydrocephalus in patients with intracranial tumors. The overall incidence of shunt revision was 27.8%. Age, tumor histology, and a procedure prior to shunt placement (ventriculostomy/Ommaya reservoirs) were significantly associated with the shunt revisions. Additional studies using minimally invasive techniques are being explored for the management of hydrocephalus in patients with intracranial tumors.

  9. Shunted Piezoelectric Vibration Damping Analysis Including Centrifugal Loading Effects (United States)

    Min, James B.; Duffy, Kirsten P.; Provenza, Andrew J.


    Excessive vibration of turbomachinery blades causes high cycle fatigue problems which require damping treatments to mitigate vibration levels. One method is the use of piezoelectric materials as passive or active dampers. Based on the technical challenges and requirements learned from previous turbomachinery rotor blades research, an effort has been made to investigate the effectiveness of a shunted piezoelectric for the turbomachinery rotor blades vibration control, specifically for a condition with centrifugal rotation. While ample research has been performed on the use of a piezoelectric material with electric circuits to attempt to control the structural vibration damping, very little study has been done regarding rotational effects. The present study attempts to fill this void. Specifically, the objectives of this study are: (a) to create and analyze finite element models for harmonic forced response vibration analysis coupled with shunted piezoelectric circuits for engine blade operational conditions, (b) to validate the experimental test approaches with numerical results and vice versa, and (c) to establish a numerical modeling capability for vibration control using shunted piezoelectric circuits under rotation. Study has focused on a resonant damping control using shunted piezoelectric patches on plate specimens. Tests and analyses were performed for both non-spinning and spinning conditions. The finite element (FE) shunted piezoelectric circuit damping simulations were performed using the ANSYS Multiphysics code for the resistive and inductive circuit piezoelectric simulations of both conditions. The FE results showed a good correlation with experimental test results. Tests and analyses of shunted piezoelectric damping control, demonstrating with plate specimens, show a great potential to reduce blade vibrations under centrifugal loading.

  10. Percutaneous gastrostomy tube placement in patients with ventriculoperitoneal shunts

    Energy Technology Data Exchange (ETDEWEB)

    Sane, S.S.; Towbin, A.; Bergey, E.A.; Kaye, R.D.; Fitz, C.R.; Albright, L.; Towbin, R.B. [Department of Radiology, Children`s Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213 (United States)


    Objective. The purpose of this study is to determine the risk of CNS and/or peritoneal infection in children with ventriculoperitoneal shunts in whom a percutaneous gastrostomy tube is placed. Materials and methods. We placed 205 gastrostomy or gastrojejunostomy tubes from January of 1991 to December 1996. Twenty-three patients (10 boys, 13 girls) had ventriculoperitoneal shunts at the time of placement. All shunts were placed at least 1 month prior to placement of the gastrostomy tube. The patients ranged in age from 8 months to 16 years with a mean age of 6 years, 9 months. Patient weight ranged from 2 kg to 60 kg. All 23 children required long-term nutritional support due to severe neurologic impairment. No prophylactic antibiotics were given prior to the procedure. Of the patients, 21/23 had a 14-F Sacks-Vine gastrostomy tube with a fixed terminal retention device inserted, using percutaneous fluoroscopic antegrade technique. Two of the 23 patients had a Ross 14-F Flexi-flo gastrostomy tube which required a retrograde technique due to a small caliber esophagus in these children. Results. All 23 children had technically successful placements of percutaneous gastrostomy (7) or gastrojejunostomy (16) tubes. Of the children, 21/23 (91 %) had no complications from the procedure. Two of 23 (9 %) patients demonstrated signs of peritonitis after placement of their gastrostomy tubes and subsequently had shunt infections. In both, children CSF culture grew gram-positive cocci. The antegrade technique was used in both children who developed peritonitis. Conclusion. Our study indicates children with ventriculoperitoneal shunts who undergo percutaneous gastrostomy are at greater risk for infection and subsequent shunt malfunction. Therefore, we recommend prophylactic antibiotic therapy to cover for skin and oral flora. (orig.) With 1 fig., 7 refs.

  11. Portacaval shunt established in six dogs using magnetic compression technique.

    Directory of Open Access Journals (Sweden)

    Xiaopeng Yan

    Full Text Available BACKGROUND AND AIMS: Installing the transjugular intrahepatic portosystemic shunt for portal hypertension is relatively safe, but complications are still high. To explore a new method of portacaval shunt, the magnetic compression technique was introduced into the shunting procedure. METHODS: A portal-inferior vena cava shunt was performed on 6 male mongrel dogs by two hemocompatible Nd-Fe-B permanent magnets, parent and daughter. The parent magnet was applied to the inferior vena cava guided by a catheter through the femoral vein. The daughter magnet was moved to the anastomosis position on the portal vein with a balloon catheter through the splenic vein. After the daughter magnet reached the target position, the two magnets acted to compress the vessel wall and hold it in place. Five to 7 days later, under X-ray guidance, the magnets were detached from the vessel wall with a rosch-uchida transjugular liver access set. One month later, histological analysis and portal venography were performed. RESULTS: 5-7 days after the first surgery, a mild intimal hyperplasia in the portal vein and the inferior vena cava, and continuity of the vascular adventitia from the portal vein to the inferior vena cava as observed. During the second surgery, the contrast media could be observed flowing from the portal vein into the inferior vena cava. Portal venography revealed that the portosystemic shunt was still present one month after the second surgery. CONCLUSIONS: Magnamosis via a device of novel design was successfully used to establish a portacaval shunt in dogs.


    DEFF Research Database (Denmark)


    A method for preparing polybenzimidazole or polybenzimidazole blend membranes and fabricating gas diffusion electrodes and membrane-electrode assemblies is provided for a high temperature polymer electrolyte membrane fuel cell. Blend polymer electrolyte membranes based on PBI and various thermopl......A method for preparing polybenzimidazole or polybenzimidazole blend membranes and fabricating gas diffusion electrodes and membrane-electrode assemblies is provided for a high temperature polymer electrolyte membrane fuel cell. Blend polymer electrolyte membranes based on PBI and various...... thermoplastic polymers for high temperature polymer electrolyte fuel cells have also been developed. Miscible blends are used for solution casting of polymer membranes (solid electrolytes). High conductivity and enhanced mechanical strength were obtained for the blend polymer solid electrolytes...... electrolyte membrane by hot-press. The fuel cell can operate at temperatures up to at least 200 °C with hydrogen-rich fuel containing high ratios of carbon monoxide such as 3 vol% carbon monoxide or more, compared to the carbon monoxide tolerance of 10-20 ppm level for Nafion$m(3)-based polymer electrolyte...

  13. Dye-sensitized solar cell using 4-chloro-7-nitrobenzofurazan incorporated polyvinyl alcohol polymer electrolyte (United States)

    Senthil, R. A.; Theerthagiri, J.; Madhavan, J.; Arof, A. K.


    The influence of 4-chloro-7-nitrobenzofurazan (CNBF) on ionic conductivity of polyvinyl alcohol/KI/I2 (PVA/KI/I2) electrolytes was investigated in the present study. The pure and CNBF incorporated PVA/KI/I2 electrolyte films were prepared by solution casting method using dimethyl sulfoxide as a solvent. These polymer electrolyte films were characterized using Fourier transform infrared spectroscopy, X-ray diffractometer, UV-Vis spectrophotometer and impedance analysis. The ionic conductivities of polymer electrolyte films were calculated from impedance analysis. The pure PVA/KI/I2 electrolyte exhibited the ionic conductivity of 1.649 × 10-5 S cm-1 at room temperature and this value was significantly increased to 1.490 × 10-4 S cm-1 when CNBF was incorporated into the PVA/KI/I2 electrolyte. This might be due to the decrease in the crystallinity of the polymer and increase in the ionic mobility of charge carriers. The performance of the DSSCs using both pure and CNBF incorporated PVA/KI/I2 electrolytes were compared. A DSSC fabricated with CNBF incorporated PVA/KI/I2 electrolyte showed an improved power conversion efficiency of 3.89 % than that of the pure PVA/KI/I electrolyte (1.51 %). These results suggest that CNBF incorporated PVA/KI/I2 electrolyte could be used as a potential electrolyte for DSSC.

  14. Dynamic actuation methods for capacitive MEMS shunt switches (United States)

    Khater, M. E.; Vummidi, K.; Abdel-Rahman, E. M.; Nayfeh, A. H.; Raman, S.


    We develop dynamic actuation methods for capacitive MEMS shunt switches. We show that the dynamic actuation voltage is significantly less than the static actuation voltage and demonstrate 60% reduction in the actuation voltage. We also show that this reduction in the actuation voltage depends on the specific dynamic switching technique adopted. For a given operating condition, the minimum realizable switching time is that obtained using static switching. However, we developed a dynamic switching method that yields comparable switching time to that minimum. We also found that squeeze-film damping is the dominant damping mechanism for a shunt switch with a relatively slender bridge (aspect ratio of 11:1).

  15. Balanced calibration of resonant shunt circuits for piezoelectric vibration control

    DEFF Research Database (Denmark)

    Høgsberg, Jan; Krenk, Steen


    series and parallel RL circuits. The procedure relies on equal modal damping and sufficient separation of the complex poles to avoid constructive interference of the two modes. By comparison with existing design procedures, it is demonstrated that the present calibration leads to a balanced compromise......Shunting of piezoelectric transducers and suitable electric circuits constitutes an effective passive approach to resonant vibration damping of structures. Most common design concepts for resonant resistor-inductor (RL) shunt circuits rely on either maximization of the attainable modal damping...

  16. Surgical treatment of idiopathic syringomyelia: Silastic wedge syringosubarachnoid shunting technique

    Directory of Open Access Journals (Sweden)

    Teck M Soo


    Conclusions: Shunting procedures for the syringomyelia disease spectrum have been criticized due to the inconsistent long-term outcomes. This surgical technique used to treat symptomatic idiopathic syringomyelia has been devised based on our intraoperative experience, surgical outcomes, and evaluation of the literature. The purpose of the wedges is to preserve patency of the communication between the syrinx cavity and the expanded subarachnoid space by preventing healing of the myelotomy edges and by maintaining an artificial conduit between the syrinx cavity and the subarachnoid space. Although short-term results are promising, continued long-term follow up is needed to determine the ultimate success of the silastic wedge shunting procedure.

  17. Cryptococcal cerebrospinal fluid shunt infection treated with fluconazole

    Directory of Open Access Journals (Sweden)

    Daniel Eymard


    Full Text Available A 37-year-old woman with a cadaveric renal allotransplantation required intra-cranial shunting devices after a presumptive episode of tuberculous meningitis. Six months later, she developed a culture-proven cryptococcal meningitis. Without having her ventriculo-auricular shunt removed, she was successfully treated with a short course of amphotericin B (335 mg and flucytosine (nine days followed by prolonged therapy with oral fluconazole (400 mg daily for 72 days. Three years post treatment she had no evidence of relapse, and normal renal graft function.

  18. Solid state electrolyte systems

    Energy Technology Data Exchange (ETDEWEB)

    Pederson, L.R.; Armstrong, B.L.; Armstrong, T.R. [Pacific Northwest Lab., Richland, WA (United States)] [and others


    Lanthanum gallates are a new family of solid electrolytes that exhibit high ionic conductivity and are stable to high temperatures. Compositions have been developed that are as much as a factor of two more conductive than yttria-stabilized zirconia at a given temperature, through partial replacement of lanthanum by calcium, strontium, and/or barium and through partial replacement of gallium by magnesium. Oxide powders were prepared using combustion synthesis techniques developed in this laboratory; these were sintered to >95% of theoretical density and consisted of a single crystalline phase. Electrical conductivities, electron and ion transference numbers, thermal expansion, and phase behavior were evaluated as a function of temperature and oxygen partial pressure. A key advantage of the use of lanthanum gallate electrolytes in solid oxide fuel cells is that the temperature of operation may be lowered to perhaps 800 C, yet provide approximately the same power density as zirconia-based cells operating at 1000 C. Ceramic electrolytes that conduct both oxygen ions and electrons are potentially useful to passively separate pure oxygen from an air source at low cost. In such materials, an oxygen ion flux in one direction is charge-compensated by an opposing electron flux. The authors have examined a wide range of mixed ion and electron conducting perovskite ceramics in the system La{sub 1{minus}x}M{sub x}Co{sub 1{minus}y{minus}z}Fe{sub y}N{sub z}O{sub 3{minus}{delta}}, where M = Sr, Ca, and Ba, and N = Pr, Mn, Ni, Cu, Ti, and Al, as well as mixed conducting brownmillerite ceramics, and have characterized oxygen permeation behavior, defect chemistry, structural and phase stability, and performance as cathodes.

  19. A Rare Complication of Subdural-peritoneal Shunt: Migration of Catheter Components through the Pelvic Inlet into the Subdural Space. (United States)

    Çakir, Mürteza; Yilmaz, Atilla; Çalikoğlu, Çağatay


    Subdural-peritoneal (SP) shunting is a simple procedure to treat subdural hygromas; however, several rare complications such as shunt migration exist. A 15-year-old boy presented with headache, nausea, and vomiting, and underwent SP shunting for left frontoparietal chronic subdural effusion. Six weeks later, radiographic examinations revealed total migration of the shunt through the pelvic inlet. The migrated shunt was replaced with a new SP shunt. Four weeks later, radiographic examinations revealed shunt migration into the subdural space. The shunt catheter was removed and the subdural effusion was evacuated. Shunt migration may result from pressure differences between the abdomen and the cranium or from head movement, and insufficient fixation and/or large burr holes can facilitate shunt migration. Double firm anchoring and small-sized burr holes can prevent this complication. SP shunt is a simple procedure, and its assumed complications can be prevented through precaution.

  20. Endovascular Retrieval of Migrated Distal End of Ventriculoperitoneal Shunt from Bilateral Pulmonary Arteries: A Technical Note. (United States)

    Dossani, Rimal Hanif; Maiti, Tanmoy Kumar; Patra, Devi Prasad; Nanda, Anil; Cuellar, Hugo


    Ventriculoperitoneal (VP) shunting of cerebrospinal fluid is one of the most common procedures performed by neurosurgeons around the world. Migration of distal VP shunt catheter into bilateral segmental pulmonary arteries is an extremely rare complication of VP shunt placement. In the present case, a 30-year-old male underwent VP shunting complicated by migration of distal VP shunt catheter into the bilateral pulmonary arteries. Despite manual attempt at externalizing the distal VP shunt catheter at the level of the clavicle, a small piece of distal VP shunt catheter in bilateral pulmonary arteries was noted on computed tomography of the chest obtained after manual externalization. This persistent distal VP shunt catheter was likely left behind after a break in the distal VP shunt catheter during manual externalization procedure. Given the small size of the segmental pulmonary arteries, a novel endovascular technique was used to move the distal VP shunt catheter from the bilateral segmental pulmonary arteries to the main pulmonary trunk. Once in the main pulmonary trunk, a snare device was used to retrieve the distal shunt catheter through the femoral vein. In this technical note, the authors highlight the relevant endovascular technical details to first move the VP shunt catheter from the bilateral segmental arteries followed by successful catheter retrieval using snare device. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Locally Resonant Gaps of Phononic Beams Induced by Periodic Arrays of Resonant Shunts

    Institute of Scientific and Technical Information of China (English)

    CHEN Sheng-Bing; WEN Ji-Hong; WANG Gang; HAN Xiao-Yun; WEN Xi-Sen


    @@ Periodic arrays of shunted piezoelectric patches are employed to control the propagation of elastic waves in phononic beams.Each piezo-patch is connected to a single resistance-inductance-capacitance shunting circuit.Therefore,the resonances of the shunting circuits will produce locally resonant gaps in the phononic beam.However,the existence of locally resonant gaps induced by resonant shunts has not been clearly proved by experiment so far.In this work,the locally resonant gap in a piezo-shunted phononic beam is investigated theoretically and verified by experiment.The results prove that resonances of shunting circuits can produce locally resonant gaps in phononic beams.%Periodic arrays of shunted piezoelectric patches are employed to control the propagation of elastic waves in phononic beams. Each piezo-patch is connected to a single resistance-inductance-capacitance shunting circuit. Therefore, the resonances of the shunting circuits will produce locally resonant gaps in the phononic beam. However, the existence of locally resonant gaps induced by resonant shunts has not been clearly proved by experiment so far. In this work, the locally resonant gap in a piezo-shunted phononic beam is investigated theoretically and verified by experiment. The results prove that resonances of shunting circuits can produce locally resonant gaps in phononic beams.

  2. Shoulder tip pain: an under-reported complication of ventriculoperitoneal shunt.

    LENUS (Irish Health Repository)

    Lim, C


    Ventriculoperitoneal (VP) shunt insertion is the commonest form of treatment for hydrocephalus. Shoulder tip pain after VP shunt insertion is unusual and has only recently been reported. We present a case of excruciating shoulder tip pain due to diaphragmatic irritation after VP shunt insertion.

  3. Posthemorrhagic Hydrocephalus in Newborns: Clinical Characteristics and Role of Ventriculoperitoneal Shunts

    Directory of Open Access Journals (Sweden)

    Inn-Chi Lee


    Conclusion: Patients who were shunt-dependent had worse neurodevelopmental outcomes and greater mortality than those without shunts. The results appeared to depend on how far the hydrocephalus had progressed and on the degree of IVH, but the necessity of VP shunts requires reevaluation before they are implanted.


    NARCIS (Netherlands)



    Shunt nephritis is a rare complication of a chronically infected ventriculoatrial shunt. A 17 year old boy is described, with arthritis in both ankles and positive rheumatoid factor tests, who presented with symptoms of shunt nephritis. Blood cultures were positive for Staphylococcus epidermidis. Th

  5. Ultrasonography of portosystemic shunting in dogs : Doppler studies before, during and after surgery

    NARCIS (Netherlands)

    Szatmári, V.


    Portosystemic shunting occurs when anomalous veins allow the portal blood to enter the systemic veins directly without first flowing through the hepatic sinusoids. Portosystemic shunting can occur via acquired portosystemic collaterals or via congenital portosystemic shunts and may result in clinica

  6. Perforation into gut by ventriculoperitoneal shunts: A report of two cases and review of the literature

    Directory of Open Access Journals (Sweden)

    Abdul Hai


    Full Text Available We report two cases of gastrointestinal perforation by ventriculoperitoneal (VP shunts and review the literature on the topic. The time interval between shunt surgery and detection of bowel perforation is minimum in infants and increases with age. Sigmoid and transverse colon followed by stomach are the most frequent sites of gastrointestinal perforations by VP shunts.

  7. Management for traumatic chronic subdural hematoma patients with well-controlled shunt system for hydrocephalus. (United States)

    Yamada, Shoko Mitrrt; Tomia, Yusuke; Murakami, Hideki; Nakane, Makoto


    Traumatic CSDH enlarged in two cases with VP or LP shunt system although the shunt valve pressure was increased to 200 mmH2O. In surgery, the hematoma cavity pressure was found to be 130 and 140 mmH2O, suggesting that to raise the shunt valve pressure is not effective for decreasing CSDH volume.

  8. Diagnosis of complications in ventriculo-peritoneal and ventriculo-atrial shunts. Diagnostik von Komplikationen ventrikuloperitonealer und ventrikuloatrialer Shunts

    Energy Technology Data Exchange (ETDEWEB)

    Langen, H.J.; Alzen, G.; Avenarius, R. (Technische Hochschule Aachen (Germany). Klinik fuer Radiologische Diagnostik); Mayfrank, L. (Technische Hochschule Aachen (Germany). Klinik fuer Neurochirurgie); Thron, A. (Technische Hochschule Aachen (Germany). Neuroradiologie); Kotlarek, F. (Technische Hochschule Aachen (Germany). Kinderklinik)


    The value of imaging (cranial CT, cranial and abdominal sonography, plain film surveys) was examined retrospectively in 28 shunted children in whom 82 instances of suspected dysfunction arose. There were 23 obstructions, 12 dislocations, 1 disconnection, 6 infections, 3 overdrainages and 5 slit ventricle syndromes. Impaired absorption with ascites, a peritoneal liquor cyst and a seroma occurred in the peritoneal part of the shunt. Progressive dilatation of the ventricle system shown by CCT (89%) or ultrasound was the most sensitive sign of high-pressure hydrocephalus. Periventricular hypodensity and flattening of the gyri (15%) were found less often. An examination strategy in suspected shunt dysfunction is suggested on the basis of these findings. (orig.).

  9. High-Flow Arterio-Hepatic Venous Shunt in Hepatocellular Carcinoma: Use of Multi-Electrode Radiofrequency for Shunt Obliteration

    Energy Technology Data Exchange (ETDEWEB)

    Pua, Uei, E-mail: [Tan Tock Seng Hospital, Department of Diagnostic Radiology (Singapore)


    Intra-tumoral arterio-hepatic venous shunting (AHVS) poses an impediment to transarterial chemoembolization of liver tumors. Not only does it present a potential hazard for systemic shunting and embolization, but also the altered flow dynamics may also result in poor delivery of drug/embolics to the target tumor bed. Current available techniques to overcome AVHS include arterial embolization (particles, coils, glue, etc.) or temporary venous occlusion using balloons. We hereby illustrate the use of radiofrequency ablation to obliterate a complex AHVS consisting of a varix-like venous aneurysm.

  10. Complications and subsequent removal of retained shunt hardware after endoscopic third ventriculostomy: case series. (United States)

    Pindrik, Jonathan; Jallo, George I; Ahn, Edward S


    This case series highlights multiple complications and subsequent removal of retained shunt hardware in pediatric patients after successful endoscopic third ventriculostomy (ETV). Removal or retention of existing shunt hardware following ETV represents an important dilemma. Prior studies have reported infections and organ perforation related to nonfunctioning shunts but none in the context of successful ETV. Data obtained in 3 children with hydrocephalus treated at the authors' institution were retrospectively reviewed after the patients experienced complications due to retained shunt hardware following ETV. Etiologies of hydrocephalus included tectal glioma and intraventricular hemorrhage. All 3 patients had a history of multiple shunt revisions and underwent urgent ETV in the setting of a shunt malfunction. In each case, the entire shunt system was left in situ, but it became the source of subsequent complications. Two of the 3 patients presented with the shunt infected by gram-negative bacilli 10 days and 4.5 months postoperatively, respectively. The remaining patient experienced wound dehiscence over the shunt valve 4.5 months after ETV. In all patients, the complications were managed successfully by removing the shunt hardware. None of the patients required repeat shunt insertion from the time of removal throughout the follow-up period (mean 24 months, range 9-36 months). During the study period, a total of 6 patients with indwelling shunt hardware underwent ETV with the expectation of being shunt independent. Among these 6 patients, 3 experienced no complications from the retained hardware whereas 3 patients (50%) ultimately experienced adverse consequences related to retained hardware. This case series illustrates complications involving retained shunt hardware after successful ETV. These examples support consideration of shunt removal at the time of ETV in the appropriate context.

  11. Risk factors for shunt malfunction in pediatric hydrocephalus: a multicenter prospective cohort study. (United States)

    Riva-Cambrin, Jay; Kestle, John R W; Holubkov, Richard; Butler, Jerry; Kulkarni, Abhaya V; Drake, James; Whitehead, William E; Wellons, John C; Shannon, Chevis N; Tamber, Mandeep S; Limbrick, David D; Rozzelle, Curtis; Browd, Samuel R; Simon, Tamara D


    OBJECT The rate of CSF shunt failure remains unacceptably high. The Hydrocephalus Clinical Research Network (HCRN) conducted a comprehensive prospective observational study of hydrocephalus management, the aim of which was to isolate specific risk factors for shunt failure. METHODS The study followed all first-time shunt insertions in children younger than 19 years at 6 HCRN centers. The HCRN Investigator Committee selected, a priori, 21 variables to be examined, including clinical, radiographic, and shunt design variables. Shunt failure was defined as shunt revision, subsequent endoscopic third ventriculostomy, or shunt infection. Important a priori-defined risk factors as well as those significant in univariate analyses were then tested for independence using multivariate Cox proportional hazard modeling. RESULTS A total of 1036 children underwent initial CSF shunt placement between April 2008 and December 2011. Of these, 344 patients experienced shunt failure, including 265 malfunctions and 79 infections. The mean and median length of follow-up for the entire cohort was 400 days and 264 days, respectively. The Cox model found that age younger than 6 months at first shunt placement (HR 1.6 [95% CI 1.1-2.1]), a cardiac comorbidity (HR 1.4 [95% CI 1.0-2.1]), and endoscopic placement (HR 1.9 [95% CI 1.2-2.9]) were independently associated with reduced shunt survival. The following had no independent associations with shunt survival: etiology, payer, center, valve design, valve programmability, the use of ultrasound or stereotactic guidance, and surgeon experience and volume. CONCLUSIONS This is the largest prospective study reported on children with CSF shunts for hydrocephalus. It confirms that a young age and the use of the endoscope are risk factors for first shunt failure and that valve type has no impact. A new risk factor-an existing cardiac comorbidity-was also associated with shunt failure.

  12. Assessment of surgical portosystemic shunts and associated complications: The diagnostic and therapeutic role of radiologists

    Energy Technology Data Exchange (ETDEWEB)

    Taslakian, Bedros, E-mail: [Department of Radiology, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon); Faraj, Walid, E-mail: [Department of General Surgery, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon); Khalife, Mohammad, E-mail: [Department of General Surgery, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon); Al-Kutoubi, Aghiad, E-mail: [Department of Radiology, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon); El-Merhi, Fadi, E-mail: [Department of Radiology, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon); Saade, Charbel, E-mail: [Department of Radiology, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon); Hallal, Ali, E-mail: [Department of General Surgery, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon); Haydar, Ali, E-mail: [Department of Radiology, American University of Beirut Medical Center, Riad El-Solh 1107 2020—PO Box: 11-0236, Beirut (Lebanon)


    Highlights: • Portal hypertension is the pathological increase in portal venous pressure. • Surgical portosystemic shunting is an accepted methods to decrease portal venous pressure. • Surgical portosystemic shunts are divided into selective and nonselective. • Shunt thrombosis is a serious complication, resulting in shunt dysfunction. • Imaging is essential in the assessment of the shunt function and anatomy. - Abstract: Surgical portosystemic shunting, the formation of a vascular connection between the portal and systemic venous circulation, has been used as a treatment to reduce portal venous pressure. Although the use of portosystemic shunt surgery in the management of portal hypertension has declined during the past decade in favour of alternative therapies, and subsequently surgeons and radiologists became less familiar with the procedure, it remains a well-established treatment. Knowledge of different types of surgical portosystemic shunts, their pathophysiology and complications will help radiologists improve communication with surgeons and enhance their understanding of the diagnostic and therapeutic role of radiology in the assessment and management of these shunts. Optimal assessment of the shunt is essential to determine its patency and allow timely intervention. Both non-invasive and invasive imaging modalities complement each other in the evaluation of surgical portosystemic shunts. Interventional radiology plays an important role in the management of complications, such as shunt thrombosis and stenosis. This article describes the various types of surgical portosystemic shunts, explains the anatomy and pathophysiology of these shunts, illustrates the pearls and pitfalls of different imaging modalities in the assessment of these shunts and demonstrates the role of radiologists in the interventional management of complications.

  13. Gelled Electrolytes For Lithium Batteries (United States)

    Nagasubramanian, Ganesan; Attia, Alan; Halpert, Gerald


    Gelled polymer electrolyte consists of polyacrylonitrile (PAN), LiBF4, and propylene carbonate (PC). Thin films of electrolyte found to exhibit stable bulk conductivities of order of 10 to the negative 3rd power S/cm at room temperature. Used in thinfilm rechargeable lithium batteries having energy densities near 150 W h/kg.

  14. Pitfalls in the Performance and Interpretation of Scintigraphic Imaging for Pleuroperitoneal Shunt. (United States)

    Covington, Matthew F; Choudhary, Gagandeep; Avery, Ryan J; Kuo, Phillip H


    Ascites can cause pleural effusions when the peritoneal fluid crosses the diaphragm through a pleuroperitoneal shunt in the setting of hepatic cirrhosis (hepatic hydrothorax) or malignant ascites. Scintigraphic imaging for pleuroperitoneal shunt requires intraperitoneal injection of Tc-SC or Tc-macroaggregated albumin followed by planar imaging of the chest and abdomen. Pleuroperitoneal shunt is confirmed by identifying radiotracer crossing the diaphragm from the peritoneal to pleural space. An atlas of pleuroperitoneal shunt imaging pitfalls is presented to facilitate optimal performance and interpretation of nuclear pleuroperitoneal shunt examinations. Examples include cases of nondiagnostic radiotracer injections, processing errors, and nontarget uptake.

  15. Pericardial effusion and cardiac tamponade after ventriculoperitoneal shunt placement: a case report. (United States)

    Wiwattanadittakul, Natrujee; Katanyuwong, Kamornwan; Jetjumnong, Chumpon; Sittiwangkul, Rekwan; Makonkawkeyoon, Krit


    Insertion of a ventriculoperitoneal shunt is a common neurosurgical procedure in both adult and paediatric patients. It is one of the most important treatments in cases of hydrocephalus; however, there is a wide range of complications: the most common complication being a shunt infection, and examples of rare complications are shunt migrations and cardiac tamponade. Several reports of distal ventriculoperitoneal shunt migration in different sites, including chest, right ventricle, pulmonary artery, bowel and scrotum were published. But pericardial effusion with cardiac tamponade and its relationship to distal ventriculoperitoneal shunt migration into the pericardial sac has never been reported.

  16. Wideband digital phase comparator for high current shunts

    CERN Document Server

    Pogliano, Umberto; Serazio, Danilo


    A wideband phase comparator for precise measurements of phase difference of high current shunts has been developed at INRIM. The two-input digital phase detector is realized with a precision wideband digitizer connected through a pair of symmetric active guarded transformers to the outputs of the shunts under comparison. Data are first acquired asynchronously, and then transferred from on-board memory to host memory. Because of the large amount of data collected the filtering process and the analysis algorithms are performed outside the acquisition routine. Most of the systematic errors can be compensated by a proper inversion procedure. The system is suitable for comparing shunts in a wide range of currents, from several hundred of milliampere up to 100 A, and frequencies ranging between 500 Hz and 100 kHz. Expanded uncertainty (k=2) less than 0.05 mrad, for frequency up to 100 kHz, is obtained in the measurement of the phase difference of a group of 10 A shunts, provided by some European NMIs, using a digit...

  17. Small-Diameter PTFE Portosystemic Shunts: Portocaval vs Mesocaval

    Directory of Open Access Journals (Sweden)

    Robert Shields


    Full Text Available Fifty-seven patients with failed sclerotherapy received a mesocaval interposition shunt with an externally supported, ringed polytetrafluoroethylene prosthesis of either 10 or 12 mm diameter. Thirty-one patients had Child-Pugh gradeA disease and 26 grade B; all had a liver volume of 1000– 2500 ml. Follow-up ranged from 16 months to 6 years 3 months. Three patients (5 per cent died in the postoperative period. There were two postoperative recurrences of variceal haemorrhage and one recurrent bleed in the second year after surgery. The cumulative shunt patency rate was 95 per cent and the incidence of encephalopathy 9 per cent; the latter was successfully managed by protein restriction and/or lactulose therapy. The actuarial survival rate for the whole group at 6 years was 78 per cent, for those with Child-Pugh grade A 88 per cent and for grade B 67 per cent. Small-lumen mesocaval interposition shunting achieves portal decompression, preserves hepatopetal flow, has a low incidence of shunt thrombosis, prevents recurrent variceal bleeding and is not associated with significant postoperative encephalopathy.

  18. Comparison of passive inductor designs for piezoelectric shunt damping (United States)

    Lossouarn, Boris; Thierry, Olivier; Aucejo, Mathieu; Deü, Jean-François


    Considering piezoelectric damping, a resonant shunt can lead to a significant vibration reduction when tuned to the mechanical mode to control. However, limits appear when looking at practical applications in a low frequency range: the required inductance is often too high to be satisfied with standard passive components. Moreover, even if the inductor is eventually available, the internal resistance of the component generally exceeds the value which is required for a shunt optimization. Suitable inductors can be designed for applications requiring high inductance and low resistance values. Indeed, the permeance of a magnetic circuit can be significantly increased by the use of closed cores made of high permeability materials. In this paper, three designs are described and compared: an inductor from standard series and two handmade inductors involving a ferrite core and a nanocrystalline toroid. The components are successively integrated into a piezoelectric shunt dedicated to the vibration control of a cantilever beam. Depending on the frequency of the target mechanical mode to control, the benefits and the limits of the different inductors are observed. It is shown that custom designs can definitely extend to lower frequency the application of the passive resonant shunt strategy.

  19. Congenital extrahepatic portosystemic shunt associated with heterotaxy and polysplenia

    Energy Technology Data Exchange (ETDEWEB)

    Newman, Beverley [Lucile Packard Children' s Hospital, Department of Radiology, Stanford University School of Medicine, Stanford, CA (United States); Feinstein, Jeffrey A. [Stanford University School of Medicine, Division of Pediatric Cardiology, Department of Pediatrics, Lucile Packard Children' s Hospital, Stanford (United States); Cohen, Ronald A.; Patel, Hitendra [Children' s Hospital and Research Center, Department of Diagnostic Radiology, Oakland, CA (United States); Feingold, Brian; Kreutzer, Jacqueline [Children' s Hospital of Pittsburgh, Department of Pediatrics, Division of Pediatric Cardiology, Pittsburgh, PA (United States); Chan, Fandics P. [Stanford University School of Medicine, Cardiovascular Imaging Section, Department of Radiology, Lucile Packard Children' s Hospital, Stanford, CA (United States)


    Heterotaxy with polysplenia is associated with many cardiovascular anomalies including the occasional occurrence of congenital extrahepatic portosystemic shunts (CEPS). Missing this anomaly can lead to inappropriate and ineffective therapy. To emphasize the importance and associated anatomy of CEPS in conjunction with heterotaxy with polysplenia. Review of three young children who presented with cyanosis and pulmonary hypertension without a cardiac etiology. They were known (1) or discovered (2) to have heterotaxy with polysplenia. There was absence of the intrahepatic inferior vena cava (IVC) with azygos or hemiazygos continuation in all three cases. In spite of normal liver function, they were discovered to have large portosystemic shunts, splenorenal in location, along with diffuse peripheral pulmonary arterial dilatation suggestive of CEPS (Abernethy malformation) with hepatopulmonary or, more accurately, portopulmonary syndrome. All CEPS were ipsilateral to the spleens. Patency of the portal veins in these cases allowed for percutaneous shunt closure with resolution of cyanosis. CEPS is associated with heterotaxy with polysplenia and can be symptomatic because of pulmonary arteriovenous (AV) shunting. Portal and hepatic vein patency are critical for determining feasibility of CEPS closure. (orig.)

  20. Metabolic responses to moderate exercise in lambs with aortopulmonary shunts

    NARCIS (Netherlands)

    Beaufort-Krol, GCM; Takens, J; Zijlstra, WG; Molenkamp, MC; Gerding, AM; Kuipers, JRG

    In a previous study we found, after an overnight fast of 18 hours, a lower arterial glucose concentration and a depressed glycogenolysis in lambs with aortopulmonary left-to-right shunts. During exercise, glucose and free fatty acids (FFA) concentrations normally increase. The aim of this study was

  1. Metabolic responses to moderate exercise in lambs with aortopulmonary shunts

    NARCIS (Netherlands)

    Beaufort-Krol, GCM; Takens, J; Zijlstra, WG; Molenkamp, MC; Gerding, AM; Kuipers, JRG


    In a previous study we found, after an overnight fast of 18 hours, a lower arterial glucose concentration and a depressed glycogenolysis in lambs with aortopulmonary left-to-right shunts. During exercise, glucose and free fatty acids (FFA) concentrations normally increase. The aim of this study was


    DEFF Research Database (Denmark)


    A method for preparing polybenzimidazole or polybenzimidazole blend membranes and fabricating gas diffusion electrodes and membrane-electrode assemblies is provided for a high temperature polymer electrolyte membrane fuel cell. Blend polymer electrolyte membranes based on PBI and various...... thermoplastic polymers for high temperature polymer electrolyte fuel cells have also been developed. Miscible blends are used for solution casting of polymer membranes (solid electrolytes). High conductivity and enhanced mechanical strength were obtained for the blend polymer solid electrolytes....... With the thermally resistant polymer, e.g., polybenzimidazole or a mixture of polybenzimidazole and other thermoplastics as binder, the carbon-supported noble metal catalyst is tape-cast onto a hydrophobic supporting substrate. When doped with an acid mixture, electrodes are assembled with an acid doped solid...

  3. Left-to-Right Shunt with Congenital Heart Disease: Single Center Experience (United States)

    Cevik, Ayhan; Olgunturk, Rana; Kula, Serdar; Saylan, Berna; Pektas, Ayhan; Oguz, Deniz; Tunaoglu, Sedef


    Objective. The objective of this study was to determine the frequency of pulmonary arterial hypertension (PAH) in congenital heart disease (CHD) with an isolated, large left-to-right shunt and to indicate the factors in the development of PAH. Methods. The pressure measurements in the cardiac chambers and the calculations based on the Fick's principle were compared among 3 separate groups of patients, respectively, with PAH, with hyperkinetic pulmonary hypertension (HPH), and with neither PAH nor HPH. Results. PAH was diagnosed in 30 (12.3%) patients, HPH in 35 (14.4%), while 177 (73.1%) were free of either. The highest risk for the development of PAH was found in the presence of perimembranous ventricular septal defect. A statistically significant difference was seen among these groups as to their left atrial pressure (p = 0.005) and the mean pulmonary arterial pressure (PAPmean; p < 0.001). While a correlation was present between RpI on one hand and age on the other (p = 0.014), a multiple linear regression could not evidence any correlation among age (p = 0.321), gender (p = 0.929). Conclusion. Our findings do not allow establishing a correlation between the duration of the high pulmonary flow and pulmonary vascular resistance increase or PAH development in isolated left-to-right shunts with congenital heart diseases. PMID:23862073

  4. Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement. (United States)

    Abode-Iyamah, Kingsley O; Khanna, Ryan; Rasmussen, Zachary D; Flouty, Oliver; Dahdaleh, Nader S; Greenlee, Jeremy; Howard, Matthew A


    Ventriculoperitoneal (VP) shunt placement is used to treat hydrocephalus. Shunt migration following VP shunt placement has been reported. The risk factors related to this complication have not been previously evaluated to our knowledge. In this retrospective cohort study, we aimed to determine risk factors leading to distal catheter migration and review the literature on the current methods of management and prevention. Adult patients undergoing VP shunt placement from June 2011 to December 2013 at a single institution were identified using electronic health records. The records were reviewed for demographic and procedural information, and subsequent treatment characteristics. The parameters of patients with distal shunt migration were compared to those undergoing new VP shunt placement for the same time period. We identified 137 patients undergoing 157 new VP shunt procedures with an average age of 57.7 ± standard deviation of 18.4 years old. There were 16 distal shunt migrations. Body mass index >30 kg/m(2) and number of previous shunt procedures were found to be independent risk factors for distal catheter migration. Obesity and number of previous shunt procedures were factors for distal catheter migration. Providers and patients should be aware of these possible risk factors prior to VP shunt placement.

  5. Experimental comparison of piezoelectric and magnetostrictive shunt dampers (United States)

    Asnani, Vivake M.; Deng, Zhangxian; Scheidler, Justin J.; Dapino, Marcelo J.


    A novel mechanism called the vibration ring is being developed to enable energy conversion elements to be incorporated into the driveline of a helicopter or other rotating machines. Unwanted vibration is transduced into electrical energy, which provides a damping effect on the driveline. The generated electrical energy may also be used to power other devices (e.g., health monitoring sensors). PZT (`piezoceramic') and PMN-30%PT (`single crystal') stacks, as well as a Tb0.3Dy0.7Fe1.92 (`Terfenol-D') rod with a bias magnet array and a pickup coil, were tested as alternative energy conversion elements to use within the vibration ring. They were tuned for broadband damping using shunt resistors, and dynamic compression testing was conducted in a high-speed load frame. Energy conversion was experimentally optimized at 750Hz by tuning the applied bias stress and resistance values. Dynamic testing was conducted up to 1000Hz to determine the effective compressive modulus, shunt loss factor, internal loss factor, and total loss factor. Some of the trends of modulus and internal loss factor versus frequency were unexplained. The single crystal device exhibited the greatest shunt loss factor whereas the Terfenol-D device had the highest internal and total loss factors. Simulations revealed that internal losses in the Terfenol-D device were elevated by eddy current effects, and an improved magnetic circuit could enhance its shunt damping capabilities. Alternatively, the Terfenol-D device may be simplified to utilize only the eddy current dissipation mechanism (no pickup coil or shunt) to create broadband damping.

  6. Control of an electromechanical hydrocephalus shunt--a new approach. (United States)

    Elixmann, Inga M; Kwiecien, Monika; Goffin, Christine; Walter, Marian; Misgeld, Berno; Kiefer, Michael; Steudel, Wolf-Ingo; Radermacher, Klaus; Leonhardt, Steffen


    Hydrocephalus is characterized by an excessive accumulation of cerebrospinal fluid (CSF). Therapeutically, an artificial pressure relief valve (so-called shunt) is implanted which opens in case of increased intracranial pressure (ICP) and drains CSF into another body compartment. Today, available shunts are of a mechanical nature and drainage depends on the pressure drop across the shunt. According to the latest data, craniospinal compliance is considered to be even more important than mean ICP alone. In addition, ICP is not constant but varies due to several influences. In fact, heartbeat-related ICP waveform patterns depend on volume changes in the cranial vessels during a heartbeat and changes its shape as a function of craniospinal compliance. In this paper, we present an electromechanical shunt approach, which changes the CSF drainage as a function of the current ICP waveform. A series of 12 infusion tests in patients were analyzed and revealed a trend between the compliance and specific features of the ICP waveform. For waveform analysis of patient data, an existing signal processing algorithm was improved (using a Moore machine) and was implemented on a low-power microcontroller within the electromechanical shunt. In a test rig, the ICP waveforms were replicated and the decisions of the ICP analysis algorithm were verified. The proposed control algorithm consists of a cascaded integral controller which determines the target ICP from the measured waveform, and a faster inner-loop integral controller that keeps ICP close to the target pressure. Feedforward control using measurement data of the patient's position was implemented to compensate for changes in hydrostatic pressure during change in position. A model-based design procedure was used to lay out controller parameters in a simple model of the cerebrospinal system. Successful simulation results have been obtained with this new approach by keeping ICP within the target range for a healthy waveform.

  7. Electric-double-layer potential distribution in multiple-layer immiscible electrolytes

    NARCIS (Netherlands)

    Das, Siddhartha; Hardt, Steffen


    In this Brief Report, we calculate the electric-double-layer (EDL) electrostatic potential in a system of several layers of immiscible electrolytes. Verwey-Niessen theory predicts that at the interface between two immiscible electrolytes back-to-back EDLs are formed. The present analysis extends thi

  8. Peroral extrusion of ventriculoperitoneal shunt: Case report and review of literature

    Directory of Open Access Journals (Sweden)

    Sridhar K


    Full Text Available A rare complication of ventriculoperitoneal shunting (VPS is bowel perforation by the peritoneal catheter of the shunt tube. Rarer still is the peroral extrusion of such a perforated shunt. A two-month-old infant with history of neonatal meningitis, presented with a large head, bulging fontanelle, and hydrocephalus. A VPS was inserted. The child was doing well till the age of eight months, when following vomiting, the peritoneal end of the shunt came out through the mouth. The shunt was removed and antibiotics started. At follow up after 12 months, the child was doing well. Peroral extrusion of the shunt tube needs prompt treatment, including removal of the extruded shunt tube, and attention to bowel perforation and possible cerebrospinal fluid infection. The reported patient is younger than the five cases reported earlier. Strategies in the management of this complication are reviewed. An individualized approach is essential for the successful treatment of this rare complication.

  9. Electrolytes and thermoregulation (United States)

    Nielsen, B.; Greenleaf, J. E.


    The influence of ions on temperature is studied for cases where the changes in ionic concentrations are induced by direct infusion or injection of electrolyte solutions into the cerebral ventricles or into specific areas of brain tissue; intravenous infusion or injection; eating food or drinking solutions of different ionic composition; and heat or exercise dehydration. It is shown that introduction of Na(+) and Ca(++) into the cerebral ventricles or into the venous system affects temperature regulation. It appears that the specific action of these ions is different from their osmotic effects. It is unlikely that their action is localized to the thermoregulatory centers in the brain. The infusion experiments demonstrate that the changes in sodium balance occurring during exercise and heat stress are large enough to affect sweat gland function and vasomotor activity.

  10. An Intra-Abdominal Pseudocyst around a Ventriculoperitoneal Shunt due to Streptococcus Infection 7 Years after Shunt Surgery

    Directory of Open Access Journals (Sweden)

    Arata Tomiyama


    Full Text Available In 1999, a 50-year-old woman underwent ventriculoperitoneal (VP shunt surgery for hydrocephalus after subarachnoid hemorrhage. She was hospitalized for fever and recurrent systemic seizures in November 2006. Head computed tomography (CT showed only old changes. The seizures and fever were controlled by medicinal therapy. However, in December, her consciousness level suddenly decreased, and she showed progressive lower abdominal distension. Head CT showed marked ventriculomegaly, and abdominal CT showed a giant cystic mass at the shunt-tube tip in the lower abdominal cavity. Because thick pus was aspirated from the intra-abdominal mass, we diagnosed the patient with acute obstructive hydrocephalus due to an infected abdominal pseudocyst. Laparotomy and direct cyst drainage were performed, and antibiotic therapy against Streptococcus, the causative pathogen, was administered. The VP shunt tube was replaced. The postoperative course was uneventful, and postoperative CT showed hydrocephalus improvement and no pseudocyst recurrence. Abdominal pseudocysts, which are rare after VP shunt surgeries, usually occur after the subacute postoperative course in younger cerebral hemorrhagic cases. Our case was quite rare because the cyst developed in the chronic phase in an older patient and was caused by streptococcal infection. The cyst components should be examined before cyst drainage when choosing surgical strategies.

  11. Shunt implantations and peritoneal catheters: Do not cut beyond 20 cm

    Directory of Open Access Journals (Sweden)

    Angelo Luiz Maset


    Full Text Available Background: Ventriculoperitoneal shunts are supplied with long peritoneal catheters, most commonly between 80 and 120 cm long. ISO/DIS 7197/2006 [15] shunt manufacturing procedures include peritoneal catheter as an integrate of the total resistance. Cutting pieces of peritoneal catheters upon shunt implantation or revision is a common procedure. Methods: We evaluated five shunts assembled with different total pressure resistances and variable peritoneal catheter lengths in order to clarify the changes that occurred in the hydrodynamic profile when peritoneal catheters were cut upon shunt implantation or shunt revision. Results: Originally, all shunts performed within the operational range. Shunt 1 performed in a lower pressure range at 200 mm cut off peritoneal catheter and as a low-pressure shunt with -300 mm cut off. Shunt 2 was manufactured to run at the higher border pressure range, and it went out of specification with a 300 mm cut off. Shunt 3 was manufactured to run close to the lower border pressure range, and at 100 mm cutoff, it was already borderline in a lower resistive category. Other shunts also responded similarly. Conclusion: The limit to maintain a shunt in its original pressure settings was 20 cm peritoneal catheter cutting length. By cutting longer pieces of peritoneal catheter, one would submit patients to a less-resistive regimen than intended and his reasoning will be compromised. The pediatric population is more prone to suffer from the consequences of cutting catheters. Shunt manufacturers should consider adopting peritoneal catheters according to the age (height of the patient.

  12. An experimental in-vivo canine model for adult shunt infection

    Directory of Open Access Journals (Sweden)

    Procop Gary


    Full Text Available Abstract Background Detailed human studies of the mechanisms and development of shunt infection in real time are not possible, and we have developed a canine hydrocephalus model to overcome this. The intention of this pilot study was to show that the canine hydrocephalus model could be shunted using conventional "human" shunts, and that a shunt infection could be established so that further studies could then be planned. Methods Hydrocephalus was induced in seven dogs (Canis familiaris by fourth ventricle obstruction. Four weeks later they were shunted using a Hakim Precision valve. Four of the dogs received shunts whose ventricular catheter had been inoculated with Staphylococcus epidermidis, and three were uninoculated controls. Four weeks after shunting the dogs were sacrificed and necropsy was performed. Removed shunts and tissue samples were examined microbiologically and isolates were subjected to detailed identification and genomic comparison. Results All the dogs remained well after shunting. Examination of removed shunt components revealed S. epidermidis in the brain and throughout the shunt system in the four inoculated animals, but in two of these Staphylococcus intermedius was also found. S. intermedius was also isolated from all three "negative" controls. There were slight differences between S. intermedius strains suggesting endogenous infection rather than cross- infection from a point source. Conclusion Shunt infection was established in the canine model, and had the experiment been extended beyond four weeks the typical microbiological, pathological and clinical features might have appeared. The occurrence of unplanned shunt infections in control animals due to canine normal skin flora reflects human clinical experience and underlines the usual source of bacteria causing shunt infection.

  13. Transparency Effect of Electrolyte on Light Back-Scattering in Dye-Sensitized Solar Cells

    Directory of Open Access Journals (Sweden)

    N. Sharifi


    Full Text Available Conventionally, a film of TiO2 particles of ~300 nm size is employed in DSCs as the back reflector film to enhance the light harvesting. In this study, two electrolytes with different transparencies, iodide-based and cobalt-based electrolytes, were used to investigate the transparency effect of electrolytes on light back-scattering from back scattering layer and also to study its effect on the performance of DSCs. The use of cobalt-based electrolyte is recommended from the view point of optical properties as due to the light absorption in electrolytes, the current density losses are 2.9mA/cm2 and 4.2 mA/cm2 in cobalt- and iodide-based electrolytes, respectively, and the transmission of 100% is observed for cobalt-based electrolyte in 500-600 nm in spite of iodide-based electrolyte. Use of light back-scattering layer, unlike iodide-based cell, causes external quantum efficiency in cobalt-base cell to increase for the wavelengths lower than 350 nm since cobalt-base electrolyte has transparency in this region. In addition, optical calculations demonstrate that in the range 400-500 nm, in which dye has a noticeable absorption, absorption loss is 40% and 30% for iodide- and cobalt-based electrolytes, respectively.

  14. Partition Equilibrium on the Interface Between a Charged Membrane and a Mixed Electrolyte Aqueous Solution

    Institute of Scientific and Technical Information of China (English)


    Ionic partition equilibrium on a charged membrane immersed in a mixed electrolyte solution was systematically investigated and several models were established for the determination of partition coefficients. On the basis of theoretical models, the effects of the concentration ratio λ of the fixed group(charged density) to reference electrolyte, the concentration ratio η between the two electrolytes existing in the solution and the valence of the electrolyte ions on the partition equilibrium in a positively charged membrane were analyzed and simulated within the chosen parameters in detail. The obtainable results can also be applicable to a sytem of mixed electrolytes contacting with a negatively charged membrane. The theoretical calculations were confirmed with the experimental data of model mixed electrolytes, NaCl+HCl and CaCl2+NaCl partitioned in the system of self-made negatively charged membrane-sulphonated poly(phenylene oxide)(SPPO) with different charge densities.

  15. Systemic-pulmonary artery shunts in infants: modified Blalock-Taussig and central shunt procedures. (United States)

    Brooks, Andre


    Access is gained through a midline sternotomy, the thymus partially excised and the superior part of the pericardium is opened. The innominate vein is retracted and the innominate artery is mobilized up to the bifurcation. The aorta is retracted to the left, the superior vena cavae to the right and the right atrial appendage inferiorly. The adventitia around the right pulmonary artery (PA) is dissected, taking care to incise the bulky pericardial reflection between the superior vena cavae and the trachea. Heparin is administrated. An occlusive clamp is applied to the right PA to test for haemodynamic tolerance prior to proceeding with the interposition of a suitable size artificial vascular prosthesis, based on the weight of the patient, between the innominate artery, or proximal subclavian artery and the right PA. Alternatively, if a sufficient main PA is present and adequate flow from a patent ductus arteriosus an end-to-side interposition shunt may be constructed between the ascending aorta and the main PA, provided the patient is stable with the test occlusion of the main PA. The management of the patent arterial ductus depends on whether or not there is forward flow through the PA.

  16. Photopolymerized Electrolytes For Electrochromic Devices (United States)

    Cogan, Stuart; Rauh, R. David


    Thin ion-conducting electrolyte films for use in electrochromic devices now fabricated relatively easily and quickly with any of class of improved formulations containing ultraviolet-polymerizable components. Formulations are liquids in their monomeric forms and self-supporting, transparent solids in their polymeric forms. Thin solid electrolytes form quickly and easily between electrode-bearing substrates. Film thus polymerized acts not only as solid electrolyte but also as glue holding laminate together: feature simplifies fabrication by reducing need for sealants and additional mechanical supports.

  17. An electrolyte CPA equation of state for mixed solvent electrolytes

    DEFF Research Database (Denmark)

    Maribo-Mogensen, Bjørn; Thomsen, Kaj; Kontogeorgis, Georgios M.


    that the predictive capabilities could be improved through the development of an electrolyte equation of state. In this work, the Cubic Plus Association (CPA) Equation of State is extended to handle mixtures containing electrolytes by including the electrostatic contributions from the Debye-Hückel and Born terms...... depression. Finally, the model is applied to predict VLE, LLE, and SLE in aqueous salt mixtures as well as in mixed solvents....

  18. The orbital volume measurement in patients with ventriculoperitoneal shunt. (United States)

    Kim, Jong-Min; Chang, Moo-Hwan; Kyung, Sungeun E


    Enophthalmos occurs from the increased bony volume or decreased soft tissue volume in the orbit and can be caused in patients with long-term ventriculoperitoneal (VP) shunt. This study tried to find out the change of orbital volume by measuring the orbital volume before and after operation in adult patients who underwent VP shunt for hydrocephalus. The 2 evaluators measured orbital volume by using ITK-SNAP 2.4 program with double-blind test for computed tomography images before and after operation targeting 36 patients over the age of 18 who underwent VP shunt with pressure-controlled valve from 2003 to 2011. Wilcoxon matched-pairs signed-rank test of GraphPad software was used to statistically analyze the difference in orbital volume change before and after operation. In case of mean pre-op orbital volume of total 36 patients, the right was measured as 23.72 ± 4.65 cm(3), the left as 23.47 ± 4.61 cm(3), the post-op right as 24.67 ± 4.70 cm(3), and the left as 24.18 ± 4.63 cm(3), showing no statistically significant difference (P = 0.106). The mean pre-op orbital volume of 14 people (28 eyes) followed for more than 11 months was 25.06 ± 4.58 cm(3) in the right and 24.4 ± 5.02 cm(3) in the left and the mean post-op orbital volume was 27.0 ± 4.28 cm(3) in the right and 25.76 ± 3.92 cm(3) in the left, showing statistically significant differences in the change of the volume before and after shunt operation (P = 0.0057). In patients who maintain long-term shunt devices after VP shunt, remodeling of matured orbital bone may be caused due to the change in pressure gradient between cranial cavity and orbit and the possible occurrence of resulting secondary enophthalmos by increased orbital volume should be considered.

  19. Non-aqueous electrolytes for electrochemical cells

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Zhengcheng; Dong, Jian; Amine, Khalil


    An electrolyte electrochemical device includes an anodic material and an electrolyte, the electrolyte including an organosilicon solvent, a salt, and a hybrid additiving having a first and a second compound, the hybrid additive configured to form a solid electrolyte interphase film on the anodic material upon application of a potential to the electrochemical device.

  20. Common Student Misconceptions in Electrochemistry: Galvanic, Electrolytic, and Concentration Cells. (United States)

    Sanger, Michael J.; Greenbowe, Thomas J.


    Investigates student (N=16) misconceptions concerning electrochemistry related to galvanic, electrolytic, and concentration cells. Findings indicate that most students demonstrating misconceptions were still able to calculate cell potentials correctly. Discusses common misconceptions and possible sources of these. Contains 33 references.…

  1. Common Student Misconceptions in Electrochemistry: Galvanic, Electrolytic, and Concentration Cells. (United States)

    Sanger, Michael J.; Greenbowe, Thomas J.


    Investigates student (N=16) misconceptions concerning electrochemistry related to galvanic, electrolytic, and concentration cells. Findings indicate that most students demonstrating misconceptions were still able to calculate cell potentials correctly. Discusses common misconceptions and possible sources of these. Contains 33 references.…

  2. Assessment of surgical portosystemic shunts and associated complications: The diagnostic and therapeutic role of radiologists. (United States)

    Taslakian, Bedros; Faraj, Walid; Khalife, Mohammad; Al-Kutoubi, Aghiad; El-Merhi, Fadi; Saade, Charbel; Hallal, Ali; Haydar, Ali


    Surgical portosystemic shunting, the formation of a vascular connection between the portal and systemic venous circulation, has been used as a treatment to reduce portal venous pressure. Although the use of portosystemic shunt surgery in the management of portal hypertension has declined during the past decade in favour of alternative therapies, and subsequently surgeons and radiologists became less familiar with the procedure, it remains a well-established treatment. Knowledge of different types of surgical portosystemic shunts, their pathophysiology and complications will help radiologists improve communication with surgeons and enhance their understanding of the diagnostic and therapeutic role of radiology in the assessment and management of these shunts. Optimal assessment of the shunt is essential to determine its patency and allow timely intervention. Both non-invasive and invasive imaging modalities complement each other in the evaluation of surgical portosystemic shunts. Interventional radiology plays an important role in the management of complications, such as shunt thrombosis and stenosis. This article describes the various types of surgical portosystemic shunts, explains the anatomy and pathophysiology of these shunts, illustrates the pearls and pitfalls of different imaging modalities in the assessment of these shunts and demonstrates the role of radiologists in the interventional management of complications.

  3. Composite solid polymer electrolyte membranes

    Energy Technology Data Exchange (ETDEWEB)

    Formato, Richard M. (Shrewsbury, MA); Kovar, Robert F. (Wrentham, MA); Osenar, Paul (Watertown, MA); Landrau, Nelson (Marlborough, MA); Rubin, Leslie S. (Newton, MA)


    The present invention relates to composite solid polymer electrolyte membranes (SPEMs) which include a porous polymer substrate interpenetrated with an ion-conducting material. SPEMs of the present invention are useful in electrochemical applications, including fuel cells and electrodialysis.

  4. Thermodynamic Modeling of Surface Tension of Aqueous Electrolyte Solution by Competitive Adsorption Model

    Directory of Open Access Journals (Sweden)

    Mohamad Javad Kamali


    Full Text Available Thermodynamic modeling of surface tension of different electrolyte systems in presence of gas phase is studied. Using the solid-liquid equilibrium, Langmuir gas-solid adsorption, and ENRTL activity coefficient model, the surface tension of electrolyte solutions is calculated. The new model has two adjustable parameters which could be determined by fitting the experimental surface tension of binary aqueous electrolyte solution in single temperature. Then the values of surface tension for other temperatures in binary and ternary system of aqueous electrolyte solution are predicted. The average absolute deviations for calculation of surface tension of binary and mixed electrolyte systems by new model are 1.98 and 1.70%, respectively.

  5. Emergency Portacaval Shunt Versus Rescue Portacaval Shunt in a Randomized Controlled Trial of Emergency Treatment of Acutely Bleeding Esophageal Varices in Cirrhosis—Part 3 (United States)

    Isenberg, Jon I.; Wheeler, Henry O.; Haynes, Kevin S.; Jinich-Brook, Horacio; Rapier, Roderick; Vaida, Florin; Hye, Robert J.


    Background Emergency treatment of bleeding esophageal varices in cirrhosis is of singular importance because of the high mortality rate. Emergency portacaval shunt is rarely used today because of the belief, unsubstantiated by long-term randomized trials, that it causes frequent portal-systemic encephalopathy and liver failure. Consequently, portacaval shunt has been relegated solely to salvage therapy when endoscopic and pharmacologic therapies have failed. Question: Is the regimen of endoscopic sclerotherapy with rescue portacaval shunt for failure to control bleeding varices superior to emergency portacaval shunt? A unique opportunity to answer this question was provided by a randomized controlled trial of endoscopic sclerotherapy versus emergency portacaval shunt conducted from 1988 to 2005. Methods Unselected consecutive cirrhotic patients with acute bleeding esophageal varices were randomized to endoscopic sclerotherapy (n = 106) or emergency portacaval shunt (n = 105). Diagnostic workup was completed and treatment was initiated within 8 h. Failure of endoscopic sclerotherapy was defined by strict criteria and treated by rescue portacaval shunt (n = 50) whenever possible. Ninety-six percent of patients had more than 10 years of follow-up or until death. Results Comparison of emergency portacaval shunt and endoscopic sclerotherapy followed by rescue portacaval shunt showed the following differences in measurements of outcomes: (1) survival after 5 years (72% versus 22%), 10 years (46% versus 16%), and 15 years (46% versus 0%); (2) median post-shunt survival (6.18 versus 1.99 years); (3) mean requirements of packed red blood cell units (17.85 versus 27.80); (4) incidence of recurrent portal-systemic encephalopathy (15% versus 43%); (5) 5-year change in Child’s class showing improvement (59% versus 19%) or worsening (8% versus 44%); (6) mean quality of life points in which lower is better (13.89 versus 27.89); and (7) mean cost of care per

  6. Failure of a Torkildsen shunt after functioning for 50 years. (United States)

    Zinn, Pascal O; Bozinov, Oliver; Burkhardt, Jan-Karl; Reisch, Robert; Yaşargil, M Gazi; Bertalanffy, Helmut


    Mechanical obstruction is a severe complication of ventricular catheter use. Its incidence was shown to be high in the 1960s and 1970s, with up to 41% of the catheters becoming obstructed within 10 years after surgery. The authors present what is to their knowledge the first reported case of a patient with failure of a Torkildsen shunt after 50 years of functioning. A 60-year-old woman presented with increasing gait ataxia, decline in cognitive functions (including short-term memory loss), and slight urinary incontinence. The diagnosis of hydrocephalus and thus malfunction of the Torkildsen shunt implanted 50 years previously was confirmed by MR images, which revealed a prominent triventricular hydrocephalus. The patient subsequently underwent endoscopic third ventriculostomy (ETV), the current surgical treatment of choice, resulting in total resolution of her neurological symptoms and amelioration of cerebral tissue distension. Decrease in ventricle dilation and success of the ETV were confirmed on postoperative follow-up MR images.

  7. Endoscopic third ventriculostomy has no higher costs than ventriculoperitoneal shunt

    Directory of Open Access Journals (Sweden)

    Benicio Oton de Lima


    Full Text Available Objective: To evaluate the cost of endoscopic third ventriculostomy (ETV compared to ventriculoperitoneal shunt (VPS in the treatment of hydrocephalus in children. Method: We studied 103 children with hydrocephalus, 52 of which were treated with ETV and 51 with VPS in a prospective cohort. Treatment costs were compared within the first year after surgery, including subsequent surgery or hospitalization. Results: Twenty (38.4% of the 52 children treated with VPS needed another procedure due to shunt failure, compared to 11 (21.5% of 51 children in the ETV group. The average costs per patient in the group treated with ETV was USD$ 2,177,66±517.73 compared to USD$ 2,890.68±2,835.02 for the VPS group. Conclusions: In this series there was no significant difference in costs between the ETV and VPS groups.

  8. Ateriovenous subclavia-shunt for head and neck reconstruction

    Directory of Open Access Journals (Sweden)

    Kübler Norbert R


    Full Text Available Abstract Reconstruction of the facial hard- and soft tissues is of special concern for the rehabilitation of patients especially after ablative tumor surgery has been performed. Impaired soft and hard tissue conditions as a sequelae of extensive surgical resection and/or radiotherapy may impede common reconstruction methodes. Even free flaps may not be used without interposition of a vein graft as recipient vessels are not available as a consequence of radical neck dissection. We describe the reconstruction of the facial hard- and soft tissues with a free parasacpular flap in a patient who had received ablative tumor surgery and radical cervical lymphadenectomy as a treatment regimen for squamous cell carcinoma (SCC. To replace the missing cervical blood vessels an arteriovenous subclavia-shunt using a saphena magna graft was created. Microvascular free flap transfer was performed as a 2-stage procedure two weeks after the shunt operation. The microvascular reconstructive technique is described in detail.

  9. Pericardio-Amniotic Shunting for Incomplete Pentalogy of Cantrell. (United States)

    Engels, Alexander C; Debeer, Anne; Russo, Francesca M; Aertsen, Michael; Aerts, Katleen; Miserez, Marc; Deprest, Jan; Lewi, Liesbeth; Devlieger, Roland


    A 27-year-old woman, gravida 2, para 0, presented with an incomplete Pentalogy of Cantrell with an omphalocele, diaphragmatic hernia, and a pericardial defect at 32 weeks' gestation. A large pericardial effusion compressed the lungs and had led to a reduced lung growth with an observed-to-expected total lung volume of 28% as measured by MRI. The effusion disappeared completely after the insertion of a pericardio-amniotic shunt at 33 weeks. After birth, the newborn showed no signs of pulmonary hypoplasia and underwent a surgical correction of the defect. Protracted wound healing and a difficult withdrawal from opioids complicated the neonatal period. The child was discharged on postnatal day 105 in good condition. This case demonstrates that in case of Pentalogy of Cantrell with large pericardial effusion, the perinatal outcome might be improved by pericardio-amniotic shunting. © 2017 S. Karger AG, Basel.

  10. Integrating rolling stock scheduling with train unit shunting

    DEFF Research Database (Denmark)

    Haahr, Jørgen Thorlund; Lusby, Richard Martin


    In this paper, we consider integrating two important railway optimization problems, in particular the Rolling Stock Scheduling Problem and the Train Unit Shunting Problem. We present two similar branch-and-cut based approaches to solve this integrated problem and, in addition, provide a comparison...... of different approaches to solve the so-called Track Assignment Problem, a subcomponent of the Train Unit Shunting problem. In this analysis we demonstrate, by way of a counter example, the heuristic nature of a previously argued optimal approach. For the integrated problem we analyze the performance...... of the proposed approaches on several real-life case studies provided by DSB S-tog, a suburban train operator in the greater Copenhagen area. Computational results confirm the necessity of the integrated approach; high quality solutions to the integrated problem are obtained on instances where a conventional...

  11. A Technique for Shunt Active Filter meld micro grid System

    Directory of Open Access Journals (Sweden)

    A. Lumani


    Full Text Available The proposed system presents a control technique for a micro grid connected hybrid generation system ith case study interfaced with a three phase shunt active filter to suppress the current harmonics and reactive power present in the load using PQ Theory with ANN controller. This Hybrid Micro Grid is developed using freely renewable energy resources like Solar Photovoltaic (SPV and Wind Energy (WE. To extract the maximum available power from PV panels and wind turbines, Maximum power point Tracker (MPPT has been included. This MPPT uses the “Standard Perturbs and Observe” technique. By using PQ Theory with ANN Controller, the Reference currents are generated which are to be injected by Shunt active power filter (SAPFto compensate the current harmonics in the non linear load. Simulation studies shows that the proposed control technique performs non-linear load current harmonic compensation maintaining the load current in phase with the source voltage.\\

  12. Transcatheter Interatrial Shunt Device for the Treatment of Heart Failure

    DEFF Research Database (Denmark)

    Feldman, Ted; Komtebedde, Jan; Burkhoff, Daniel


    UNLABELLED: Heart failure with preserved ejection fraction (HFpEF), a major public health problem with high morbidity and mortality rates, remains difficult to manage because of a lack of effective treatment options. Although HFpEF is a heterogeneous clinical syndrome, elevated left atrial pressure......-either at rest or with exertion-is a common factor among all forms of HFpEF and one of the primary reasons for dyspnea and exercise intolerance in these patients. On the basis of clinical experience with congenital interatrial shunts in mitral stenosis, it has been hypothesized that the creation of a left...... the rationale for a therapeutic transcatheter interatrial shunt device in HFpEF, and we describe the design of REDUCE Elevated Left Atrial Pressure in Heart Failure (REDUCE LAP-HF I), the first randomized controlled trial of a device-based therapy to reduce left atrial pressure in HFpEF. CLINICAL TRIAL...

  13. Current control for a shunt hybrid active power filter using recursive integral PI

    Institute of Scientific and Technical Information of China (English)

    Wei ZHAO; An LUO; Ke PENG; Xia DENG


    This paper presents a current control method for a shunt hybrid active power filter(HAPF) using recursive integral Pl algorithm.The method improves the performance of the HAPF system by reducing the influence of detection accuracy,time delay of instruction current calculation and phase displacement of output filter.Fuzzy logic based set-point weighing algorithm is combined in the control scheme to enhance its robustness and anti-interference ability.The proposed algorithm is easy to implement for engineering applications and easy to compute.Experiment results have verified the validity of the proposed controller.Furthermore,the proposed recursive integral PI algorithm can also be applied in the control of periodic current as in AC drivers.

  14. Hysteresis Current Control Based Shunt Active Power Filter for Six Pulse Ac/Dc Converter

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar Pandey


    Full Text Available In this paper the simulation of Shunt Active power Filter using P-Q theory and PI controller has been presented. This SAPF compensates the harmonic currents drawn by three phase six pulse AC/DC converter. The process of compensation is done by calculating the instantaneous reactive power losses using p-q theory and the PI controller to reduce the ripple voltage of the dc capacitor of the PWM-VSI. This approach is different from conventional approach and provides very effective solution. In this simulation we use hysteresis band current controller (HCC for switching the VSI inverter. The simulation has been done for both steady state and transient conditions

  15. ANN based controller for three phase four leg shunt active filter for power quality improvement

    Directory of Open Access Journals (Sweden)

    J. Jayachandran


    Full Text Available In this paper, an artificial neural network (ANN based one cycle control (OCC strategy is proposed for the DSTATCOM shunted across the load in three phase four wire distribution system. The proposed control strategy mitigates harmonic/reactive currents, ensures balanced and sinusoidal source current from the supply mains that are nearly in phase with the supply voltage and compensates neutral current under varying source and load conditions. The proposed control strategy is superior over conventional methods as it eliminates, the sensors needed for sensing load current and coupling inductor current, in addition to the multipliers and the calculation of reference currents. ANN controllers are implemented to maintain voltage across the capacitor and as a compensator to compensate neutral current. The DSTATCOM performance is validated for all possible conditions of source and load by simulation using MATLAB software and simulation results prove the efficacy of the proposed control over conventional control strategy.

  16. Surgical treatment of hepatocellular carcinoma with severe intratumoral arterioportal shunt

    Institute of Scientific and Technical Information of China (English)

    Hiromichi; Ishii; Teruhisa; Sonoyama; Shingo; Nakashima; Hiroyuki; Nagata; Atsushi; Shiozaki; Yoshiaki; Kuriu; Hisashi; Ikoma; Masayoshi; Nakanishi; Daisuke; Ichikawa; Hitoshi; Fujiwara; Kazuma; Okamoto; Toshiya; Ochiai; Yukihito; Kokuba; Chohei; Sakakura; Eigo; Otsuji


    We report a case of hepatocellular carcinoma (HCC) that caused a severe arterioportal shunt (APS). A 49-year-old man was admitted to hospital due to esophagogastric variceal hemorrhage and HCC, and underwent endoscopic variceal ligation (EVL) and endoscopic injection sclerotherapy (EIS). He was then referred to our hospital. Abdominal computed tomography revealed a lowdensity lesion in the posterior segment of the liver and an intratumoral APS, which caused portal hypertension. Although the patient underwen...

  17. Resonance features of coupled Josephson junctions: radiation and shunting (United States)

    Shukrinov, Yu M.; Seidel, P.; Il'ichev, E.; Nawrocki, W.; Grajcar, M.; Plecenik, P. A.; Rahmonov, I. R.; Kulikov, K.


    We study the phase dynamics and the resonance features of coupled Josephson junctions in layered superconductors and their manifestations in the current- voltage characteristics and temporal dependence of the electric charge in the superconducting layers. Results on the effect of the external radiation and shunting of the stack of Josephson junctions by LC-elements are presented. We discuss the ideas concerning the experimental observation of these resonances.

  18. Pre-Liver Transplant: Tips Versus Distal Splenorenal Shunt

    Directory of Open Access Journals (Sweden)

    Thomas W. Faust


    Full Text Available Recurrent variceal bleeding in liver transplant candidates with end-stage liver disease can complicate or even prohibit a subsequent transplant procedure (OLT. Endoscopic sclero-therapy and medical therapy are considered as first-line management with surgical shunts reserved for refractory situations. Surgical shunts can be associated with a high mortality in this population and may complicate subsequent OLT. The transjugular intrahepatic portosystemic shunt (TIPS has been recommended in these patients as a bridge to OLT. This is a new modality that has not been compared with previously established therapies such as the distal splenorenal shunt (DSRS. In this study we report our experience with 35 liver transplant recipients who had a previous TIPS (18 patients or DSRS (17 patients for variceal bleeding. The TIPS group had a significantly larger proportion of critically ill and Child-Pugh C patients. Mean operating time was more prolonged in the DSRS group (P=0.014 but transfusion requirements were similar. Intraoperative portal vein blood flow measurements averaged 2132±725 ml/min in the TIPS group compared with 1120±351ml/min in the DSRS group (P<0.001. Arterial flows were similar. Mean ICU and hospital stays were similar. There were 3 hospital mortalities in the DSRS group and none in the TIPS group (P=0.1. We conclude that TIPS is a valuable tool in the management of recurrent variceal bleeding prior to liver transplantation. Intra0Perative hemodynamic measurements suggest a theoretical advantage with TIPS. In a group of patients with advanced liver disease we report an outcome that is similar to patients treated with DSRS prior to liver transplantation. The role of TIPS in the treatment of nontransplant candidates remains to be clarified.

  19. Transient Hemolytic Anemia after Transjugular Intrahepatic Portosystemic Stent Shunt


    Sagrario Garcia-Rebollo; Emilio González-Reimers; Francisco Santolaria-Fernández; Francisco Diaz-Romero; Fermin Rodriguez-Moreno; Antonio Martinez-Riera


    Management of variceal bleeding secondary to portal hypertension constitutes a challenging issue, particularly in child's C cirrhotic patients. Recently, transjugular placement of self-expanding metallic stents in the liver (TIPS), creating a shunt between the portal and hepatic branches has provided a safe and promising therapeutic approach in this clinical situation. We report here the case of a 66-year-old male cirrhotic patient who developed a moderately severe clinical picture of a Coomb...

  20. Ionic Liquid Hybrid Electrolytes for Lithium-Ion Batteries: A Key Role of the Separator-Electrolyte Interface in Battery Electrochemistry. (United States)

    Huie, Matthew M; DiLeo, Roberta A; Marschilok, Amy C; Takeuchi, Kenneth J; Takeuchi, Esther S


    Batteries are multicomponent systems where the theoretical voltage and stoichiometric electron transfer are defined by the electrochemically active anode and cathode materials. While the electrolyte may not be considered in stoichiometric electron-transfer calculations, it can be a critical factor determining the deliverable energy content of a battery, depending also on the use conditions. The development of ionic liquid (IL)-based electrolytes has been a research area of recent reports by other researchers, due, in part, to opportunities for an expanded high-voltage operating window and improved safety through the reduction of flammable solvent content. The study reported here encompasses a systematic investigation of the physical properties of IL-based hybrid electrolytes including quantitative characterization of the electrolyte-separator interface via contact-angle measurements. An inverse trend in the conductivity and wetting properties was observed for a series of IL-based electrolyte candidates. Test-cell measurements were undertaken to evaluate the electrolyte performance in the presence of functioning anode and cathode materials, where several promising IL-based hybrid electrolytes with performance comparable to that of conventional carbonate electrolytes were identified. The study revealed that the contact angle influenced the performance more significantly than the conductivity because the cells containing IL-tetrafluoroborate-based electrolytes with higher conductivity but poorer wetting showed significantly decreased performance relative to the cells containing IL-bis(trifluoromethanesulfonyl)imide electrolytes with lower conductivity but improved wetting properties. This work contributes to the development of new IL battery-based electrolyte systems with the potential to improve the deliverable energy content as well as safety of lithium-ion battery systems.

  1. Executive Function Improvement in Normal Pressure Hydrocephalus Following Shunt Surgery

    Directory of Open Access Journals (Sweden)

    Ezequiel Gleichgerrcht


    Full Text Available The aim of this investigation was to evaluate improvement of executive functions after shunt surgery in patients with early normal pressure hydrocephalus (NPH. Patients with NPH were assessed before and after shunt surgery with tests shown to be sensitive to damage to the prefrontal cortex (PFC. Significant differences were found between basal and follow-up performances on the Boston Naming Test, the backwards digits span, Part B of the Trail Making Test, and the number of words produced on the phonological fluency task. In conclusion, our study reveals that patients with NPH who respond positively to continuous slow lumbar cerebral spinal fluid drainage and receive a ventriculoperitoneal shunt implant, improve their performance on tasks of executive function. Due to the high demand for this form of mental processing in real-life complex scenarios, and based on the severe executive deficits present in both demented and non-demented NPH patients, we encourage the assessment of executive functions in this clinical group.

  2. A case of repeated intracerebral hemorrhages secondary to ventriculoperitoneal shunt

    Directory of Open Access Journals (Sweden)

    Jinbing Zhao


    Full Text Available Ventriculoperitoneal shunt is a routinely performed treatment in neurosurgical department. Intracerebral hemorrhage, as a complication after shunt catheterization, is really rare but with high mortality. In this study, we reported a case of a 74-year-old man who suffered from repeated intracerebral hemorrhage after ventriculoperitoneal shunt. The first hemorrhage happened 63 h after the 1st surgery, and most hematomas were located in the ipsilateral occipital lobe and intraventricles, along the ventricular catheter. Fresh blood clot casts blocked the external ventricular draining catheter, which was inserted into the right front horn during the 3rd surgery, indicating new intraventricular bleeding happened. A large hematoma in ipsilateral frontal lobe was detected on the 3rd day after the removal of external ventricular draining catheter. Different hemorrhagic locations and time points were encountered on the same case. We discussed the possible causes of repeated hemorrhage for this case, and the pre-operative preparation including risk evaluation in future clinical work.

  3. Minimally invasive ventriculo-atrial shunt for hydrocephalus

    Institute of Scientific and Technical Information of China (English)

    李江山; 江勇豪; 程成; 张世凯


    Objective: To study the therapeutic effect of mini-traumatic ventriculo-atrial shunt on hydrocephalus. Methods: Seventeen patients were treated with right internal jugular venepuncture intubation to finish minimally invasive ventriculo-atrial shunt for hydrocephalus. The patients were evaluated by CT/MRI. The catheters were deployed at the proper position in the right atrium under X-ray fluoroscopy.Results: The hydrocephalus in all the 17 patients eliminated with this surgical procedure with a 100% success rate technically. The operational duration ranged from 0.75 to 1.5 h (average: 1 h). Mistaken puncture into the internal carotid artery as a complication occurred on 1 case.Conclusions: The mini-traumatic ventriculo-atrial shunt, as a novel minimal invasion technique, has the advantages of small trauma, no influence on local blood circulation, short time and simplicity at operation, rapid healing, and good short-term effect. Moreover, it is suitable for those patients with organic dysfunction.

  4. Sodium Accumulation at Potential-Induced Degradation Shunted Areas in Polycrystalline Silicon Modules

    Energy Technology Data Exchange (ETDEWEB)

    Harvey, Steven P.; Aguiar, Jeffery A.; Hacke, Peter; Guthrey, Harvey; Johnston, Steve; Al-Jassim, Mowafak


    We investigated potential-induced degradation (PID) in silicon mini-modules that were subjected to accelerated stressing to induce PID conditions. Shunted areas on the cells were identified with photoluminescence and dark lock-in thermography (DLIT) imaging. The identical shunted areas were then analyzed via time-of-flight secondary-ion mass spectrometry (TOFSIMS) imaging, 3-D tomography, and high-resolution transmission electron microscopy. The TOF-SIMS imaging indicates a high concentration of sodium in the shunted areas, and 3-D tomography reveals that the sodium extends more than 2 um from the surface below shunted regions. Transmission electron microscopy investigation reveals that a stacking fault is present at an area identified as shunted by DLIT imaging. After the removal of surface sodium, tomography reveals persistent sodium present around the junction depth of 300 nm and a drastic difference in sodium content at the junction when comparing shunted and nonshunted regions.

  5. Gold shunt for refractory advanced low-tension glaucoma with spared central acuity

    Directory of Open Access Journals (Sweden)

    Le R


    Full Text Available Ryan Le,1 Neeru Gupta1–3 1Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, Canada; 2Ophthalmology and Vision Sciences, Glaucoma Unit, St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada; 3Laboratory Medicine and Pathobiology, St. Michael's Hospital, University of Toronto, Toronto, ON, CanadaAbstract: The aim of this study is to report a case of gold shunt surgery for uncontrolled, low-tension glaucoma with good central vision, after having a previously failed trabeculectomy and tube shunt surgeries. The patient was receiving maximum medical glaucoma therapy of four different types with intraocular pressure of 17 mm Hg prior to gold shunt surgery. Five years later, intraocular pressure is well controlled in the low teens without the need for ocular medications, and glaucoma is stable following gold shunt surgery.Keywords: gold shunt, refractory glaucoma, glaucoma surgery, trabeculectomy, suprachoroidal space, tube shunt

  6. Laparoscopic assisted ventriculoperitoneal shunt revisions as an option for pediatric patients with previous intraabdominal complications

    Directory of Open Access Journals (Sweden)

    Fernanda O. de Carvalho


    Full Text Available Multiple shunt failure is a challenge in pediatric neurosurgery practice and one of the most feared complications of hydrocephalus. Objective: To demonstrate that laparoscopic procedures for distal ventriculoperitoneal shunt failure may be an effective option for patients who underwent multiple revisions due to repetitive manipulation of the peritoneal cavity, abdominal pseudocyst, peritonitis or other situations leading to a “non reliable” peritoneum. Method: From March 2012 to February 2013, the authors reviewed retrospectively the charts of six patients born and followed up at our institution, which presented with previous intra-peritoneal complications and underwent ventriculoperitoneal shunt revision assisted by video laparoscopy. Results: After a mean follow-up period of nine months, all patients are well and no further shunt failure was identified so far. Conclusion: Laparoscopy assisted shunt revision in children may be, in selected cases, an effective option for patients with multiple peritoneal complications due to ventriculo-peritoneal shunting.

  7. A new shunt DC active filter of power supply in a steady high magnetic field facility

    Institute of Scientific and Technical Information of China (English)

    WANG Lei; LIU Xiao-Ning; WANG Can


    A DC active power filter is an indispensable part in a high power and high stability power supply system, especially in the power supply system of the Steady High Magnetic Field Facility, which requires that the current ripple should be limited to 50 parts per million. In view of the disadvantages of the series DC active power filter and shunt Pulse Width Modulation DC active filter, this paper puts forward a novel DC active filter by combining the advantages of the transistor regulator and the shunt type. The structure and principle of the new shunt linear active filter are introduced. Meanwhile, the design of several key components that construct the new shunt linear active filter is also analyzed. The simulation model and an experimental prototype of the shunt linear active filter are developed, and the results verify that the parameter design is reasonable and the shunt active filter has a good filter effect.


    Directory of Open Access Journals (Sweden)

    Aditya Pratap


    Full Text Available Bowel perforation is an unusual complication of ventriculo peritoneal shunt. We are presenting a case of 15 month old male child with the shunt tubing protruding through the anus associated with bowel perforation. This complication occurred after the 13 months of insertion of ventriculo peritoneal shunt for congenital hydrocephalus. There were no signs of meningitis but mild signs of peritonitis were present. At laparotomy the tube was seen to enter the sigmoid colon and was encapsulated by the greater omentum. The tube was cut and the distal end removed via the anus. Proximal part of shunt also removed because there was contralateral shunt present. Perforation was repaired. We are here in presenting a rare complication of VP shunt.

  9. Valved or valveless ventriculoperitoneal shunting in the treatment of post-haemorrhagic hydrocephalus

    DEFF Research Database (Denmark)

    Andreasen, Trine Hjorslev; Holst, Anders Vedel; Lilja, Alexander


    BACKGROUND: Implant infection and obstruction are major complications for ventriculoperitoneal shunts in patients with post-haemorrhagic hydrocephalus. In an effort to (1) reduce the incidence of these complications, (2) reduce the rate of shunt failure and (3) shorten the duration of neurosurgical...... hospitalisation, we have implemented valveless ventriculoperitoneal shunts at our department for adult patients with post-haemorrhagic hydrocephalus and haemorrhagic cerebrospinal fluid at the time of shunt insertion. METHODS: All adult patients (>18 years old) treated for post-haemorrhagic hydrocephalus.......3 %, p = 0.02), but a higher rate of overdrainage (10.3 % vs 2.6 %, p = 0.04). CONCLUSION: The use of a valveless shunting for patients with post-haemorrhagic hydrocephalus results in shorter duration of neurosurgical hospitalisation and lower rate of shunt infection, although these advantages should...

  10. Chemoembolic Hepatopulmonary Shunt Reduction to Allow Safe Yttrium-90 Radioembolization Lobectomy of Hepatocellular Carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Gaba, Ron C., E-mail: [University of Illinois Medical Center at Chicago, Department of Radiology, Section in Interventional Radiology (United States); VanMiddlesworth, Kyle A. [Midwestern University School of Medicine (United States)


    Yttrium-90 ({sup 90}Y) radioembolization represents an emerging transcatheter treatment option for the management of hepatocellular carcinoma (HCC). Elevation of the hepatopulmonary shunt fraction risks nontarget radiation to the lungs and may limit the use of {sup 90}Y therapy in patients with locally advanced disease with vascular invasion, who often demonstrate increased shunting. We present two cases in which patients with HCC and portal vein invasion resulting in elevated hepatopulmonary shunt fractions underwent chemoembolic shunt closure to allow safe {sup 90}Y radioembolization. Both patients demonstrated excellent tumor response and patient survival. On this basis, we propose a role for chemoembolic reduction of the lung shunt fraction before {sup 90}Y radioembolization in patients with extensive tumor-related hepatopulmonary shunting.

  11. Benchmarking of computational approaches for fast screening of lithium ion battery electrolyte solvents (United States)

    Kim, Daejin; Guk, Hyein; Choi, Seung-Hoon; Chung, Dong Hyen


    Electrolyte solvents play an important role in lithium-ion batteries. Hence, investigation of the solvent is key to improving battery functionality. We performed benchmark calculations to suggest the best conditions for rapid screening of electrolyte candidates using semi-empirical (SEM) calculations and density functional theory (DFT). A wide selection of Hamiltonians, DFT levels, and basis sets were used for this benchmarking with typical electrolyte solvents. The most efficient condition for reducing computational costs and time is VWN/DNP+ for DFT levels and PM3 for SEM Hamiltonians.

  12. Fluid and Electrolyte Nutrition (United States)

    Lane, Helen W.; Smith, Scott M.; Leach, Carolyn S.; Rice, Barbara L.


    Studies of fluid and electrolyte homeostasis have been completed since the early human space flight programs, with comprehensive research completed on the Spacelab Life Sciences missions SLS-1 and SLS-2 flights, and more recently on the Mir 18 mission. This work documented the known shifts in fluids, the decrease in total blood volume, and indications of reduced thirst. Data from these flights was used to evaluate the nutritional needs for water, sodium, and potassium. Interpretations of the data are confounded by the inadequate energy intakes routinely observed during space flight. This in turn results in reduced fluid intake, as food provides approximately 70% water intake. Subsequently, body weight, lean body mass, total body water, and total body potassium may decrease. Given these issues, there is evidence to support a minimum required water intake of 2 L per day. Data from previous Shuttle flights indicated that water intake is 2285 +/- 715 ml/day (mean +/- SD, n=26). There are no indications that sodium intake or homeostasis is compromised during space flight. The normal or low aldosterone and urinary sodium levels suggest adequate sodium intake (4047 +/- 902 mg/day, n=26). Because excessive sodium intake is associated with hypercalciuria, the recommended maximum amount of sodium intake during flight is 3500 mg/day (i.e., similar to the Recommended Dietary Allowance, RDA). Potassium metabolism appears to be more complex. Data indicate loss of body potassium related to muscle atrophy and low dietary intake (2407 +/- 548 mg/day, n=26). Although possibly related to measurement error, the elevations in blood potassium suggest alterations in potassium homeostasis. The space RDA for minimum potassium intake is 3500 mg/day. With the documented inadequate intakes, efforts are being made to increase dietary consumption of potassium.

  13. Transjugular intrahepatic portosystemic shunt combined with esophagogastric variceal embolization in the treatment of a large gastrorenal shunt

    Institute of Scientific and Technical Information of China (English)

    Qin; Jiang; Ming-Quan; Wang; Guo-Bing; Zhang; Qiong; Wu; Jian-Ming; Xu; De-Run; Kong


    AIM: To evaluate the efficacy and safety of transjugular intrahepatic portosystemic shunt(TIPS) combined with stomach and esophageal variceal embolization(SEVE) in cirrhotic patients with a large gastrorenal vessel shunt(GRVS).METHODS: Eighty-one cirrhotic patients with gastric variceal bleeding(GVB) associated with a GRVS were enrolled in the study and accepted TIPS combined with SEVE(TIPS + SEVE), by which portosystemic pressuregradient(PPG), biochemical, TIPS-related complications, shunt dysfunction, rebleeding, and death were evaluated. RESULTS: The PPGs before TIPS were greater than 12 mmH g in 81 patients. TIPS + SEVE treatment caused a significant decrease in PPG(from 37.97 ± 6.36 mmH g to 28.15 ± 6.52 mm Hg, t = 19.22, P < 0.001). The percentage of reduction in PPG was greater than 20%from baseline. There were no significant differences in albumin, alanine aminotransferase, aspartate aminotransferase, bilirubin, prothrombin time, or Child-Pugh score before and after operation. In all patients, rebleeding rates were 3%, 6%, 12%, 18%, and 18% at 1,3, 6, 12, and 18 mo, respectively. Five patients(6.2%)were diagnosed as having hepatic encephalopathy. The rates of shunt dysfunction were 0%, 4%, 9%, 26%,and 26%, at 1, 3, 6, 12, and 18 mo, respectively. The cumulative survival rates in 1, 3, 6, 12, and 18 mo were100%, 100%, 95%, 90%, and 90%, respectively.CONCLUSION: Our preliminary results indicated that the efficacy and safety of TIPS + SEVE were satisfactory in cirrhotic patients with GVB associated with a GRVS(GVB + GRVS).

  14. Evaluation of Magnetostrictive Shunt Damper Performance Using Iron (Fe)-Gallium (Ga) Alloy (United States)


    Evaluation of Magnetostrictive Shunt Damper Performance Using Iron (Fe)-Gallium (Ga) Alloy by Andrew James Murray and Dr. JinHyeong Yoo...Aberdeen Proving Ground, MD 21005 ARL-TN-0566 September 2013 Evaluation of Magnetostrictive Shunt Damper Performance Using Iron (Fe... Magnetostrictive Shunt Damper Performance Using Iron (Fe)- Gallium (Ga) Alloy 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6

  15. Partial portacaval shunt with H-grafts to treat portal hypertension

    Institute of Scientific and Technical Information of China (English)

    XU Geliang; HU Hejie; LI Jiansheng; YANG Shugao; CHAI Zhongpei; XU Rongnan


    Partial portosystemic shunts have been popularized because of a reported low rate of mortality and morbidity (especially encephalopathy,liver failure and occlusion).The results of partial portacaval shunts[small-diameter expanded polytetrafluoroethylene(ePTFE)H-graft portacaval shunt]were retrospectively reviewed to evaluate the clinical efficacy in the treatment of portal hypertension.Forty-three patients with portal hypertension were treated by small-diameter H-graft of ePTFE portacaval shunt from May 1995 to April 2006.Thirty-three had externally ringed grafts and ten had non-ringed ones.Ten had grafts of 10mm in diameter and 33 had grafts of 8 mm.The left gastric artery and coronary vein were ligated in all the cases.Six had pericardial devascularization and splenectomy was performed in 42.An average decrease of flee portal pressure(FPP)from(33.24±4.78)cm H2O before shunting and(13.65±5.65)cmH2O after shunting was observed.The portal blood flow was reduced by one-third of that before shunt.Thirty-eight patients survived and no upper gastro-intestinal rebleeding occurred in the follow-up period(50.5 months in average).Two were out of contact.Color Doppler ultrasonography and/or portography revealed the shunts were Patent in 38 cases and were occluded in three cases(3/41,7.3%).Encephalopathy developed in five cases(5/41,12.2%).Partial(small-diameter ePTFE H-graft)portacaval shunting Can reduce the portal pressure effectively.Majority of the hepatic flow from the portal vein can be maintained adequately.The shunts with reinforced grafts can keep a higher rate of patency.The morbidity of encephalopathy was lower than those with total shunt.The partial portacaval shunt is effective in preventing recurrent variceal bleeding.

  16. Small-diameter prosthetic H-graft portacaval shunts in the treatment of portal hypertension

    Institute of Scientific and Technical Information of China (English)

    胡何节; 许戈良; 李建生; 杨树高; 柴仲培; 徐荣楠


    Background Portasystemic shunts, especially total shunts, are effective tools for reducing portal pressure and controlling variceal bleeding but lead to high risk of encephalopathy and accelerating liver ailure. The purpose of this study is to evaluate the clinical effects of small-diameter expanded polytetrafluoroethylene (ePTFE) H-graft portacaval shunts in the treatment of portal hypertension. Methods Thirty-one patients with portal hypertension were treated with ePTFE small-diameter H-graft portacaval shunts from December 1995 to April 2002. Twenty-one had externally ringed grafts and 10 had non-ringed grafts; 20 had 10 mm diameter grafts and 11 had 8 mm grafts. The left gastric artery and coronary vein were ligated in 22 patients. Additionally, 6 patients underwent pericardial devascularization, and splenectomies were performed on 30 patients. Results An average decrease of free portal pressure (FPP) from (32.13 ~4.86) cmH2O before shunting to (12.55±5. 57) cmH2O after shunting was observed. Portal blood flow was reduced by 1/3 compared with the levels measured before shunting. Twenty-eight patients survived after the operation, and no upper gastrointestinal rebleeding occurred in the follow-up period (40.2 months on average). We lost contact with one patient. Color Doppler ultrasonography and/or portography revealed the shunts to be patent in 28 cases and occluded in 2 (6.4% ) cases. Encephalopathy developed in 4 patients (12.9%). Conclusion Small-diameter ePTFE H-graft portacaval shunts can effectively reduce portal pressure. Moreover, the majority of the hepatopetal flow from the portal vein can be adequately maintained. The reinforced shunts may achieve a higher rate of patency. Morbidity from encephalopathy was less frequent than in pateints receiving total shunts. Small-diameter H-graft portacaval shunts are also effective in preventing recurrent variceal bleeding.

  17. The value of baseline CT head scans in the assessment of shunt complications in hydrocephalus

    Energy Technology Data Exchange (ETDEWEB)

    Cantrell, P. (Alder Hey Children' s Hospital, Liverpool (United Kingdom)); Fraser, F. (Alder Hey Children' s Hospital, Liverpool (United Kingdom)); Pilling, D. (Alder Hey Children' s Hospital, Liverpool (United Kingdom)); Carty, H. (Alder Hey Children' s Hospital, Liverpool (United Kingdom))


    The purpose of this study was to determine the value of a baseline CT head scan in the assessment of patients who subsequently presented with symptoms which may have been due to shunt complications (such as blockage or infection). In all these patients the shunt had been inserted in the treatment of hydrocephalus. We conclude that the presence of a baseline scan does not add to the interpretation of CT scans done when the patient presents with symptoms of possible shunt malfunction. (orig.)

  18. CSF hydrothorax without intrathoracic catheter migration in children with ventriculoperitoneal shunt

    Directory of Open Access Journals (Sweden)

    Joon-Hyung Kim


    Full Text Available Background: Thoracic complications of ventriculoperitoneal (VP shunts have been extensively reported in the literature. Cerebrospinal fluid (CSF hydrothorax without catheter migration, however, has been rarely described and poorly understood. Case Description: We describe development of pleural effusion and respiratory distress in a 3-year-old boy with no evidence of VP shunt catheter displacement on plain radiograph and stable ventricle size on rapid sequence magnetic resonance imaging (MRI brain. Chest X-ray revealed complete opacity of right hemithorax. Pleural effusion was consistent with transudate. Beta-2 transferrin returned positive. The patient underwent externalization of VP shunt, and upon resolution of effusion, re-internalization with new distal shunt catheter. A literature review of CSF hydrothorax in children without intrathoracic shunt migration was performed. Eleven cases were identified in the English literature. Age at VP shunt placement ranged from birth to 8 years of age. Interval from VP shunt placement to CSF hydrothorax ranged from 1.5 months to 5 years. History of shunt revision was reported in two cases. Presenting symptoms also included ascites and inguinal hernia or hydrocele. Reported diagnostic studies consist of CSF culture, radionuclide shuntogram, beta-2 transferrin, and beta-trace protein. Laterality of the VP shunt and development of pleural effusion were predominantly right sided. Definitive surgical treatment included VA shunt, repositioning of the peritoneal catheter, and endoscopic choroid plexus coagulation. Conclusion: CSF hydrothorax is a rare thoracic complication of VP shunt placement with no radiographic evidence of shunt migration or malfunction. Postulated mechanisms include limited peritoneal capacity to resorb CSF in children and microscopic communications present in congenital diaphragmatic hiatuses.

  19. Ultrasonic Contrast Portography for Demonstration of Intrahepatic Porto-systemic Shunts

    Directory of Open Access Journals (Sweden)

    Yi-Hong Chou


    Full Text Available Spontaneous intrahepatic porto-systemic shunts (IHPSS can be disclosed with ultrasound (US and color Doppler ultrasound (CDU. However, direct evidence of the shunt on US or CDU may not be convincing. In this report we demonstrate the presence of IHPSS by ultrasonic contrast portography with intravenous injection of microbubble-based contrast agent (MBCA. With this technique, the MBCA was depicted to enter the hepatic vein through the shunt, and then flowed into the inferior vena cava.

  20. High-accuracy current measurement with low-cost shunts by means of dynamic error correction


    Weßkamp, Patrick; Melbert, Joachim


    Measurement of electrical current is often performed by using shunt resistors. Thermal effects due to self-heating and ambient temperature variation limit the achievable accuracy, especially if low-cost shunt resistors with increased temperature coefficients are utilized. In this work, a compensation method is presented which takes static and dynamic temperature drift effects into account and provides a significant reduction of measurement error. A thermal model of the shunt...

  1. Partition Equilibrium Between Charged Membrane and Single Electrolyte Aqueous Solution

    Institute of Scientific and Technical Information of China (English)


    Ionic partition equilibrium in charged membrane immersed in solution of single electrolyte with mono valence or multi-valence is systematically investigated and several expressions are established for determination of partition coefficients. On this basis, the effects of the ratio of membrane charge density to bulk electrolyte solution concentration, the charge sign and valence of electrolyte ions and the type of membrane on the partition equilibrium were analyzed and simulated within chosen parameters. It is revealed that ion partition is not related solely with the respective concentrations but also definitely with the concentration ratio of fixed group to bulk solution in addition to the charge sign and the valence. For a counterion, the partition coefficient increases with this ratio and the valence; while for a coion, the partition coefficient decreases with this ratio and the valence. The theoretical calculations were compared with the experimental data and a good agreement was observed.

  2. Novel composite polymer electrolyte for lithium air batteries

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Deng; Li, Ruoshi; Huang, Tao; Yu, Aishui [Department of Chemistry, Shanghai Key Laboratory of Molecular Catalysis and Innovative Materials, Institute of New Energy, Fudan University, 220 Handan Road, Shanghai 200433 (China)


    Hydrophobic ionic liquid-silica-PVdF-HFP polymer composite electrolyte is synthesized and employed in lithium air batteries for the first time. Discharge performance of lithium air battery using this composite electrolyte membrane in ambient atmosphere shows a higher capacity of 2800 mAh g{sup -1} of carbon in the absence of O{sub 2} catalyst, whereas, the cell with pure ionic liquid as electrolyte delivers much lower discharge capacity of 1500 mAh g{sup -1}. When catalyzed by {alpha}-MnO{sub 2}, the initial discharge capacity of the cell with composite electrolyte can be extended to 4080 mAh g{sup -1} of carbon, which can be calculated as 2040 mAh g{sup -1} associated with the total mass of the cathode. The flat discharge plateau and large discharge capacity indicate that the hydrophobic ionic liquid-silica-PVdF-HFP polymer composite electrolyte membrane can effectively protect lithium from moisture invasion. (author)

  3. Biofilm-associated infection: the hidden face of cerebrospinal fluid shunt malfunction. (United States)

    Mounier, Roman; Kapandji, Natacha; Birnbaum, Ron; Cook, Fabrice; Rodriguez, Cristophe; Nebbad, Bibba; Lobo, David; Dhonneur, Gilles


    Diagnosis of cerebrospinal fluid (CSF) shunt infection is difficult. Growing evidence links this pattern to biofilm-associated infections (BAI). Biofilm may explain the indolent development of the infection, and the poor efficiency of traditional microbiologic methods. We report the case of a patient admitted for hydrocephalus associated to CSF shunt malfunction. None of the clinical, serum, or CSF laboratory findings were in favor of an infectious process. Only scanning electron microscopy (SEM) revealed the presence of biofilm. Hence, despite a broad CSF shunt infection definition, some infections could remain undiagnosed by the traditional approach. This study is the first to provide some direct evidence for bacterial biofilm-associated CSF shunt infection.

  4. Evaluation of Mismatch Losses due to Shunts in industrial Silicon Photovoltaic Modules (United States)

    Somasundaran, P.; Shilpi, M.; Gupta, R.


    In order to achieve higher efficiencies in photovoltaic module technology, it is important to characterize the shunts and other defects which degrade the performance of cells and modules as well as decrease their efficiency. These shunts also affect the reliability of cells and modules. It is important to understand how much fill factor and power loss is caused by the presence of shunts in the module. Shunts not only reduce the module power output, but also affect the I-V characteristics of the cell and hence the characteristics of the shunted cells are different from those of the shunt-free cells connected in the module leading to the mismatch effect. This is an interesting effect which has been systematically investigated in the present work. Moreover, the flow of increased shunt current will give rise to increased temperature in the region of shunt, which will affect the cell and hence module performance. In the present study, the distributed diode model has been extended to the module level and applied to evaluate the electrical mismatch losses and thermal mismatch losses due to shunts in industrial Silicon PV modules.

  5. Study on the Automatic Detection Method and System of Multifunctional Hydrocephalus Shunt (United States)

    Sun, Xuan; Wang, Guangzhen; Dong, Quancheng; Li, Yuzhong


    Aiming to the difficulty of micro pressure detection and the difficulty of micro flow control in the testing process of hydrocephalus shunt, the principle of the shunt performance detection was analyzed.In this study, the author analyzed the principle of several items of shunt performance detection,and used advanced micro pressure sensor and micro flow peristaltic pump to overcome the micro pressure detection and micro flow control technology.At the same time,This study also puted many common experimental projects integrated, and successfully developed the automatic detection system for a shunt performance detection function, to achieve a test with high precision, high efficiency and automation.

  6. Intrahepatic porto-hepatic venous shunts in Rendu-Osler-Weber disease: imaging demonstration

    Energy Technology Data Exchange (ETDEWEB)

    Matsumoto, Shunro; Mori, Hiromu; Yamada, Yasunari; Hayashida, Tomoko; Hori, Yuzo; Kiyosue, Hiro [Department of Radiology, Oita Medical University, Idaigaoka 1-1, Hasama-machi, 879-5593, Oita (Japan)


    This study describes the imaging features of the intrahepatic portohepatic venous (PHV) shunt, which is a potential cause of portosystemic encephalopathy in Rendu-Osler-Weber disease. Six patients with Rendu-Osler-Weber disease (two men, four women; age range 42-73 years) were retrospectively studied. There were two from one family and three from another family. Of these patients, one was diagnosed with definitive portosystemic encephalopathy because of a psychiatric disorder. We retrospectively reviewed the radiological examinations, including abdominal angiography (n=6), three-phase dynamic helical computed tomography (CT; n=3), and conventional enhanced CT (n=1). In one patient, CT during angiography and CT angioportography were also performed. Evaluation was placed on the imaging features of intrahepatic PHV shunts. On angiography, intrahepatic PHV shunts showing multiple and small shunts <5 mm in diameter in an apparent network were detected in all patents. In two patients, a large shunt with a size of either 7 or 10 mm was associated. These intrahepatic PHV shunts were predominantly distributed in the peripheral parenchyma. Intrahepatic PHV shunts would be characterized by small and multiple shunts in an apparent network on the periphery with or without a large shunt. (orig.)

  7. Anion exchange polymer electrolytes

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yu Seung; Kim, Dae Sik; Lee, Kwan-Soo


    Solid anion exchange polymer electrolytes and compositions comprising chemical compounds comprising a polymeric core, a spacer A, and a guanidine base, wherein said chemical compound is uniformly dispersed in a suitable solvent and has the structure: ##STR00001## wherein: i) A is a spacer having the structure O, S, SO.sub.2, --NH--, --N(CH.sub.2).sub.n, wherein n=1-10, --(CH.sub.2).sub.n--CH.sub.3--, wherein n=1-10, SO.sub.2-Ph, CO-Ph, ##STR00002## wherein R.sub.5, R.sub.6, R.sub.7 and R.sub.8 each are independently --H, --NH.sub.2, F, Cl, Br, CN, or a C.sub.1-C.sub.6 alkyl group, or any combination of thereof; ii) R.sub.9, R.sub.10, R.sub.11, R.sub.12, or R.sub.13 each independently are --H, --CH.sub.3, --NH.sub.2, --NO, --CH.sub.nCH.sub.3 where n=1-6, HC.dbd.O--, NH.sub.2C.dbd.O--, --CH.sub.nCOOH where n=1-6, --(CH.sub.2).sub.n--C(NH.sub.2)--COOH where n=1-6, --CH--(COOH)--CH.sub.2--COOH, --CH.sub.2--CH(O--CH.sub.2CH.sub.3).sub.2, --(C.dbd.S)--NH.sub.2, --(C.dbd.NH)--N--(CH.sub.2).sub.nCH.sub.3, where n=0-6, --NH--(C.dbd.S)--SH, --CH.sub.2--(C.dbd.O)--O--C(CH.sub.3).sub.3, --O--(CH.sub.2).sub.n--CH--(NH.sub.2)--COOH, where n=1-6, --(CH.sub.2).sub.n--CH.dbd.CH wherein n=1-6, --(CH.sub.2).sub.n--CH--CN wherein n=1-6, an aromatic group such as a phenyl, benzyl, phenoxy, methylbenzyl, nitrogen-substituted benzyl or phenyl groups, a halide, or halide-substituted methyl groups; and iii) wherein the composition is suitable for use in a membrane electrode assembly.

  8. Semiconductor electrolyte photovoltaic energy converter (United States)

    Anderson, W. W.; Anderson, L. B.


    Feasibility and practicality of a solar cell consisting of a semiconductor surface in contact with an electrolyte are evaluated. Basic components and processes are detailed for photovoltaic energy conversion at the surface of an n-type semiconductor in contact with an electrolyte which is oxidizing to conduction band electrons. Characteristics of single crystal CdS, GaAs, CdSe, CdTe and thin film CdS in contact with aqueous and methanol based electrolytes are studied and open circuit voltages are measured from Mott-Schottky plots and open circuit photo voltages. Quantum efficiencies for short circuit photo currents of a CdS crystal and a 20 micrometer film are shown together with electrical and photovoltaic properties. Highest photon irradiances are observed with the GaAs cell.

  9. Diabetes mellitus and electrolyte disorders (United States)

    Liamis, George; Liberopoulos, Evangelos; Barkas, Fotios; Elisaf, Moses


    Diabetic patients frequently develop a constellation of electrolyte disorders. These disturbances are particularly common in decompensated diabetics, especially in the context of diabetic ketoacidosis or nonketotic hyperglycemic hyperosmolar syndrome. These patients are markedly potassium-, magnesium- and phosphate-depleted. Diabetes mellitus (DM) is linked to both hypo- and hyper-natremia reflecting the coexistence of hyperglycemia-related mechanisms, which tend to change serum sodium to opposite directions. The most important causal factor of chronic hyperkalemia in diabetic individuals is the syndrome of hyporeninemic hypoaldosteronism. Impaired renal function, potassium-sparing drugs, hypertonicity and insulin deficiency are also involved in the development of hyperkalemia. This article provides an overview of the electrolyte disturbances occurring in DM and describes the underlying mechanisms. This insight should pave the way for pathophysiology-directed therapy, thus contributing to the avoidance of the several deleterious effects associated with electrolyte disorders and their treatment. PMID:25325058

  10. Validated linear dynamic model of electrically-shunted magnetostrictive transducers with application to structural vibration control (United States)

    Scheidler, Justin J.; Asnani, Vivake M.


    This paper presents a linear model of the fully-coupled electromechanical behavior of a generally-shunted magnetostrictive transducer. The impedance and admittance representations of the model are reported. The model is used to derive the effect of the shunt’s electrical impedance on the storage modulus and loss factor of the transducer without neglecting the inherent resistance of the transducer’s coil. The expressions are normalized and then shown to also represent generally-shunted piezoelectric materials that have a finite leakage resistance. The generalized expressions are simplified for three shunts: resistive, series resistive-capacitive, and inductive, which are considered for shunt damping, resonant shunt damping, and stiffness tuning, respectively. For each shunt, the storage modulus and loss factor are plotted for a wide range of the normalized parameters. Then, important trends and their impact on different applications are discussed. An experimental validation of the transducer model is presented for the case of resistive and resonant shunts. The model closely predicts the measured response for a variety of operating conditions. This paper also introduces a model for the dynamic compliance of a vibrating structure that is coupled to a magnetostrictive transducer for shunt damping and resonant shunt damping applications. This compliance is normalized and then shown to be analogous to that of a structure that is coupled to a piezoelectric material. The derived analogies allow for the observations and equations in the existing literature on structural vibration control using shunted piezoelectric materials to be directly applied to the case of shunted magnetostrictive transducers.

  11. Persistent hydrocephalus due to postural activation of a ventricular shunt anti-gravity device. (United States)

    Craven, Claudia L; Toma, Ahmed K; Watkins, Laurence D


    The ever present need to balance over drainage with under drainage in hydrocephalus has required innovations including adjustable valves with antigravity devices. These are activated in the vertical position to prevent siphoning. We describe a group of bedridden patients who presented with unexplained under drainage caused by activation of antigravity shunt components produced by peculiar head/body position. Retrospective single centre case series of hydrocephalus patients, treated with ventriculo-peritoneal (VP) shunt insertion between April 2014 - February 2016. These patients presented with clinical and radiological under drainage syndrome. Medical notes were reviewed for clinical picture and outcome. Radiological studies were reviewed assessing shunt placement and ventricular size. Seven patients presented with clinical and radiological under drainage syndrome. A consistent posturing of long term hyper-flexion of the neck whilst lying supine was observed. All patients had similar shunt construct (adjustable Miethke ProGAV valve and shunt assistant anti-gravity component). In each of those patients a hypothesis was formulated that neck flexion was activating the shunt assistance anti-gravity component in supine position. Five patients underwent shunt revision surgery removing the shunt assistant device from the cranium and adding an anti-gravity component to the shunt system at the chest. One had the shunt assistant completely removed and one patient was managed conservatively with mobilisation. All patients had clinical and radiological improvement. Antigravity shunt components implanted cranially in bedridden hydrocephalus patients will produce underdrainage due to head flexion induced anti-gravity device activation. In these patients, anti-gravity devices should be placed at the chest. Alternatively, special nursing attention should be paid to head-trunk angle.

  12. Thermoelectricity in confined liquid electrolytes

    CERN Document Server

    Dietzel, Mathias


    The electric field in an extended phase of a liquid electrolyte exposed to a temperature gradient is attributed to different thermophoretic mobilities of the ion species. As shown herein, such Soret-type ion thermodiffusion is not required to induce thermoelectricity even in the simplest electrolyte if it is confined between charged walls. The space charge of the electric double layer leads to selective ion diffusion driven by a temperature-dependent electrophoretic ion mobility, which -for narrow channels- may cause thermo-voltages larger in magnitude than for the classical Soret equilibrium.

  13. Evaluation of electrolyte imbalance among tuberculosis patients ...

    African Journals Online (AJOL)

    Adebimpe Wasiu Olalekan


    Feb 24, 2015 ... electrolyte and acid-base derangements frequently encountered in AIDS and TB, have ..... tuberculosis. Electrolyte and acid-base balance monitoring in ... National Agency for the Control of HIV/AIDS NACA. Preva- lence of ...

  14. Time to First Shunt Failure in Pediatric Patients over 1 Year Old: A 10-Year Retrospective Study. (United States)

    Shannon, Chevis N; Carr, Kevin R; Tomycz, Luke; Wellons, John C; Tulipan, Noel


    Studies comparing alternatives to ventriculoperitoneal (VP) shunting for treatment of hydrocephalus have often relied upon data from an earlier era that may not be representative of contemporary shunt survival outcomes. We sought to determine the shunt survival rate of our cohort and compare our results to previously published shunt survival and endoscopic third ventriculostomy (ETV) success rates. We identified 95 patients between 1 and 18 years of age, who underwent initial VP shunt placement between January 2001 and December 2010. Our study shows a shunt survival rate of 85% at 6 months and 79% at 2 years, for initial shunts in pediatric patients over 1 year of age in this cohort. The overall infection rate was 3%. This compares favorably with published success rates of ETV at similar time points as well as with the rate of infection. This suggests that ventricular shunting remains a viable alternative to ETV in the older child.

  15. Organic dopant added polyvinylidene fluoride based solid polymer electrolytes for dye-sensitized solar cells (United States)

    Senthil, R. A.; Theerthagiri, J.; Madhavan, J.


    The effect of phenothiazine (PTZ) as dopant on PVDF/KI/I2 electrolyte was studied for the fabrication of efficient dye-sensitized solar cell (DSSC). The different weight percentage (wt%) ratios (0, 20, 30, 40 and 50%) of PTZ doped PVDF/KI/I2 electrolyte films were prepared by solution casting method using DMF as a solvent. The following techniques such as Fourier transform infrared (FT-IR), differential scanning calorimetry (DSC), X-ray diffractometer (XRD) and AC-impedance analysis have been employed to characterize the prepared polymer electrolyte films. The FT-IR studies revealed the complex formation between PVDF/KI/I2 and PTZ. The crystalline and amorphous nature of polymer electrolytes were confirmed by DSC and XRD analysis respectively. The ionic conductivities of polymer electrolyte films were calculated from the AC-impedance analysis. The undoped PVDF/KI/I2 electrolyte exhibited the ionic conductivity of 4.68×10-6 S cm-1 and this value was increased to 7.43×10-5 S cm-1 when PTZ was added to PVDF/KI/I2 electrolyte. On comparison with different wt% ratios, the maximum ionic conductivity was observed for 20% PTZ-PVDF/KI/I2 electrolyte. A DSSC assembled with the optimized wt % of PTZ doped PVDF/KI/I2 electrolyte exhibited a power conversion efficiency of 2.92%, than the undoped PVDF/KI/I2 electrolyte (1.41%) at similar conditions. Hence, the 20% PTZ-PVDF/KI/I2 electrolyte was found to be optimal for DSSC applications.

  16. Shunting arc plasma source for pure carbon ion beam. (United States)

    Koguchi, H; Sakakita, H; Kiyama, S; Shimada, T; Sato, Y; Hirano, Y


    A plasma source is developed using a coaxial shunting arc plasma gun to extract a pure carbon ion beam. The pure carbon ion beam is a new type of deposition system for diamond and other carbon materials. Our plasma device generates pure carbon plasma from solid-state carbon material without using a hydrocarbon gas such as methane gas, and the plasma does not contain any hydrogen. The ion saturation current of the discharge measured by a double probe is about 0.2 mA∕mm(2) at the peak of the pulse.

  17. Valproic acid-induced hyperammonaemic coma and unrecognised portosystemic shunt. (United States)

    Nzwalo, Hipólito; Carrapatoso, Leonor; Ferreira, Fátima; Basilio, Carlos


    Hyperammonaemic encephalopathy is a rare and potentially fatal complication of valproic acid treatment. The clinical presentation of hyperammonaemic encephalopathy is wide and includes seizures and coma. We present a case of hyperammonaemic coma precipitated by sodium valproate use for symptomatic epilepsy in a patient with unrecognised portosystemic shunt, secondary to earlier alcoholism. The absence of any stigmata of chronic liver disease and laboratory markers of liver dysfunction delayed the recognition of this alcohol-related complication. The portal vein bypass led to a refractory, valproic acid-induced hyperammonaemic coma. The patient fully recovered after dialysis treatment.

  18. Characteristics of shunting arc discharge for carbon ion source (United States)

    Takaki, K.; Mukaigawa, S.; Fujiwara, T.; Kumagai, M.; Yukimura, K.


    The criteria of initial resistance of carbon rod for shunting arc ignition are described in this article. The five different resistances were used. The rods are 40 mm in length and 2 mm in diameter. The carbon rod was set in the vacuum and was initially heated up with a pulsed current supplied by a charged capacitor with a capacitance of 20 μF, followed by a self-ignition. The heating energy is almost independent of the charging voltage of the capacitor. The heating energy increases with decreasing the rod resistance, whereas the energy deposited in the plasma and the utilizing efficiency of the charged energy in the capacitor decreases.

  19. Shunting arc plasma source for pure carbon ion beama) (United States)

    Koguchi, H.; Sakakita, H.; Kiyama, S.; Shimada, T.; Sato, Y.; Hirano, Y.


    A plasma source is developed using a coaxial shunting arc plasma gun to extract a pure carbon ion beam. The pure carbon ion beam is a new type of deposition system for diamond and other carbon materials. Our plasma device generates pure carbon plasma from solid-state carbon material without using a hydrocarbon gas such as methane gas, and the plasma does not contain any hydrogen. The ion saturation current of the discharge measured by a double probe is about 0.2 mA/mm2 at the peak of the pulse.

  20. Polymer Electrolytes for Lithium/Sulfur Batteries

    Directory of Open Access Journals (Sweden)

    The Nam Long Doan


    Full Text Available This review evaluates the characteristics and advantages of employing polymer electrolytes in lithium/sulfur (Li/S batteries. The main highlights of this study constitute detailed information on the advanced developments for solid polymer electrolytes and gel polymer electrolytes, used in the lithium/sulfur battery. This includes an in-depth analysis conducted on the preparation and electrochemical characteristics of the Li/S batteries based on these polymer electrolytes.

  1. Measurement of the ductal L-R shunt during extracorporeal membrane oxygenation in the lamb.

    NARCIS (Netherlands)

    Tanke, R.B.; Heijst, A.F.J. van; Klaessens, J.H.G.M.; Daniels, O.; Festen, C.


    OBJECTIVE: In neonates, initially a ductal shunt is often observed during veno-arterial extracorporeal membrane oxygenation (ECMO). Depending on the degree of pulmonary hypertension in these patients, the ductal shunt will be right to left (R-L), left to right (L-R), or bidirectional. A ductal L-R s

  2. The influence of ductal left-to-right shunting during extracorporeal membrane oxygenation.

    NARCIS (Netherlands)

    Tanke, R.B.; Daniëls, O.; Heyst, A. van; Lier, H.J.J. van; Festen, C.


    BACKGROUND/PURPOSE: The aim of this study was to analyze whether a ductal left-to-right (L-R) shunt will prolong extracorporeal membrane oxygenation (ECMO) in neonates with severe pulmonary hypertension. This report discusses the onset and termination of a ductal L-R shunt and its potential influenc

  3. 21 CFR 882.5550 - Central nervous system fluid shunt and components. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Central nervous system fluid shunt and components... Central nervous system fluid shunt and components. (a) Identification. A central nervous system fluid... central nervous system to an internal delivery site or an external receptacle for the purpose of relieving...

  4. Intervening for RPA stenosis following Waterston shunt: Importance of anatomical definition of the coronary arteries. (United States)

    Hovis, Ian W; Sutton, Nicole J; Pass, Robert H


    Right pulmonary artery (RPA) stenosis following Waterston shunt is common. We report a case of RPA stenosis many years following tetralogy of Fallot repair with take-down of a Waterston shunt and demonstrate an unusual and important anatomic variant of proximity of the left coronary artery to the mid-portion of the RPA. Copyright © 2013 Wiley Periodicals, Inc.

  5. Congenital portosystemic shunts: Imaging findings and clinical presentations in 11 patients

    Energy Technology Data Exchange (ETDEWEB)

    Konstas, Angelos A., E-mail: [Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, MA 02114 (United States); Digumarthy, Subba R.; Avery, Laura L. [Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, MA 02114 (United States); Wallace, Karen L. [Department of Radiology, Mount Auburn Hospital and Harvard Medical School, 330 Mount Auburn St, Cambridge, MA 02138 (United States); Lisovsky, Mikhail; Misdraji, Joseph [Department of Pathology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, MA 02114 (United States); Hahn, Peter F. [Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, MA 02114 (United States)


    Objective: To evaluate the clinical anatomy and presentations of congenital portosystemic shunts, and determine features that promote recognition on imaging. Materials and methods: Institutional review board approval was obtained for this HIPAA-compliant study. The requirement for written informed consent was waived. Radiology reports were retrospectively reviewed from non-cirrhotic patients who underwent imaging studies from January 1999 through February 2009. Clinical sources reviewed included electronic medical records, archived images and histopathological material. Results: Eleven patients with congenital portosystemic shunts were identified (six male and five female; age range 20 days to 84 years). Seven patients had extrahepatic and four patients had intrahepatic shunts. All 11 patients had absent or hypoplastic intrahepatic portal veins, a feature detected by CT and MRI, but not by US. Seven patients presented with shunt complications and four with presentations unrelated to shunt pathophysiology. Three adult patients had four splenic artery aneurysms. Prospective radiological evaluation of five adult patients with cross-sectional imaging had failed prospectively to recognize the presence of congenital portosystemic shunts on one or more imaging examinations. Conclusions: Congenital portosystemic shunts are associated with splenic artery aneurysms, a previously unrecognized association. Portosystemic shunts were undetected during prospective radiologic evaluation in the majority of adult patients, highlighting the need to alert radiologists to this congenital anomaly.

  6. Acute modified Blalock-Taussing shunt obstruction successfully treated with urokinase and heparin. (United States)

    Mizzi, J; Grech, V


    Acute modified Blalock-Tuassig shunt obstruction due to thrombosis may be life-threatening. We report non-invasive relief of shunt obstruction with thrombolysis and heparinisation, a potentially life-saving intervention that is applicable in all settings, including outside tertiary paediatric cardiology centres.

  7. Electroacoustic absorbers: bridging the gap between shunt loudspeakers and active sound absorption. (United States)

    Lissek, Hervé; Boulandet, Romain; Fleury, Romain


    The acoustic impedance at the diaphragm of an electroacoustic transducer can be varied using a range of basic electrical control strategies, amongst which are electrical shunt circuits. These passive shunt techniques are compared to active acoustic feedback techniques for controlling the acoustic impedance of an electroacoustic transducer. The formulation of feedback-based acoustic impedance control reveals formal analogies with shunt strategies, and highlights an original method for synthesizing electric networks ("shunts") with positive or negative components, bridging the gap between passive and active acoustic impedance control. This paper describes the theory unifying all these passive and active acoustic impedance control strategies, introducing the concept of electroacoustic absorbers. The equivalence between shunts and active control is first formalized through the introduction of a one-degree-of-freedom acoustic resonator accounting for both electric shunts and acoustic feedbacks. Conversely, electric networks mimicking the performances of active feedback techniques are introduced, identifying shunts with active impedance control. Simulated acoustic performances are presented, with an emphasis on formal analogies between the different control techniques. Examples of electric shunts are proposed for active sound absorption. Experimental assessments are then presented, and the paper concludes with a general discussion on the concept and potential improvements.


    NARCIS (Netherlands)


    To determine how much myocardial O2 consumption (VO2) would increase during an additional load on the heart in shunt as compared with control lambs, we studied 12 7-wk-old lambs with an aortopulmonary left-to-right shunt (59 +/- 3% of left ventricular output, means +/-SE) and 11 control lambs during

  9. Right Heart Catheterization via Dialysis Arteriovenous Shunts in End-Stage Renal Disease Patients. (United States)

    Hsieh, Mu-Yang; Chen, Tsung-Yan; Lin, Lin; Liao, Min-Tsun; Wang, Ren-Huei; Kuo, Ruei-Cheng; Lai, Chao-Lun; Wu, Chih-Cheng


    Right heart catheterization is an important diagnostic tool but carries risks of adverse events. Little is known about the feasibility and safety of using dialysis arteriovenous (AV) shunts. We aim to evaluate the feasibility and safety of using dialysis AV shunts for access in right heart catheterization. Hemodialysis patients who required right heart catheterization were prospectively enrolled. A 7 Fr sheath was inserted and a balloon-tipped pulmonary artery catheter was advanced for right heart catheterization. Patients were followed for 1 month, and technical success, procedure details, and complications were recorded. Thirteen patients received right heart catheterization via AV shunts. Three patients were evaluated for heart failure, and 10 were examined for pulmonary hypertension. Median patient age was 69 years (interquartile range [IQR], 58-77 years), and median shunt age was 50 months (IQR, 32-75 months). Five shunts were located in the upper arm, 2 were in the right arm, and 5 were native fistulas. All AV shunt punctures were successful on the first attempt. All right heart catheterizations were completed via AV shunts, and the technical success rate was 100%. Median fluoroscopy time was 6.9 minutes. No venous access complications or right heart catheterization-related complications occurred immediately after the procedure or during the 1-month follow-up period. AV dialysis shunts can be used for venous access for right heart catheterization with acceptable feasibility and patient tolerability. Further randomized studies are needed to confirm the benefits of this approach compared with other approaches.

  10. Medication overuse as a cause of chronic headache in shunted hydrocephalus patients

    DEFF Research Database (Denmark)

    Willer, Lasse; Jensen, R H; Juhler, M


    To highlight the group of hydrocephalus patients known to have a long history of shunt revisions and refractory chronic headache. When a shunt in perfect working order has no effect on headache, other causes of headache should be investigated. In this paper, patients with medication overuse...

  11. Minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal shunt

    Institute of Scientific and Technical Information of China (English)

    Lu JIA; Guo-ping LI; Zhong-xin ZHAO; Chao YOU; Jia-gang LIU; Si-qing HUANG; Min HE; Pei-gang JI; Jie DUAN; Yi-jun ZENG


    Objective: To investigate the clinical value of a minimally-invasive treatment of communicating hydrocephalus using a percutaneous lumboperitoneal (LP) shunt. Method: The clinical and long-term follow-up data of 256 patients suffering from communicating hydrocephalus and undergoing percutaneous LP shunt during 1998 to 2008 were retrospectively analyzed. Results: After the follow-up, which lasted 6 months to 10 years, 219 cases of communicating hydrocephalus recovered well (ventricular size returned to normal and symptoms completely disappeared),25 cases were brought under control (ventricle size reduced by 50% and symptoms partially abated), and 12 cases showed no obvious changes. Fifteen obese subjects needed modifications of the shunt due to the obstruction of the abdominal end following wrapping, and one subject underwent extubation as the subject was unable to tolerate stimulation of the cauda equina. The effectiveness of shunting was 91.40% and the probability of shunt-tube obstruction, which occurs predominantly in the abdominal end, was only 5.85%, far lower than that of ventriculoperitoneal (VP)shunt. Three subjects had a history of infection following VP shunting. Conclusion: LP shunting is minimally invasive and effective in treating communicating hydrocephalus, with fewer complications.

  12. Medication overuse as a cause of chronic headache in shunted hydrocephalus patients

    DEFF Research Database (Denmark)

    Willer, Lasse; Jensen, R H; Juhler, M


    To highlight the group of hydrocephalus patients known to have a long history of shunt revisions and refractory chronic headache. When a shunt in perfect working order has no effect on headache, other causes of headache should be investigated. In this paper, patients with medication overuse...

  13. The use of contrast echocardiography for the detection of cardiac shunts

    NARCIS (Netherlands)

    O.I.I. Soliman (Osama Ibrahim Ibrahim); M.L. Geleijnse (Marcel); F.J. Meijboom (Folkert); A. Nemes (Attila); O. Kamp (Otto); P. Nihoyannopoulos (Petros); N. Masani (Navroz); S.B. Feinstein (Steven); F.J. ten Cate (Folkert)


    textabstractRecently, debate has erupted about the clinical significance of cardiovascular shunts. Several major health problems such as stroke and migraine have been associated with patent foramen ovale (PFO) with right-to-left shunt (RLS). The nature of the relationship between these syndromes and

  14. Creation of transcatheter aortopulmonary and cavopulmonary shunts using magnetic catheters: feasibility study in swine. (United States)

    Levi, Daniel S; Danon, Saar; Gordon, Brent; Virdone, Nicky; Vinuela, Fernando; Shah, Sanjay; Carman, Greg; Moore, John W


    Surgical shunts are the basic form of palliation for many types of congenital heart disease. The Glenn shunt (superior cavopulmonary connection) and central shunt (aortopulmonary connection) represent surgical interventions that could potentially be accomplished by transcatheter techniques. We sought to investigate the efficacy of using neodymium iron boron (NdFeB) magnetic catheters to create transcatheter cavopulmonary and aortopulmonary shunts. NdFeB magnets were machined and integrated into catheters. "Target" catheters were placed in the pulmonary arteries (PAs), and radiofrequency "perforation" catheters were placed in either the descending aorta (DAo) for central shunts or the superior vena cava (SVC) for Glenn shunts. The magnet technique or "balloon target" method was used to pass wires from the DAo or the SVC into the PA. Aortopulmonary and cavopulmonary connections were then created using Atrium iCAST covered stents. Magnet catheters were used to perforate the left pulmonary artery from the DAo, thereby establishing a transcatheter central shunt. Given the orientation of the vasculature, magnetic catheters could not be used for SVC-to-PA connections; however, perforation from the SVC to the right pulmonary artery was accomplished with a trans-septal needle and balloon target. Transcatheter Glenn or central shunts were successfully created in four swine.

  15. Intrapulmonary shunting in primary pulmonary hypertension: an observation in two patients treated with epoprostenol sodium. (United States)

    Castro, P F; Bourge, R C; McGiffin, D C; Benza, R L; Fan, P; Pinkard, N B; McGoon, M D


    Continuous intravenous infusion of epoprostenol sodium in selected patients with primary pulmonary hypertension improves symptoms and survival. This report describes two patients with primary pulmonary hypertension treated with epoprostenol in whom intrapulmonary shunting and severe hypoxemia occurred. Intrapulmonary shunting was confirmed by contrast echocardiography showing delayed appearance of bubbles in the left cardiac chambers after peripheral venous injection of agitated saline solution.

  16. Normal-pressure hydrocephalus: current understanding of diagnostic tests and shunting

    Energy Technology Data Exchange (ETDEWEB)

    Black, P.M.


    Normal-pressure hydrocephalus is no longer difficult to diagnose or treat-cranial computed tomographic scanning has made the diagnosis of ventricular enlargement straightforward, and shunt placement often helps the patient whose condition can be traced to a specific cause. Predicting accurately whether a patient will benefit from a shunt, however, is still problematic.

  17. Ventriculoperitoneal shunt tube infection and changing pattern of antibiotic sensitivity in neurosurgery practice: Alarming trends

    Directory of Open Access Journals (Sweden)

    Vikas Kumar


    Conclusion: Ventriculoperitoneal shunt infection has become an important concern in cases of hydrocephalus. Due to the development of a high proportion of antibiotic resistance, we recommend an empirical therapy of antibiotic therapy for prophylaxis and suspected infection in ventriculoperitoneal shunt surgery.

  18. Fractured inlet connecting tube of the flat bottom flushing device of a posterior fossa cystoperitoneal shunt

    Directory of Open Access Journals (Sweden)

    Abbas Amirjamshidi


    Conclusion: Awareness of the possibility of fracture site in the junction of the inlet connector of flat bottom shunt systems is warranted and can be diagnosed by three-dimensional computed tomography (3D CT imaging without performing shunt series study.

  19. Shunt Devices for the Treatment of Adult Hydrocephalus: Recent Progress and Characteristics. (United States)

    Miyake, Hiroji


    Various types of shunt valves have been developed during the past 50 years, most of which can be classified into the following categories: (1) fixed differential pressure valves; (2) fixed differential pressure (DP) valves with an antisiphon mechanism; (3) programmable DP valves; (4) programmable DP valves with an antisiphon mechanism; and (5) programmable antisiphon valves. When considering the myriad of possible postoperative condition changes, such as the onset of accidental non-related diseases or trauma in adults, and changes in normal physiological development or anticipation of future shunt removal in children, it has become standard to use the programmable valve as a first choice for cerebrospinal fluid shunting. However, it is still unclear what type of shunt valve is suitable for each individual case. Based on the results of SINPHONI and more recently SINPHONI 2 trials, the programmable DP valve is recommended as the first line shunt valve. The programmable DP valve with an antisiphon mechanism is thought to be beneficial for tall, slender patients, who have a tendency for easily developing complications of overdrainage, however, this type of valve must be used cautiously in obese patients because of the increased risk of underdrainage. Although the current evidence is still insufficient, the programmable antisiphon valve, which costs the same as the programmable DP valve, is also thought to be the first line shunt valve. The quick reference table is applicable for most shunt valves, and for patients with either the ventriculoperitoneal or the lumboperitoneal shunt.

  20. Visual disturbance following shunt malfunction in a patient with congenital hydrocephalus. (United States)

    Oyama, Hirofumi; Hattori, Kenichi; Kito, Akira; Maki, Hideki; Noda, Tomoyuki; Wada, Kentaro


    A 25-year-old woman presented with complaints of nausea and headache. She had been treated with a ventriculoperitoneal shunt for hydrocephalus when she was 7 months old. Her bilateral optic discs showed moderate atrophy. Right visual acuity allowed only perception of hand movement and left visual acuity was 0.02 (1.2). Computed tomography (CT) showed mild ventricular dilation but no periventricular lucency. Intracranial pressure (ICP) was not high when the shunt valve was punctured. Her visual acuity deteriorated 5 days after the consultation. She was referred again 8 days after the first consultation. The bilateral optic discs were completely pale. Both pupils were dilated on admission, and the bilateral direct light reflexes were absent. The patient could slightly detect only green light stimulus. CT showed moderate enlargement of the ventricle. ICP was 47 cmH(2)O when the shunt valve was punctured. Shuntgraphy showed obstruction of the shunt at the distal end of peritoneal catheter. Emergent total shunt revision was performed. She could detect dark stimulus and the still-dilated left pupil had recovered direct light reflex on the next day. The visual acuity was 0.01 (0.7) on the left 6 months after the operation, although she was blind in the right eye and the bilateral optic discs were completely pale. Visual loss associated with shunt failure remains a major morbidity in shunted congenital hydrocephalus. Early diagnosis and shunt revision may allow visual recovery.

  1. Ventriculoperitoneal shunt for treatment of hydrocephalus in a French bulldog puppy. (United States)

    Giacinti, Jolene A


    A 6.5-week-old bulldog was presented with lethargy, anorexia, and stunted growth. A domed skull, ventrolateral strabismus, hypermetria, and delayed hopping were observed. Congenital hydrocephalus was diagnosed and a ventriculoperitoneal shunt was placed. After surgery, a shunt obstruction occurred but resolved with treatment. The puppy responded well and neurological deficits continued to improve after surgery.

  2. Calibration of piezoelectric RL shunts with explicit residual mode correction

    DEFF Research Database (Denmark)

    Høgsberg, Jan Becker; Krenk, Steen


    Piezoelectric RL (resistive-inductive) shunts are passive resonant devices used for damping of dominant vibration modes of a flexible structure and their efficiency relies on the precise calibration of the shunt components. In the present paper improved calibration accuracy is attained by an exte...


    NARCIS (Netherlands)


    To compare hemodynamic changes induced by isoproterenol and exercise stress tests in individuals with and without left, ventricular volume load, we studied 10 lambs with an aortopulmonary shunt [58 +/- 4% (SE) of left ventricular output] 2 wk after the shunt was created. Two studies, isoproterenol

  4. Electrolytes for magnesium electrochemical cells

    Energy Technology Data Exchange (ETDEWEB)

    Burrell, Anthony K.; Sa, Niya; Proffit, Danielle Lee; Lipson, Albert; Liao, Chen; Vaughey, John T.; Ingram, Brian J.


    An electrochemical cell includes a high voltage cathode configured to operate at 1.5 volts or greater; an anode including Mg.sup.0; and an electrolyte including an ether solvent and a magnesium salt; wherein: a concentration of the magnesium salt in the ether is 1 M or greater.

  5. Clinical and ultrasonographic criteria for using ventriculoperitoneal shunts in newborns with myelomeningocele

    Directory of Open Access Journals (Sweden)

    Jose Roberto Tude Melo


    Full Text Available Objective Hydrocephalus is one of the main complications associated with myelomeningocele (MM. This study aimed to identify clinical and ultrasonographic criteria for using ventriculoperitoneal (VP shunts in this group of patients.Method A retrospective cohort study, based on established protocol for VP shunt implant in hydrocephalic children with MM. Parameters used to guide the indication of VP shunts included measurement of head circumference (HC, evaluation of fontanels, and measurement of lateral ventricular atrium (LVA width by transcranial ultrasonography.Results 43 children were included in the analysis, of which 74% had hydrocephalus and required a VP shunt. These children had LVA width ≥ 15 mm, showed increased HC, or had bulging fontanels.Conclusion VP shunt is required in children with increased HC (≥ 2 standard deviation regarding age group, bulging fontanels, or LVA width of ≥ 15 mm after the closure of MM.

  6. Communicating hydrocephalus due to cerebral venous sinus thrombosis treated with ventriculoperitoneal shunt

    Directory of Open Access Journals (Sweden)

    Rahul T Chakor


    Full Text Available Cerebral venous sinus thrombosis (CVT is a rare cerebrovascular disease with variable presentation. CVT rarely causes hydrocephalus. Communicating hydrocephalus due to CVT is extremely rare. We describe a patient of CVT presenting with chronic headache and communicating hydrocephalus. The patient was successfully treated with ventriculoperitoneal (VP shunt. A 40 year old man presented with moderate to severe headache since six months and progressive visual loss since two months. Head Computed tomogram showed mild hydrocephalus without obstruction. Lumbar puncture (LP demonstrated elevated pressure but was otherwise normal. Magnetic resonance venogram showed extensive CVT. Repeated CSF drainage and thecoperitoneal shunt did not relieve the severe headache hence a VP shunt was placed. Post shunt headache subsided with resolution of hydrocephalus. CVT can present as communicating hydrocephalus. Gradual reduction of intra-ventricular pressure by repeated LPs followed by VP shunt can safely treat hydrocephalus due to CVT.

  7. Early mediastinal seroma secondary to modified Blalock-Taussig shunts - successful management by percutaneous drainage

    Energy Technology Data Exchange (ETDEWEB)

    Connolly, Bairbre L.; Temple, Michael J.; Chait, Peter G.; Restrepo, Ricardo [Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8 (Canada); Adatia, Ian [Department of Cardiology and Critical Care Medicine, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8 (Canada)


    Large symptomatic mediastinal seroma following modified-BT shunts, traditionally required revisional thoracotomy. We describe percutaneous image-guided pigtail catheter drainage in the successful treatment of early mediastinal seroma secondary to PTFE Blalock-Taussig shunt, avoiding thoracotomy. A retrospective review of all relevant clinical and imaging records in five patients was performed. All five presented with intermittent stridor, respiratory distress and/or episodic desaturation within 6 weeks of their surgery. In four of five infants, percutaneous drainage was effective and reoperation was avoided. In one of five, rather than urgent surgical evacuation and BT shunt revision, we were able to perform an elective stage-II bidirectional Glenn SVC-RA anastamosis in a stable infant. There were no complications. Percutaneous image-guided drainage of mediastinal seroma secondary to PTFE-BT shunt is a safe, minimally invasive, and effective treatment. This may avoid BT shunt revision. (orig.)

  8. Ventriculoperitoneal shunt-related infections caused by Staphylococcus epidermidis: pathogenesis and implications for treatment.

    LENUS (Irish Health Repository)

    Stevens, Niall T


    The insertion of medical devices, such as intraventricular shunts, is often complicated by infection leading to ventriculitis. Frequently, such infections result from colonisation and subsequent biofilm formation on the surfaces of the shunts by Staphylococcus epidermidis. The pathogenesis of neurosurgical shunt-related infection is complex with interactions between the pathogen, the device and the unique local immunological environment of the central nervous system (CNS). An ability to form biofilm, the main virulence determinant of Staphylococcus epidermidis, facilitates protection of the organism from the host defences while still initiating an immunological response. The presence of the blood brain barrier (BBB) and the biofilm itself also complicates treatment, which presents many challenges when managing shunt infections. A greater understanding of the interplay between S. epidermidis and the CNS could potentially improve the diagnosis, treatment and management of such infections. This review describes the pathogenesis, treatment and implications of S. epidermidis ventriculoperitoneal shunt-related infections, concentrating on recent research and the implications for treatment.

  9. A rare cause of pediatric urinary incontinence: Ventriculoperitoneal shunt with bladder perforation

    Directory of Open Access Journals (Sweden)

    Manuel C See IV


    Full Text Available We present a case of 2-year-old boy with long term dysuria and intermittent incontinence, and new onset of fever and headache. Significant past medical history includes congenital hydrocephalus with a ventriculoperitoneal shunt placement two years prior to consult. On physical examination, a tubular structure was noted underneath the prepuce suspected to be the distal tip of ventriculoperitoneal shunt, which was confirmed by kidney, ureter and bladder (KUB X-ray and CT scan. Patient was treated with a novel approach of extraperitoneal removal of ventriculoperitoneal shunt distal tip with cystorrhaphy via a low transverse pfannenstiel incision, separate left ventriculostomy tube insertion and complete removal of ventriculoperitoneal shunt from the right ventricle. This report accounts a rare pediatric case with ventriculoperitoneal shunt perforation into a normal bladder successfully treated with mini-open surgery.

  10. The Shunt-LDO regulator to power the upgraded ATLAS pixel detector

    CERN Document Server

    Gonella, L; Hügging, F; Krüger, H; Wermes, N


    The shunt-LDO regulator is a new regulator concept which combines a shunt and a Low Drop-Out (LDO) regulator. Designed as an improved shunt regulator to match the needs of serially powered detector systems, it can also be used as a pure LDO regulator for general application in powering schemes requiring linear regulation. The flexibility of the design makes the shunt-LDO regulator a good candidate for use in the powering schemes envisaged for the upgrades of the ATLAS pixel detector. Two shunt-LDO regulators integrated in the prototype of the next ATLAS pixel front-end chip, the FE-I4A, are used to demonstrate the feasibility of the proposed powering solutions.

  11. An adaptive metamaterial beam with hybrid shunting circuits for extremely broadband control of flexural wave (Conference Presentation) (United States)

    Chen, Yangyang; Huang, Guoliang


    A great deal of research has been devoted to controlling the dynamic behaviors of phononic crystals and metamaterials by directly tuning the frequency regions and/or widths of their inherent band gaps. Here, we present a novel approach to achieve extremely broadband flexural wave/vibration attenuation based on tunable local resonators made of piezoelectric stacks shunted by hybrid negative capacitance and negative inductance circuits with proof masses attached on a host beam. First, wave dispersion relations of the adaptive metamaterial beam are calculated analytically by using the transfer matrix method. The unique modulus tuning properties induced by the hybrid shunting circuits are then characterized conceptually, from which the frequency dependent modulus tuning curves of the piezoelectric stack located within wave attenuation frequency regions are quantitatively identified. As an example, a flexural wave high-pass band filter with a wave attenuation region from 0 to 23.0 kHz is demonstrated analytically and numerically by using the hybrid shunting circuit, in which the two electric components are connected in series. By changing the connection pattern to be parallel, another super wide wave attenuation region from 13.5 to 73.0 kHz is demonstrated to function as a low-pass filter at a subwavelength scale. The proposed adaptive metamaterial possesses a super wide band gap created both naturally and artificially. Therefore, it can be used for the transient wave mitigation at extremely broadband frequencies such as blast or impact loadings. We envision that the proposed design and approach can open many possibilities in broadband vibration and wave control.

  12. Intravenous digital subtraction angiography in the assessment of patients with left to right shunts before and after surgical correction

    Energy Technology Data Exchange (ETDEWEB)

    Yiannikas, J.; Moodie, D.S.; Gill, C.C.; Sterba, R.; McIntyre, R.; Buonocore, E.


    Pre- and postoperative structural changes and pulmonary to systemic flow (QP/QS) ratios were assessed using digital angiography in 34 patients documented to have a left to right shunt at cardiac catheterization. There were 16 men and 18 women whose ages ranged from 4 months to 60 years. The radiographic single mask mode was used for all digital subtraction angiographic studies with a typical radiographic sequence being 80 to 100 kV, 5 to 10 mA/frame at six frames/s for 15 seconds. Renografin-76 was used as a bolus injection at 0.5 to 1.0 ml/kg via an arm vein in most patients. The level of the left to right shunt and any associated anomalies were noted and compared with results from cardiac catheterization. Digital subtraction angiographic flow curves were generated from the pulmonary arteries, and QP/QS ratios were calculated pre- and postoperatively using the gamma variate fit method and compared with the QP/QS ratio from first pass radionuclide studies. A strong correlation between preoperative digital subtraction angiographically derived QP/QS ratio and radionuclide-derived QP/QS ratio was found, with an r value equal to 0.89, p less than 0.0001. Postoperatively, all patients had a QP/QS ratio less than 1.2:1.0 for both digital subtraction angiography and radionuclide studies. The level of left to right shunt was accurately assessed in all patients, and its absence observed postoperatively. Associated anomalies, such as a persistent left superior vena cava, coarctation of the aorta and partial anomalous venous return, were identified in all cases.

  13. Analysis of electrolyte transport through charged nanopores

    CERN Document Server

    Peters, P B; Bazant, M Z; Biesheuvel, P M


    We revisit the classical problem of the flow of an electrolyte solution through charged capillaries (nanopores). In the limit where the length of the capillary is much larger than its radius, the problem can be simplified to a one-dimensional averaged flux-force formalism that relates the relevant fluxes (electrical current, salt flux, fluid velocity) to their respective driving forces (difference in electric potential, salt concentration, pressure). Calculations in literature mainly consider the limit of non-overlapping electrical double layers (EDLs) in the pores and the absence of salt concentration gradients in the axial direction. In the present work these simplifications are relaxed and we discuss the general case with overlapping EDLs and nonzero axial salt concentration gradients. The 3x3 matrix that relates these quantities exhibits Onsager symmetry and for one of the cross coefficients we report a new significant simplification. We describe how Onsager symmetry is preserved under change of variables...

  14. Insight into the interaction between layered lithium-rich oxide and additive-containing electrolyte (United States)

    Tu, Wenqiang; Xia, Pan; Zheng, Xiongwen; Ye, Changchun; Xu, Mengqiang; Li, Weishan


    Electrolyte additives have been found to be effective for the cyclic stability improvement of layered lithium-rich oxide (LRO), which is ascribed to the formation of cathode films derived from the preferential oxidation of the electrolyte additives. However, the detailed mechanism on the formation of the cathode film is unclear. This paper uncovers the interaction between LRO and additive-containing electrolyte through theoretical calculations, electrochemical measurements and physical characterizations. A representative LRO, Li1.2Mn0.54Ni0.13Co0.13O2, is synthesized, and an electrolyte, 1 M LiPF6 in EC/DMC (1/2, in volume) using triethyl phosphite (TEP) as additive, is considered. Charge/discharge tests demonstrate that LRO suffers severe capacity fading and TEP can significantly improve the cyclic stability of LRO. Characterizations from SEM and TEM demonstrate that a cathode film exists on the LRO after cycling in the TEP-containing electrolyte. The theoretical calculations suggest that TEP traps the active oxygen and is then oxidized on LRO preferentially compared to the electrolyte, forming the cathode film. The further characterizations from FTIR and GC, confirm that the preferential combination of TEP with active oxygen is beneficial for the suppression of oxygen evolution, and that the resulting cathode film can suppress the electrolyte decomposition and protect LRO from destruction.

  15. Rex shunt preoperative imaging: diagnostic capability of imaging modalities.

    Directory of Open Access Journals (Sweden)

    Sharon W Kwan

    Full Text Available The purpose of this study was to evaluate the diagnostic capability of imaging modalities used for preoperative mesenteric-left portal bypass ("Rex shunt" planning. Twenty patients with extrahepatic portal vein thrombosis underwent 57 preoperative planning abdominal imaging studies. Two readers retrospectively reviewed these studies for an ability to confidently determine left portal vein (PV patency, superior mesenteric vein (SMV patency, and intrahepatic left and right PV contiguity. In this study, computed tomographic arterial portography allowed for confident characterization of left PV patency, SMV patency and left and right PV continuity in 100% of the examinations. Single phase contrast-enhanced CT, multi-phase contrast-enhanced CT, multiphase contrast-enhanced MRI, and transarterial portography answered all key diagnostic questions in 33%, 30%, 0% and 8% of the examinations, respectively. In conclusion, of the variety of imaging modalities that have been employed for Rex shunt preoperative planning, computed tomographic arterial portography most reliably allows for assessment of left PV patency, SMV patency, and left and right PV contiguity in a single study.

  16. Fabrication and characterization of shunted μ-SQUID (United States)

    Kumar, Nikhil; Fournier, T.; Courtois, H.; Gupta, Anjan K.


    In order to eliminate hysteresis, we have fabricated and characterized niobium based shunted micron size superconducting quantum interference devices (μ-SQUIDs). We find a wide temperature range where these μ-SQUIDs are non-hysteretic in nature and show a very good Ic vs. B oscillations in hysteretic regime and V vs. B oscillations in non-hysteretic regime. Here we report the characteristics of a shunted- μ-SQUID (Wf38LS72D5). In this device we have achieved a large voltage modulation, in non-hysteretic regime, at various temperatures including such as 1.1 mV at 6.62 K with a transfer function VΦ = 7.2mV/Φ0. The figures within the original article PDF file, as supplied to AIP Publishing, were affected by a PDF-processing error. Consequently, the article re-flowed and pagination increased from 3 to 4 pages. This article was updated on 14 May 2014 to correct the PDF-processing error, with the scientific content remaining unchanged. Readers are advised that the replacement article PDF file contains an additional blank page to preserve the original pagination.

  17. Fabrication and characterization of shunted μ-SQUID

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Nikhil, E-mail: [Department of Physics, Indian Institute of Technology Kanpur - 208016 (India); Fournier, T.; Courtois, H.; Gupta, Anjan K. [Institute Neel, CNRS and Université Joseph Fourier, 25 Avenue des Martyrs, BP 166, 38042, Grenoble (France)


    In order to eliminate hysteresis, we have fabricated and characterized niobium based shunted micron size superconducting quantum interference devices (μ-SQUIDs). We find a wide temperature range where these μ-SQUIDs are non-hysteretic in nature and show a very good I{sub c} vs. B oscillations in hysteretic regime and V vs. B oscillations in non-hysteretic regime. Here we report the characteristics of a shunted- μ-SQUID (Wf38LS72D5). In this device we have achieved a large voltage modulation, in non-hysteretic regime, at various temperatures including such as 1.1 mV at 6.62 K with a transfer function V{sub Φ} = 7.2mV/Φ{sub 0}. The figures within the original article PDF file, as supplied to AIP Publishing, were affected by a PDF-processing error. Consequently, the article re-flowed and pagination increased from 3 to 4 pages. This article was updated on 14 May 2014 to correct the PDF-processing error, with the scientific content remaining unchanged. Readers are advised that the replacement article PDF file contains an additional blank page to preserve the original pagination.

  18. Choice of valve type and poor ventricular catheter placement: Modifiable factors associated with ventriculoperitoneal shunt failure. (United States)

    Jeremiah, Kealeboga Josephine; Cherry, Catherine Louise; Wan, Kai Rui; Toy, Jennifer Ah; Wolfe, Rory; Danks, Robert Andrew


    Ventriculoperitoneal (VP) shunt insertion is a common neurosurgical procedure, essentially unchanged in recent years, with high revision rates. We aimed to identify potentially modifiable associations with shunt failure. One hundred and forty patients who underwent insertion of a VP shunt from 2005-2009 were followed for 5-9years. Age at shunt insertion ranged from 0 to 91years (median 44, 26% hydrocephalus were congenital (26%), tumour-related (25%), post-haemorrhagic (24%) or normal pressure hydrocephalus (19%). Fifty-eight (42%) patients required ⩾1 shunt revision. Of these, 50 (88%) were for proximal catheter blockage. The median time to first revision was 108days. Early post-operative CT scans were available in 105 patients. Using a formal grading system, catheter placement was considered excellent in 49 (47%) but poor (extraventricular) in 13 (12%). On univariate analysis, younger age, poor ventricular catheter placement and use of a non-programmable valve were associated with shunt failure. On logistic regression modelling, the independent associations with VP shunt failure were poor catheter placement (odds ratio [OR] 4.9, 95% confidence interval [CI] 1.3-18.9, p=0.02) and use of a non-programmable valve (OR 0.4, 95% CI 0.2-1.0, p=0.04). In conclusion, poor catheter placement (revision rate 77%) was found to be the strongest predictor of shunt failure, with no difference in revisions between excellent (43%) and moderate (43%) catheter placement. Avoiding poor placement in those with mild or moderate ventriculomegaly may best reduce VP shunt failures. There may also be an influence of valve choice on VP shunt survival.

  19. [Semiology of ventriculoperitoneal shunting dysfunction in children - a review]. (United States)

    Neiter, E; Guarneri, C; Pretat, P-H; Joud, A; Marchal, J-C; Klein, O


    Ventriculoperitoneal shunting (VPS) is a treatment of the hydrocephalus that may dysfunction. The clinical presentation of shunt dysfunction is variable. We therefore decided to focus on the clinical presentation of VPS malfunction in children, as this condition requires immediate emergency treatment and because of the sometimes confusing signs of intracranial hypertension in a shunted child. We searched PubMed with the following groups of keywords: (dysfunction OR blockage) AND shunting AND hydrocephalus; shunt complications AND hydrocephalus; hydrocephalus AND shunt AND malfunction. Articles dealing with ventriculo-atrial shunt were excluded. A total of 79 articles were retained for analysis (English and French). Case reports were excluded. The clinical presentation varies by age: vomiting and alterated level of consciousness are the most frequent signs in older children, whereas infants present more often with raised intracranial pressure symptoms such as nausea, vomiting, irritability and bulging fontanel. Drowsiness is a good predictor of VPS dysfunction. An asymptomatic presentation is rare but possible. Abdominal presentation is also possible, ranging from abdominal discomfort to peritonitis. Fever, occurring a short time after the last intervention, and irritability are good predictors of shunt infection. Pumping the chamber of the VPS has a weak positive predictive value (12%). Shunt dysfunction can lead to death, with an estimated mortality rate at 1% per year during the first years. It is essential to be aware of the variability of the clinical presentation of VPS dysfunction, because of the potential severity of this condition. Also it is important to pay attention to the comments of the parents, especially if the child experienced a previous shunt malfunction. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  20. Polyvinyl alcohol-polystyrene sulphonic acid blend electrolyte for supercapacitor application

    Energy Technology Data Exchange (ETDEWEB)

    Selva Kumar, M. [Department of Chemistry, National Institute of Technology Karnataka Surathkal, Srinivasnagar 575025 (India); Bhat, D. Krishna, E-mail: [Department of Chemistry, National Institute of Technology Karnataka Surathkal, Srinivasnagar 575025 (India)


    A new polymer blend electrolyte based on poly vinyl alcohol and poly styrene sulphonic acid has been studied as an electrolyte for supercapcitors. A carbon-carbon supercapacitor has been fabricated using this electrolyte and its electrochemical characteristics and performance have been studied. The conductivity has been calculated using the bulk impedance obtained through impedance spectroscopy. The real and imaginary parts of the electrical modulus of samples show a long tail feature, which can be attributed to high capacitance of the material. The super capacitor showed a fairly good specific capacitance of 40Fg{sup -1} and a time constant of 5 s.

  1. Surface tension and related thermodynamic quantities of aqueous electrolyte solutions

    CERN Document Server

    Matubayasi, Norihiro


    Surface tension provides a thermodynamic avenue for analyzing systems in equilibrium and formulating phenomenological explanations for the behavior of constituent molecules in the surface region. While there are extensive experimental observations and established ideas regarding desorption of ions from the surfaces of aqueous salt solutions, a more successful discussion of the theory has recently emerged, which allows the quantitative calculation of the distribution of ions in the surface region. Surface Tension and Related Thermodynamic Quantities of Aqueous Electrolyte Solutions provides a d

  2. Efficient Electrolytes for Lithium-Sulfur Batteries

    Directory of Open Access Journals (Sweden)

    Natarajan eAngulakshmi


    Full Text Available This review article mainly encompasses on the state-of-the-art electrolytes for lithium–sulfur batteries. Different strategies have been employed to address the issues of lithium-sulfur batteries across the world. One among them is identification of electrolytes and optimization of their properties for the applications in lithium-sulfur batteries. The electrolytes for lithium-sulfur batteries are broadly classified as (i non-aqueous liquid electrolytes, (ii ionic liquids, (iii solid polymer and (iv glass-ceramic electrolytes. This article presents the properties, advantages and limitations of each type of electrolytes. Also the importance of electrolyte additives on the electrochemical performance of Li-S cells is discussed.

  3. Effect of Electrolyte on the Surface and Thermodynamic Properties of Amphiphilic Penicillins. (United States)

    Taboada; Attwood; Ruso; García; Sarmiento; Mosquera


    Critical micelle concentrations and surface properties of the penicillins cloxacillin, dicloxacillin, and nafcillin in aqueous solution at 303 K and at electrolyte concentrations over the range 0.0-0.4 mol dm(-3) were determined by surface tension measurements. A mass action model, modified for application to associating systems of low aggregation number, was used to calculate the standard Gibbs energy of micellization of these drugs at each electrolyte concentration. Copyright 1999 Academic Press.

  4. Activity Coefficient Derivatives of Ternary Systems Based on Scatchard's Neutral Electrolyte description

    Energy Technology Data Exchange (ETDEWEB)

    Miller, D G


    Activity coefficient derivatives with respect to molality are presented for the Scatchard Neutral Electrolyte description of a ternary common-ion electrolyte system. These quantities are needed for the calculation of 'diffusion Onsager coefficients' and in turn for tests of the Onsager Reciprocal Relations in diffusion. The usually-omitted b{sub 23} term is included. The direct SNE binary approximations and a further approximation are discussed. Binary evaluation strategies other than constant ionic strength are considered.

  5. Liver perfusion scintigraphy prior to and after transjugular intrahepatic portosystemic shunts (TIPS) in patients with portal hypertension

    Energy Technology Data Exchange (ETDEWEB)

    Willkomm, P.; Schomburg, A.; Reichmann, K.; Bangard, M.; Overbeck, B.; Biersack, H.J. [Dept. of Nuclear Medicine, Univ. Bonn (Germany); Brensing, K.A.; Sauerbruch, T. [Dept. of Internal Medicine, Univ. Bonn (Germany)


    Purpose: This investigation was performed to compare the hemodynamic results of the transjugular intrahepatic portosystemic shunt, a new interventional treatment for portal hypertension, with those observed after the established surgical shunt interventions. Methods: We examined 22 patients with portal hypertension due to liver cirrhosis before and after elective TIPS by liver perfusion scintigraphy. The relative portal perfusion was determined before and after the shunt procedure. Additionally, we measured the portal pressure gradient (PPG: Portal-central venous pressure, mmHg). Results: Prior to TIPS, the relative portal perfusion was significantly reduced to 22{+-}9.1%. After the intervention we calculated values of 23.1{+-}10.7% in the TIPS-group (p=0.67; not significant). In spite of unchanged portal perfusion, the portal pressure was significantly (p<0.001) reduced from 25.6{+-}5.3 to 14.8{+-}4 mm Hg. Conclusion: These results suggest that the reduction of portal hypertension by TIPS is effective. The portal perfusion is maintained by TIPS suggesting that liver perfusion is preserved to a higher degree. (orig.) [German] Ziel der Untersuchung war der Vergleich der haemodynamischen Ergebnisse nach transjugulaerem intrahepatischen portosystemischen Shunt, einem neuen interventionellen Verfahren bei portaler Hypertension, mit denen etablierter chirurgischer Verfahren. Methoden: Wir untersuchten 22 Patienten mit durch Leberzirrhose verursachter portaler Hypertension mittels Leberperfusionsszintigrahie vor und nach elektiver TIPS-Anlage. Die relative portale Perfusion wurde vor und nach der Shuntanlage bestimmt. Ausserdem wurde der portale Druckgradient (PPG: portal-central venoeser Druck, mmHg) gemessen. Ergebnisse: Vor TIPS-Anlage war die relative portale Perfusion signifikant auf 22{+-}9,1% reduziert. Nach der Intervention ermittelten wir Werte von 23,1{+-}10,7% in der TIPS-Gruppe (p=0.67; nicht signifikant). Trotz unveraenderter portaler Perfusion wurde der

  6. Designing New Electrolytes for Lithium Ion Batteries Using Superhalogen Anions

    CERN Document Server

    Srivastava, Ambrish Kumar


    The electrolytes used in Lithium Ion Batteries (LIBs) such as LiBF4, LiPF6 etc. are Li-salts of some complex anions, BF4-, PF6- etc. The investigation shows that the vertical detachment energy (VDE) of these anions exceeds to that of halogen, and therefore they behave as superhalogen anions. Consequently, it might be possible to design new electrolytic salts using other superhalogen anions. We have explored this possibility using Li-salts of various superhalogen anions such as BO2-, AlH4-, TiH5- and VH6- as well as hyperhalogen anions, BH4-y(BH4)y-(y = 1 to 4). Our density functional calculations show that Li-salts of these complex anions possess similar characteristics as those of electrolytic salts in LIBs. Note that they all are halogen free and hence, non-toxic and safer than LiBF4, LiPF6 etc. In particular, LiB4H13 and LiB5H16 are two potential candidates for electrolytic salt due to their smaller Li-dissociation energy ({\\Delta}E) than those of LiBF4, LiPF6 etc. We have also noticed that {\\Delta}E of Li...

  7. Electrochromic Device with Polymer Electrolyte (United States)

    Solovyev, Andrey A.; Zakharov, Alexander N.; Rabotkin, Sergey V.; Kovsharov, Nikolay F.


    In this study a solid-state electrochromic device (ECD) comprised of a WO3 and Prussian blue (Fe4[Fe(CN)6]3) thin film couple with a Li+-conducting solid polymer electrolyte is discussed. WO3 was deposited on K-Glass substrate by magnetron sputtering method, while Prussian blue layer was formed on the same substrate by electrodeposition method. The parameters of the electrochromic device K-Glass/WO3/Li+-electrolyte/PB/K-Glass, such as change of transmittance, response time and stability were successfully tested using coupled optoelectrochemical methods. The device was colored or bleached by the application of +2 V or -2 V, respectively. Light modulation with transmittance variation of up to 59% and coloration efficiency of 43 cm2/C at a wavelength of 550 nm were obtained. Numerous switching of the ECD over 1200 cycles without the observation of significant degradation has been demonstrated.

  8. Composite electrode/electrolyte structure (United States)

    Visco, Steven J.; Jacobson, Craig P.; DeJonghe, Lutgard C.


    Provided is an electrode fabricated from highly electronically conductive materials such as metals, metal alloys, or electronically conductive ceramics. The electronic conductivity of the electrode substrate is maximized. Onto this electrode in the green state, a green ionic (e.g., electrolyte) film is deposited and the assembly is co-fired at a temperature suitable to fully densify the film while the substrate retains porosity. Subsequently, a catalytic material is added to the electrode structure by infiltration of a metal salt and subsequent low temperature firing. The invention allows for an electrode with high electronic conductivity and sufficient catalytic activity to achieve high power density in ionic (electrochemical) devices such as fuel cells and electrolytic gas separation systems.

  9. Electrolyte leakage as an indicator

    Directory of Open Access Journals (Sweden)

    ahmad nezami


    Full Text Available In order to evaluate the electrolyte leakage as an indicator of freezing injury in colza (Brassica napus L. genotypes under controlled conditions, a trial carried out at the green house of College of Agriculture, Ferdowsi University of Mashhad. In this study 10 rapeseed genotypes, with 5 temperatures (0, -4, -8, -12 and -16 °C on subplot and acclimation and non acclimation on main plot were evaluated on RCD factorial split plot with two replications. Plants were kept until 3-5 leaf stage in green house condition with 23/16 2 °C (day/night and natural photoperiod. Pots were subjected to acclimation (for three weeks or non acclimation that plants immediately frozen.For acclimation treatment after three weeks freezing was done in thermogradient freezer. The cell membrane integrity was measured through electrolyte leakage and the lethal temperature 50 (LT50 of samples also were determined. There were significant differences (p

  10. New Polymer Electrolyte Cell Systems (United States)

    Smyrl, William H.; Owens, Boone B.; Mann, Kent; Pappenfus, T.; Henderson, W.


    PAPERS PUBLISHED: 1. Pappenfus, Ted M.; Henderson, Wesley A.; Owens, Boone B.; Mann, Kent R.; Smyrl, William H. Complexes of Lithium Imide Salts with Tetraglyme and Their Polyelectrolyte Composite Materials. Journal of the Electrochemical Society (2004), 15 1 (2), A209-A2 15. 2. Pappenfus, Ted M.; Henderson, Wesley A.; Owens, Boone B.; Mann, Kent R.; Smyrl, William H. Ionic-liquidlpolymer electrolyte composite materials for electrochemical device applications. Polymeric Materials Science and Engineering (2003), 88 302. 3. Pappenfus, Ted R.; Henderson, Wesley A.; Owens, Boone B.; Mann, Kent R.; and Smyrl, William H. Ionic Conductivity of a poly(vinylpyridinium)/Silver Iodide Solid Polymer Electrolyte System. Solid State Ionics (in press 2004). 4. Pappenfus Ted M.; Mann, Kent R; Smyrl, William H. Polyelectrolyte Composite Materials with LiPFs and Tetraglyme. Electrochemical and Solid State Letters, (2004), 7(8), A254.

  11. Laparoscopic distal splenoadrenal shunt for the treatment of portal hypertension in children with congenital hepatic fibrosis (United States)

    Zhang, Jin-Shan; Cheng, Wei; Li, Long


    Abstract Background: The distal splenorenal shunt is an effective procedure for the treatment of portal hypertension in children. However, there has been no report about laparoscopic distal splenorenal shunt in the treatment of portal hypertension in children. Methods: From December 2015 to August 2016, 4 children with upper gastrointestinal bleeding underwent laparoscopic distal splenoadrenal shunt. Portal hypertension and splenomegaly were demonstrated on the preoperative computed tomography (CT) and sonography. The distal splenic vein was mobilized and anastomosed to the left adrenal vein laparoscopically. All patients were followed-up postoperatively. Results: The laparoscopic distal splenoadrenal shunt was successfully performed in all patients. The liver fibrosis was diagnosed by postoperative liver pathology. The operative time ranged from 180 to 360 minutes. The blood loss was minimal. The length of hospital stay was 6 to 13 days. The duration of following-up was 1 to 9 months (median: 3 months). The portal pressure and splenic size were decreased postoperatively. The complete blood count normalized and the biochemistry tests were within normal range after surgery. Postoperative ultrasound and CT confirmed shunt patency and satisfactory flow in the splenoadrenal shunt in all patients. No patient developed recurrence of variceal bleeding. Conclusions: The laparoscopic splenoadrenal shunt is a feasible treatment of portal hypertension in children. PMID:28099341

  12. Controversies: Optic nerve sheath fenestration versus shunt placement for the treatment of idiopathic intracranial hypertension

    Directory of Open Access Journals (Sweden)

    Arielle Spitze


    Full Text Available Background: Idiopathic intracranial hypertension (IIH has been increasing in prevalence in the past decade, following the obesity epidemic. When medical treatment fails, surgical treatment options must be considered. However, controversy remains as to which surgical procedure is the preferred surgical option - optic nerve sheath fenestration (ONSF or cerebrospinal fluid (CSF shunting - for the long-term treatment of this syndrome. Purpose: To provide a clinical update of the pros and cons of ONSF versus shunt placement for the treatment of IIH. Design: This was a retrospective review of the current literature in the English language indexed in PubMed. Methods: The authors conducted a PubMed search using the following terms: Idiopathic IIH, pseudotumor cerebri, ONSF, CSF shunts, vetriculo-peritoneal shunting, and lumbo-peritoneal shunting. The authors included pertinent and significant original articles, review articles, and case reports, which revealed the new aspects and updates in these topics. Results: The treatment of IIH remains controversial and lacks randomized controlled clinical trial data. Treatment of IIH rests with the determination of the severity of IIH-related visual loss and headache. Conclusion: The decision for ONSF versus shunting is somewhat institution and surgeon dependent. ONSF is preferred for patients with visual symptoms whereas shunting is reserved for patients with headache. There are positive and negative aspects of both procedures, and a prospective, randomized, controlled trial is needed (currently underway. This article will hopefully be helpful in allowing the reader to make a more informed decision until that time.

  13. Design and Analysis of Sliding Mode Controller and Simplified Space Vector Modulation for Three Phase Shunt Active Power Filter

    Directory of Open Access Journals (Sweden)

    S. Elangovan


    Full Text Available The main aim of this study is to control a multivariable coupled system by choosing sliding mode switching function. A Sliding mode control approach is developed to control a three phase three wire voltage source inverter operating as a shunt active power filter. Hence, no need to divide the system model developed in the synchronous ‘dq’ reference frame into two separate loops. Furthermore, the proposed control strategy allows a better stability and robustness over a wide range of operation. When sine PWM is used for generation of pulses for the switches, a variable switching nature is exhibited. The pulses for the active filter are fed by a Space Vector Modulation in order to have a constant switching of converter switches. But, the conventional space vector modulation, if implemented practically, needs a complicated algorithm which uses the trigonometric functions such as arctan, Sine and Cosine functions which in turn needs look up tables to store the pre-calculated trigonometric values. In this study, a very simplified algorithm is proposed for generating Space vector modulated pulse for all six switches without the use of look up tables and only by sensing the voltages and currents of the voltage source inverter acting as shunt active filter. The simulation using PSIM and MATLAB software verifies the results very well.

  14. Electrical conductivity of electrolytes applicable to natural waters from 0 to 100 degrees C (United States)

    McCleskey, R. Blaine


    The electrical conductivities of 34 electrolyte solutions found in natural waters ranging from (10-4 to 1) mol•kg-1 in concentration and from (5 to 90) °C have been determined. High-quality electrical conductivity data for numerous electrolytes exist in the scientific literature, but the data do not span the concentration or temperature ranges of many electrolytes in natural waters. Methods for calculating the electrical conductivities of natural waters have incorporated these data from the literature, and as a result these methods cannot be used to reliably calculate the electrical conductivity over a large enough range of temperature and concentration. For the single-electrolyte solutions, empirical equations were developed that relate electrical conductivity to temperature and molality. For the 942 molar conductivity determinations for single electrolytes from this study, the mean relative difference between the calculated and measured values was 0.1 %. The calculated molar conductivity was compared to literature data, and the mean relative difference for 1978 measurements was 0.2 %. These data provide an improved basis for calculating electrical conductivity for most natural waters.

  15. Staged Transcatheter Treatment of Portal Hypoplasia and Congenital Portosystemic Shunts in Children

    Energy Technology Data Exchange (ETDEWEB)

    Bruckheimer, Elchanan, E-mail:; Dagan, Tamir [Schneider Children' s Medical Center Israel, Section of Pediatric Cardiology (Israel); Atar, Eli; Schwartz, Michael [Schneider Children' s Medical Center Israel, Section of Radiology (Israel); Kachko, Ludmila [Schneider Children' s Medical Center Israel, Section of Anesthesiology (Israel); Superina, Riccardo; Amir, Gabriel [Schneider Children' s Medical Center Israel, Section of Pediatric Cardiology (Israel); Shapiro, Rivka [Schneider Children' s Medical Center Israel, Section of Gastroenterology (Israel); Birk, Einat [Schneider Children' s Medical Center Israel, Section of Pediatric Cardiology (Israel)


    Purpose: Congenital portosystemic shunts (CPSS) with portal venous hypoplasia cause hyperammonemia. Acute shunt closure results in portal hypertension. A transcatheter method of staged shunt reduction to afford growth of portal vessels followed by shunt closure is reported. Methods: Pressure measurements and angiography in the CPSS or superior mesenteric artery (SMA) during temporary occlusion of the shunt were performed. If vessels were diminutive and the pressure was above 18 mmHg, a staged approach was performed, which included implantation of a tailored reducing stent to reduce shunt diameter by {approx}50 %. Recatheterization was performed approximately 3 months later. If the portal pressure was below 18 mmHg and vessels had developed, the shunt was closed with a device. Results: Six patients (5 boys, 1 girl) with a median age of 3.3 (range 0.5-13) years had CPSS portal venous hypoplasia and hyperammonemia. Five patients underwent staged closure. One patient tolerated acute closure. One patient required surgical shunt banding because a reducing stent could not be positioned. At median follow-up of 3.8 (range 2.2-8.4) years, a total of 21 procedures (20 transcatheter, 1 surgical) were performed. In all patients, the shunt was closed with a significant reduction in portal pressure (27.7 {+-} 11.3 to 10.8 {+-} 1.8 mmHg; p = 0.016), significant growth of the portal vessels (0.8 {+-} 0.5 to 4.0 {+-} 2.4 mm; p = 0.037), and normalization of ammonia levels (202.1 {+-} 53.6 to 65.7 {+-} 9.6 {mu}mol/L; p = 0.002) with no complications. Conclusion: Staged CPSS closure is effective in causing portal vessel growth and treating hyperammonemia.

  16. Sudden deafness and right-to-left shunts. (United States)

    Iguchi, Yasuyuki; Kimura, Kazumi; Kobayashi, Kazuto; Tachi, Toshihiro; Aihara, Teruhito; Harada, Tamotsu


    One of the etiologies for idiopathic sudden deafness is considered to be ischemia of the inner ear. Cryptogenic stroke is caused by a right-to-left shunt (RLS). The present study investigated whether RLS is associated with the occurrence of sudden deafness. Contrast saline transcranial Doppler ultrasonography was performed to detect RLS. Subjects comprised 23 consecutive sudden deafness patients and 46 age- and gender-matched controls. Clinical characteristics, including vascular risk factors, were compared between sudden deafness and control groups. RLS was more frequent in the sudden deafness group than in controls (48 vs. 17%, p = 0.011). No significant differences in other clinical characteristics were seen between groups. RLS may be a potential cause of sudden deafness. Copyright 2008 S. Karger AG, Basel.

  17. Creating interatrial shunts in heart failure and pulmonary hypertension

    DEFF Research Database (Denmark)

    Wolsk, Emil; Gustafsson, Finn


    Patients with elevated filling pressures are at increased risk of adverse cardiovascular (CV) outcomes. Structural interventions to lower elevated either left or right atrial filling pressures are gaining attention. Studies in heart failure show that lowering left atrial pressure may reduce CV...... events while improving functional capacity. In recognition of this, trials are ongoing studying the effects of percutaneously implanted interatrial shunt devices (IASD). The preliminary results of IASD implantation suggest that periprocedural complications are rare and midterm safety good. Although both...... haemodynamic and functional parameters improve after IASD implantation, study designs, including sample size and duration, preclude definite conclusions regarding potential efficacy. In this paper, we briefly summarise current knowledge in the field, and give a perspective on the data needed to make...

  18. Finite Element and Experimental Study of Shunting in Resistance Spot Welding

    DEFF Research Database (Denmark)

    Seyyedian Choobi, M.; Nielsen, C. V.; Bay, N.


    conducted to investigate the effect of shunting on nugget size in spot welding of HSLA steel sheets. Different cases with different spacing between weld spots have been examined. The nugget sizes have been measured by metallographic examination and have been compared with 3D finite element simulations....... The results of this study revealed that the shunt effect becomes negligible when the minimum weld spacing is about six times the electrode diameter. The results showed that the weld nugget diameter is more sensitive to shunt effect than the nugget height....

  19. Liver resection for the treatment of a congenital intrahepatic portosystemic venous shunt

    Institute of Scientific and Technical Information of China (English)

    Michail Papamichail; Amir Ali; Alberto Quaglia; John Karani; Nigel Heaton


    Intrahepatic portosystemic shunts (IPSS) are rare congenital anomalies arising from disordered portal vein em-bryogenesis. It has been described in both children and adults and may be asymptomatic or be associated with a variety of neurophysiological and pulmonary complications. When rec-ognized, early intervention to occlude the shunt will reverse the associated complications. Literature review reports of surgical and radiological occlusion of the shunt, but due to its rarity, a standard therapeutic protocol has not been established. A case of a 38-year-old woman with abdominal pain and low grade encephalopathy, diagnosed with an IPSS and treated by right hepatectomy was reported.

  20. Intrahepatic Portosystemic Venous Shunt: Successful Embolization Using the Amplatzer Vascular Plug II

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Ju; Shin, Byung Seok; Lee, In Ho; Ohm, Joon Young; Lee, Byung Seok; Ahn, Moon Sang [Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon (Korea, Republic of); Kim, Ho Jun [Dept. of Radiology, Konyang University Hospital, Konyang University College of Medicine, Daejeon (Korea, Republic of)


    A 67-year-old woman presented with memory impairment and behavioral changes. Brain MRI indicated hepatic encephalopathy. Abdominal CT scans revealed an intrahepatic portosystemic venous shunt that consisted of two shunt tracts to the aneurysmal sac that communicated directly with the right hepatic vein. The large tract was successfully occluded by embolization using the newly available AMPLATZERTM Vascular Plug II and the small tract was occluded by using coils. The patient's symptoms disappeared after shunt closure and she remained free of recurrence at the 3-month follow-up evaluation.

  1. Lack of shunt response in suspected idiopathic normal pressure hydrocephalus with Alzheimer disease pathology. (United States)

    Hamilton, Roy; Patel, Sunil; Lee, Edward B; Jackson, Eric M; Lopinto, Joanna; Arnold, Steven E; Clark, Christopher M; Basil, Anuj; Shaw, Leslie M; Xie, Sharon X; Grady, M Sean; Trojanowski, John Q


    To determine the impact of cortical Alzheimer disease pathology on shunt responsiveness in individuals treated for idiopathic normal pressure hydrocephalus (iNPH), 37 patients clinically diagnosed with iNPH participated in a prospective study in which performance on neurologic, psychometric, and gait measures before and 4 months after shunting was correlated with amyloid β plaques, neuritic plaques, and neurofibrillary tangles observed in cortical biopsies obtained during shunt insertion. No complications resulted from biopsy acquisition. Moderate to severe pathology was associated with worse baseline cognitive performance and diminished postoperative improvement on NPH symptom severity scales, gait measures, and cognitive instruments compared to patients lacking pathology.

  2. The design and implementation of on-line monitoring system for UHV compact shunt capacitors (United States)

    Tao, Weiliang; Ni, Xuefeng; Lin, Hao; Jiang, Shengbao


    Because of the large capacity and compact structure of the UHV compact shunt capacitor, it is difficult to take effective measures to detect and prevent the faults. If the fault capacitor fails to take timely maintenance, it will pose a threat to the safe operation of the system and the life safety of the maintenance personnel. The development of UHV compact shunt capacitor on-line monitoring system can detect and record the on-line operation information of UHV compact shunt capacitors, analyze and evaluate the early fault warning signs, find out the fault capacitor or the capacitor with fault symptom, to ensure safe and reliable operation of the system.

  3. Design and Simulation of a Shunt Active Filter in Application for Control of Harmonic Levels

    CERN Document Server

    Adrian, Gligor


    Nowadays, the active filters represent a viable alternative for controlling harmonic levels in industrial consumers electrical installations. It must be noted the availability of many different types of filter configurations that can be used but there is no standard method for rating the active filters. This paper focuses on describing the shunt active filter structure and design. The theoretical concepts underlying the design of shunt active filters are presented. To validate and highlight the performance of shunt active filters a Matlab-Simulink model was developed. Simulation results are also presented.

  4. Simulation and reliability analysis of shunt active power filter based on instantaneous reactive power theory

    Institute of Scientific and Technical Information of China (English)

    CUI Yu-long; LIU Hong; WANG Jing-qin; SUN Shu-guang


    This paper first discusses the operating principle ofinstantaneous reactive power theory. Then, the theory is introduced into shunt active power filter and its control scheme is studied. Finally, Matlab/Simulink power system toolbox is used to simulate the system. In the simulation model, as the most common harmonic source, 3-phase thyfistor bridge rectifier circuit is constructed.The simulation results before and after the shunt active filter was switched to the system corresponding to different firing angles of the thyristors are presented and analyzed, which demonstrate the practicability and reliability of the proposed shunt active filter scheme.

  5. Intrahepatic portosystemic venous shunts: diagnosis by Doppler ultrasound; Cortocircuitos venosos portosistemicos intrahepaticos: diagnostico mediante ecografia Doppler

    Energy Technology Data Exchange (ETDEWEB)

    Garofano, M. P.; Medina, A.; Lopez, G.; Garrido, C. [Hospital Universitario Virgen de las Nieves. Granada (Spain)


    Intrahepatic portosystemic venous shunts are venous vascular lesions that allow intrahepatic portal vessels to communicate with hepatic veins. They may present in patients with portal hypertension or b discovered incidentally; it is considered that the latter may be congenital or acquired. A noninvasive methods. Doppler ultrasound aids in the diagnosis of these anomalous communications by providing images of the vessels and the direction, velocity and volume of the blood flow through the shunt. We present four cases of intrahepatic portosystemic venous shunt. (Author) 8 refs.

  6. Two-port laparoscopic management of a giant pseudocyst complicating ventriculoperitoneal shunt

    Directory of Open Access Journals (Sweden)

    Sandesh V Parelkar


    Full Text Available Insertion of a ventriculo-peritoneal (VP shunt is the most common operative procedure for the treatment of hydrocephalus in children. Of the several causes of shunt malfunction, cerebrospinal fluid (CSF pseudocyst is relatively uncommon. There are several modalities to treat a CSF pseudocyst. Laparotomy is required, at times, more than once. We managed a patient of CSF pseudocyst with two-port laparoscopy, by deroofing the psuedocyst and repositioning of the shunt. This minimally invasive technique avoids morbidity associated with laparotomy and aids in early recovery.

  7. Failure of peritoneal and gallbladder shunts in a child with craniopharyngioma

    Directory of Open Access Journals (Sweden)

    Julie Woodfield


    Full Text Available A 1-year-old girl with craniopharyngioma required external drainage of 40-50 mL/h of cerebrospinal fluid (CSF after biopsy and cyst fenestration. She developed CSF ascites following insertion of a ventriculoperitoneal (VP shunt and a distended painful gallbladder following ventriculogallbladder shunt insertion. Revision to a ventriculoatrial shunt was required. This is the first time a craniopharyngioma has been reported to cause increased CSF production. The potential mechanisms of CSF overproduction and the difficulties managing the large volume of CSF in a young child are discussed.

  8. Hyperchaotic behaviours and controlling hyperchaos in an array of RCL-shunted Josephson junctions

    Institute of Scientific and Technical Information of China (English)

    Ri Ilmyong; Feng Yu-Ling; Yao Zhi-Hai; Fan Jian


    This paper deals with dynamical behaviours in an array composed of two resistive-capacitive-inductive-shunted (RCL-shunted) Josephson junctions (RCLSJJs) and a shunted resistor.Numerical simulations show that periodic,chaotic and hyperchaotic states can coexist in this array.Moreover,a scheme for controlling hyperchaos in this array is presented by adjusting the external bias current.Numerical results confirm that this scheme can be effectively used to control hyperchaotic states in this array into stable periodic states,and different stable periodic states with different period numbers can be obtained by appropriately choosing the intensity of the external bias current.

  9. Liver resection for the treatment of a congenital intrahepatic portosystemic venous shunt

    Institute of Scientific and Technical Information of China (English)

    Michail Papamichail; Amir Ali; Alberto Quaglia; John Karani; Nigel Heaton


    Intrahepatic portosystemic shunts (IPSS) are rare congenital anomalies arising from disordered portal vein em-bryogenesis. It has been described in both children and adults and may be asymptomatic or be associated with a variety of neurophysiological and pulmonary complications. When rec-ognized, early intervention to occlude the shunt will reverse the associated complications. Literature review reports of surgical and radiological occlusion of the shunt, but due to its rarity, a standard therapeutic protocol has not been established. A case of a 38-year-old woman with abdominal pain and low grade encephalopathy, diagnosed with an IPSS and treated by right hepatectomy was reported.

  10. Waste Package Neutron Absorber, Thermal Shunt, and Fill Gas Selection Report

    Energy Technology Data Exchange (ETDEWEB)

    V. Pasupathi


    Materials for neutron absorber, thermal shunt, and fill gas for use in the waste package were selected using a qualitative approach. For each component, selection criteria were identified; candidate materials were selected; and candidates were evaluated against these criteria. The neutron absorber materials evaluated were essentially boron-containing stainless steels. Two candidates were evaluated for the thermal shunt material. The fill gas candidates were common gases such as helium, argon, nitrogen, carbon dioxide, and dry air. Based on the performance of each candidate against the criteria, the following selections were made: Neutron absorber--Neutronit A978; Thermal shunt--Aluminum 6061 or 6063; and Fill gas--Helium.

  11. Relationship between cerebrospinal fluid flow through the ventriculo-peritoneal shunt and computed tomographic images of hydrocephalic patients

    Energy Technology Data Exchange (ETDEWEB)

    Ikeda, Kiyonobu; Itoh, Haruhide; Someya, Shigeru; Yamamoto, Shinjiro


    Quantitative measurements of cerebrospinal fluid flow through the ventriculo-peritoneal shunt using radioisotope were carried out on 34 hydrocepalic patients (18 children and 16 adults) and the relationship between the flow rates and the computed tomographic (CT) images was studied. 1) The flow rates in the prone position was 0.04 - 0.20(mean +- SD, 0.10 +- 0.05) ml/min in 13 patients whose shunt systems were functioning adequately. There was a good correlation between the flow rates and closing pressures of the shunt valves. 2) The 21 patients with malfunctioning shunt systems were devided into two groups as follows; the obstruction or lower flow group in which the shunt flow was in 0 approx. 0.05 ml/min and the over-flow groups with rates over 0.20 ml/min. In the former group, there were 3 cases in which the shunt flow in a sitting position was very low and the cause of the malfunction was thought to be placement of an inadequate system with a higher pressure valve. 3) In 4 cases of 5 children in which the ventricles were of normal size during shunt malfunction, their ventricular sizes on CT images changed to small or slit-like ventricles after shunt revision. 4) A few cases of hydrocephalic adults, in which the shunt-catheters were thought to be obstructed with no shunt flow in the prone and sitting positions showing no progressive dilatation of the ventricles on CT images, were diagnosed with the added findings of RI cisternography as shunt-dependent arrested hydrocephalus. In the diagnosis of shunt malfunction and selection of the most adequate system in shunt revision, it is necessary to analyze together the data on CT images, quantitative measurement of shunt flow rates and RI cisternography as well as the clinical manifestations.

  12. Low-Frequency Dielectric Dispersion of Highly Concentrated Spherical Particles in an Electrolyte Solution

    Institute of Scientific and Technical Information of China (English)

    倪福生; 顾国庆; 陈康民


    We deal with the problem of calculating the effective dielectric dispersion and electrical conductivity of colloidaldispersions. A comparison of the theoretical calculation of first principles with the experimental data of Schwanshows that our technique proposed here is no longer restricted to dilute solutions and is very effective for studyingthe dielectric properties of colloids with highly concentrated charged spherical particles in an electrolyte solution.

  13. The Pt(111)/Electrolyte Interface under Oxygen Reduction Reaction Conditions

    DEFF Research Database (Denmark)

    Bondarenko, A.S.; Stephens, Ifan; Hansen, Heine Anton;


    between the adsorbate and Pt surface atoms (0.45−1.15 V vs RHE). An equivalent electric circuit is proposed to model the Pt(111)/electrolyte interface under ORR conditions within the selected potential window. This equivalent circuit reflects three processes with different time constants, which occur...... simultaneously during the ORR at Pt(111). Density functional theory (DFT) calculations were used to correlate and interpret the results of the measurements. The calculations indicate that the coadsorption of ClO4* and Cl* with OH* is unlikely. Our analysis suggests that the two-dimensional (2D) structures formed...

  14. Thermodynamic properties of gases dissolved in electrolyte solutions. (United States)

    Tiepel, E. W.; Gubbins, K. E.


    A method based on perturbation theory for mixtures is applied to the prediction of thermodynamic properties of gases dissolved in electrolyte solutions. The theory is compared with experimental data for the dependence of the solute activity coefficient on concentration, temperature, and pressure; calculations are included for partial molal enthalpy and volume of the dissolved gas. The theory is also compared with previous theories for salt effects and found to be superior. The calculations are best for salting-out systems. The qualitative feature of salting-in is predicted by the theory, but quantitative predictions are not satisfactory for such systems; this is attributed to approximations made in evaluating the perturbation terms.

  15. Electrolytic hydrogen fuel production with solid polymer electrolyte technology. (United States)

    Titterington, W. A.; Fickett, A. P.


    A water electrolysis technology based on a solid polymer electrolyte (SPE) concept is presented for applicability to large-scale hydrogen production in a future energy system. High cell current density operation is selected for the application, and supporting cell test performance data are presented. Demonstrated cell life data are included to support the adaptability of the SPE system to large-size hydrogen generation utility plants as needed for bulk energy storage or transmission. The inherent system advantages of the acid SPE electrolysis technology are explained. System performance predictions are made through the year 2000, along with plant capital and operating cost projections.

  16. Nanocomposite polymer electrolyte for rechargeable magnesium batteries

    Energy Technology Data Exchange (ETDEWEB)

    Shao, Yuyan; Rajput, Nav Nidhi; Hu, Jian Z.; Hu, Mary Y.; Liu, Tianbiao L.; Wei, Zhehao; Gu, Meng; Deng, Xuchu; Xu, Suochang; Han, Kee Sung; Wang, Jiulin; Nie, Zimin; Li, Guosheng; Zavadil, K.; Xiao, Jie; Wang, Chong M.; Henderson, Wesley A.; Zhang, Jiguang; Wang, Yong; Mueller, Karl T.; Persson, Kristin A.; Liu, Jun


    Nanocomposite polymer electrolytes present new opportunities for rechargeable magnesium batteries. However, few polymer electrolytes have demonstrated reversible Mg deposition/dissolution and those that have still contain volatile liquids such as tetrahydrofuran (THF). In this work, we report a nanocomposite polymer electrolyte based on poly(ethylene oxide) (PEO), Mg(BH4)2 and MgO nanoparticles for rechargeable Mg batteries. Cells with this electrolyte have a high coulombic efficiency of 98% for Mg plating/stripping and a high cycling stability. Through combined experiment-modeling investigations, a correlation between improved solvation of the salt and solvent chain length, chelation and oxygen denticity is established. Following the same trend, the nanocomposite polymer electrolyte is inferred to enhance the dissociation of the salt Mg(BH4)2 and thus improve the electrochemical performance. The insights and design metrics thus obtained may be used in nanocomposite electrolytes for other multivalent systems.

  17. Electrolyte Additives for Phosphoric Acid Fuel Cells

    DEFF Research Database (Denmark)

    Gang, Xiao; Hjuler, H.A.; Olsen, C.A.


    Electrochemical characteristics of a series of modified phosphoric acid electrolytes containing fluorinated car on compounds and silicone fluids as additives are presented. When used in phosphoric acid fuel cells, the modified electrolytes improve the performance due to the enhanced oxygen...... reduction rate. Among useful additives we found potassium perfluorohexanesulfonate (C6F13SO3K), potassium nonafluorobutanesulfonate (C4F9SO3K), perfluorotributylamine [(C4F9)3N], and polymethylsiloxanes [(-Si(CH3)2O-)n]. The wettability of the electrodes by the modified electrolytes also is discussed......, as a fuel-cell performance with the modified electrolytes. Specific conductivity measurements of some of the modified phosphoric acid electrolytes are reported. At a given temperature, the conductivity of the C4F9SO3K-modified electrolyte decreases with an increasing amount of the additive; the conductivity...

  18. Chemical stability of γ-butyrolactone-based electrolytes for aluminum electrolytic capacitors (United States)

    Ue, Makoto; Takeda, Masayuki; Suzuki, Yoko; Mori, Shoichiro

    γ-Butyrolactone-based electrolytes have been used as the operating electrolytes for aluminum electrolytic capacitors. The chemical stability of these electrolytes at elevated temperatures has been examined by monitoring the decrease in their electrolytic conductivities. The deteriorated electrolytes were analyzed by gas and liquid chromatography and the conductivity decrease was directly correlated with the loss of acid components. In quaternary ammonium hydrogen maleate/γ-butyrolactone electrolytes, the maleate anion decomposed by decarboxylation resulting in a complex polymer containing polyester and polyacrylate structures. Quaternary ammonium benzoate/γ-butyrolactoneelectrolytes decomposed by SN2 reactions giving alkyi benzoates and trialkylamines. The deterioration of the carboxylate salt/γ-butyrolactone electrolytes was accelerated by electrolysis.

  19. Obstructed surgical porto-systemic shunts in the early postoperative period: interventional therapy by angioplasty (PTA) and stent placement; Obstruktion chirurgischer portosystemischer Shunts in der fruehen postoperativen Phase: interventionelle Behandlung durch Angioplastie und Stentimplantation

    Energy Technology Data Exchange (ETDEWEB)

    Strunk, H.; Textor, J.; Koenig, R.; Wilhelm, K.; Schild, H. [Bonn Univ. (Germany). Radiologische Klinik; Wolff, M. [Bonn Univ. (Germany). Chirurgische Klinik und Poliklinik


    Recurrent variceal bleeding in patients treated with surgical porto-systemic shunting is most often due to shunt stenoses or occlusion. Radiological interventional procedures are a possible method of therapy and our experience herein is described in this report. Patients and Methods: from 1997 to 1999 54 patients with recurrent variceal bleeding were treated with a surgical porto-systemic shunt procedure. Of these early shunt occlusion occurred in 5 patients, which was treated with percutaneous transcatheter techniques. Results: in only one patient was PTA alone sufficient to reestablish shunt patency, in four patient stent placement was necessary in addition. In the follow-up period 1 patient died 26 month after intervention with (autopsy-proven) patent shunt, in one patient shunt reocclusion occurred after 11 months and in 3 patients the shunt is still patent. Conclusions: PTA, if necessary in combination with stent placement, is an attractive alternative method of therapy in case of an early surgical porto-systemic shunt occlusion. (orig.) [German] Rezidivblutungen nach chirurgischer portosystemischer Shuntanlage sind meistens durch eine Shuntstenose oder einen Shuntverschluss bedingt. Hier stellen interventionelle Eingriffe einen moeglichen therapeutischen Ansatz dar, ueber den im Folgenden berichtet werden soll. Patienten und Methode: zwischen 1997 und 1999 wurde bei insgesamt 54 Patienten wegen rezidivierender Blutungen ein operativer portosystemischer Shunt angelegt. Von diesen zeigten fuenf Patienten in der unmittelbaren postoperativen Periode einen Shuntverschluss, der radiologisch interventionell therapiert wurde. Ergebnisse: bei einem der fuenf Patienten genuegte zur Wiederherstellung des Flusses eine alleinige Ballondilatation (PTA), bei vier Patienten musste zusaetzlich eine Stentimplantation durchgefuehrt werden. In der weiteren Nachsorge ist ein Pat. nach 26 Wochen mit autoptisch offenem Shunt verstorben, bei 3 Pat. ist der Shunt offen, bei einem

  20. Solid electrolytes general principles, characterization, materials, applications

    CERN Document Server

    Hagenmuller, Paul


    Solid Electrolytes: General Principles, Characterization, Materials, Applications presents specific theories and experimental methods in the field of superionic conductors. It discusses that high ionic conductivity in solids requires specific structural and energetic conditions. It addresses the problems involved in the study and use of solid electrolytes. Some of the topics covered in the book are the introduction to the theory of solid electrolytes; macroscopic evidence for liquid nature; structural models; kinetic models; crystal structures and fast ionic conduction; interstitial motion in

  1. Fuel cell assembly with electrolyte transport (United States)

    Chi, Chang V.


    A fuel cell assembly wherein electrolyte for filling the fuel cell matrix is carried via a transport system comprising a first passage means for conveying electrolyte through a first plate and communicating with a groove in a second plate at a first point, the first and second plates together sandwiching the matrix, and second passage means acting to carry electrolyte exclusively through the second plate and communicating with the groove at a second point exclusive of the first point.

  2. Solid-oxide fuel cell electrolyte

    Energy Technology Data Exchange (ETDEWEB)

    Bloom, I.D.; Hash, M.C.; Krumpelt, M.


    This invention is comprised of a solid-oxide electrolyte operable at between 600{degrees}C and 800{degrees}C and a method of producing the solid-oxide electrolyte. The solid-oxide electrolyte comprises a combination of a compound having a weak metal-oxygen interactions with a compound having stronger metal-oxygen interactions whereby the resulting combination has both strong and weak metal-oxygen interaction properties.

  3. Novel Electrolytes for Lithium Ion Batteries

    Energy Technology Data Exchange (ETDEWEB)

    Lucht, Brett L. [Univ. of Rhode Island, Kingston, RI (United States). Dept. of Chemistry


    We have been investigating three primary areas related to lithium ion battery electrolytes. First, we have been investigating the thermal stability of novel electrolytes for lithium ion batteries, in particular borate based salts. Second, we have been investigating novel additives to improve the calendar life of lithium ion batteries. Third, we have been investigating the thermal decomposition reactions of electrolytes for lithium-oxygen batteries.

  4. Declination Calculator (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Declination is calculated using the current International Geomagnetic Reference Field (IGRF) model. Declination is calculated using the current World Magnetic Model...

  5. Rebalancing electrolytes in redox flow battery systems (United States)

    Chang, On Kok; Pham, Ai Quoc


    Embodiments of redox flow battery rebalancing systems include a system for reacting an unbalanced flow battery electrolyte with a rebalance electrolyte in a first reaction cell. In some embodiments, the rebalance electrolyte may contain ferrous iron (Fe.sup.2+) which may be oxidized to ferric iron (Fe.sup.3+) in the first reaction cell. The reducing ability of the rebalance reactant may be restored in a second rebalance cell that is configured to reduce the ferric iron in the rebalance electrolyte back into ferrous iron through a reaction with metallic iron.

  6. [FTIR investigation of new polymer solid electrolytes]. (United States)

    Yang, Shu-ting; Chen, Hong-jun; Dong, Hong-yu; Jia, Jun-hua; Cao, Zhao-xia


    The conductivity of the porous polymer solid electrolyte blended with PVDF and PMMA, which was made by a micro-wave hot-cross-linking method, reached 2.05 x 10(-3) S x cm(-1) at room temperature. The polymer solid electrolyte was analyzed and investigated by FTIR. The results show that the PVDF, PMMA and LiClO4 in the polymer solid electrolyte were not simply blended, but certain kind of effect existed which was strengthened only when the polymer solid electrolyte came into being.

  7. Electrodeposition of Fe powder from acid electrolytes

    Directory of Open Access Journals (Sweden)



    Full Text Available Polarization characteristics of the electrodeposition processes of Fe powders from sulfate and chloride electrolytes and the morphology of the obtained powders were investigated. The morphology depended on the anion presence in the electrolyte but not on the current density in the investigated range. A characteristic feature of the dendritic powder with cauliflower endings obtained from sulfate electrolyte is the presence of cone-like cavities and the crystallite morphology of the powders surface. On the other hand, Fe powders electrodeposited from chloride electrolyte appear in the form of agglomerates. A soap solution treatment applied as a method of washing and drying provides good protection from oxidation of the powders.

  8. Drug delivery device including electrolytic pump

    KAUST Repository

    Foulds, Ian G.


    Systems and methods are provided for a drug delivery device and use of the device for drug delivery. In various aspects, the drug delivery device combines a “solid drug in reservoir” (SDR) system with an electrolytic pump. In various aspects an improved electrolytic pump is provided including, in particular, an improved electrolytic pump for use with a drug delivery device, for example an implantable drug delivery device. A catalytic reformer can be incorporated in a periodically pulsed electrolytic pump to provide stable pumping performance and reduced actuation cycle.

  9. Shunt hybrid active power filter for harmonic mitigation: A practical design approach

    Indian Academy of Sciences (India)

    Unnikrishnan A K; Chandira Sekaran E; Subhash Joshi T G; Manju A S; Aby Joseph


    The increasing importance of Power Quality problems has been responsible for several improvements in Active Power Filter (APF) typologies in the last decade. The increased cost and switching losses make a pure shunt APF economically impractical for high power applications. In higher power levels shunt Hybrid Active Power Filter (HAPF) has been reported to be a useful approach to eliminate current harmonics caused by nonlinear loads. This paper presents a control strategy and design criteria for transformer-less shunt HAPF with special attention to the integration of series passive filter. The paper also compares the performance improvement of passive harmonic filter when modified as shunt HAPF. Experimental results obtained verify the viability and effectiveness of the proposed design criteria and control algorithm.

  10. RISA cisternography in the option of ventriculocisternal shunt for infantile non-tumoural aqueductal stenosis. (United States)

    Palma, L; Mariottini, A; D'Addetta, R; Mastronardi, L


    Twenty cases of infantile triventricular hydrocephalus from non-tumoural aqueductal stenosis were treated by ventriculocisternal shunt following RISA cisternography. In 11 cases RISA cisternography showed a normal pattern of CSF circulation. One patient was lost to follow-up. Two had their intrathecal shunt converted into an extrathecal one because of postoperative meningeal infection. Of the remaining 8 patients, 7 had good and 1 fair long term results. In 9 cases RISA cisternography presented an abnormal pattern without indicating a definite impairment of CSF absorption. Slow flow of the tracer leading to its complete disappearance from 36 to 48 hours and 48 to 72 hours was observed respectively in 7 and 2 patients. In both the latter as well in two of the other seven an extrathecal shunt had to be employed (44%). A retrospective analysis to assess the predictive value of CSF absorption test by RISA in the selection of this kind of intrathecal shunt is made.

  11. Effects of quaternary ammonium silane coatings on mixed fungal and bacterial biofilms on tracheoesophageal shunt prostheses

    NARCIS (Netherlands)

    Oosterhof, JJH; Buijssen, KJDA; Busscher, HJ; van der Laan, BFAM; van der Mei, HC


    Two quaternary ammonium silanes (QAS) were used to coat silicone rubber tracheoesophageal shunt prostheses, yielding a positively charged surface. One QAS coating [(trimethoxysilyl)-propyidimethylocta-decylammonium chloride] was applied through chemical bonding, while the other coating, Biocidal ZF,

  12. Surgical attenuation of spontaneous congenital portosystemic shunts in dogs resolves hepatic encephalopathy but not hypermanganesemia. (United States)

    Gow, Adam G; Frowde, Polly E; Elwood, Clive M; Burton, Carolyn A; Powell, Roger M; Tappin, Simon W; Foale, Rob D; Duncan, Andrew; Mellanby, Richard J


    Hypermanganesemia is commonly recognized in human patients with hepatic insufficiency and portosystemic shunting. Since manganese is neurotoxic, increases in brain manganese concentrations have been implicated in the development of hepatic encephalopathy although a direct causative role has yet to be demonstrated. Evaluate manganese concentrations in dogs with a naturally occurring congenital shunt before and after attenuation as well as longitudinally following the changes in hepatic encephalopathy grade. Our study demonstrated that attenuation of the shunt resolved encephalopathy, significantly reduced postprandial bile acids, yet a hypermanganasemic state persisted. This study demonstrates that resolution of hepatic encephalopathy can occur without the correction of hypermanganesemia, indicating that increased manganese concentrations alone do not play a causative role in encephalopathy. Our study further demonstrates the value of the canine congenital portosystemic shunt as a naturally occurring spontaneous model of human hepatic encephalopathy.

  13. Association of Brucella Meningoencephalitis with Cerebrospinal Fluid Shunt in A Child: A Case Report

    Directory of Open Access Journals (Sweden)

    Babak ABDINIA


    Full Text Available Brucellosis is an endemic zoonosis in Iran. It is a systemic infection that can involve any organs or systems of the body and have variable presentations. Ventriculoperitoneal (VP shunt infections due to brucellosis have been rarely reported in the literatures.This is the history of a four years old boy who developed Brucella meningoencephalitis at the age of 42 months, whilst he had a VP shunt in situ for hydrocephalus treatment. Also, he presented brucellosis as acute abdomen. This patient was treated with trimethoprim-sulfamethoxazole, gentamicin and rifampicin. The shunt was extracted and all clinical and laboratory test abnormalities subsided through this management.We propose that in a patient with Brucella meningoencephalitis, the cerebrospinal fluid shunt system can be extracted and treatment with appropriate combination of antibiotics could be successful. Moreover, it shows that brucellosis should be considered in the differential diagnosis for acute abdomen and ascites in endemic regions.

  14. Experimental study on absorption of blade vibration of honeycomb seal and shunt injection

    Institute of Scientific and Technical Information of China (English)

    Zhang Qiang; He Lidong; Huo Genglei; Che Jianye


    Honeycomb seals and shunt injection have been proposed to weaken the blade vibration. Honeycomb seals, as well as, smooth seals were tested with different seals' clearances and shrouded blades. The shunt injection was sprayed to the blade tip clearance in the reverse direction of the main flow. Experimental results showed that both honeycomb seals and shunt injection had the damping effect for blade vibration, and the blade vibration magnitude could be reduced by more than 25% and 17%, respectively. When the two methods were adopted synchronously, more than 1/3 of the blade vibration could be reduced. Consequently, adopting honeycomb seal and superinducing proper shunt injection are two useful ways to minimize vibration of the blade from the viewpoints of avoiding blade rupture and improving the rotor stability.

  15. Laparoscopic Cholecystectomy for a Patient with a Lumboperitoneal Shunt: A Rare Case. (United States)

    Rumba, Roberts; Vanags, Andrejs; Strumfa, Ilze; Pupkevics, Andrejs; Pavars, Maris


    A rare factor that can complicate the perioperative course of laparoscopic cholecystectomy is previous placement of a lumboperitoneal (LP) shunt. Thus far, only two articles describing this situation have been published. Here, we report on a 41-year-old female patient with gallstone disease and a LP shunt placement in the preceding year due to idiopathic intracranial hypertension. It is a syndrome of increased intracranial pressure without any known cause that mainly affects young obese women. The patient was operated upon using standard port placement and peritoneal insufflation. The postoperative period was uneventful and the patient was discharged shortly after the procedure. Due to the increasing incidence and prevalence of obesity, the number of general surgical patients with a LP shunt will likely increase. Based on our experience and evidence in the literature, we conclude that performing a laparoscopy for a patient with a LP shunt is safe.

  16. Assessment of FGPM shunt damping for vibration reduction of laminated composite beams (United States)

    Lezgy-Nazargah, M.; Divandar, S. M.; Vidal, P.; Polit, O.


    This work addresses theoretical and finite element investigations of functionally graded piezoelectric materials (FGPMs) for shunted passive vibration damping of laminated composite beams. The properties of piezoelectric patches are assumed to vary through the thickness direction following the exponent or power law distribution in terms of the volume fractions of the constituent materials. By employing Hamilton's principle, the governing differential equations of motion are derived. The resulting system of equations of vibration is solved by employing an efficient three-nodded beam element which is based on a refined sinus piezoelectric model. The effects of effective electromechanical coupling coefficients (EEMCCs), different electric shunt circuits and different material compositions on the shunted damping performance are investigated. The optimal values of the electric components belonging to each shunt circuit are numerically determined.

  17. Subdural haematoma complicating shunting for normal pressure hydrocephalus in the setting of concomitant antiplatelet medication

    DEFF Research Database (Denmark)

    Birkeland, Peter; Lauritsen, Jens; Poulsen, Frantz Rom


    OBJECTIVE: To report on the occurrence and management of subdural haematoma after shunt implantation for normal pressure hydrocephalus and to determine the risk of recurrence in the setting of antiplatelet medication. METHODS: From a consecutive series of 80 patients implanted with a cerebrospinal...... fluid shunt for normal pressure hydrocephalus, records from 11 patients taking antiplatelet drugs, who subsequently had surgery for subdural haematoma were extracted and retrospectively reviewed. RESULTS: Patients were followed up for a mean of 1819 days after shunt implantation. Subdural haematomas...... reoperations done before the subdural collection disappeared. Only one patient had a late recurrence almost 11 years after shunt implantation. CONCLUSIONS: Subdural haematoma in the setting of a ventriculoperitoneal implantation for normal pressure hydrocephalus and concomitant antiplatelet medication can...

  18. Optimizing the Shunting Schedule of Electric Multiple Units Depot Using an Enhanced Particle Swarm Optimization Algorithm (United States)

    Jin, Junchen


    The shunting schedule of electric multiple units depot (SSED) is one of the essential plans for high-speed train maintenance activities. This paper presents a 0-1 programming model to address the problem of determining an optimal SSED through automatic computing. The objective of the model is to minimize the number of shunting movements and the constraints include track occupation conflicts, shunting routes conflicts, time durations of maintenance processes, and shunting running time. An enhanced particle swarm optimization (EPSO) algorithm is proposed to solve the optimization problem. Finally, an empirical study from Shanghai South EMU Depot is carried out to illustrate the model and EPSO algorithm. The optimization results indicate that the proposed method is valid for the SSED problem and that the EPSO algorithm outperforms the traditional PSO algorithm on the aspect of optimality. PMID:27436998

  19. Urethral protrusion of the abdominal catheter of ventriculoperitoneal shunt: Case report of extremely rare complication

    Directory of Open Access Journals (Sweden)

    Ugur Yazar


    Full Text Available Hydrocephalus in its various forms constitutes one of the major problems in pediatric neurosurgical practice. The placement of a ventriculoperitoneal (VP shunt is the most common form of treatment for hydrocephalus, so that all neurosurgeons struggle with shunt malfunctions and their complications. Well-known complications are connected with the use of the valve systems (malfunction, infectious, overdrainage, secondary craniosynostosis, etc.. We report an unusual case of protruding abdominal catheter from the urethra. This girl had received a VP shunt for hydrocephalus following surgery of posterior fossa medulloblastoma 4 years ago. After admission, the entire system was removed, antibiotic treatment was administered for 2 weeks, and a new VP shunt was placed. The postoperative course was uneventful. This complication is extremely rare.

  20. Racial and socioeconomic disparities in outcomes following pediatric cerebrospinal fluid shunt procedures. (United States)

    Attenello, Frank J; Ng, Alvin; Wen, Timothy; Cen, Steven Y; Sanossian, Nerses; Amar, Arun P; Zada, Gabriel; Krieger, Mark D; McComb, J Gordon; Mack, William J


    OBJECT Racial and socioeconomic disparities within the US health care system are a growing concern. Despite extensive research and efforts to narrow such disparities, minorities and economically disadvantaged patients continue to exhibit inferior health care outcomes. Disparities in the delivery of pediatric neurosurgical care are understudied. Authors of this study examine the impact of race and socioeconomic status on outcomes following pediatric CSF shunting procedures. METHODS Discharge information from the 2000, 2003, 2006, and 2009 Kids' Inpatient Database for individuals (age hydrocephalus who had undergone CSF shunting procedures was abstracted for analysis. Multivariate logistic regression analyses, adjusting for patient and hospital factors and annual CSF shunt procedure volume, were performed to evaluate the effects of race and payer status on the likelihood of inpatient mortality and nonroutine hospital discharge (that is, not to home). RESULTS African American patients (p shunting procedures. Further studies on health disparities in this population are warranted.

  1. Balancing the heart and the lungs in children with large cardiac shunts

    African Journals Online (AJOL)

    pressure gradient between the left and right heart, there is minimal flow ... increased pulmonary pressure. ... Large cardiac shunts (Qp:Qs >1.5) are at risk ... activity of pulmonary sodium pumps that ... contraction becomes less efficient in a flattened.

  2. Primary shunt hyperbilirubinaemia in a large four-generation family confirming autosomal dominant genetic disorder

    Institute of Scientific and Technical Information of China (English)

    Chun-Lian Wang; Xiao-Wei Liu; Fang-Gen Lu; Xiao-Ping Wu; Chun-Hui Ouyang; Dong-Ye Yang


    AIM: To describe the pattern of inheritance and confirm the diagnosdc criteria of primary shunt hyperbilirubinaemia (PSH).METHODS: Forty members of a family pedigree across four generations were included in this study. All family members were interviewed and investigated by physical examination, hematology and liver function test and the pattern of inheritance was analyzed.RESULTS: Nine of the forty family members suffered primary shunt hyperbilirubinaemia. The mature erythrocytes of the propositus were irregular in shape and size.The pedigree showed transmission of the trait through four generations with equal distribution in male and female. No individual with a primary shunt hyperbilirubinaemia was born to unaffected parents. The penetrance was complete in adult.CONCLUSION: The pattern of inheritance is autosomal dominant. The abnormality of erythrocytes and decrease in white blood cell could be supplemented in the diagnosis of PSH. The PSH is a genetic disorder and could by renamed as hereditary shunt hyperbilirubinaemia.

  3. Cardiac and renal effects of a transjugular intrahepatic portosystemic shunt in cirrhosis

    DEFF Research Database (Denmark)

    Busk, Troels M; Bendtsen, Flemming; Møller, Søren


    Refractory ascites and recurrent variceal bleeding are among the serious complications of portal hypertension and cirrhosis for which a transjugular intrahepatic portosystemic shunt (TIPS) can be used. Cirrhotic patients have varying degrees of haemodynamic derangement, mainly characterized...

  4. Preparation of YSZ solid electrolyte by slip casting and its properties

    Institute of Scientific and Technical Information of China (English)

    DOU Jing; LI Heping; XU Liping; ZHANG Lei; WANG Guangwei


    Fully stabilized YSZ solid electrolyte was prepared by slip casting. The density was measured according to the Archimedes principle and the linear shrinkage was calculated from measuring the sizes of samples before and after sintering. XRD analysis was conducted to verify the phase structure of both the starting YSZ powder and the prepared YSZ electrolyte. The microstructure of fracture surface and the electrical properties of the samples sintered at different temperatures were investigated via SEM and a complex impedance method, respectively. By comparison of the properties and features among the samples, a slip casting method was established to be a simple way to manufacture high-quality YSZ electrolyte at the sintering temperature of 1550℃ for 3 h, which provides a new approach for YSZ electrolyte with com-plex shapes and mass production.

  5. Point Electrode Studies of the Solid Electrolyte-Electrode Interface

    DEFF Research Database (Denmark)

    Jacobsen, Torben

    In the development of new electrode materials for high temperature Solid Oxide Fuel Cells methods are needed for the electrochemical evaluation of the catalytic properties of the materials. A major problem in the comparison of materials is how to determine the geometry and the effective length...... of the active reaction zone, the triple phase boundary. One way of solving this is by the application of point electrodes where the electrode-electrolyte contact is assumed to be circular with a radius calculated from the high frequency impedance. The perimeter is the taken as the length of the reaction zone......$mm diameter) platinum electrodes mounted in a thin alumina tube resting on a polished 8 mol\\% yttria stabilized zirconia electrolyte at $1000^\\circ$C in air. The results where analysed in terms of the equivalent circuit $R_{YSZ}(R_r Q)$ in the frequency range 0.5MHz--1kHz. Fig.\\,1 shows...

  6. [Urinary electrolyte excretion in autosomal dominant polycystic kidney]. (United States)

    Todorov, V; Iordanova, P; Penkova, S


    In 33 patients with autosomal dominant renal polycystosis the urine excretion of the electrolytes sodium and potassium was examined and analyzed in relation to the renal function and the arterial pressure. The clearances, the urine ratio and the excreted fractions of both electrolytes were calculated. It was established that by normal renal function and without arterial hypertension there were no significant differences in the parameters studied between the patients and the healthy controls. In the patients with arterial hypertension and preserved renal function the sodium clearance and urine excretion were lower, but the differences with the normotensive patients were not statistically significant. In the patients with chronic renal failure (when diuretic was applied) higher mean values of the excreted fractions of sodium and potassium were established. The results support the thesis that hypertension in renal polycystosis is of volumetric character.

  7. Modeling of ionic transport in solid polymer electrolytes

    Energy Technology Data Exchange (ETDEWEB)

    Cheang, P L; Teo, L L; Lim, T L, E-mail: [Centre for Foundation Studies and Extension Education, Multimedia University, Jln Ayer Keroh Lama, 75450 Melaka (Malaysia)


    A Monte Carlo model describing the ionic trans port in solid polyme relectrolyte is developed. Single cation simulation is carried out using hopping rate to study the transport mechanism of a thermally activated ion in solid polymer electrolyte. In our model, the ion is able to hop along a polymer chain and to jump between different chains, surmounting energy barriers that consist of polymer's activation energy and the externally applied electric field. The model is able to trace the motion of ion across polymer electrolyte. The mean hopping distance is calculated based on the available open bond in the next nearest side. Random numbers are used to determine the hopping distances, free flight times, final energy and direction of the cation after successful hop. Drift velocity and energy of cation are simulated in our work. The model is expected to be able to simulate the lithium-polymer battery in future.

  8. Fast Power Loss Computation and Shunt Capacitor Insertion Using Fuzzy Logic Technique

    Directory of Open Access Journals (Sweden)

    Wagah F. Mohammad


    Full Text Available Fast power loss computation was implemented using supervisory control and data acquisition system (SCADA with personal computer. Logic Control Array (LCA and EPROM circuits were used to implement SCADA system to facilitate the required measurements to obtain the daily load profile for residential and commercial customers. LCA, EPROM and PC were used to simplify the electronic circuits, reduce the cost and speed up the computation time. An illustrative example had been considered to measure, store and show the active power, reactive power, load voltage, load current, power factor and the shunt capacitors current. It as observed that when 2.7 MVAR bank capacitor inserted in the network the load current decreased from 740.8A to 688.4A and the power factor was improved from 0.80 to 0.93, which reduced the apparent power, hence allowing to add more loads to the network and release the feeder capacitor. A rule-based fuzzy decision maker had been designed and tested with the real data collected from Jordan electricity board using SCADA system. The calculated output was almost similar to that obtained from the first approach presented in this study. The advantage of using fuzzy decision maker was its simplicity that can be implemented on a programmable logic device.

  9. Electrolytic Passivation of Nitinol Shape Memory Alloy in Different Electrolytes

    Institute of Scientific and Technical Information of China (English)

    SU Xiang-dong; WANG Tian-min; HAO Wei-chang; HE Li


    The corrosion behavior of the nitinol alloy was studied in various corrosion media of different Cl- ion concentrations. The results demonstrate that the Cl- ion concentration has significant influences on the corrosion behavior of the nitinol alloy. In order to enhance the corrosion resistance, protective films were generated on the surface of the nitinol alloy by means of the electrochemical passivation method, for which five different electrolytic solutions were investigated. The surface analysis indicates full growth of all samples passivated in the different electrolytic solutions with layers, however, showing different morphological features. Without any defects like micro-cracks and pores, the surface of the samples passivated in the molybdate solution turns out smoother and denser than those passivated in other solutions. It is shown that the electro-chemical passivation will reduce Ni content but increase Ti content in the surface, reaching the Mole ratio of Ti:Ni = 9.01:1 on the outermost surface. Potentiodynamic polarization test demonstrates that the samples electrochemically passivated in the molybdate solution present a significant increase in breakdown potential due to titanium enrichment on the outermost surface.

  10. Interfacial behavior of polymer electrolytes

    Energy Technology Data Exchange (ETDEWEB)

    Kerr, John; Kerr, John B.; Han, Yong Bong; Liu, Gao; Reeder, Craig; Xie, Jiangbing; Sun, Xiaoguang


    Evidence is presented concerning the effect of surfaces on the segmental motion of PEO-based polymer electrolytes in lithium batteries. For dry systems with no moisture the effect of surfaces of nano-particle fillers is to inhibit the segmental motion and to reduce the lithium ion transport. These effects also occur at the surfaces in composite electrodes that contain considerable quantities of carbon black nano-particles for electronic connection. The problem of reduced polymer mobility is compounded by the generation of salt concentration gradients within the composite electrode. Highly concentrated polymer electrolytes have reduced transport properties due to the increased ionic cross-linking. Combined with the interfacial interactions this leads to the generation of low mobility electrolyte layers within the electrode and to loss of capacity and power capability. It is shown that even with planar lithium metal electrodes the concentration gradients can significantly impact the interfacial impedance. The interfacial impedance of lithium/PEO-LiTFSI cells varies depending upon the time elapsed since current was turned off after polarization. The behavior is consistent with relaxation of the salt concentration gradients and indicates that a portion of the interfacial impedance usually attributed to the SEI layer is due to concentrated salt solutions next to the electrode surfaces that are very resistive. These resistive layers may undergo actual phase changes in a non-uniform manner and the possible role of the reduced mobility polymer layers in dendrite initiation and growth is also explored. It is concluded that PEO and ethylene oxide-based polymers are less than ideal with respect to this interfacial behavior.

  11. Incarceration of umbilical hernia after radiological insertion of a Denver peritoneovenous shunt. (United States)

    Ohta, Kengo; Shimohira, Masashi; Hashizume, Takuya; Kawai, Tatsuya; Kurosaka, Kenichiro; Suzuki, Kazushi; Watanabe, Kenichi; Shibamoto, Yuta


    We report a rare complication of incarceration of an umbilical hernia after Denver peritoneovenous shunt placement. A 50-year-old man presented with refractory ascites from liver cirrhosis. He also had an umbilical hernia. Because the ascites became uncontrollable, Denver peritoneovenous shunting was performed. The operation was successful and the ascites decreased. Ten days later, however, incarceration of the umbilical hernia occurred. A surgical repair was performed, but he died 2 days later. The cause of death was considered to be sepsis.

  12. Superconducting FCL using a combined inducted magnetic field trigger and shunt coil (United States)

    Tekletsadik, Kasegn D.


    A single trigger/shunt coil is utilized for combined induced magnetic field triggering and shunt impedance. The single coil connected in parallel with the high temperature superconducting element, is designed to generate a circulating current in the parallel circuit during normal operation to aid triggering the high temperature superconducting element to quench in the event of a fault. The circulating current is generated by an induced voltage in the coil, when the system current flows through the high temperature superconducting element.


    Institute of Scientific and Technical Information of China (English)

    汪余勤; 汪保灿; 顾胜利; 范建高


    We presented a case of chronic recurrent hepatic encephalopathy occurring in a liver cirrhosis patient (Child Pugh A) with a large gastrorenal shunt and a review of the literature focusing on diagnosis and management. Computed tomography (CT) demonstrated an atrophic liver, splenomegaly, varices at the gastric fundic and the splenic hilum, and a highly tortuous shunt vessel between the gastric fundic varices and the left renal vein. Ultrasonography revealed the portal vein diameter was 0.8 cm; and portal ve...

  14. Utility of susceptibility-weighted imaging and arterial spin perfusion imaging in pediatric brain arteriovenous shunting

    Energy Technology Data Exchange (ETDEWEB)

    Nabavizadeh, Seyed Ali; Edgar, J.C.; Vossough, Arastoo [University of Pennsylvania, Department of Radiology, Philadelphia, PA (United States); Children' s Hospital of Philadelphia, Department of Radiology, Philadelphia, PA (United States)


    The objectives of the study are to investigate the application of susceptibility-weighted imaging (SWI) and arterial spin labeling (ASL) imaging in the assessment of shunting and the draining veins in pediatric patients with arteriovenous shunting and compare the utility of SWI and ASL with conventional MR and digital subtraction angiography (DSA). This study is a retrospective study of 19 pediatric patients with arteriovenous shunting on brain MRI who were also evaluated with DSA. We assessed the ability of conventional MRI sequences, susceptibility magnitude images, phase-filtered SWI images, and pulsed ASL images in the detection of arteriovenous (AV) shunting, number of draining veins and drainage pathways in comparison to DSA. The mean number of detected draining veins on DSA (3.63) was significantly higher compared to SWI phase-filtered image (mean = 2.72), susceptibility magnitude image (mean = 2.92), ASL (mean = 1.76) and conventional MRI (2.47) (p < 0.05). Pairwise comparison of DSA difference scores (i.e., difference between MR modalities in the number of missed draining veins) revealed no difference between the MR modalities (p > 0.05). ASL was the only method that correctly identified superficial and deep venous drainage in all patients. Regarding detection of shunting, ASL, SWI phase-filtered, and magnitude images demonstrated shunting in 100, 83, and 84 % of patients, respectively. SWI depicts a higher number of draining vein compared to conventional MR pulse sequences. ASL is a sensitive approach in showing 100 % sensitivity in the detection of AV shunting and in the diagnosis of the pattern of venous drainage. The present findings suggest the added utility of both SWI and ASL in the assessment of AV shunting. (orig.)

  15. New controllability criteria for 3-phase 4-wire inverters applied to shunt active power filters


    Perales Esteve, Manuel Ángel; Sánchez Segura, Juan Antonio; Torre, A. (Alberto) de la; Carrasco Solís, Juan Manuel; García Franquelo, Leopoldo; Terrón, L.


    In shunt active filter applications, the 3-phase 4-wire topology is frequently used when dealing with unbalanced loads containing zero sequence components. A new design criteria for this topology is presented, based on the well-known existing method for the 3-phase 3-wire system. Simulation and experimental results confirms the validity of this new criteria, providing an easy method for the design of the reactive elements involved in a shunt active filter.

  16. DSA by means of fine-needle puncture for excluding vascular complications in haemodialysis shunts

    Energy Technology Data Exchange (ETDEWEB)

    Alart, I.P.; Merk, J.; Eichner, H.


    The article on hand presents the experience gained with examinations of Cimino haemodialysis shunts using digital substraction angiography (DSA). Angiographic results after arterial and venous fine-needle puncture show - particularly in arterial DSA - the advantage of excellent contrasting of the afferent arterial vessel, of the arterio-venous anastomosis and of the venous return while allowing safe diagnosis. This examination procedure is low in complications for the patient, is suitable for outpatients and has numerous advantages over transvenous shunt DSA.

  17. Should we close hypoxaemic patent foramen ovale and interatrial shunts on a systematic basis? (United States)

    El Tahlawi, Mohammad; Jop, Bertrand; Bonello, Béatrice; Dragulescu, Andreea; Rouault, Francis; Habib, Gilbert; Fraisse, Alain


    Rarely, hypoxaemia is associated with shunt reversal at the atrial level. Closure by interventional catheterization is the treatment of choice but indications and results have been studied insufficiently. To describe our experience with interventional closure of atrial right-to-left shunts described as hypoxaemic and the impact on patient oxygenation and clinical status. Retrospective study in two referral centres, including all patients undergoing closure of interatrial right-to-left shunt associated with hypoxaemia. Since 2001, 21 consecutive patients underwent interventional shunt closure using the "Amplatzer((R)) device"; two patients had atrial septal defect and 19 had patent foramen ovale. Three patients had minor adverse events; two patients have a tiny residual shunt. Transcutaneous oxygen saturation and partial oxygen pressure increased significantly from 86+/-5 to 95+/-3% (p<0.001) and from 49.8+/-6.8 to 82.9+/-30.4mmHg (p=0.001), respectively. Seventeen (80%) patients reported clinical improvement. However, patients with chronic respiratory insufficiency remained more symptomatic, with three deaths after a median follow-up of 35 (6-97) months and 89% remaining in New York Heart Association class III/IV (vs 29% of patients without chronic respiratory insufficiency; p=0.035). Hypoxaemic shunts are treated effectively by transcatheter closure, resulting in functional improvement in patients without respiratory insufficiency. When associated with chronic respiratory insufficiency, hypoxaemia often persists after shunt closure. In such cases, the right-to-left atrial shunt does not seem to be the main cause of hypoxaemia and the indication for closure is questionable.

  18. Incorporation of distributed generation and shunt capacitor in radial distribution system for techno-economic benefits

    Directory of Open Access Journals (Sweden)

    Mukul Dixit


    The various costs such as purchase active power from grid, DG installation, capacitor installation, DG Operation and Maintenance (O&M are evaluated at two different load scenarios. In addition to that, technical and economical analyses are examined for various combinations of DGs and shunt capacitors. The proposed methodology is successfully demonstrated on 33-bus and 85-bus radial networks and the obtained numerical outcomes validate the suitability, importance and effectiveness to identify locations as well as sizes of DGs and shunt capacitors.

  19. Initial brain CT scan and shunting outcomes in children with hydrocephalus

    Directory of Open Access Journals (Sweden)

    Andi Anita Utami


    Full Text Available Background Hydrocephalus is one of the most common clinical conditions affecting the central nervous system, with a congenital hydrocephalus incidence of 3-4 per 1000 births. Incidence of acquired types of hydrocephalus is unknown. Brain computerised tomography (CT scan can be used to assess the size of ventricles and other structures. Shunting has long been performed to alleviate hydrocephalus. Shunting has dramatically changed the outlook of children with hydrocephalus, with many of them having normal life expectancies and attaining normal intelligence. Objective To determine the outcomes of shunting in children with hydrocephalus based on initial brain CT scan. Methods We performed a cross-sectional study in Dr. Kariadi Hospital. Initial brain CT scan data were collected from the medical records of children admitted to the Neurosurgery Ward for ventriculoperitoneal (VP shunt surgery from January 2009 to December 2010. We studied the brain CT scan findings before VP shunt surgery and the outcomes of the children after VP shunt surgery. Radiological findings were determined by a radiologist responsible at that time. Results This study consisted of 30 subjects, 19 boys and 11 girls. Initial brain CT scans to assess disease severity revealed the following conditions: lateral ventricle dilatation in 7 subjects, lateral and third ventricle dilatation in 16 subjects, and lateral, third and fourth ventricle dilatation in 7 subjects. After VP shunt surgery, 3 subjects in the lateral, third and fourth ventricle dilatation category died. They were grouped according to their condition. Group 1 consisted of subjects with only lateral ventricle dilatation and subjects with lateral and third ventricle dilatation (23 subjects, while group 2 consisted of subjects with lateral, third and fourth ventricle dilatation (7 subjects. More survivors were found in group 1 than those in group 2. Conclusion Less severe initial brain CT scan findings are associated with

  20. Bilateral subdural effusion and subcutaneous swelling with normally functioning csf shunt.

    Directory of Open Access Journals (Sweden)

    Mitra S


    Full Text Available We report a child with hydrocephalus due to tuberculous meningitis who developed a subcutaneous fluid collection around the ventriculoperitoneal shunt tube entry point, after one month of shunting. On investigation, he had decompressed ventricles with bilateral fronto parietal subdural hygroma. Bifrontal burr hole drainage helped resolution of both subdural effusion and subcutaneous scalp swelling. This complication is unique and its pathogenesis has been postulated.

  1. Penile Gangrene with Abscess Formation after Modified Al-Ghorab Shunt for Idiopathic Ischemic Priapism

    Directory of Open Access Journals (Sweden)

    Beneranda S. Ford-Glanton


    Full Text Available Penile gangrene is a rare but unfortunate complication of surgical intervention and priapism shunts. The literature regarding penile gangrene following surgical correction of priapism is sparse, the majority of which dates back to thirty to forty years. Here, we present the case of a 60-year-old man who presented with priapism that required operative management with a modified Al-Ghorab shunt and eventually suffered from complete necrosis of the penis with abscess formation in both corpora cavernosa.

  2. Transport and spectroscopic studies of liquid and polymer electrolytes (United States)

    Bopege, Dharshani Nimali

    Liquid and polymer electrolytes are interesting and important materials to study as they are used in Li rechargeable batteries and other electrochemical devices. It is essential to investigate the fundamental properties of electrolytes such as ionic conductivity, diffusion, and ionic association to enhance battery performance in different battery markets. This dissertation mainly focuses on the temperature-dependent charge and mass transport processes and ionic association of different electrolyte systems. Impedance spectroscopy and pulsed field gradient nuclear magnetic resonance spectroscopy were used to measure the ionic conductivity and diffusion coefficients of ketone and acetate based liquid electrolytes. In this study, charge and mass transport in non-aqueous liquid electrolytes have been viewed from an entirely different perspective by introducing the compensated Arrhenius formalism. Here, the conductivity and diffusion coefficient are written as an Arrhenius-like expression with a temperature-dependent static dielectric constant dependence in the exponential prefactor. The compensated Arrhenius formalism reported in this dissertation very accurately describes temperature-dependent conductivity data for acetate and ketone-based electrolytes as well as temperature-dependent diffusion data of pure solvents. We found that calculated average activation energies of ketone-based electrolytes are close to each other for both conductivity and diffusion data (in the range 24-26 kJ/mol). Also, this study shows that average activation energies of acetate-based electrolytes are higher than those for the ketone systems (in the range 33-37 kJ/mol). Further, we observed higher dielectric constants and ionic conductivities for both dilute and concentrated ketone solutions with temperature. Vibrational spectroscopy (Infrared and Raman) was used to probe intermolecular interactions in both polymer and liquid electrolytes, particularly those which contain lithium

  3. Multi-mode passive piezoelectric shunt damping by means of matrix inequalities (United States)

    Berardengo, M.; Manzoni, S.; Conti, A. M.


    This paper deals with the use of matrix inequalities for the aim of multi-modal piezoelectric shunt damping. The paper shows that the shunt impedance can be seen as a controller in a state space model of the electro-mechanical system; this makes it possible to use the mentioned approach to find the layout of the impedance for different kinds of control problems. The particular focus is on passive multi-mode vibration control with the aim of finding the optimal shunt impedance among the passive and realizable candidates. The proposed method overcomes most of the problems related to the development of the optimal shunt electrical network, which arise when using the most common shunt design strategies for multi-mode control. The results were validated experimentally and compared to well-established methods for multi-mode shunt damping. The proposed method proved to be effective, and the results demonstrate the capability of the matrix inequality approach to provide attenuation levels that are usually higher than those from the reference methods.

  4. Vaginal Migration of Ventriculoperitoneal Shunt Catheter and Cerebrospinal Fluid Leak as a Complication of Hysterectomy. (United States)

    Houten, John K; Smith, Shiela; Schwartz, Amit Y


    Ventriculoperitoneal (VP) shunting is a common neurosurgical procedure to treat hydrocephalus that diverts cerebrospinal fluid from the cerebral ventricles to the peritoneal cavity for reabsorption. The distal catheter may potentially migrate through any potential or iatrogenic opening in the peritoneal cavity. Increasingly successfully management of childhood hydrocephalus and adult-onset conditions leading to hydrocephalus, such as subarachnoid hemorrhage, is leading many adult female patients harboring VP shunts needing to undergo hysterectomy. Hysterectomy creates a potential defect though which a VP shunt catheter may migrate. It is not known whether the hysterectomy cuff closure technique may affect the likelihood of distal catheter migration though the repair site. We report the case of a 38-year-old woman with a VP shunt who underwent laparoscopic hysterectomy via an open vaginal cuff technique who subsequently presented with vaginal cerebrospinal fluid leakage secondary to migration of the distal shunt catheter through the hysterectomy cuff. Vaginal migration of the distal VP shunt catheter is a possible complication of hysterectomy. The authors postulate that an open cuff hysterectomy closure technique may increase the risk of catheter migration, an issue that may be better understood with further investigation. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Bucket and straw technique to facilitate passage of a ventriculoperitoneal shunt through the distal tunneling sheath. (United States)

    Downes, Angela E; Vandergrift, William A; Beckman, Joshua M; Truong, Devon; Tuite, Gerald F


    Placement of a ventriculoperitoneal shunt (VPS) is a procedure comprising many small steps. Difficulties and delays can arise when passing the distal shunt tubing down the distal tunneling sheath during surgery. The authors of this report describe a simple technique for quickly passing the distal catheter of a VPS through the tunneler sheath, whereby the sheath is used as a fluid tube to allow the distal catheter to be drawn through the fluid tube under suction pressure. The plastic sheath that surrounds the shunt tunneler device is used as a fluid tube, or "straw," with the proximal aperture submerged into a bucket of sterile irrigation liquid containing the distal catheter. Suction pressure is placed against the distal aperture of the tunneler, and the shunt catheter is quickly drawn through the sheath. No special equipment is required. In time trials, the bucket and straw technique took an average of 0.43 seconds, whereas traditional passage methods took 32.3 seconds. The "bucket and straw" method for passing distal shunt tubing through the tunneler sheath is a technique that increases surgical efficiency and reduces manual contact with shunt hardware.

  6. Shunt for bypass graft of the cavernous carotid artery: an anatomical and technical study. (United States)

    al-Mefty, O; Khalil, N; Elwany, M N; Smith, R R


    During direct surgery of neoplastic and vascular lesions of the cavernous sinus, the intracavernous carotid artery may be injured beyond repair, or its total isolation may be necessary for surgical management of these lesions. The newly developed procedure of a saphenous vein graft bypass of the cavernous carotid artery allows re-establishment of carotid circulation. Patients with poor collateral circulation are at high risk for ischemic complications induced by the prolonged temporary occlusion required to perform the bypass graft. Optimal management of these patients is to perform the venous bypass graft for permanent vascularization while maintaining carotid cerebral circulation through an intraoperative shunt. We studied this procedure in cadavers, and three shunt types were evaluated: the external intrapetrous-supraclinoid shunt (Type A), the internal intrapetrous-supraclinoid shunt (Type B), and the neck internal carotid-supraclinoid shunt (Type C). Anatomical landmarks, techniques, distances, caliber, and materials used are presented. The rationale and candidates for such a procedure are discussed. The specifications of an optimal balloon shunt are presented, and the three procedures are compared.

  7. Effect of rapamycin on hepatic osteodystrophy in rats with portasystemic shunting

    Institute of Scientific and Technical Information of China (English)

    Schalk W van der Merwe; Del Kahn; Enid G Shephard; Maritha J Kotze; Nico P de Villiers; Stephen Hough; Maria M Conradie; Robert Bond; Brenda J Olivier; Elongo Fritz; Martin Nieuwoudt; Rhena Delport; Tomas Slavik; Gert Engelbrecht


    AIM: To study if T-cell activation related to portasystemic shunting causes osteodast-mediated bone loss through RANKL-dependent pathways. We also investigated if T-cell inhibition using rapamycin would protect against bone loss in rats.METHODS: Portasystemic shunting was performed in male Sprague-Dawley rats and rapamycin 0.1 mg/kg was administered for 15 wk by gavage. Rats received powderized chow and supplemental feeds to prevent the effects of malnutrition on bone composition. Weight gain and growth was restored after surgery in shunted animals. At termination, biochemical parameters of bone turnover and quantitative bone histology were assessed. Markers of T-cell activation, inflammatory cytokine production, and RANKL-dependent pathways were measured. In addition, the roles of IGF-1 and hypogonadism were investigated.RESULTS: Portasystemic shunting caused low turnover osteoporosis that was RANKL independent. Bone resorbing cytokine levels, including IL-1, IL-6 and TNFα,were not increased in serum and TNFα and RANKL expression were not upregulated in PBMC. Portasystemic shunting increased the circulating CD8+ T-cell population. Rapamycin decreased the circulating CD8+T-cell population, increased CD8+ CD25+ T-regulatory cell population and improved all parameters of bone turnover.CONCLUSION: Osteoporosis caused by portasystemic shunting may be partially ameliorated by rapamycin in the rat model of hepatic osteodystrophy.

  8. Mechanism for measurement of flow rate of cerebrospinal fluid in hydrocephalus shunts. (United States)

    Rajasekaran, Sathish; Kovar, Spencer; Qu, Peng; Inwald, David; Williams, Evan; Qu, Hongwei; Zakalik, Karol


    The measurement of the flow rate of cerebrospinal fluid (CSF) or existence of CSF flow inside the shunt tube after shunt implant have been reported as tedious process for both patients and doctors; this paper outlines a potential in vitro flow rate measurement method for CSF in the hydrocephalus shunt. The use of implantable titanium elements in the shunt has been proposed to allow for an accurate temperature measurement along the shunt for prediction of CSF flow rate. The CSF flow velocity can be deduced by decoupling the thermal transfer in the measured differential time at a pair of measurement spots of the titanium elements. Finite element analyses on the fluidic and thermal behaviors of the shunt system have been conducted. Preliminary bench-top measurements on a simulated system have been carried out. The measured flow rates, ranging from 0.5 mm/sec to 1.0 mm/sec, which is clinically practical, demonstrate good agreements with the simulation results.

  9. Post-Operative Complications of Ventriculoperitoneal Shunt in Hydrocephalic Pediatric Patients-Nursing Care

    Directory of Open Access Journals (Sweden)

    Efstratios Athanasakis


    Full Text Available Introduction: Hydrocephalus is the most common congenital abnormality of the central nervous system ininfants. Many cases of hydrocephalic children are described since ancient times. It is characterized by excessiveaccumulation of cerebrospinal fluid in the ventricles of the brain. Its symptomatology during infanthood or earlychildhood is characterized by swelling of the head, protrusion of the forehead and brain atrophy. All thesesymptoms appear due to increased cerebrospinal fluid volume, increased intracranial pressure and dilatation ofthe ventricular walls.Aim: The aim of this paper is to describe the ventriculoperitoneal shunt complications in pediatrics patients andto point out the role of nursing stuff in the prevention of them.Methods: This include literature search on the database Medline and relevant with that issue internationalhydrocephalus organizations to identify studies regarding the complications of ventriculoperitoneal shunt and thenursing care for each complication.Results: Ventriculoperitoneal shunt is the treatment of hydrocephalic infants, rather than endoscopic thirdventriculostomy. Although the success of the ventriculoperitoneal shunt’s placement, the patients usually sufferfrom its afterwards complications. The complications involves postoperative shunt infection, shunt placementfailure, shunt obstruction – malfunction, abdominal complications – peritonitis, valve complications, slitventriclesyndrome and seizures. The role of the nursing stuff is vital, particularly in the postoperative weeks.Conclusion: A proper nursing assessment includes valid identification of complications and their prompttreatment. Also, nurses had to implement accurate nursing care, in order to prevent any complication. Finally,parental teaching from the nurses is crucial in the process of health outcomes for pediatric patient.

  10. Hydrocephalus and Ventriculoperitoneal Shunts: Modes of Failure and Opportunities for Improvement. (United States)

    Jorgensen, Julianne; Williams, Corin; Sarang-Sieminski, Alisha


    Between 0.5 and 4 of every 1000 children are born with hydrocephalus. Hydrocephalus is an over-accumulation of cerebrospinal fluid (CSF) in the ventricles of the brain, which can affect cognitive function, vision, appetite, and cranial nerve function. Left untreated, hydrocephalus can result in death. The current treatment for hydrocephalus uses ventriculoperitoneal (VP) shunts with valves to redirect CSF from the ventricles into the peritoneum. Shunt technology is limited by a number of complications, which include infection after implantation, shunt obstruction due to clot formation or catheter obstruction by scar tissue or choroid plexus, disconnection and tubing migration, and overdrainage or underdrainage of CSF due to valve malfunction. While modifications to surgical procedures and shunt design have been introduced, only modest improvements in outcomes have been observed. Here we provide an overview of hydrocephalus, VP shunts, and their modes of failure, and we identify numerous areas of opportunity for biomedical engineers and physicians to collaborate to improve the performance of VP shunts.

  11. Syringomyelia as a presenting feature of shunt dysfunction: Implications for the pathogenesis of syringomyelia

    Directory of Open Access Journals (Sweden)

    Natarajan Muthukumar


    Full Text Available The pathogenesis of syringomyelia continues to be an enigma. The patency of the central canal and its role in the pathogenesis of communicating syringomyelia continues to elicit controversy. The case reported here provides an opportunity to retest some of the hypotheses of syringomyelia. A 33 year old female presented with sensory disturbances over the left upper extremity and trunk and was diagnosed to have panventriculomegaly with communicating syringomyelia. She was initially treated with ventriculoperitoneal shunting. As there was no change in her neurological status following shunt, this was followed by foramen magnum decompression with excision of an arachnoid veil covering the fourth ventricular outlet. She had clinical and radiological improvement after foramen magnum decompression. Five months later she had reappearance of the symptoms of syringomyelia and was found to have shunt dysfunction and holocord syrinx. She improved following shunt revision. This case is being reported to highlight the following points: 1. In patients with communicating syringomyelia and hydrocephalus, shunt dysfunction can present with symptoms of syringomyelia without the classical clinical features of shunt dysfunction, 2. In patients with communicating syringomyelia, the central canal of the spinal cord acts as an "exhaust valve" for the ventricular system, and, 3. studies about the patency of the central canal are reviewed in the context of this case and the role of the central canal in the pathogenesis of communicating syringomyelia is reviewed.

  12. Morphology of congenital portosystemic shunts involving the left colic vein in dogs and cats. (United States)

    White, R N; Parry, A T


    To describe the anatomy of congenital portosystemic shunts involving the left colic vein in dogs and cats. Retrospective review of a consecutive series of dogs and cats managed for congenital portosystemic shunts. For inclusion a shunt involving the left colic vein with recorded intraoperative mesenteric portovenography or computed tomography angiography along with direct gross surgical observations at the time of surgery was required. Six dogs and three cats met the inclusion criteria. All cases had a shunt which involved a distended left colic vein. The final communication with a systemic vein was variable; in seven cases (five dogs, two cats) it was via the caudal vena cava, in one cat it was via the common iliac vein and in the remaining dog it was via the internal iliac vein. In addition, two cats showed caudal vena cava duplication. The morphology of this shunt type appeared to be a result of an abnormal communication between either the left colic vein or the cranial rectal vein and a pelvic systemic vein (caudal vena cava, common iliac vein or internal iliac vein). This information may help with surgical planning in cases undergoing shunt closure surgery. © 2016 British Small Animal Veterinary Association.

  13. Plasma electrolytic oxidation of AMCs (United States)

    Morgenstern, R.; Sieber, M.; Lampke, T.


    Aluminum Matrix Composites (AMCs) consisting of high-strength alloys and ceramic reinforcement phases exhibit a high potential for security relevant lightweight components due to their high specific mechanical properties. However, their application as tribologically stressed components is limited because of their susceptibility against fatigue wear and delamination wear. Oxide ceramic protective coatings produced by plasma electrolytic oxidation (PEO) can solve these problems and extend the possible applications of AMCs. The substrate material was powder metallurgically processed using alloy EN AW 2017 and SiC or Al2O3 particles. The influence of material properties like particle type, size and volume fraction on coating characteristics is clarified within this work. An alkaline silicate electrolyte was used to produce PEO coatings with technically relevant thicknesses under bipolar-pulsed current conditions. Coating properties were evaluated with regard to morphology, chemical composition, hardness and wear resistance. The particle type proved to have the most significant effect on the coating properties. Whereas compactness and thickness are not deteriorated by the incorporation of thermodynamically stable alumina particles, the decomposition of silica particles during the PEO processes causes an increase of the porosity. The higher silica particle content decreases also the coating thickness and hardness, which leads in particular to reduction of the wear resistance of the PEO coatings. Finally, different approaches for the reduction of the coating porosity of silica reinforced AMCs are discussed.

  14. Plasma electrolytic oxidation of metals

    Directory of Open Access Journals (Sweden)

    Stojadinović Stevan


    Full Text Available In this lecture results of the investigation of plasma electrolytic oxidation (PEO process on some metals (aluminum, titanium, tantalum, magnesium, and zirconium were presented. Whole process involves anodizing metals above the dielectric breakdown voltage where numerous micro-discharges are generated continuously over the coating surface. For the characterization of PEO process optical emission spectroscopy and real-time imaging were used. These investigations enabled the determination of electron temperature, electron number density, spatial density of micro-discharges, the active surface covered by micro-discharges, and dimensional distribution of micro-discharges at various stages of PEO process. Special attention was focused on the results of the study of the morphology, chemical, and phase composition of oxide layers obtained by PEO process on aluminum, tantalum, and titanium in electrolytes containing tungsten. Physicochemical methodes: atomic force microscopy (AFM, scanning electron microscopy (SEM-EDS, x-ray diffraction (XRD, x-ray photoelectron spectroscopy (XPS, and Raman spectroscopy served as tools for examining obtained oxide coatings. Also, the application of the obtained oxide coatings, especially the application of TiO2/WO3 coatings in photocatalysis, were discussed.

  15. Organic/inorganic nanocomposite polymer electrolyte

    Institute of Scientific and Technical Information of China (English)

    Li Qi; Shao Jun Dong


    The organic/inorganic nanocomposites polymer electrolytes were designed and synthesized. The organic/inorganic nanocom posites membrane materials and their lithium salt complexes have been found thermally stable below 200 ℃. The conductivity of the organic/inorganic nanocomposites polymer electrolytes prepared at room temperature was at magnitude range of 10-6 S/cm.

  16. Polymeric electrolytes for ambient temperature lithium batteries (United States)

    Farrington, G. C.


    During this reporting period a number of novel solid polymer electrolytes formed by salts of multivalent cations and polyethylene oxide (PEO) have been prepared and characterized. These materials are of interest not only because of their potential ionic conductivities, but also because some of them may have electronic conductivity and oxidizing power which would be useful for novel electrode materials in all-solid-state batteries. Two broad classes of materials were investigated: PEO solutions of Zn(2), Cd(2), and Pb(2), all of which are potential electrolytes for solid-state batteries, and PEO solutions of transition metal salts, which are of interest as possible cathode materials. Mixed compositions containing both divalent cations and lithium ions were also prepared. Electrolytes formed with small, highly-polarizing ions, such as Mg(2) and Ca(2), are essentially pure anion conductors. Electrolytes containing Zn(2) behave similarly, unless they are hydrated, in which case the Zn(2) ions are quite mobile. Electrolytes formed with larger, more polarizable cations, such as Pb(2) and Cd(2), conduct both anions and cations. Solutions of salts of transition metal cations form a third group of electrolytes. Of the electrolytes investigated so far, those formed with Ni(++) salts are the most unusual. It appears as if the transport number of Ni(2) and the electrolyte conductivity can be greatly enhanced by controlling the hydration and dehydration of the polymer.

  17. The charge transport in polymeric gel electrolytes

    CERN Document Server

    Reiche, A


    The aim of the present thesis consisted in the study of the charge transport in gel electrolytes, which were obtained by photopolymerization of oligo(ethylene glycol) sub n -dimethacrylates with n=3, 9, and 23, and the survey of structure and property relations for the optimization of the electrolyte composition. The pressure dependence of the electric conductivity was measured. (HSI)

  18. Microporous polymer electrolyte based on PVDF-PEO

    Institute of Scientific and Technical Information of China (English)

    LI Jian; XI Jingyu; SONG Qing; TANG Xiaozhen


    @@ Since Wright et al.[1] found that the complex of PEO/alkali metals salt had the ability of ionic conductivity in 1973, in-depth studies have been carried out about various polymer electrolytes, which were applied to replacing the liquid electrolytes in lithium ion battery[2,3]. At present, polymer electrolytes mainly include three kinds: dry polymer electrolytes, gel polymer electrolytes and microporous polymer electrolytes.

  19. Effects of isradipine and other calcium antagonists on arteriovenous-shunt flow in anesthetized rabbits and cats

    Energy Technology Data Exchange (ETDEWEB)

    Hof, R.P.


    The effects of vasodilators on arteriovenous (AV)-shunt flow was investigated in anesthetized cats and rabbits, using the tracer microsphere method. In cats, the calcium antagonist isradipine reduced AV-shunt flow; verapamil showed a similar tendency and nicardipine was without effect. Dihydralazine strongly increased, but nitroglycerin and dipyridamole decreased AV-shunt flow. In rabbits, the effects of isradipine and verapamil were similar to those seen in cats. Sodium nitroprusside had no effect, whereas prazosin, minoxidil, and the potassium-channel activator cromakalim increased AV-shunt flow. The contrasting effects of drugs sharing the same mechanism of action suggest that target-tissue selectivity is more important than the mechanism of action. An increase of AV-shunt flow is unlikely to be beneficial but could be associated with a number of undesirable side effects. It might negatively affect migraine sufferers and, if AV-shunt dilatation shows no tolerance development, it represents an unnecessary hemodynamic burden for the heart.

  20. Transjugular intrahepatic portosystemic shunt in children; Der transjugulaere intrahepatische portosystemische Shunt bei Kindern. Erste klinische Erfahrungen und Literaturuebersicht

    Energy Technology Data Exchange (ETDEWEB)

    Huppert, P.E.; Brambs, H.J.; Schott, U.; Pereira, P.; Duda, S.H.; Claussen, C.D. [Tuebingen Univ. (Germany). Abt. fuer Radiologische Diagnostik; Astfalk, W.; Schweizer, P. [Tuebingen Univ. (Germany). Abt. Kinderchirurgie; Dopfer, R.E. [Tuebingen Univ. (Germany). Abt. Kinderheilkunde I


    Purpose: To present special methodical and clinical findings of transjugular intrahepatic portosystemic shunts (TIPSS) in children and to discuss potential indications. Patients and Methods: Between 1993 and 1996, 6 children aged 2-13 years were treated by TIPSS-insertion. In four cases, the underlying disease was extrahepatic biliary atresia (EHBA) and in two cases liver fibrosis secondary to treatment of neoplasms during early childhood. Indications for TIPSS insertion were variceal bleeding resistant to other treatment modalities in three patients, hypersplenism in one patient and both bleeding and hypersplenism in two. Portal vein punctures were performed using 16-gauge needles, because 19-gauge fine-needles showed insufficient stiffness. The mean follow-up was 24.5 months. Results: Shunt insertion succeeded in all children with a mean procedure time of 5.2 hours. Periportal fibrosis associated with EHBA, atypical course of hepatic veins and small diameters and distances of vessels were conditions making the procedure difficult. Bleeding ceased in all patients, peripheral platelet counts rose by a mean value of 58%. Procedure-related complications were minor extrahepatic bleeding in one child and temporary haemolysis in another child. Restenoses resulted in three patients and were treated successfully by means of transjugular interventions. 5 children remain free of symptoms to this day, one child underwent successful orthotopic liver transplantation 8 months after TIPSS. Conclusions: TIPSS insertion is technically more difficult in children and has to consider child growth and possible subsequent liver transplantation. Potential indications are recurrent variceal bleeding, also of intestinal origin, resistant to standard tretment and clinically significant hypersplenism. (orig.) [Deutsch] Ziel: Darstellung methodischer und klinischer Besonderheiten sowie potentieller Indikationen des transjugulaeren intrahepatischen portosystemischen Shunts (TIPSS) bei Kindern

  1. 并联电容器组分闸重燃过电压仿真%Simulation of Restrike Overvoltage Due to Switching off Shunt Capacitor Bank

    Institute of Scientific and Technical Information of China (English)

    张森峰; 商立群


    Shunt capacitor banks are widely used in power grid for reactive power compensation. However, the operating overvoltage caused by frequent operation of shunt capacitor bank would damage the insulated equipment and decrease the reliability of power system. The operation overvoltage on shunt capacitor bank is mainly referred to the restrike in switching-off action, while switching-on action usually does not generate the overvoltage which harms capacitor's insulation. In this paper, a model is designed by adding a normal closed breaker for simulating the overvoltage due to switching off shunt capacitor bank by a vacuum circuit breaker, and the restrike overvoltage is calculated with the model. Moreover, the effect of limiting restrike overvoltage on shunt capacitor bank by using an MOA arrester is simulated. Simulation results show the proposed method is feasible.%并联电容器广泛应用于电网的无功补偿,但由于频繁操作并联电容器导致的操作过电压会损坏绝缘设备,影响电网运行可靠性.并联电容器的操作过电压主要指分闸重燃过电压,合闸时一般不会产生威胁电容器绝缘的过电压.通过分析重燃过电压产生的原因,提出了通过增加一套常闭断路器来模拟开断并联电容器组时重燃过电压的仿真模型.利用所提出的仿真模型计算重燃过电压,并使用氧化锌避雷器限制并联电容器组分闸重燃过电压,仿真结果表明,所提出的模型是正确的.

  2. Proton Conducting Polymer Electrolytes and Its Applications

    Institute of Scientific and Technical Information of China (English)

    S. Selvasekarapandian; G. Hirankumar; R. Baskaran; M.S. Bhuvaneswari


    @@ 1Introduction Proton conducting solid polymer electrolytes have been extensively studied due to their potential applications in electrochemical devices such as batteries, super capacitors, electrochromic windows, sensors etc[1,2]Many researchers have studied the behaviour of inorganic based polymer electrolytes as proton conductors and their applications in solid state devices at room temperature[3]. But, inorganic acid doped electrolytes have some serious disadvantages like corrosion towards the electrode and hazardous. Hence, there is need for searching new electrolyte which is stable towards the electrode. It has been reported that the ammonium salts which behaves like alkali metal salt are good dopant to the polymer matrix[4, 5] for the development of proton conducting polymer electrolyte. The proton conductors based on poly (ethylene oxide)[6], poly (ethylene succinate)[7], poly (ethylene glycol)[8], as host matrix doped with ammonium salt have already been reported.

  3. Comparison of Temporary Open Arterial Revascularization Using Stent Grafts vs. Standard Vascular Shunts in a Porcine (Sus scrofa) Model (United States)


    standard temporary vascular shunts. We sought to characterize patency and flow characteristics of these grafts compared to standard shunts in a...survival model of porcine vascular injury. Methods: 12 Yorkshire-cross swine received a 2cm long near-circumferential defect in the iliac arteries. A14...shunts was greater than that of the stent grafts. Conclusion: Open sutureless direct site repair using stent grafts to treat vascular injury is a

  4. Battery Equalization Control Based on the Shunt Transistor Method

    Directory of Open Access Journals (Sweden)

    Gallardo-Lozano Javier


    Full Text Available Electric Vehicle (EV researches are currently becoming of special importance and the EV battery system is particularly relevant in the EV design. In these applications, series connected batteries are necessary since a single battery cannot achieve the voltage requirements. Internal and external sources lead the batteries string to become unbalanced, which is an important factor to be taken into account, as premature cells degradation, safety hazards, and reduced capacity will occur for unbalanced systems. The different balancing methods are presented and compared in this paper, and finally the switch capacitor and the double-tiered switching capacitor are considered the best option. However, their speed depends on the voltage difference between the batteries in the string, and when their voltage difference is low, the equalization speed decreases significantly, leading the battery pack to be unbalanced for longer. A novel equalization method is presented, that improves the aforementioned methods performance by applying a new control to a shunt transistor method. Low cost, size, and complexity, together with higher speed and efficiency are obtained. A prototype has been built, and experimental results are presented.

  5. Oculo-peritoneal shunt: draining aqueous humor to the peritoneum

    Directory of Open Access Journals (Sweden)

    Ana Maldonado-Junyent


    Full Text Available In 2010, there were estimated to be approximately 60.5 million people with glaucoma. This number is expected to increase to 79.6 million by 2020. In 2010, there were 8.4 million people with bilateral blindness caused by glaucoma, and this number is expected in increase to 11.2 million by 2020. Filtering implants are special devices that have been developed to reduce intraocular pressure in patients with refractory glaucoma. The success rate of these implants is relatively low, and they continue to fail over time. To avoid failure caused by the formation of scar tissue around the implants, attempts have been made to drain the aqueous humor to various sites, including the venous system, lacrimal sac, sinuses, and conjunctival fornix. Recently, a system to shunt aqueous humor from the anterior chamber to the peritoneum has been developed. The surgical technique involved in this system is a modification of the technique currently used by neurosurgeons for the treatment of hydrocephalus. We present the first case operated using this technique.

  6. Transcaval transjugular intrahepatic portosystemic shunt: preliminary clinical results

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kwang Hun; Lee, Do Yun; Won, Jong Yoon [Yonsei University College of Medicine, Seoul (Korea, Republic of); Park, Sang Joon [Hallym University College of Medicine, Seoul (Korea, Republic of); Kim, Jae Kyu; Yoon, Woong [Chonnam National University Hospital, Gwangju (Korea, Republic of)


    To determine the feasibility of transcaval transjugular intrahepatic portosystemic shunt (TIPS) creation in patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins. Transcaval TIPS, performed in six patients, was indicated by active variceal bleeding (n=2), recurrent variceal bleeding (n=2), intractable ascites (n=1), and as a bridge to liver transplantation (n=1). The main reasons for transcaval rather than classic TIPS were the presence of an unusually acute angle between the hepatic veins and the level of the portal bifurcation (n=3), hepatic venous occlusion (n=2), and inadequate small hepatic veins (n=1). Technical and functional success was achieved in all patients. The entry site into liver parenchyma from the inferior vena cava was within 2 cm of the atriocaval junction. Procedure-related complications included the death of one patient due to hemoperitoneum despite the absence of contrast media spillage at tractography, and another suffered reversible hepatic encephalopathy. In patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins, transcaval TIPS creation is feasible.

  7. Vision Loss and Recovery after Baerveldt Aqueous Tube Shunt Implantation (United States)

    Kim, Esther Lee; Tran, Jeffrey; Töteberg-Harms, Marc; Chahal, Jasdeep; Rhee, Douglas


    This study aims to determine the course of vision loss after Baerveldt aqueous tube shunt placement and identify risk factors associated with unexplained severe long-term vision loss, or snuff-out. We retrospectively reviewed 247 eyes of 222 patients who underwent Baerveldt implantations at one of two academic institutions. Postoperative vision loss at 6 months following surgery was categorized as mild-to-moderate versus severe and long-term versus transient. Long-term vision loss, defined as 3 or more lines of Snellen visual acuity (VA) loss compared with preoperative VA, occurred in 63 of 247 eyes (25.5%), and 39 had mild-to-moderate and 24 had severe loss. Of these 63 eyes, 18 had no identifiable cause of vision loss. On multivariate analysis, poorer Snellen VA on postoperative day 1 (POD1) was found to be a significant risk factor for long-term vision loss (p = 0.005). In addition, the negative change in preoperative versus POD1 Snellen VA (p = 0.021) and the presence of split fixation involving the inferonasal quadrant on preoperative Humphrey visual field (p = 0.044) were significant risk factors for snuff-out. Transient vision loss occurred in 76 of 242 eyes (30.8%). In conclusion, vision loss is not uncommon after Baerveldt surgery, with snuff-out occurring in 2.4% of cases in this study.

  8. Transjugular intrahepatic portosystemic shunt in liver transplant recipients

    Institute of Scientific and Technical Information of China (English)

    Armin Finkenstedt; Ivo W Graziadei; Karin Nachbaur; Werner Jaschke; Walter Mark; Raimund Margreiter; Wolfgang Vogel


    AIM: To evaluate the efficacy of transjugular intrahepatic portosystemic shunts (TIPSs) after liver transplantation (LT).METHODS: Between November 1996 and December 2005, 10 patients with severe recurrent hepatitis C virus infection ( n = 4), ductopenic rejection ( n = 5) or portal vein thrombosis ( n = 1) were included in this analysis. Eleven TIPSs (one patient underwent two TIPS procedures) were placed for management of therapy-refractory ascites ( n = 7), hydrothorax ( n = 2)or bleeding from colonic varices ( n = 1). The median time interval between LT and TIPS placement was 15(4-158) mo.RESULTS: TIPS placement was successful in all patients. The mean portosystemic pressure gradient was reduced from 12.5 to 8.7 mmHg. Complete and partial remission could be achieved in 43% and 29%of patients with ascites. Both patients with hydrothorax did not respond to TIPS. No recurrent bleeding was seen in the patient with colonic varices. Nine of 10patients died during the study period. Only one of two patients, who underwent retransplantation after the TIPS procedure, survived. The median survival period after TIPS placement was 3.3 (range 0.4-20) mo. The majority of patients died from sepsis with multiorgan failure.

  9. Oculo-peritoneal shunt: draining aqueous humor to the peritoneum. (United States)

    Maldonado-Junyent, Ana; Maldonado-Bas, Arturo; Gonzalez, Andrea; Pueyrredón, Francisco; Maldonado-Junyent, María; Maldonado-Junyent, Arturo; Rodriguez, Diego; Bulacio, Mariano


    In 2010, there were estimated to be approximately 60.5 million people with glaucoma. This number is expected to increase to 79.6 million by 2020. In 2010, there were 8.4 million people with bilateral blindness caused by glaucoma, and this number is expected in increase to 11.2 million by 2020. Filtering implants are special devices that have been developed to reduce intraocular pressure in patients with refractory glaucoma. The success rate of these implants is relatively low, and they continue to fail over time. To avoid failure caused by the formation of scar tissue around the implants, attempts have been made to drain the aqueous humor to various sites, including the venous system, lacrimal sac, sinuses, and conjunctival fornix. Recently, a system to shunt aqueous humor from the anterior chamber to the peritoneum has been developed. The surgical technique involved in this system is a modification of the technique currently used by neurosurgeons for the treatment of hydrocephalus. We present the first case operated using this technique.

  10. Ventriculoperitoneal shunt for hydrocephalus caused by central nervous system metastasis. (United States)

    Lee, Seung Hoon; Kong, Doo Sik; Seol, Ho Joon; Nam, Do-Hyun; Lee, Jung-Il


    The development of better diagnostic tools and therapeutic modalities has increased the incidence of central nervous system (CNS) metastasis in malignant tumor patients. Hydrocephalus can result from CNS metastasis and frustrate cancer treatment. The authors sought to investigate the outcomes and the roles of ventriculoperitoneal shunts (VPS) in patients with CNS metastasis. The medical records of 50 consecutive patients who underwent VPS for hydrocephalus related to CNS metastasis were analyzed retrospectively. Data included features of primary malignancies, CNS involvement, clinical course and surgical outcome. Median patient age was 55.0 years (range 25-77), and 30 female and 20 male patients were included in the study. At the time of VPS, 10 patients had parenchymal metastases only and 40 patients had leptomeningeal seeding (LMS). Symptom improvement was observed postoperatively in 40 patients (80%), mean Karnofsky performance status (KPS) scale change was from 37.8 to 46.0, and median survival from VPS was 3.0 months (2 days to 54 months). A ventricular opening pressure of >30 cmH(2)O (HR 6.44, 95% CI 1.26-32.9, P = 0.02) and further cancer treatment after VPS (HR 0.17, 95% CI 0.07-0.42, P Hydrocephalus in CNS metastasis requiring VPS is commonly associated with LMS. VPS is an effective palliative measure and an adequate cancer treatment after VPS may provide the best means of improving survival.

  11. Geometric Studies of Shunt and Lead Orientation in EEC Devices (United States)

    Werner, F. M.; Solin, S. A.


    Electric field sensors are ubiquitous in modern technology, from field effect transistors (FETs) in circuit boards to point-of-care testing (POCT) devices used in detecting the presence of specific protein markers in blood. The transport properties of these devices are limited by two general categories: intrinsic material properties and extrinsic geometric effects. Devices with a maximum electric field resolution of 3.05V/cm were previously reported. The metal semiconductor hybrid (MSH) devices are constructed by forming a Schottky interface between a mesa of nGaAs and Ti, while four ohmic leads surround the perimeter of the mesa and are used for four point resistance measurements. These devices exhibit extraordinary electroconductance (EEC) and make it possible to correlate measured four point resistance to changes in the local electric field. While maximizing the EEC response by optimizing the intrinsic material properties has been theoretically investigated, we present a phenomenological study of the impact of lead orientation and shunt geometry in the sensing capabilities of these devices. S.A.S. is a co-founder of and has a financial interest in PixelEXX, a start-up company whose mission is to market imaging arrays.

  12. Solid polymer electrolyte from phosphorylated chitosan

    Energy Technology Data Exchange (ETDEWEB)

    Fauzi, Iqbal, E-mail:; Arcana, I Made, E-mail: [Inorganic and Physical Chemistry Research Groups, Faculty of Mathematics and Natural Sciences, Institut Teknologi Bandung, Jl. Ganesha 10, Bandung 40132 (Indonesia)


    Recently, the need of secondary battery application continues to increase. The secondary battery which using a liquid electrolyte was indicated had some weakness. A solid polymer electrolyte is an alternative electrolytes membrane which developed in order to replace the liquid electrolyte type. In the present study, the effect of phosphorylation on to polymer electrolyte membrane which synthesized from chitosan and lithium perchlorate salts was investigated. The effect of the component’s composition respectively on the properties of polymer electrolyte, was carried out by analyzed of it’s characterization such as functional groups, ion conductivity, and thermal properties. The mechanical properties i.e tensile resistance and the morphology structure of membrane surface were determined. The phosphorylation processing of polymer electrolyte membrane of chitosan and lithium perchlorate was conducted by immersing with phosphoric acid for 2 hours, and then irradiated on a microwave for 60 seconds. The degree of deacetylation of chitosan derived from shrimp shells was obtained around 75.4%. Relative molecular mass of chitosan was obtained by viscometry method is 796,792 g/mol. The ionic conductivity of chitosan membrane was increase from 6.33 × 10{sup −6} S/cm up to 6.01 × 10{sup −4} S/cm after adding by 15 % solution of lithium perchlorate. After phosphorylation, the ionic conductivity of phosphorylated lithium chitosan membrane was observed 1.37 × 10{sup −3} S/cm, while the tensile resistance of 40.2 MPa with a better thermal resistance. On the strength of electrolyte membrane properties, this polymer electrolyte membrane was suggested had one potential used for polymer electrolyte in field of lithium battery applications.

  13. Ventriculo-bipleural shunt as last resort in a 4-year-old child in whom a VP and VA shunt failed. (United States)

    Ratliff, Miriam; Unterberg, Andreas; Bächli, Heidi


    The authors present the unusual case of a 4-year-old boy who had a complex history of posthemorrhagic hydrocephalus and who underwent more than 40 surgeries related to this condition. In the course of trying to treat his condition, ventriculoperitoneal, ventriculoatrial, and ventriculopleural shunts were inserted and failed. The child presented with a dysfunction of his shunt system. A ventriculopleural shunt was inserted, but within days the patient developed dyspnea as a clinical symptom of pleural effusion that required repeated thoracentesis. A bipleural drainage system was inserted, and no relevant pleural effusions developed during the follow-up period. Although the authors' experience is based on a single case, they do suggest bipleural drainage in patients with clinically relevant pleural effusions when the more common alternatives are not a good choice. Bipleural drainage might particularly be an option in children, who are prone to pleural effusion because of the smaller absorbing pleural surface. The authors reviewed the English-language literature on PubMed dating back to 1952. To their knowledge, this is the only published case in which a patient was treated with a ventriculo-bipleural shunt.

  14. Spontaneous resolution of splenic infarcts after distal splenorenal shunt in children with extra hepatic portal venous obstruction: Our experience

    Directory of Open Access Journals (Sweden)

    Arbinder Kumar


    Full Text Available Background: In cases of portal hypertension with splenic infarcts, splenectomy with proximal splenorenal shunt has been recommended. We are sharing our experience with distal splenorenal shunt in these cases contrary to the popular belief. Materials and Methods: Splenic infarcts were graded as mild, moderate and severe according to the pre-operative CT portogram. Mild, moderate and severe infarcts were defined as an infarct involving 50% area of the spleen, respectively. Mild and moderate infarcts were managed by spleen-preserving distal splenorenal shunt while those with extensive infarcts were subjected to splenectomy and proximal splenorenal shunt. Those with spleen-preserving shunts were closely followed in the post-operative period according to a uniform protocol. Clinical examination was regularly done to assess the size of the spleen and note the presence of pain, tenderness in the left intercostal space. An ultrasound Doppler was done after 7 days to assess shunt patency while CT portogram was repeated at 6 monthly intervals. Results: Fourteen cases with splenic infarcts formed the study group. Eight cases had mild infarcts, 3 had moderate infarcts and 3 had severe infarcts. Four underwent proximal splenorenal shunt, and 10 underwent warren′s shunt (8 with mild and 2 with moderate infarcts. In 9/10 (90%, spleen could eventually be retained. Spleen completely regressed in them and so did the infarct. Conclusions:Spleen-preserving distal splenorenal shunt can be considered as a viable option in the management of cases with mild and carefully selected moderate splenic infarcts.

  15. Cerebral Blood Flow Changes after Shunt in Hydrocephalus after Aneurysmal Subarachnoid Hemorrhage: Analysis by statistical Parametric Mapping

    Energy Technology Data Exchange (ETDEWEB)

    Hyun, I. Y.; Choi, W. S.; Pak, H. S. [College of Medicine, Univ. of Inhwa, Incheon (Korea, Republic of)


    The purpose of this study was to evaluate the changes of regional cerebral blood flow (rCBF) after shunt operation in patients with hydrocephalus after aneurysmal subarachnoid hemorrhage ba statistical parametric mapping (SPM). Seven patients (4 male, mean age 54 years) with hydrocephalus after aneurysmal subarachnoid hemorrhage underwent a shunt operation. Tc-99m HMPAO SPECT was performed within I week before, and 2 weeks after the shunt operation. All of the SPECT images were spatially transformed to standard space, smoothed, and globally normalized. After spatial and count normalization, rCBF of pre- and post- shunting Tc- 99m HMPAO SPECT was estimated at every voxel using t statistics. The voxels with a P value of less than 0.001 were considered to be significantly different. The shunt operation was effective in all patients. Pre-shunting Tc-99m HMPAO SPECT showed hypoperfusion, predominantly in the periventricular area. After shunt operation, periventricular low perfusion was disappeared. The results of this study show that periventricular CBF is impaired in hydrocephalus after aneurysmal subarachnoid hemorrhage. Significant increase of periventricular CBF after shunt operation suggests the evaluation of periventricular CBF by SPM might be of value for the prediction of shunt effectiveness in hydrocephalus.

  16. Conversion of Low-Flow Priapism to High-Flow State Using T-Shunt with Tunneling (United States)

    Tadros, Nicholas N.; Hedges, Jason C.


    Introduction. The three types of priapism are stuttering, arterial (high-flow, nonischemic), and venoocclusive (low-flow, ischemic). These are usually distinct entities and rarely occur in the same patient. T-shunts and other distal shunts are frequently combined with tunneling, but a seldom recognized potential complication is conversion to a high-flow state. Case Presentation. We describe 2 cases of men who presented with low-flow priapism episodes that were treated using T-shunts with tunneling that resulted with both men having recurrent erections shortly after surgery that were found to be consistent with high-flow states. Case 1 was a 33-year-old male with sickle cell anemia and case 2 was a 24-year-old male with idiopathic thrombocytopenic purpura. In both cases the men were observed over several weeks and both men returned to normal erectile function. Conclusions. Historically, proximal shunts were performed only in cases when distal shunts failed and carry a higher risk of serious complications. T-shunts and other distal shunts combined with tunneling are being used more frequently in place of proximal shunts. These cases illustrate how postoperative erections after T-shunts with tunneling can signify a conversion from low-flow to high-flow states and could potentially be misdiagnosed as an operative failure. PMID:28331646

  17. The clinical application and nursing experience of adjustable shunt valve in treatment for patients with normal pressure hydrocephalus

    Directory of Open Access Journals (Sweden)

    YANG Li-rong


    Full Text Available Objective To introduce the application of adjustable shunt valve in treatment for patients with normal pressure hydrocephalus. Methods Twenty-four patients with normal pressure hydrocephalus implanted adjustable shunt valve underwent ventriculo-peritoneal shunt surgery and nursing care. Results After operation, cerebrospinal pressure was regulated for 0-6 (1.88 ± 1.52 times. Clinical symptoms were improved, especially in gait disturbance. Conclusion Treatment of normal pressure hydrocephalus with adjustable shunt valve can alleviate symptoms of hydrocephalus. It is especially suitable for patients with short course and secondary normal hydrocephalus patients.

  18. Angiography-based C-arm CT for the assessment of extrahepatic shunting before radioembolization

    Energy Technology Data Exchange (ETDEWEB)

    Heusner, Till Alexander; Hahn, S.; Forsting, M.; Antoch, G. [Inst. fuer Diagnostische und Interventionelle Radiologie und Neuroradiologie, Universitaetsklinik Essen (Germany); Hamami, M.E.; Poeppel, T.; Bockisch, A. [Klinik fuer Nuklearmedizin, Universitaetsklinik Essen (Germany); Ertle, J.; Hilgard, P. [Klinik fuer Gastroenterologie, Universitaetsklinik Essen (Germany)


    Purpose: to retrospectively assess the accuracy of angiography-based C-arm CT for the detection of extrahepatic shunting before SIRT. Materials and methods: 30 patients (mean age: 64 {+-} 12 years) with hypervascularized hepatic tumors underwent hepatic angiography, coil embolization of gastrointestinal collaterals and 99mTc-macroaggregated albumin (MAA) SPECT/CT before SIRT. Before MAA injection via a microcatheter from the intended treatment position, an angiography and angiography-based C-arm CT (XperCT trademark, Philips Healthcare) were acquired. Angiographies and XperCT trademark were performed from 48 microcatheter positions followed by MAA injections and MAA-SPECT/CT. MAA-SPECT/CT served as the reference standard for determining the accuracy of hepatic arteriography and C-arm CT for the detection of extrahepatic shunting. Results: MAA-SPECT/CT revealed extrahepatic shunting in 5 patients (17%). Hepatic arteriography yielded a true negative in 22 (73%), a false negative in 5 (17%), and an unclear result in 3 patients (10%). C-arm CT yielded a true positive in 3 (10%), true negative in 24 (80%), false positive in 1 (3%), and false negative in 2 patients (7%). The specificity and the NPV of hepatic arteriography for the detection of extrahepatic shunting were 88% and 81%, respectively. For C-arm CT the sensitivity, specificity, PPV, NPV, and accuracy for the detection of extrahepatic shunting were 60%, 96%, 75%, 92%, and 90%, respectively. Conclusion: C-arm CT offers additional information to angiography when assessing SIRT patients for extrahepatic shunting. More accurate detection of extrahepatic shunting may optimize the workflow in SIRT preparations by avoiding unnecessary repeat angiographies. (orig.)

  19. Implementation of an artificial neuronal network to predict shunt necessity in carotid surgery. (United States)

    Aleksic, Marko; Luebke, Thomas; Heckenkamp, Joerg; Gawenda, Michael; Reichert, Viktor; Brunkwall, Jan


    In carotid surgery, it could be useful to know which patient will tolerate carotid cross-clamping in order to minimize the risks of perioperative strokes. In this clinical study, an artificial neuronal network (ANN) was applied and compared with conventional statistical methods to assess the value of various parameters to predict shunt necessity. Eight hundred and fifty patients undergoing carotid endarterectomy for a high-grade internal carotid artery stenosis under local anesthesia were analyzed regarding shunt necessity using a standard feed-forward, backpropagation ANN (NeuroSolutions); NeuroDimensions, Gainesville, FL) with three layers (one input layer, one hidden layer, one output layer). Among the input neurons, preoperative clinical (n = 9) and intraoperative hemodynamic (n = 3) parameters were examined separately. The accuracy of prediction was compared to the results of a regression analysis using the same variables. In 173 patients (20%) a shunt was used because hemispheric deficits or unconsciousness occurred during cross-clamping. With the ANN, not needing a shunt was predicted by preoperative and intraoperative parameters with an accuracy of 96% and 91%, respectively, where the regression analysis showed an accuracy of 98% and 96%, respectively. Those patients who needed a shunt were identified by preoperative parameters in 9% and by intraoperative parameters in 56% when the ANN was used. Regression analysis predicted shunt use correctly in 10% using preoperative parameters and 41% using intraoperative parameters. Intraoperative hemodynamic parameters are more suitable than preoperative parameters to indicate shunt necessity where the application of an ANN provides slightly better results compared to regression analysis. However, the overall accuracy is too low to renounce perioperative neuromonitoring methods like local anesthesia.

  20. The reversibility of reduced cortical vein compliance in normal-pressure hydrocephalus following shunt insertion

    Energy Technology Data Exchange (ETDEWEB)

    Bateman, G.A. [Department of Medical Imaging, John Hunter Hospital, Locked Bag 1, Newcastle Region Mail Centre, Newcastle (Australia)


    Superficial cortical venous compression secondary to alterations in craniospinal compliance is implicated in the pathogenesis of normal pressure hydrocephalus (NPH). A reduction in the pulsation in the outflow of the cortical veins would be expected to occur following compression of these veins and this has been shown in NPH. If cortical vein compression is a causative factor in NPH, it would be expected that cortical vein compliance as measured by pulsatility would be significantly altered by a curative procedure i.e. shunt tube insertion. My purpose is to compare the blood flow pulsatility characteristics in a group of patients with NPH before and after shunt tube insertion. I initially studied 18 subjects without pathology with MRI flow quantification studies of the cerebral arteries and veins to define the range of normality. The main study involved 18 patients with idiopathic dementia and mild leukoaraiosis who served as controls and seven patients with NPH studied before and after shunt insertion. Arterial, superior sagittal and straight sinus pulsatility was not significantly different between the patients with idiopathic dementia and those NPH patients before or after shunting. Cortical vein pulsatility before shunting in the patients with NPH was 43% lower than in those with idiopathic dementia (P =0.006). Following shunting, cortical vein pulsatility increased by 186% (P =0.007). There is thus reduced compliance in cortical veins in NPH which is significantly increased in patients who respond to insertion of a shunt tube. These findings suggest that reversible elevation in cortical vein pressure and reversal of the normal absorption pathway for cerebrospinal fluid may be behind the pathophysiology of NPH. (orig.)

  1. In vitro hydrodynamic properties of the Miethke proGAV hydrocephalus shunt

    Directory of Open Access Journals (Sweden)

    Richards Hugh K


    Full Text Available Abstract Background Adjustable shunts are very popular in the management of hydrocephalus and are believed to help in minimizing the number of surgical revisions. The drawback with almost all constructions is that they may be accidentally readjusted in relatively weak magnetic fields (around 30–40 mTesla Materials and methods The ProGav Miethke shunt is composed of an adjustable ballon-spring valve unit and an integrated over-drainage compensating gravitational device (known as the shunt assistant. A mechanical 'brake' is intended to prevent changes to the valve's performance level in a strong magnetic field. We evaluated the performance and hydrodynamic properties of a sample of three valves in the UK Shunt Evaluation Laboratory. Results All the shunts showed good mechanical durability over the three-month period of testing, and good stability of hydrodynamic performance over a one-month period The pressure-flow performance curves, operating, opening and closing pressures fell within the limits specified by the manufacturer, and changed according to the programmed performance levels. The operating pressure increased when the shunt assistant was in the vertical position, as specified. The valve has a low hydrodynamic resistance (0.53 mm mmHg ml-1 min-1. External programming proved to be easy and reliable. Strong magnetic fields from a 3 Tesla MR scanner were not able to change the programming of the valve. Conclusion The ProGAV shunt is an adjustable, low resistance valve that is able to limit posture-related over-drainage. Unlike other adjustable valves, the ProGAV cannot be accidentally re-adjusted by external magnetic field such as a 3T MR scanner.


    Energy Technology Data Exchange (ETDEWEB)

    Harlan U. Anderson


    This project has three main goals: Thin Films Studies, Preparation of Graded Porous Substrates and Basic Electrical Characterization and Testing of Planar Single Cells. During this time period substantial progress has been made in developing low temperature deposition techniques to produce dense, nanocrystalline yttrium-stabilized zirconia films on both dense oxide and polymer substrates. Progress has been made in the preparation and characterization of thin electrolytes and porous LSM substrates. Both of these tasks are essentially on or ahead of schedule. In our proposal, we suggested that the ZrO{sub 2}/Sc system needed to be considered as a candidate as a thin electrolyte. This was because microcrystalline ZrO{sub 2}/Sc has a significantly higher ionic conductivity than YSZ, particularly at the lower temperatures. As a result, some 0.5 micron thick film of ZrO{sub 2}/16% Sc on an alumina substrate (grain size 20nm) was prepared and the electrical conductivity measured as a function of temperature and oxygen activity. The Sc doped ZrO{sub 2} certainly has a higher conductivity that either 20nm or 2400nm YSZ, however, electronic conductivity dominates the conductivity for oxygen activities below 10{sup -15}. Whereas for YSZ, electronic conductivity is not a problem until the oxygen activity decreases below 10{sup -25}. These initial results show that the ionic conductivity of 20nm YSZ and 20nm ZrO{sub 2}/16% Sc are essentially the same and the enhanced conductivity which is observed for Sc doping in microcrystalline specimens is not observed for the same composition when it is nanocrystalline. In addition they show that the electronic conductivity of Sc doped ZrO{sub 2} is at least two orders of magnitude higher than that observed for YSZ. The conclusion one reaches is that for 0.5 to 1 micron thick nanocrystalline films, Sc doping of ZrO{sub 2} has no benefits compared to YSZ. As a result, electrolyte films of ZrO{sub 2}/Sc should not be considered as candidates

  3. Enhanced Cycling Stability of Rechargeable Li-O2 Batteries Using High Concentration Electrolytes

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Bin; Xu, Wu; Yan, Pengfei; Sun, Xiuliang; Bowden, Mark E.; Read, Jeffrey; Qian, Jiangfeng; Mei, Donghai; Wang, Chong M.; Zhang, Jiguang


    The electrolyte stability against reactive reduced-oxygen species is crucial for the development of rechargeable Li-O2 batteries. In this work, we systematically investigated the effect of lithium salt concentration in 1,2-dimethoxyethane (DME)-based electrolytes on the cycling stability of Li-O2 batteries. Cells with high concentration electrolyte illustrate largely enhanced cycling stability under both the full discharge/charge (2.0-4.5 V vs. Li/Li+) and the capacity limited (at 1,000 mAh g-1) conditions. These cells also exhibit much less reaction-residual on the charged air electrode surface, and much less corrosion to the Li metal anode. The density functional theory calculations are conducted on the molecular orbital energies of the electrolyte components and the Gibbs activation barriers for superoxide radical anion to attack DME solvent and Li+-(DME)n solvates. In a highly concentrated electrolyte, all DME molecules have been coordinated with salt and the C-H bond scission of a DME molecule becomes more difficult. Therefore, the decomposition of highly concentrated electrolyte in a Li-O2 battery can be mitigated and both air-cathodes and Li-metal anodes exhibits much better reversibility. As a results, the cyclability of Li-O2 can be largely improved.

  4. Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7

    Directory of Open Access Journals (Sweden)

    Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine


    Full Text Available A close cooperation between medical teams is necessary when calculating the fluid intake of parenterally fed patients. Fluids supplied parenterally, orally and enterally, other infusions, and additional fluid losses (e.g. diarrhea must be considered. Targeted diagnostic monitoring (volume status is required in patients with disturbed water or electrolyte balance. Fluid requirements of adults with normal hydration status is approximately 30–40 ml/kg body weight/d, but fluid needs usually increase during fever. Serum electrolyte concentrations should be determined prior to PN, and patients with normal fluid and electrolyte balance should receive intakes follwing standard recommendations with PN. Additional requirements should usually be administered via separate infusion pumps. Concentrated potassium (1 mval/ml or 20% NaCl solutions should be infused via a central venous catheter. Electrolyte intake should be adjusted according to the results of regular laboratory analyses. Individual determination of electrolyte intake is required when electrolyte balance is initially altered (e.g. due to chronic diarrhea, recurring vomiting, renal insufficiency etc.. Vitamins and trace elements should be generally substituted in PN, unless there are contraindications. The supplementation of vitamins and trace elements is obligatory after a PN of >1 week. A standard dosage of vitamins and trace elements based on current dietary reference intakes for oral feeding is generally recommended unless certain clinical situations require other intakes.

  5. New electrolytes and electrolyte additives to improve the low temperature performance of lithium-ion batteries

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Xiao-Qing


    In this program, two different approaches were undertaken to improve the role of electrolyte at low temperature performance - through the improvement in (i) ionic conductivity and (ii) interfacial behavior. Several different types of electrolytes were prepared to examine the feasibil.ity of using these new electrolytes in rechargeable lithium-ion cells in the temperature range of +40°C to -40°C. The feasibility studies include (a) conductivity measurements of the electrolytes, (b) impedance measurements of lithium-ion cells using the screened electrolytes with di.fferent electrochemical history such as [(i) fresh cells prior to formation cycles, (ii) after first charge, and (iii) after first discharge], (c) electrical performance of the cells at room temperatures, and (d) charge discharge behavior at various low temperatures. Among the different types of electrolytes investigated in Phase I and Phase II of this SBIR project, carbonate-based LiPF6 electrolytes with the proposed additives and the low viscous ester as a third component to the carbonate-based LiPF6 electrolytes show promising results at low temperatures. The latter electrolytes deliver over 80% of room temperature capacity at -20{degrees}C when the lithium-ion cells containing these electrolytes were charged at -20 °C. Also, there was no lithium plating when the lithium­-ion cells using C-C composite anode and LiPF{sub 6} in EC/EMC/MP electrolyte were charged at -20{degrees}C at C/5 rate. The studies of ionic conductivity and AC impedance of these new electrolytes, as well as the charge discharge characteristics of lithium-ion cells using these new electrolytes at various low temperatures provide new findings: The reduced capacity and power capability, as well as the problem of lithium plating at low temperatures charging of lithium-ion cells are primarily due to slow the lithium-ion intercalation/de-intercalation kinetics in the carbon structure.

  6. Polymer electrolytes, problems, prospects, and promises

    Energy Technology Data Exchange (ETDEWEB)

    Nagasubramanian, G.; Boone, D.


    Ionically conducting polymer electrolytes have generated, in recent years, wide-spread interest as candidate materials for a number of applications including high energy density and power lithium batteries. In the early 70s the first measurements of ionic conductivity in polyethylene oxide (PEO)-salt complexes were carried out. However, Armand was the first one to realize potential of these complexes (polymer-salt complexes) as practical ionically conducting materials for use as electrolytes in lithium batteries. Subsequent research efforts identified the limitations and constraints of the polymer electrolytes. These limitations include poor ionic conductivity at RT (< 10{sup {minus}8} S/cm), low cation transport number (<0.2) etc. Several different approaches have been made to improving the ionic conductivity of the polymer electrolytes while retaining the flexibility, processibility, ease of handling and relatively low impact on the environment that polymers inherently possess. This paper- reviews evolution of polymer electrolytes from conventional PEO-LiX slat complexes to the more conducting polyphosphazene and copolymers, gelled electrolytes etc. We also review the various chemical approaches including modifying PEO to synthesizing complicated polymer architecture. In addition, we discuss effect of various lithium salts on the conductivity of PEO-based polymers. Charge/discharge and cycle life data of polymer cells containing oxide and chalcogenide cathodes and lithium (Li) anode are reviewed. Finally, future research directions to improve the electrolyte properties are discussed.

  7. Polymer electrolyte fuel cells: flow field for efficient air operation

    Energy Technology Data Exchange (ETDEWEB)

    Buechi, F.N.; Tsukada, A.; Haas, O.; Scherer, G.G. [Paul Scherrer Inst. (PSI), Villigen (Switzerland)


    A new flow field was designed for a polymer electrolyte fuel cell stack with an active area of 200 cm{sup 2} for operation at low air stoichiometry and low air over pressure. Optimum of gas flow and channel dimensions were calculated based on the required pressure drop in the fluid. Single cells and a bi-cell stack with the new flow field show an improved current/voltage characteristic when operated at low air stoichiometries as compared to that of the previous non optimized design. (author) 4 figs., 3 refs.

  8. Weak non-linear surface charging effects in electrolytic films


    Dean, D. S.; Horgan, R. R.


    A simple model of soap films with nonionic surfactants stabilized by added electrolyte is studied. The model exhibits charge regularization due to the incorporation of a physical mechanism responsible for the formation of a surface charge. We use a Gaussian field theory in the film but the full non-linear surface terms which are then treated at a one-loop level by calculating the mean-field Poisson-Boltzmann solution and then the fluctuations about this solution. We carefully analyze the reno...

  9. Impact of cerebrospinal fluid shunting for idiopathic normal pressure hydrocephalus on the amyloid cascade.

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    Masao Moriya

    Full Text Available The aim of this study was to determine whether the improvement of cerebrospinal fluid (CSF flow dynamics by CSF shunting, can suppress the oligomerization of amyloid β-peptide (Aβ, by measuring the levels of Alzheimer's disease (AD-related proteins in the CSF before and after lumboperitoneal shunting. Lumbar CSF from 32 patients with idiopathic normal pressure hydrocephalus (iNPH (samples were obtained before and 1 year after shunting, 15 patients with AD, and 12 normal controls was analyzed for AD-related proteins and APLP1-derived Aβ-like peptides (APL1β (a surrogate marker for Aβ. We found that before shunting, individuals with iNPH had significantly lower levels of soluble amyloid precursor proteins (sAPP and Aβ38 compared to patients with AD and normal controls. We divided the patients with iNPH into patients with favorable (improvement ≥ 1 on the modified Rankin Scale and unfavorable (no improvement on the modified Rankin Scale outcomes. Compared to the unfavorable outcome group, the favorable outcome group showed significant increases in Aβ38, 40, 42, and phosphorylated-tau levels after shunting. In contrast, there were no significant changes in the levels of APL1β25, 27, and 28 after shunting. After shunting, we observed positive correlations between sAPPα and sAPPβ, Aβ38 and 42, and APL1β25 and 28, with shifts from sAPPβ to sAPPα, from APL1β28 to 25, and from Aβ42 to 38 in all patients with iNPH. Our results suggest that Aβ production remained unchanged by the shunt procedure because the levels of sAPP and APL1β were unchanged. Moreover, the shift of Aβ from oligomer to monomer due to the shift of Aβ42 (easy to aggregate to Aβ38 (difficult to aggregate, and the improvement of interstitial-fluid flow, could lead to increased Aβ levels in the CSF. Our findings suggest that the shunting procedure can delay intracerebral deposition of Aβ in patients with iNPH.

  10. Reduction of astrogliosis and microgliosis by cerebrospinal fluid shunting in experimental hydrocephalus

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    Miller Janet M


    Full Text Available Abstract Background Reactive gliosis has the potential to alter biomechanical properties of the brain, impede neuronal regeneration and affect plasticity. Determining the onset and progression of reactive astrogliosis and microgliosis due to hydrocephalus is important for designing better clinical treatments. Methods Reactive astrogliosis and microgliosis were evaluated as the severity of hydrocephalus increased with age in hydrocephalic H-Tx rats and control littermates. Previous studies have suggested that gliosis may persist after short-term drainage (shunt treatment of the cerebrospinal fluid. Therefore shunts were placed in 15d hydrocephalic rats that were sacrificed after 6d (21d of age or after 21d (36d of age. Tissue was processed for Western blot procedures and immunohistochemistry, and probed for the astrocytic protein, Glial Fibrillary Acidic Protein (GFAP and for microglial protein, Isolectin B4 (ILB4. Results In the parietal cortex of untreated hydrocephalic animals, GFAP levels increased significantly at 5d and at 12d compared to age-matched control rats. There was a continued increase in GFAP levels over control at 21d and at 36d. Shunting prevented some of the increase in GFAP levels in the parietal cortex. In the occipital cortex of untreated hydrocephalic animals, there was a significant increase over control in levels of GFAP at 5d. This trend continued in the 12d animals, although not significantly. Significant increases in GFAP levels were present in 21d and in 36d animals. Shunting significantly reduced GFAP levels in the 36d shunted group. Quantitative grading of immuno-stained sections showed similar changes in GFAP stained astrocytes. Immuno-stained microglia were altered in shape in hydrocephalic animals. At 5d and 12d, they appeared to be developmentally delayed with a lack of processes. Older 21d and 36d hydrocephalic animals exhibited the characteristics of activated microglia, with thicker processes and enlarged

  11. Cerebral oxygenation and processed EEG response to clamping and shunting during carotid endarterectomy under general anesthesia. (United States)

    Perez, William; Dukatz, Christopher; El-Dalati, Sami; Duncan, James; Abdel-Rasoul, Mahmoud; Springer, Andrew; Go, Michael R; Dzwonczyk, Roger


    Clamping and shunting during carotid endarterectomy (CEA) surgery causes changes in cerebral blood flow. The purpose of this study was to assess and compare, side by side, the cerebral oxygenation (rSO2) and processed electroencephalogram (EEG) response bilaterally to carotid artery clamping and shunting in patients undergoing CEA under general anesthesia. With institutional approval and written informed consent, patients undergoing CEA under general anesthesia and routine carotid artery shunting were recorded bilaterally, simultaneously and continuously with an rSO2 and processed EEG monitor. The response of the monitors during carotid artery clamping and shunting were assessed and compared between monitors and bilaterally within each monitor. Sixty-nine patients were included in the study. At clamping the surgical-side and contralateral-side rSO2 dropped significantly below the baseline incision value (-17.6 and -9.4% respectively). After shunting, the contralateral-side rSO2 returned to baseline while the surgical-side rSO2 remained significantly below baseline (-9.0%) until the shunt was removed following surgery. At clamping the surgical-side and contralateral-side processed EEG also dropped below baseline (-19.9 and -20.6% respectively). However, following shunt activation, the processed EEG returned bilaterally to baseline. During the course of this research, we found the rSO2 monitor to be clinically more robust (4.4% failure rate) than the processed EEG monitor (20.0% failure rate). There was no correlation between the rSO2 or processed EEG changes that occurred immediately after clamping and the degree of surgical side stenosis measured pre-operatively. Both rSO2 and processed EEG respond to clamping and shunting during CEA. Cerebral oximetry discriminates between the surgical and contralateral side during surgery. The rSO2 monitor is more reliable in the real-world clinical setting. Future studies should focus on developing algorithms based on these

  12. External lumbar drain: A pragmatic test for prediction of shunt outcomes in idiopathic normal pressure hydrocephalus

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    Silky Chotai


    Full Text Available Background: The consensus on most reliable supplemental test to predict the shunt responsiveness in patients with idiopathic normal pressure hydrocephalus (iNPH is lacking. The aim of this study is to discuss the utility of external lumbar drain (ELD in evaluation of shunt responsiveness for iNPH patients. Methods: A retrospective review of 66 patients with iNPH was conducted. All patients underwent 4-day ELD trial. ELD-positive patients were offered ventriculoperitoneal shunt (VPS surgery. The primary outcome evaluation parameters were gait and mini mental status examination (MMSE assessment. The family and patient perception of improvement was accounted for in the outcome evaluation. Results: There were 38 male and 28 female with mean age of 74 years (range 45-88 years. ELD trial was positive in 86% (57/66 of patients. No major complications were encountered with the ELD trial. A total of 60 patients (57 ELD-positive, 3 ELD-negative underwent VPS insertion. The negative ELD trial (P = 0.006 was associated with poor outcomes following shunt insertion. The positive ELD trial predicted shunt responsiveness in 96% patients (P < 0.0001, OR = 96.2, CI = 11.6-795.3. A receiver operating characteristic (ROC curve analysis revealed that the ELD trial is reasonably accurate in differentiating shunt responder from non-responder in iNPH patients (area under curve = 0.8 ± 0.14, P = 0.02, CI = 0.52-1.0. The mean follow-up period was 12-months (range 0.3-3 years. The significant overall improvement after VPS was seen in 92% (55/60. The improvement was sustained in 76% of patients at mean 3-year follow-up. The number of comorbid conditions (P = 0.034, OR = 4.15, CI = 1.2-9.04, and a history of cerebrovascular accident (CVA (P = 0.035, OR = 4.4, CI = 1.9-14.6 were the predictors of poor outcome following shunt surgery. Conclusion: The positive ELD test predicted shunt responsiveness in 96% of patients. With adequate technique, maximal results with minimal

  13. Liver size, bodyweight, and tolerance to acute complete occlusion of congenital extrahepatic portosystemic shunts in dogs. (United States)

    Doran, Ivan P; Barr, Frances J; Hotston Moore, Alasdair; Knowles, Toby G; Holt, Peter E


    To investigate the relationship between preoperative liver size, bodyweight, and tolerance to shunt occlusion in dogs with congenital extrahepatic portosystemic shunt(s) (CPSS). Longitudinal cohort study. Dogs with CPSS (n=35). Ultrasonography was used to measure preoperative maximum transverse dimension of the liver (TS) of each dog. Intraoperative portal pressures were measured, before and after CPSS occlusion, via a jejunal vein catheter. Tolerance to shunt occlusion was judged on gross visceral observations, and on changes in portal pressure, central venous and mean arterial pressures. TS was significantly related to bodyweight (P7 were more likely to tolerate CPSS occlusion than dogs with a TS/bodyweight ratio of portal pressure rise after shunt occlusion, based on liver dimensions and bodyweight (R=0.668). Intestinal oxygenation did not correlate significantly with tolerance to CPSS occlusion (P=.29). In dogs with CPSS, liver size (relative to bodyweight) is significantly greater (P=.025) in dogs that are tolerant of full ligation than intolerant of occlusion. Preoperative measurement of bodyweight and liver size help indicate the likelihood of tolerance to acute complete occlusion of CPSS in dogs.

  14. The C57BL/6J mouse exhibits sporadic congenital portosystemic shunts.

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    Cristina Cudalbu

    Full Text Available C57BL/6 mice are the most widely used strain of laboratory mice. Using in vivo proton Magnetic Resonance Spectroscopy ((1H MRS, we have repeatedly observed an abnormal neurochemical profile in the brains of both wild-type and genetically modified mice derived from the C57BL/6J strain, consisting of a several fold increase in cerebral glutamine and two fold decrease in myo-inositol. This strikingly abnormal neurochemical "phenotype" resembles that observed in chronic liver disease or portosystemic shunting and appeared to be independent of transgene, origin or chow and was not associated with liver failure. As many as 25% of animals displayed the abnormal neurochemical profile, questioning the reliability of this model for neurobiology. We conducted an independent study to determine if this neurochemical profile was associated with portosystemic shunting. Our results showed that 100% of the mice with high brain glutamine displayed portosystemic shunting by concomitant portal angiography while all mice with normal brain glutamine did not. Since portosystemic shunting is known to cause alterations in gene expression in many organs including the brain, we conclude that portosystemic shunting may be the most significant problem associated with C57BL/6J inbreeding both for its effect on the central nervous system and for its systemic repercussions.

  15. Scanning Electron Microscopy Evaluation of an EX-PRESS Mini Glaucoma Shunt After Explantation. (United States)

    Tognetto, Daniele; Cecchini, Paolo; D'Aloisio, Rossella; Vattovani, Odilla; Turco, Gianluca


    We report a case of an explanted stainless steel miniature glaucoma drainage device (EX-PRESS) implanted under a scleral flap for pseudoexfoliation open-angle glaucoma surgical treatment. The glaucoma shunt was implanted in a 75-year-old white man with medically refractive glaucoma. Cataract surgery was performed simultaneously. After 2 years, the shunt extruded through the scleral flap and the conjunctiva and it was, therefore, explanted. Scanning electron microscopy images of the EX-PRESS mini glaucoma shunt were acquired to verify the patency of the device lumen and the presence of fibrosis or cellular adhesion on the device. Energy dispersive spectroscopy for chemical surface characterization of the EX-PRESS shunt was performed. Scanning electron microscopy-acquired images showed minimal extracellular material proliferation on the lumen device. The energy dispersive spectroscopy analysis revealed a high peak of carbon suggesting the organic nature of the residuals found on the shunt lumen. The surface showed few superficial pits, likely due to an initial corrosion process.

  16. Unified power flow controller based on two shunt converters and a series capacitor

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    Khoshkbar Sadigh, Arash; Tarafdar Hagh, Mehrdad; Sabahi, Mehran [Faculty of Electrical and Computer Engineering, University of Tabriz, Tabriz (Iran)


    In this paper a novel configuration of unified power flow controller (UPFC) which consists of two shunt converters and a series capacitor is proposed. In this configuration, a series capacitor is used between two shunt converters to inject desired series voltage. As a result, it is possible to control the active and reactive power flow as same as the conventional configuration of UPFC. The main advantage of the proposed UPFC in comparison with the conventional configuration is injection of a series voltage waveform with a very low total harmonic distortion (THD). Also, using two shunt converters instead of a series and a shunt converters, results in reduction of design efforts and simplification of control, measuring and protection strategies. An optimal control strategy based on the discrete model of converters is applied to shunt converters. The proposed UPFC is simulated using PSCAD/EMTDC and MATLAB software and simulation results are presented to validate the effectiveness of the novel configuration of UPFC. Also, the experimental results which are obtained from an experimental set-up are presented. (author)

  17. Right Lower Quadrant Abdominal Pain in a Patient with Prior Ventriculoperitoneal Shunting: Consider the Tip!

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    Petros Charalampoudis


    Full Text Available Introduction. Ventriculoperitoneal (VP shunting is the treatment of choice for nonobstructive hydrocephalus. In patients with such a device, right lower quadrant abdominal pain can puzzle the surgeon, posing a differential diagnostic problem among appendicitis, nonsurgical colicky pain, and primary shunt catheter tip infection. Treatment is different in either case. Presentation of Case. We hereby present a case of a young woman with prior ventriculoperitoneal shunt positioning who presented to our department with right lower quadrant abdominal pain. The patient underwent a 24-hour observation including a neurosurgery consult in order to exclude acute appendicitis and VP shunt tip infection. Twenty four hours later, the patient’s symptomatology improved, and she was discharged with the diagnosis of atypical colicky abdominal pain seeking a gastroenterologist consult. Discussion. This case supports that when a patient with prior VP shunting presents with right lower quadrant abdominal pain, differential diagnosis can be tricky for the surgeon. Conclusion. Apart from acute appendicitis, primary or secondary VP catheter tip infection must be considered because the latter can be disastrous.

  18. Impact of External Ventricular Drainage Volumes on Shunt Dependency after Subarachnoid Hemorrhage. (United States)

    Hayek, Muhammad Ali; Roth, Christian; Kaestner, Stefanie; Deinsberger, Wolfgang


    Background The indication for and the timing of a permanent shunt operation in patients following acute hydrocephalus (HC) after subarachnoid hemorrhage (SAH) remains controversial because risk factors for chronic HC fail to predict permanent shunt dependency. The amount of cerebrospinal fluid (CSF) drained via an external ventricular drain (EVD) may predict shunt dependency. Methods We conducted a retrospective study of our HC database from January 2006 to December 2011. All patients receiving an EVD due to acute HC after SAH were analyzed. The daily amount of drained CSF was documented until the EVD was removed or converted to a permanent shunt either immediately or during a follow-up period of 6 months. Results A total of 139 patients (48 male, 91 female; mean age: 57 ± 14 years) were eligible for the study. Mean duration of EVD was 16 ± 10 days (range: 4-60 days). A permanent shunt was necessary in 32% of cases (n = 45). The mean daily CSF volume was 139 ± 17 mL (range: 15-460 mL). Using repeated-measures analysis of variance, there was a significant difference of daily drained CSF volumes between both the groups in the first 15 days after the EVD. Conclusion Our results suggest that the daily amount of external CSF drainage volume in the acute state of SAH might influence the development of HC.

  19. Intrapulmonary shunt is a potentially unrecognized cause of ischemic stroke and transient ischemic attack. (United States)

    Abushora, Mohannad Y; Bhatia, Nirmanmoh; Alnabki, Ziad; Shenoy, Mohan; Alshaher, Motaz; Stoddard, Marcus F


    Ischemic stroke is a major cause of mortality and disability. Transient ischemic attack (TIA) is a harbinger of stroke. The etiology of stroke in as many as 40% of patients remains undetermined after extensive evaluation. It was hypothesized that intrapulmonary shunt is a potential facilitator of cerebrovascular accident (CVA) or TIA. Patients undergoing clinically indicated transesophageal echocardiography were prospectively enrolled. Comprehensive multiplane transesophageal echocardiographic imaging was performed and saline contrast done to assess for intrapulmonary shunt and patent foramen ovale. Three hundred twenty-one patients with either nonhemorrhagic CVA (n = 262) or TIA (n = 59) made up the stroke group. Three hundred twenty-one age-matched and gender-matched patients made up the control group. Intrapulmonary shunt occurred more frequently in the stroke group (72 of 321) compared with the control group (32 of 321) (22% vs 10%, P CVA and/or TIA (odds ratio, 2.6; P CVA or TIA (n = 71), intrapulmonary shunt occurred more frequently (25 of 71) than in the control group (5 of 71) (35% vs 7%, P CVA or TIA in patients with cryptogenic CVA or TIA (odds ratio, 6.3; P CVA and TIA, especially in patients with cryptogenic CVA and TIA. Future studies assessing the prognostic significance of intrapulmonary shunt on cerebral vascular event recurrence rates in patients after initial CVA or TIA would be of great interest. Copyright © 2013 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

  20. Decompensated porto-pulmonary hypertension in a cirrhotic patient with thrombosis of portocaval shunt

    Institute of Scientific and Technical Information of China (English)


    We report a case of decompensated porto-pulmonary hypertension closely associated with the development of intra-portocaval shunt thrombosis. A woman with Laennec's cirrhosis was hospitalized because of severe dyspnea and edema. She underwent surgical portocaval anastomosis ten years ago. Imaging studies showed massive intra-shunt thrombosis, portal hypertension, ascites, pleuro-pericardial effusions and enlargement of right cardiac cavities. Cardiac catheterization allowed to rule out coronary and leftsided heart abnormalities and led to the diagnosis of pre-capillary pulmonary hypertension. Antithrombotic treatment with low molecular weight heparin was instituted. The management also included ACE inhibitors,spironolactone, low-salt diet and lactulose. The patient was discharged and three months later we observed the disappearance of edema, ascites and pleuropericardial effusions, a marked body weight reduction and improved dyspnea and liver function tests. A possible link between the development of intra-shunt thrombosis and clinical decompensation in our patient was hypothesized. In fact, it has been demonstrated that the increased portal pressure, caused by occlusion of portosystemic shunt, reduces renal plasma flow and increases systemic endothelin-1 concentration. In our patient the disappearance of edematous state and improved dyspnea observed after recanalization of the shunt strongly support this hypothesis.