Sigmoid plate dehiscence: Congenital or acquired condition?

International Nuclear Information System (INIS)

Liu, Zhaohui; Li, Jing; Zhao, Pengfei; Lv, Han; Dong, Cheng; Liu, Wenjuan; Wang, Zhenchang

2015-01-01

Highlights: • CT with multiplanar reformations can accurately display the sigmoid platet dehiscence. • The prevalence of sigmoid plate dehiscence was no significant difference among different age groups. • The size of sigmoid plate bony defects were not statistically different among different age groups. • The sigmoid plate dehiscence is more commonly a congenital than an acquired condition. - Abstract: Background and purpose: The imaging features of sigmoid plate dehiscence-induced pulsatile tinnitus have been presented. The origin of the sigmoid plate dehiscence, however, remains unclear. Our aim was to assess the prevalence and extent of sigmoid plate dehiscence on computed tomography (CT) images in multiple age groups to determine whether this condition is more likely to be congenital or acquired. Materials and methods: We retrospectively reviewed contrast-enhanced CT images of sigmoid plates of temporal bones in 504 patients. Each temporal bone was characterized as normal or dehiscent. Patients were then subcategorized into four age groups, and the prevalence and extent of dehiscent sigmoid plates in each group were calculated and compared. Results: Overall, 80 patients had sigmoid plate dehiscence, nine of whom had it bilaterally. In successively older age groups, the prevalences of sigmoid plate dehiscence were 18.9%, 20.1%, 14.5%, and 12.7%, respectively. Respective average anteroposterior bony defect diameters were 3.7 ± 1.7, 3.0 ± 1.3, 3.1 ± 1.5, and 3.0 ± 1.1 mm. Respective average vertical bony defect diameters were 3.6 ± 2.3, 2.6 ± 1.2, 3.2 ± 1.5, and 3.0 ± 1.7 mm. The prevalence and extent of sigmoid plate dehiscence were not statistically different among the four age groups. Conclusions: The similar radiologic prevalence and extent of dehiscent sigmoid plates among the age groups suggest that the dehiscence is more commonly a congenital than an acquired condition

Radiological examination in diagnosis of dolicho-sigmoid taking into consideration the colon and sigmoid length ratio in pediatric patients

International Nuclear Information System (INIS)

Bober, S.T.

1993-01-01

The aim of the study was usefulness evaluation of radiological examination in the diagnosis of dolicho sigmoid, especially establishing diagnosis criteria of pictures on contrast enema films which may be pathognomonic for dolicho sigmoid in children. An attempt has been made to establish objectively the length of sigmoid and colon to calculated the radio of their sizes in children with dolicho sigmoid syndrome and in control group. Contrast enemas were performed in 176 children. Among the examined children, in 26 cases dolicho sigmoid syndrome was found, including two cases of dolicho colon. Children with dolicho sigmoid syndrome showed various anomalies in elongated sigmoid location at its different levels. Generally, it was situated at the level of between L 1 and L 5 . The sigmoid formed often two or more abnormal loops with various bending and twisting or irregular protrusions. The coefficient or our invention concerned the ratio of colon length to the length of elongated sigmoid and on the basis of calculations made on children suffering from dolicho sigmoid syndrome the numerical values ranged from 0.7 to 1.5. The same calculations performed on the control for the proposed coefficient ranged from 2.2 to 4.2. (author). 65 refs, 15 figs, 11 tabs

Neonatal sigmoid volvulus.

Science.gov (United States)

Khalayleh, Harbi; Koplewitz, Benjamin Z; Kapuller, Vadim; Armon, Yaron; Abu-Leil, Sinan; Arbell, Dan

2016-11-01

Neonatal sigmoid volvulus is a rare entity. It is associated with Hirschsprung's disease. Presentation is acute abdominal distention, vomiting and obstipation. Abdominal radiograph will show the "coffee bean" sign, but this is frequently missed and the diagnosis requires a high index of suspicion. Treatment options include contrast enema, colonoscopy or laparotomy, depending on the condition of the baby and local availability. During the last 6years, 6 infants with sigmoid volvulus were treated in our department. Four presented during the first 48h since birth, and 2 presented at the age of 2 and 7weeks of age. One child was operated and 5 had primary contrast enema with radiologic de-volvulus. Rectal biopsy was performed in all cases; three children had Hirschsprung's disease. Those with normal biopsies responded well to rectal washouts. Two patients had early one stage transanal pullthrough and one had 2 further occasions of sigmoid volvulus prior to definitive surgery. All three recovered with an uneventful course. Neonatal sigmoid volvulus requires a high level of suspicion. Contrast enema is efficient for primary de-volvulus. Rectal biopsy should be performed and if positive for Hirschsprung's disease, surgery should be performed sooner rather than later. Copyright © 2016 Elsevier Inc. All rights reserved.

Early learning effect of residents for laparoscopic sigmoid resection.

Science.gov (United States)

Bosker, Robbert; Groen, Henk; Hoff, Christiaan; Totte, Eric; Ploeg, Rutger; Pierie, Jean-Pierre

2013-01-01

To evaluate the effect of learning the laparoscopic sigmoid resection procedure on resident surgeons; establish a minimum number of cases before a resident surgeon could be expected to achieve proficiency with the procedure; and examine if an analysis could be used to measure and support the clinical evaluation of the surgeon's competence with the procedure. Retrospective analysis of data which was prospective entered in the database. From 2003 to 2007 all patients who underwent a laparoscopic sigmoid resection carried out by senior residents, who completed the procedure as the primary surgeon proctored by an experienced surgeon, were included in the study. A cumulative sum control chart (CUSUM) analysis was used evaluate performance. The procedure was defined as a failure if major intra-operative complications occurred such as intra abdominal organ injury, bleeding, or anastomotic leakage; if an inadequate number of lymph nodes (<12 nodes) were removed; or if conversion to an open surgical procedure was required. Thirteen residents performed 169 laparoscopic sigmoid resections in the period evaluated. A significant majority of the resident surgeons were able to consistently perform the procedure without failure after 11 cases and determined to be competent. One resident was not determined to be competent and the CUSUM score supported these findings. We concluded that at least 11 cases are required for most residents to obtain necessary competence with the laparoscopic sigmoid resection procedure. Evaluation with the CUSUM analysis can be used to measure and support the clinical evaluation of the resident surgeon's competence with the procedure. Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

DIRECT OBSERVATIONS OF MAGNETIC FLUX ROPE FORMATION DURING A SOLAR CORONAL MASS EJECTION

International Nuclear Information System (INIS)

Song, H. Q.; Chen, Y.; Zhang, J.; Cheng, X.

2014-01-01

Coronal mass ejections (CMEs) are the most spectacular eruptive phenomena in the solar atmosphere. It is generally accepted that CMEs are the results of eruptions of magnetic flux ropes (MFRs). However, there is heated debate on whether MFRs exist prior to the eruptions or if they are formed during the eruptions. Several coronal signatures, e.g., filaments, coronal cavities, sigmoid structures, and hot channels (or hot blobs), are proposed as MFRs and observed before the eruption, which support the pre-existing MFR scenario. There is almost no reported observation of MFR formation during the eruption. In this Letter, we present an intriguing observation of a solar eruptive event that occurred on 2013 November 21 with the Atmospheric Imaging Assembly on board the Solar Dynamic Observatory, which shows the formation process of the MFR during the eruption in detail. The process began with the expansion of a low-lying coronal arcade, possibly caused by the flare magnetic reconnection underneath. The newly formed ascending loops from below further pushed the arcade upward, stretching the surrounding magnetic field. The arcade and stretched magnetic field lines then curved in just below the arcade vertex, forming an X-point. The field lines near the X-point continued to approach each other and a second magnetic reconnection was induced. It is this high-lying magnetic reconnection that led to the formation and eruption of a hot blob (∼10 MK), presumably an MFR, producing a CME. We suggest that two spatially separated magnetic reconnections occurred in this event, which were responsible for producing the flare and the hot blob (CME)

DIRECT OBSERVATIONS OF MAGNETIC FLUX ROPE FORMATION DURING A SOLAR CORONAL MASS EJECTION

Energy Technology Data Exchange (ETDEWEB)

Song, H. Q.; Chen, Y. [Shandong Provincial Key Laboratory of Optical Astronomy and Solar-Terrestrial Environment and Institute of Space Sciences, Shandong University, Weihai, Shandong 264209 (China); Zhang, J. [School of Physics, Astronomy and Computational Sciences, George Mason University, Fairfax, VA 22030 (United States); Cheng, X., E-mail: hqsong@sdu.edu.cn [School of Astronomy and Space Science, Nanjing University, Nanjing, Jiangsu 210093 (China)

2014-09-10

Coronal mass ejections (CMEs) are the most spectacular eruptive phenomena in the solar atmosphere. It is generally accepted that CMEs are the results of eruptions of magnetic flux ropes (MFRs). However, there is heated debate on whether MFRs exist prior to the eruptions or if they are formed during the eruptions. Several coronal signatures, e.g., filaments, coronal cavities, sigmoid structures, and hot channels (or hot blobs), are proposed as MFRs and observed before the eruption, which support the pre-existing MFR scenario. There is almost no reported observation of MFR formation during the eruption. In this Letter, we present an intriguing observation of a solar eruptive event that occurred on 2013 November 21 with the Atmospheric Imaging Assembly on board the Solar Dynamic Observatory, which shows the formation process of the MFR during the eruption in detail. The process began with the expansion of a low-lying coronal arcade, possibly caused by the flare magnetic reconnection underneath. The newly formed ascending loops from below further pushed the arcade upward, stretching the surrounding magnetic field. The arcade and stretched magnetic field lines then curved in just below the arcade vertex, forming an X-point. The field lines near the X-point continued to approach each other and a second magnetic reconnection was induced. It is this high-lying magnetic reconnection that led to the formation and eruption of a hot blob (∼10 MK), presumably an MFR, producing a CME. We suggest that two spatially separated magnetic reconnections occurred in this event, which were responsible for producing the flare and the hot blob (CME)

Sigmoid Colon Elongation Evaluation by Volume Rendering Technique

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Atilla SENAYLI

2011-06-01

Full Text Available Sigmoid colons have various measurements, shapes, and configurations for individuals. In this subject there are rare clinical trials to answer the question of sigmoidal colon maldevelopment predicting a risk for volvulus. Therefore, sigmoid colon measurement may be beneficial to decide for volvulus. In a study, sigmoid colon diameters were evaluated during abdominal surgeries and it was found that median length was 47 cm and median vertical mesocolon length was 13 cm. We report a 14-year-old female patient who has a sigmoidal colon measured as nearly 54 cm. We used tomographic equipments for this evaluation. We know that MRI technique was used for this purpose but, there has not been data for MRI predicting the sigmoidal volvulus. We hope that our findings by this evaluation can contribute to insufficient literature of sigmoidal elongation. [J Contemp Med 2011; 1(2.000: 71-73

Sigmoidopexy and Tube Sigmoidostomy in Sigmoid Volvulus: A ...

African Journals Online (AJOL)

Alasia Datonye

sigmoid volvolus, a high fibre diet has been deemed a major factor in the development of sigmoid volvulus in the African. 6 population . The diagnosis of sigmoid ... because of the absence of a flexible Sigmoidoscope in our hospital. This non operative decompression is only a temporary measure that allows further medical ...

Anomalous course of the sigmoid colon and the mesosigmoid encountered during colectomy. A case report of a redundant loop of sigmoid colon

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Maria Zarokosta

Full Text Available Introduction Sigmoid colon constitutes a part of the large intestine that presents several congenital anatomic variations. In particular, the presence of a redundant loop of sigmoid colon is of tremendous importance for surgeons, obstetricians and radiologists, since it is closely related to multiple pathological conditions and functional implications of the neighboring anatomical structures. Presentation of case: An unusual anatomic variation in position and length of the sigmoid colon and its mesocolon was unexpectedly detected during right hemicolectomy to a 67-year-old Caucasian male patient due to colon cancer. The operation was uneventful. A meticulous review of the literature was conducted as well. Discussion: A redundant loop of sigmoid colon may go unnoticed or it might lead to urinary, digestive and vascular complications. Its presence is associated with acute and chronic pathological conditions, sigmoid volvulus and serious confusions in radiological diagnosis and instrumentation. Conclusion: Surgeons’ thorough knowledge concerning this rare anatomic variation is fundamental and crucial in order to establish a correct diagnosis and assert the appropriate management when performing operations including pelvis and abdomen. Keywords: Dolichocolon, Redundant sigmoid colon, Case report, Sigmoid volvulus, Dolichosigmoid colon

Morphology of Sigmoid Colon in South Indian Population: A Cadaveric Study.

Science.gov (United States)

Michael, Stelin Agnes; Rabi, Suganthy

2015-08-01

Sigmoid volvulus is a common etiological factor in acute large bowel obstruction. The increased length of sigmoid colon is attributed as one of the causes of sigmoid volvulus. The aim of this study was to find the morphology of sigmoid colon in South Indian population using cadavers. The present study was performed with 31 cadavers used for teaching purpose. The sigmoid colon was classified into classical, long-narrow and long- broad types by their disposition in the abdominal cavity. The sigmoid loop's relation to pelvic brim was also observed and grouped as pelvic and suprapelvic in position. The length of sigmoid colon along the mesenteric and antimesenteric border, height and width of sigmoid mesocolon in relation to the pelvic brim and the root of mesentery were measured in the study. The study showed that the majority of the sigmoid colons fell into the classical type (47.6%). The sigmoid colon in pelvic position was significantly more prevalent. The mean length of sigmoid colon was 15.2 ± 4.4cm and 19.2 ± 6cm considering the pelvic brim and root of mesentery as reference points of measurement respectively. The mean length along antimesenteric border was 22.3 ± 7.9cm and 25 ± 8.7cm along the same reference points. The mean length of mesocolon height was 6.5 ± 3cm with reference to pelvic brim and 7.3 ± 3cm with reference to root of Sigmoid mesocolon respectively. The mean width of mesocolon was 7.4 ± 3cm (pelvic brim) and 8 ± 2cm (root of Sigmoid mesocolon) There was a positive correlation of sigmoid colon length with the height of the mesocolon. The gender analysis showed that males had statistically significant longer sigmoid colon and mesocolon. This study documents that the South Indian population has a more classical type of sigmoid colon and that the anatomical dimensions of sigmoid colon and its mesocolon is significantly longer in males.

The Coronal Place; Why is It Special?

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Azhar Alkazwini

2017-10-01

Full Text Available To prove the existence of arguments about the exact place that can bear the term ‘coronal’, it would be enough to check the explanatory dictionary’s entry. There are different arguments regarding the exact place of coronal. In this paper, some of the linguistic evidence regarding the coronal place shall be mentioned. Then, I shall discuss the classes of coronal that lend support to the fact that coronal place is believed to be special, and that is by discussing the different typologies of coronal consonants and giving their description.

Imaging findings of pulsatile tinnitus caused by sigmoid sinus abnormalities

International Nuclear Information System (INIS)

Liang Xihong; Wang Zhenchang; Gong Shusheng; Xia Yin; Wang Zhengyu; Yang Bentao; Yan Fei; Li Jing; Xian Junfang; Chen Guangli

2010-01-01

Objective: To study a rare CT finding of pulsatile tinnitus (PT) caused by sigmoid sinus abnormalities. Methods: The imaging data of PT caused by sigmoid sinus abnormalities were analyzed retrospectively in 15 patients (15 female). The median age was 45 years (24 to 63 years). The duration of persistence pulsatile tinnitus was from 0.5 year to 36.0 years (median time, 2.0 years). The tinnitus was at left side in 5 patients and right side in 10 patients. Fifteen patients underwent HRCT of the temporal bone. Of them, 12 patients underwent cerebral CT angiography and CT venogram (CTA/CTV), and 9 patients underwent cerebral digital subtraction angiography (DSA). Nine patients underwent transmastoid reconstruction surgery of the sigmoid sinus. Of them, the tinnitus was at left side in 2 patients and right side in 7 patients. Paired rank sum test was used to compare the cross-sectional area of the sigmoid sinus of the tinnitus side and normal side.Results: On HRCT, foca bony coarse defect is shown in the anterior sigmoid wall in 11 patients and anterolateral sigmoid wall in 4 patients. On CTA/CTV, the sigmoid sinus focally protuded into the adjacent mastoid air cells and formed diverticulum in 10 patients. The pulsatile tinnitus disappeared immediately after transmastoid reconstruction surgery of the sigmoid sinus in all 9 patients. The cross-sectional area of the sigmoid sinus of the tinnitus side was 100.6 (41.5-96.2)mm 2 , it was 77.0 (92.1-122.4)mm 2 in the nonmal side (Z=2.158, P=0.031). Conclusion: Focal bony defect of the sigmoid wall with sigmoid sinus diverticula is one of the causes which lead to pulsatile tinnitus, which can be easily identified by imaging examination. (authors)

Imaging findings of pulsatile tinnitus caused by sigmoid sinus abnormalities

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Xihong, Liang; Zhenchang, Wang; Shusheng, Gong; Yin, Xia; Zhengyu, Wang; Bentao, Yang; Fei, Yan; Jing, Li; Junfang, Xian; Guangli, Chen [Department of Radiology, Beijing Tongren Hospital, Capital University of Medical Science, Beijing (China)

2010-04-15

Objective: To study a rare CT finding of pulsatile tinnitus (PT) caused by sigmoid sinus abnormalities. Methods: The imaging data of PT caused by sigmoid sinus abnormalities were analyzed retrospectively in 15 patients (15 female). The median age was 45 years (24 to 63 years). The duration of persistence pulsatile tinnitus was from 0.5 year to 36.0 years (median time, 2.0 years). The tinnitus was at left side in 5 patients and right side in 10 patients. Fifteen patients underwent HRCT of the temporal bone. Of them, 12 patients underwent cerebral CT angiography and CT venogram (CTA/CTV), and 9 patients underwent cerebral digital subtraction angiography (DSA). Nine patients underwent transmastoid reconstruction surgery of the sigmoid sinus. Of them, the tinnitus was at left side in 2 patients and right side in 7 patients. Paired rank sum test was used to compare the cross-sectional area of the sigmoid sinus of the tinnitus side and normal side.Results: On HRCT, foca bony coarse defect is shown in the anterior sigmoid wall in 11 patients and anterolateral sigmoid wall in 4 patients. On CTA/CTV, the sigmoid sinus focally protuded into the adjacent mastoid air cells and formed diverticulum in 10 patients. The pulsatile tinnitus disappeared immediately after transmastoid reconstruction surgery of the sigmoid sinus in all 9 patients. The cross-sectional area of the sigmoid sinus of the tinnitus side was 100.6 (41.5-96.2)mm{sup 2}, it was 77.0 (92.1-122.4)mm{sup 2} in the nonmal side (Z=2.158, P=0.031). Conclusion: Focal bony defect of the sigmoid wall with sigmoid sinus diverticula is one of the causes which lead to pulsatile tinnitus, which can be easily identified by imaging examination. (authors)

Perforated Sigmoid Diverticular Disease: a Management Protocol

Science.gov (United States)

Moin, Thajammul

2008-01-01

Background: To develop an evidence-based protocol for the management of perforated sigmoid diverticular disease. Methods: A search of the literature was undertaken. All publications pertaining to perforated sigmoid diverticular disease were analyzed and then categorized according to their level of evidence. Recommendations were then made on the basis of this. Results: Multiple case reports suggest that primary closure of perforation of sigmoid diverticula is safe in the absence of peritoneal contamination. Conclusions: A 2-stage laparoscopic approach incorporating the principles of damage limitation surgery may be a safe strategy in the management of perforated diverticular disease. PMID:18435896

[Sigmoid endometriosis: a diagnostic dilemma on multidetector CT].

Science.gov (United States)

Telegrafo, Michele; Lorusso, Valentina; Rubini, Giuseppe; Rella, Leonarda; Pezzolla, Angela; Stabile Ianora, Amato Antonio; Moschetta, Marco

2013-01-01

Intestinal endometriosis represents a common condition that occurs particularly in women of reproductive age. The gastrointestinal tract is the third most common localization of endometriosis, after the ovaries and the peritoneum, and recto-sigmoid tract is involved in 70% of cases. Recto-sigmoid endometriosis has to be differentiated from other diseases of large bowel, especially in patients without a history of endometriosis. We report a case of sigmoid endometriosis which represented a diagnostic dilemma on multidetector computed tomography.

Sigmoid colon vaginoplasty in children.

Science.gov (United States)

Ekinci, S; Karnak, I; Ciftci, A O; Senocak, M E; Tanyel, F C; Büyükpamukçu, N

2006-06-01

Vaginal construction is necessary for the patients with aplasia of Mullerian ducts, testicular feminisation and androgen insensitivity syndromes. Many methods of vaginal construction have been described. We report here the outcomes of six adolescent patients who underwent sigmoid colon vaginoplasty with special emphasis on the surgical technique and outcomes. Between 1990 and 2003, six patients underwent sigmoid vaginoplasty after a diagnosis of 5alpha-reductase deficiency (n = 3), testicular feminisation (n = 2) or vaginal atresia (n = 1). The mean age was 16 years (13 to 18). Wide spectrum antibiotics and whole-gut preparation were used in all cases. A 15-20 cm segment of sigmoid colon was pulled through the retrovesical tunnel. The proximal end was closed in two layers in patients with 5alpha-reductase deficiency and with testicular feminisation. A distal anastomosis was carried out to the opening made on the vaginal plate (5alpha-reductase deficiency) or on the tip of the shallow rudimentary vagina (testicular feminisation). The sigmoid segment was interposed between the blind end of the atretic vagina and the perineum in the patient with vaginal atresia. Patients were instructed to perform daily vaginal irrigation. The neovagina was examined and calibrated under anaesthesia. No routine vaginal dilatation was recommended. All but one patient had an uneventful postoperative period and were discharged within 7-8 days. All patients had an excellent cosmetic result with an appropriate vaginal length. One of the patients experienced late stenosis of the introitus which responded to dilatations. Mucus discharge was not a significant problem. The patient with vaginal atresia (Bardet-Biedl syndrome) experienced deep vein thrombosis, renal failure and sepsis, resulting in death. Sigmoid colon vaginoplasty is a special procedure which appears appropriate for the construction of a new vagina in children. A sigmoid colon neovagina meets all necessary criteria after a

ON THE OBSERVATION AND SIMULATION OF SOLAR CORONAL TWIN JETS

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Liu, Jiajia; Wang, Yuming; Zhang, Quanhao [CAS Key Laboratory of Geospace Environment, School of Earth and Space Sciences, University of Science and Technology of China, NO. 96, Jinzhai Road, Hefei, Anhui 230026 (China); Fang, Fang [Laboratory for Atmospheric and Space Physics, University of Colorado at Boulder, 1234 Innovation Drive, Boulder, CO 80303 (United States); McIntosh, Scott W.; Fan, Yuhong [High Altitude Observatory, National Center for Atmospheric Research, P.O. Box 3000, Boulder, CO 80307 (United States)

2016-02-01

We present the first observation, analysis, and modeling of solar coronal twin jets, which occurred after a preceding jet. Detailed analysis on the kinetics of the preceding jet reveals its blowout-jet nature, which resembles the one studied in Liu et al. However, the erupting process and kinetics of the twin jets appear to be different from the preceding one. Lacking detailed information on the magnetic fields in the twin jet region, we instead use a numerical simulation using a three-dimensional (3D) MHD model as described in Fang et al., and find that in the simulation a pair of twin jets form due to reconnection between the ambient open fields and a highly twisted sigmoidal magnetic flux, which is the outcome of the further evolution of the magnetic fields following the preceding blowout jet. Based on the similarity between the synthesized and observed emission, we propose this mechanism as a possible explanation for the observed twin jets. Combining our observation and simulation, we suggest that with continuous energy transport from the subsurface convection zone into the corona, solar coronal twin jets could be generated in the same fashion addressed above.

On the Observation and Simulation of Solar Coronal Twin Jets

Science.gov (United States)

Liu, Jiajia; Fang, Fang; Wang, Yuming; McIntosh, Scott W.; Fan, Yuhong; Zhang, Quanhao

2016-02-01

We present the first observation, analysis, and modeling of solar coronal twin jets, which occurred after a preceding jet. Detailed analysis on the kinetics of the preceding jet reveals its blowout-jet nature, which resembles the one studied in Liu et al. However, the erupting process and kinetics of the twin jets appear to be different from the preceding one. Lacking detailed information on the magnetic fields in the twin jet region, we instead use a numerical simulation using a three-dimensional (3D) MHD model as described in Fang et al., and find that in the simulation a pair of twin jets form due to reconnection between the ambient open fields and a highly twisted sigmoidal magnetic flux, which is the outcome of the further evolution of the magnetic fields following the preceding blowout jet. Based on the similarity between the synthesized and observed emission, we propose this mechanism as a possible explanation for the observed twin jets. Combining our observation and simulation, we suggest that with continuous energy transport from the subsurface convection zone into the corona, solar coronal twin jets could be generated in the same fashion addressed above.

A three-dimensional analysis of the sigmoid notch

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Evan D. Collins

2011-12-01

Full Text Available Fractures of the distal radius are among the most common injuries of the upper extremity, though treatment has traditionally focused on restoration of the radiocarpal joint and late sequelae may persist. X-ray imaging underestimates sigmoid notch involvement following distal radius fractures. No classification system exists for disruption patterns of the sigmoid notch of the radius associated with distal radius fractures. This study quantifies the anatomy of the sigmoid notch and identifies the landmarks of the articular surface and proximal boundaries of the distal radioulnar joint (DRUJ capsule. Computed tomography scans of freshly frozen cadaveric hands were used - followed by dissection, and three-dimensional reconstruction of the distal radius and sigmoid notch. The sigmoid notch surface was divided into two surfaces and measured. The Anterior Posterior (AP and Proximal Distal (PD widths of the articulating surface were reviewed, along with the radius of curvature, version angle and depth. The study showed that the sigmoid notch is flatter than previously believed - and only the distal 69% of its surface is covered by cartilage. On average, it has about nine degrees of retroversion, and its average inclination is almost parallel to the anatomical axis of the radius. Clinical implications exist for evaluation of the DRUJ involvement in distal radius fractures or degenerative diseases and for future development and evaluation of hemiarthroplasty replacement of the distal radius.

Sigmoid Volvulus Complicating Postpartum Period

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Kelsey E. Ward

2017-01-01

Full Text Available Background. Sigmoid volvulus is a rare complication of pregnancy and the puerperium. Case. A 19-year-old patient, gravida 1 para 0 at 41 0/7 weeks of gestation, admitted for late-term induction of labor underwent an uncomplicated primary low transverse cesarean delivery for arrest of descent. Her postoperative period was complicated by sudden onset of abdominal pain and the ultimate diagnosis of sigmoid volvulus. Conclusion. Prompt surgical evaluation of an acute abdomen in the postpartum period is essential; delayed diagnosis and treatment can lead to significant maternal morbidity and mortality.

Sigmoid volvulus in an adolescent girl: staged management with emergency colonoscopic reduction and decompression followed by elective sigmoid colectomy

Science.gov (United States)

Patel, Ramnik V; Njere, Ike; Campbell, Alison; Daniel, Rejoo; Azaz, Amer; Fleet, Mahmud

2014-01-01

A case of acute sigmoid volvulus in a 14-year-old adolescent girl presenting with acute low large bowel obstruction with a background of chronic constipation has been presented. Abdominal radiograph and CT scan helped in diagnosis. She underwent emergency colonoscopic detorsion and decompression uneventfully. Lower gastrointestinal contrast study showed very redundant sigmoid colonic loop without any transition zone and she subsequently underwent elective sigmoid colectomy with good outcome. The sigmoid volvulus should be considered in the differential diagnosis of paediatric acute abdomen presenting with marked abdominal distention, absolute constipation and pain but without vomiting. Plain abdominal radiograph and the CT scan are helpful to confirm the diagnosis. Early colonoscopic detorsion and decompression allows direct visualisation of the vascular compromise, assessment of band width of the volvulus and can reduce complications and mortality. Associated Hirschsprung's disease should be suspected if clinical and radiological features are suggestive in which case a rectal biopsy before definitive surgery should be considered. PMID:25143313

A NEW VIEW OF CORONAL WAVES FROM STEREO

International Nuclear Information System (INIS)

Ma, S.; Lin, J.; Zhao, S.; Li, Q.; Wills-Davey, M. J.; Attrill, G. D. R.; Golub, L.; Chen, P. F.; Chen, H.

2009-01-01

On 2007 December 7, there was an eruption from AR 10977, which also hosted a sigmoid. An EUV Imaging Telescope (EIT) wave associated with this eruption was observed by EUVI on board the Solar Terrestrial Relations Observatory (STEREO). Using EUVI images in the 171 A and the 195 A passbands from both STEREO A and B, we study the morphology and kinematics of this EIT wave. In the early stages, images of the EIT wave from the two STEREO spacecrafts differ markedly. We determine that the EUV fronts observed at the very beginning of the eruption likely include some intensity contribution from the associated coronal mass ejection (CME). Additionally, our velocity measurements suggest that the EIT wave front may propagate at nearly constant velocity. Both results offer constraints on current models and understanding of EIT waves.

Safe Resection and Primary Anastomosis of Gangrenous Sigmoid ...

African Journals Online (AJOL)

%) of the sigmoid volvulus was gangrenous and 85.2% of all the sigmoid volvulus was managed by resection and primary anastomosis. Complications seen after resection and primary anastomosis were anastomotic leak at 4.5%, resection.

Simultaneous intussusception and sigmoid volvulus in a child

Energy Technology Data Exchange (ETDEWEB)

Leeba, J.M.; Boas, R.N.

1986-03-01

This radiographically documented case of synchronous ileoileocolic intussusception and sigmoid volvulus is without apparent precedence. Etiological factors relevant to each of these conditions are discussed. Reasons for possible underdiagnosis of sigmoid volvulus and simultaneous lesions are included.

[Laparoscopic resection of the sigmoid colon for the diverticular disease].

Science.gov (United States)

Vrbenský, L; Simša, J

2013-07-01

Laparoscopic resection of the sigmoid colon for diverticular disease is nowadays a fully accepted alternative to traditional open procedures. The aim of this work is to summarize the indications, advantages and risks of laparoscopic sigmoid resection for diverticular disease. Review of the literature and recent findings concerning the significance of laparoscopic resection for diverticulosis of the sigmoid colon. The article presents the indications, risks, techniques and perioperative care in patients after laparoscopic resection of the sigmoid colon for diverticular disease.

Acute sigmoid volvulus in a West African population

African Journals Online (AJOL)

Background:Acute sigmoid volvulus is one of the commonest causes of benign large-bowel obstruction. Its incidence ... Insufflation, with air to untwist a sigmoid volvulus, a treatment .... this condition in parts of Africa, Asia and Latin. America ...

A Case of Sigmoid Colon Tuberculosis Mimicking Colon Cancer

OpenAIRE

Yu, Seong-Min; Park, Jong-Hwan; Kim, Min-Dae; Lee, Hee-Ryong; Jung, Peel; Ryu, Tae-Hyun; Choi, Seung-Ho; Lee, Il-Seon

2012-01-01

Tuberculosis of the sigmoid colon is a rare disorder. An 80-year-old man visited Bongseng Memorial Hospital for medical examination. A colonoscopy was performed, and a lesion in the sigmoid colon that was suspected to be colon cancer was found. A biopsy was performed, and tuberculous enteritis with chronic granulomatous inflammation was diagnosed. Intestinal tuberculosis is most frequent in the ileocecal area, followed by the ascending colon, transverse colon, duodenum, stomach, and sigmoid c...

Duplication Cyst of the Sigmoid Colon

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Bastian Domajnko

2009-01-01

Full Text Available A 21-year-old male with developmental delay presented with abdominal pain of two days' duration. He was afebrile and his abdomen was soft with mild diffuse tenderness. There were no peritoneal signs. Plain x-ray demonstrated a large air-filled structure in the right upper quadrant. Computed tomography of the abdomen revealed a 9×8 cm structure adjacent to the hepatic flexure containing an air-fluid level. It did not contain oral contrast and had no apparent communication with the colon. At operation, the cystic lesion was identified as a duplication cyst of the sigmoid colon that was adherent to the right upper quadrant. The cyst was excised with a segment of the sigmoid colon and a stapled colo-colostomy was performed. Recovery was uneventful. Final pathology was consistent with a duplication cyst of the sigmoid colon. The cyst was attached to the colon but did not communicate with the lumen.

Vaginal agenesis: Experience with sigmoid colon neovaginoplasty

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Rawat Jiledar

2010-01-01

Full Text Available Aim: Objective of this study is to report our experience with sigmoid vaginoplasty in adolescents. Materials and Methods: A retrospective study of children with vaginal atresia and Mayer-Rokitansky-Kuster-Hauser syndrome. The sigmoid segment was used for vaginoplasty in all the cases. Results: Eight children were studied over a period of 7 years. The postoperative complications were ileus in 2, mucosal prolapse of the neovagina in 1, and minor wound infection in 1 patient. Seven patients are on regular follow-up. All the neovaginas were patent and functional. One patient had unacceptable perineal appearance, that is, badly scarred perineum as a late complication. None of the patients had vaginal stenosis or excessive mucus discharge, during follow-up visits. Out of the 7 patients, 2 patients are sexually active and satisfied. Conclusions: Sigmoid vaginoplasty is a safe and acceptable procedure for vaginal agenesis with good cosmetic results and acceptable complications rate. Sigmoid colon vaginoplasty is the treatment of choice because of its large lumen, thick walls resistant to trauma, adequate secretion allowing lubrication, not necessitating prolonged dilatation, and short recovery time.

Management of sigmoid volvulus in Polokwane-Mankweng Hospital ...

African Journals Online (AJOL)

Objective. To evaluate the outcome of treatment of patients with sigmoid volvulus in the Polokwane- Mankweng Hospital and to identify the best management options for these patients. Methods. A retrospective study was undertaken of 85 patients with sigmoid volvulus treated in Polokwane- Mankweng Hospital during the ...

'Twisted tape sign': Its significance in recurrent sigmoid volvulus

International Nuclear Information System (INIS)

Gopal, K.; Lim, Y.; Banerjee, B.

2005-01-01

Aim: Sigmoid volvulus is a common cause of intestinal obstruction in the elderly. Mild attacks of sigmoid volvulus may be more difficult to diagnose due to the lack of severity of symptoms which may resolve spontaneously only to recur after an interval. This study was a review of patients to assess the incidence of the 'twisted tape sign' and to evaluate the significance of its presence in cases of recurrent sigmoid volvulus. Methods and materials: A retrospective study over eight years revealed six cases of surgically confirmed recurrent sigmoid volvulus. Case records and barium enemas of all patients were reviewed. Results: Six patients were identified, including four men and two women, with a median age of 56 years. Diagnostic difficulties were encountered in four (67%) patients with a delay ranging between 10 and 37 months with a mean 17.3 months. Twisted tape sign was confirmed on all barium examinations retrospectively. Conclusion: Recognition of twisted tape sign on barium enema examination along with an appropriate clinical history would suggest a diagnosis of recurrent sigmoid volvulus

A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum

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Jennifer C. Kam

2013-01-01

Full Text Available Giant sigmoid diverticulum (GSD is a rare complication of diverticulosis. These lesions arise from herniations of the mucosa through the muscle wall which progressively enlarge with colonic gas to become large air-filled cysts evident on plain X-ray and CT scans. We present a rare case of a 72-year-old female presenting with abdominal distention, abdominal tenderness, and fever who developed a type 1 giant sigmoid diverticulum (pseudodiverticulum that subsequently formed an intra-abdominal abscess and an accompanying type 2 diverticulum as well. The patient was treated with surgical resection of the diverticulum with a primary anastomosis and abscess drainage. The patient’s postoperative course was uneventful. This case helps to support the need for the consideration of GSD in patients aged 60 and older with a history of diverticulosis and presenting with abdominal discomfort and distension.

Coronal Seismology: The Search for Propagating Waves in Coronal Loops

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Schad, Thomas A.; Seeley, D.; Keil, S. L.; Tomczyk, S.

2007-05-01

We report on Doppler observations of the solar corona obtained in the Fe XeXIII 1074.7nm coronal emission line with the HAO Coronal Multi-Channel Polarimeter (CoMP) mounted on the NSO Coronal One Shot coronagraph located in the Hilltop Facility of NSO/Sacramento Peak. The COMP is a tunable filtergraph instrument that records the entire corona from the edge of the occulting disk at approximately 1.03 Rsun out to 1.4 Rsun with a spatial resolution of about 4” x 4”. COMP can be rapidly scanned through the spectral line while recording orthogonal states of linear and circular polarization. The two dimensional spatial resolution allows us to correlate temporal fluctuations observed in one part of the corona with those seen at other locations, in particular along coronal loops. Using cross spectral analysis we find that the observations reveal upward propagating waves that are characterized by Doppler shifts with rms velocities of 0.3 km/s, peak wave power in the 3-5 mHz frequency range, and phase speeds 1-3 Mm/s. The wave trajectories are consistent with the direction of the magnetic field inferred from the linear polarization measurements. We discuss the phase and coherence of these waves as a function of height in the corona and relate our findings to previous observations. The observed waves appear to be Alfvenic in character. "Thomas Schad was supported through the National Solar Observatory Research Experiences for Undergraduate (REU) site program, which is co-funded by the Department of Defense in partnership with the National Science Foundation REU Program." Daniel Seeley was supported through the National Solar Observatory Research Experience for Teachers (RET) site program, which is funded by the National Science Foundation RET program.

Treatment of recurrent sigmoid volvulus in Parkinson's disease by percutaneous endoscopic colostomy

Science.gov (United States)

Toebosch, Susan; Tudyka, Vera; Masclee, Ad; Koek, Ger

2012-01-01

The exact aetiology of sigmoid volvulus in Parkinson's disease (PD) remains unclear. A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients. Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus. Treatment of sigmoid volvulus in PD patients does not differ from other patients and involves endoscopic detorsion. If feasible, secondary sigmoidal resection should be performed. However, if the expected surgical morbidity and mortality is unacceptably high or if the patient refuses surgery, percutaneous endoscopic colostomy (PEC) should be considered. We describe an elderly PD patient who presented with sigmoid volvulus. She was treated conservatively with endoscopic detorsion. Surgery was consistently refused by the patient. After recurrence of the sigmoid volvulus a PEC was placed. PMID:23155325

Inflammatory fibroid polyp of sigmoid colon.

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Lifschitz, O; Lew, S; Witz, M; Reiss, R; Griffel, B

1979-01-01

A case of inflammatory fibroid polyp of the sigmoid colon is presented. This is the eight case of this type of polyp in the colon and, to the best of our knowledge, the first one involving the sigmoid and producing intussusception. Symptomatology of the inflamed fibroid polyp in this part of the gut closely simulates gastrointestinal malignancy. The treatment is surgical excision of the polyp, or colonoscopic resection when it is possible. Intraoperative colonoscopy helps the surgeon to localize the lesion and to role out the existence of other lesions.

Emergence of Twisted Magnetic Flux Related Sigmoidal Brightening ...

Indian Academy of Sciences (India)

tribpo

We have examined the morphological properties of a sigmoid associated with an SXR. (soft X ray) flare. The sigmoid is cospatial with the EUV (extreme ultra violet) images and in the optical part lies along an S shaped Hα filament. The photoheliogram shows flux emergence within an existing δ type sunspot which has.

More patients should undergo surgery after sigmoid volvulus.

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Ifversen, Anne Kathrine Wewer; Kjaer, Daniel Willy

2014-12-28

To assess the outcome of patients treated conservatively vs surgically during their first admission for sigmoid volvulus. We conducted a retrospective study of 61 patients admitted to Aarhus University Hospital in Denmark between 1996 and 2011 for their first incidence of sigmoid volvulus. The condition was diagnosed by radiography, sigmoidoscopy or surgery. Patients treated with surgery underwent either a sigmoid resection or a percutaneous endoscopic colostomy (PEC). Conservatively treated patients were managed without surgery. Data was recorded into a Microsoft Access database and calculations were performed with Microsoft Excel. Kaplan-Meier plotting and Mantel-Cox (log-rank) testing were performed using GraphPad Prism software. Mortality was defined as death within 30 d after intervention or surgery. Among the total 61 patients, 4 underwent emergency surgery, 55 underwent endoscopy, 1 experienced resolution of the volvulus after contrast enema, and 1 died without treatment because of large bowel perforation. Following emergency treatment, 28 patients underwent sigmoid resection (semi-elective n = 18; elective n = 10). Two patients who were unfit for surgery underwent PEC and both died, 1 after 36 d and the other after 9 mo, respectively. The remaining 26 patients were managed conservatively without sigmoid resection. Patients treated conservatively on their first admission had a poorer survival rate than patients treated surgically on their first admission (95%CI: 3.67-14.37, P = 0.036). Sixty-three percent of the 26 conservatively treated patients had not experienced a recurrence 3 mo after treatment, but that number dropped to 24% 2 years after treatment. Eight of the 14 patients with recurrence after conservative treatment had surgery with no 30-d mortality. Surgically-treated sigmoid volvulus patients had a higher long-term survival rate than conservatively managed patients, indicating a benefit of surgical resection or PEC insertion if feasible.

Sigmoidal creep transients and the second law of Newton

International Nuclear Information System (INIS)

Montemayor-Aldrete, J.A.; Orozco, E.

1990-01-01

The main features of sigmoidal transients, not only for viscous glide but also for Power-Law Creep are explained in a physical way. Also the experimental data for the average internal stress, (σ i ), and the mobile dislocation density, ρ m , at the inflection point of sigmoidal creep curves for Germanium and Cu-16at%Al are fully described. Finally, the stress and temperature dependence of the total plastic deformation at the inflection point for sigmoidal creep curves in Cu-11.5at%Al are also catered for (Author)

Sigmoid sinus diverticulum and pulsatile tinnitus - Analysis of CT scans from 15 cases

International Nuclear Information System (INIS)

Liu, Zhaohui; Wang, Zhenchang; Xian, Junfang; Wang, Yongzhe; Liang, Xihong; Chen, Chengfang; Gong, Shusheng; Ma, Xiaobo; Li, Yi

2013-01-01

Background: Although the imaging features of sigmoid sinus diverticulum induced pulsatile tinnitus (PT) have been presented in some extent, detailed imaging findings still have not been systematically evaluated and precise diagnostic radiographic criteria has not been established. Purpose: To examine the computed tomography (CT) characteristics of sigmoid sinus diverticulum accompanied with PT. Material and Methods: Fifteen PT patients with sigmoid sinus diverticula proven by surgery were recruited after consenting. CT images of 15 patients were obtained and analyzed, including features of diverticula, brain venous systems, integrity of the sigmoid plate, and the degree of temporal bone pneumatization. Results: Sigmoid sinus diverticulum was located on the same side of PT in 15 patients. Diverticula originated at the superior curve of the sigmoid sinus in 11 patients and the descending segment of the sigmoid sinus in four patients. Sigmoid sinus diverticula focally eroded into the adjacent mastoid air cells in 12 patients and mastoid cortex in three patients. Among eight patients with unilateral dominant brain venous systems, the diverticula were seen on the dominant side in seven patients and non-dominant side in one patient. In contrast, the other seven patients showed co-dominant brain venous systems, with three presenting diverticula on the right side and four on the left. More notably, dehiscent sigmoid plate on the PT side was demonstrated in all patients. In addition, temporal bone hyper-pneumatization was found in nine patients, good and moderate pneumatization in three patients, respectively. Conclusion: Dehiscent sigmoid plate and extensive temporal bone pneumatization are two important imaging characteristics of the PT induced by sigmoid sinus diverticulum

Sigmoid sinus diverticulum and pulsatile tinnitus - Analysis of CT scans from 15 cases

Energy Technology Data Exchange (ETDEWEB)

Liu, Zhaohui; Wang, Zhenchang; Xian, Junfang; Wang, Yongzhe; Liang, Xihong [Dept. of Radiology, Capital Medical Univ., Beijing Tongren Hospital, Beijing (China); Chen, Chengfang; Gong, Shusheng; Ma, Xiaobo; Li, Yi [Dept. of Otolaryngology Head and Neck Surgery, Capital Medical Univ., Beijing Tongren Hospital, Beijing (China)

2013-09-15

Background: Although the imaging features of sigmoid sinus diverticulum induced pulsatile tinnitus (PT) have been presented in some extent, detailed imaging findings still have not been systematically evaluated and precise diagnostic radiographic criteria has not been established. Purpose: To examine the computed tomography (CT) characteristics of sigmoid sinus diverticulum accompanied with PT. Material and Methods: Fifteen PT patients with sigmoid sinus diverticula proven by surgery were recruited after consenting. CT images of 15 patients were obtained and analyzed, including features of diverticula, brain venous systems, integrity of the sigmoid plate, and the degree of temporal bone pneumatization. Results: Sigmoid sinus diverticulum was located on the same side of PT in 15 patients. Diverticula originated at the superior curve of the sigmoid sinus in 11 patients and the descending segment of the sigmoid sinus in four patients. Sigmoid sinus diverticula focally eroded into the adjacent mastoid air cells in 12 patients and mastoid cortex in three patients. Among eight patients with unilateral dominant brain venous systems, the diverticula were seen on the dominant side in seven patients and non-dominant side in one patient. In contrast, the other seven patients showed co-dominant brain venous systems, with three presenting diverticula on the right side and four on the left. More notably, dehiscent sigmoid plate on the PT side was demonstrated in all patients. In addition, temporal bone hyper-pneumatization was found in nine patients, good and moderate pneumatization in three patients, respectively. Conclusion: Dehiscent sigmoid plate and extensive temporal bone pneumatization are two important imaging characteristics of the PT induced by sigmoid sinus diverticulum.

Sigmoid volvulus. Diagnosis and interdisciplinary treatment

International Nuclear Information System (INIS)

Schoen, G.; Offer, C.; Glaser, K.

1991-01-01

Sigmoid volvolus is an emergency which requires rapid diagnosis and immediate adequate treatment. Diagnosis is primarily radiological. Emergency laparotomy carries a high mortality and should therefore not be the immediate treatment. In our opinion, detorsion by colonoscopy under radiological control is a promising form of treatment. Selective resection of the sigmoid, thereby removing the cause of the abnormality, should not be forgotten, since this prevents recurrences. For this method, mortality after adequate gut preparation is only 5.4%. An exception to the above is gangrene of the bowel, when an emergency laparotomy cannot be avoided. (orig.) [de

Hemorrhagic shock caused by sigmoid colon volvulus: An autopsy case

Science.gov (United States)

Sato, Hiroaki; Tanaka, Toshiko; Tanaka, Noriyuki

2011-01-01

Summary Background Many reports have described sigmoid volvulus, but fatal hemorrhagic shock resulting from the rupture of the involved artery has not been reported as a complication of a sigmoid volvulus. Case Report A 71-year-old man with slight abdominal pain and obstipation in hypotension died at a nursing home without seeing a doctor. At autopsy, a mesenteric hematoma and hemoperitoneum was observed with approximately 1,000 ml of blood in the abdominal cavity. The sigmoid colon and the mesentery were twisted at an adhesion site of a sigmoid colon to an ileum, and the condition was determined to be a sigmoid volvulus. The volvulus was observed to be loosened. The inferior mesenteric artery was incorporated into the twisted part of the mesentery, but remained patent, and its peripheral branch near the hematoma ruptured without histological abnormality. Conclusions Since ischemic-reperfusion injury occurs with a temporarily occluded artery, the acute re-loading of blood flow may injure the distal vessels after spontaneous reduction of compression by loosening of the volvulus. PMID:22129905

Non-Potential Magnetic Fields and Magnetic Reconnection In Low Collisional Plasmas-Discovery of Solar EUV Mini-Sigmoids and Development of Novel In-Space Propulsion Systems

Science.gov (United States)

Chesny, David

Magnetic reconnection is the source of many of the most powerful explosions of astrophysical plasmas in the universe. Blazars, magnetars, stellar atmospheres, and planetary magnetic fields have all been shown to be primary sites of strong reconnection events. For studying the fundamental physics behind this process, the solar atmosphere is our most accessible laboratory setting. Magnetic reconnection resulting from non-potential fields leads to plasma heating and particle acceleration, often in the form of explosive activity, contributing to coronal heating and the solar wind. Large-scale non-potential (sigmoid) fields in the solar atmosphere are poorly understood due to their crowded neighborhoods. For the first time, small-scale, non-potential loop structures have been observed in quiet Sun EUV observations. Fourteen unique mini-sigmoid events and three diffuse non-potential loops have been discovered, suggesting a multi-scaled self-similarity in the sigmoid formation process. These events are on the order of 10 arcseconds in length and do not appear in X-ray emissions, where large-scale sigmoids are well documented. We have discovered the first evidence of sigmoidal structuring in EUV bright point phenomena, which are prolific events in the solar atmosphere. Observations of these mini-sigmoids suggest that they are being formed via tether-cutting reconnection, a process observed to occur at active region scales. Thus, tether-cutting is suggested to be ubiquitous throughout the solar atmosphere. These dynamics are shown to be a function of the free magnetic energy in the quiet Sun network. Recently, the reconnection process has been reproduced in Earth-based laboratory tokamaks. Easily achievable magnetic field configurations can induce reconnection and result in ion acceleration. Here, magnetic reconnection is utilized as the plasma acceleration mechanism for a theoretical propulsion system. The theory of torsional spine reconnection is shown to result in ion

Post-double-contrast sigmoid flush: An adjuvant technique in imaging diverticular disease

International Nuclear Information System (INIS)

Lappas, J.C.; Maglinte, D.D.T.; Kopecky, K.K.; Cockerill, E.M.; Lehman, G.A.

1987-01-01

The sigmoid colon is the most difficult colonic segment to examine radiographically, especially when it is involved by diverticular disease. In a prospective study, infusion of a low-density contrast agent was evaluated as an adjuvant technique to high-density double-contrast sigmoid imaging. After a double-contrast barium enema, 52 consecutive patients with sigmoid diverticulosis received an additional 500-ml enema either with water or with a 1.5% CT barium suspension. Rectosigmoid films were compared and evaluated for luminal distention, visualization of the interhaustral space, definition of diverticula, and display of polypoid defects. Sigmoid flush, particularly with the 1.5% CT barium suspension, is a simple adjunct to the double-contrast examination that improves visualization of the diverticular sigmoid and increases diagnostic specificity

Volvulus of the Sigmoid Colon during Pregnancy: A Case Report

Directory of Open Access Journals (Sweden)

Enzo Fabrício Ribeiro Nascimento

2012-01-01

Full Text Available Colonic obstruction due to sigmoid colon volvulus during pregnancy is a rare but complication with significant maternal and fetal mortality. We describe a case of sigmoid volvulus in a patient with 33 weeks of gestation that developed complete necrosis of the left colon. Case. 27-year-old woman was admitted with 3 days of abdominal distention, vomit, and the stoppage of the passage of gases and feces. She was admitted with poor clinical conditions with septic shock, acute respiratory distress syndrome, and signs of diffuse peritonitis. Abdominal radiography showed severe dilation of the colon with horseshoe signal suggesting a sigmoid volvulus, pneumoperitoneum and we could not we could not identify fetal heartbeats. With a diagnosis of complicate sigmoid volvulus she was underwent to the laparotomy where we found necrosis of all descending colon due to double twist volvulus of the sigmoid. We performed a colectomy with a confection of a proximal colostomy, and closing of the rectal stump. Due to an uncontrollable uterine bleeding during cesarean due, it was required a hysterectomy. The patient had an uneventful postoperative course thereafter and was discharged on a regular diet on the 15th postoperative day.

Management of sigmoid volvulus: options and prognosis.

Science.gov (United States)

Maddah, Ghodratollah; Kazemzadeh, Gholam Hossein; Abdollahi, Abbas; Bahar, Mostafa Mehrabi; Tavassoli, Alireza; Shabahang, Hossein

2014-01-01

To describe the management of sigmoid volvulus with reference to the type of surgical procedures performed and to determine the prognosis of sigmoid volvulus. A case series. Ghaem Hospital of Mashhad, University of Medical Sciences, Mashhad, Iran, from 1996 to 2008. A total of 944 cases of colon obstruction were reviewed. Demographic, laboratory and treatment results, mortality and complications were recorded. The data was analyzed using descriptive statistics as frequency and percentage for the qualitative variables and mean and standard deviation values for the quantitative variables. Also chisquare and Fisher's exact test were used for the association between the qualitative variables. SPSS statistical software (version 18) was used for the data analysis. In all patients except those with symptoms or signs of gangrenous bowel, a long rectal tube was inserted via the rectosigmoidoscope which was successful in 80 (36.87%) cases. Rectosigmoidoscopic detorsion was unsuccessful in 137 (63.13%) patients, who underwent an emergent laparotomy. The surgical procedures performed in these cases were resection and primary anastomosis in 40 (29.1%), Mikulicz procedure in 9 (6.6%), laparotomy detorsion in 37 (27.01%), Hartmann procedure in 47 (34.3%), mesosigmoidoplasty in 3 (2.19%) patients and total colectomy in one (0.73%) case. The overall mortality was 9.8% (22) patients. In sigmoid volvulus, the most important determinant of patient outcome is bowel viability. The initial treatment of sigmoid colon volvulus is sigmoidoscopy with rectal tube placement.

Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes

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Christopher J. Salgado

2018-01-01

Full Text Available Background. Many techniques have been described for reconstruction of the vaginal canal for oncologic, traumatic, and congenital indications. An increasing role exists for these procedures within the transgender community. Most often, inverted phallus skin is used to create the neovagina in transwomen. However, not all patients have sufficient tissue to achieve satisfactory depth and those that do must endure cumbersome postoperative dilation routines to prevent contracture. In selected patients, the sigmoid colon can be used to harvest ample tissue while avoiding the limitations of penile inversion techniques. Methods. Records were retrospectively reviewed for all transwomen undergoing primary sigmoid vaginoplasty with the University of Miami Gender Reassignment service between 2014 and 2017. Results. Average neovaginal depth was 13.9 +/− 2.0 centimeters in 12 patients. 67% were without complications, and all maintained tissue conducive to sexual activity. No incidences of bowel injury, anastomotic leak, sigmoid necrosis, prolapse, diversion neovaginitis, dyspareunia, or excessive secretions had occurred at last follow-up. Conclusions. Sigmoid vaginoplasty is a reliable technique for achieving a satisfactory vaginal depth that is sexually functional. Using a collaborative approach, it is now our standard of care to offer this surgery to transwomen with phallus length less than 11.4 centimeters.

Sensitivity of the sigmoid colon and rectum in children treated for chronic constipation.

Science.gov (United States)

Loening-Baucke, V A

1984-06-01

Sensations in the sigmoid and rectum and the response of the anal canal to balloon distension were measured with a latex balloon and pressure transducer in 15 chronically constipated and 15 healthy control children. The constipated children received milk of magnesia and bowel training. Thirteen constipated children were restudied 7-12 months later and 11 were restudied 3 years later. Although thresholds of transient sensation and of the rectosphincteric reflex were not different in constipated and control children, the threshold of fullness, the critical volume, and the volume for constant relaxation were significantly higher in constipated than in control children (p less than 0.05), and remained higher 1 year and 3 years later, even in the children who recovered. The initial data support the concept of a sigmoid and rectum so enlarged that a normal fecal bolus may not cause a sensation of fullness or a sensory stimulus for defecation. Despite improvement in clinical manifestations and normal rectal size, the abnormalities in sensitivity of the sigmoid and rectum persisted in five of eight recovered children. This may explain why these children are so vulnerable to recurrence of constipation and fecal soiling.

Sigmoid volvulus in pregnancy

African Journals Online (AJOL)

a dose of 0.01 Gy is dangerous, with a 1/1 000 risk of congenital malformation.4. Sigmoid volvulus in pregnancy ... cessible areas; public awareness with a society that promotes risk- taking behaviour … The Handbook of ... gency area. Aspects of prehospital care and disaster management are explored before moving on to ...

CT in acute perforated sigmoid diverticulitis

International Nuclear Information System (INIS)

Lohrmann, Christian; Ghanem, Nadir; Pache, Gregor; Makowiec, Frank; Kotter, Elmar; Langer, Mathias

2005-01-01

Background: To assess the value of computed tomography (CT) in patients with acute perforated sigmoid diverticulitis in correlation with the Hinchey classification of perforated diverticular disease. Methods: Thirty patients with acute perforated sigmoid diverticulitis underwent computed tomography prior to surgery. Computed tomography scans were compared with the surgical and histopathological reports, utilizing the Hinchey classification. Results: In 28 of the 30 (93%) patients examined, the Hinchey stage was correctly determined by means of computed tomography. One patient with Hinchey stage IV was falsely classified as Hinchey stage III, and one patient with Hinchey stage III as Hinchey stage II. Computed tomography revealed 12 out of 14 (86%) patients with perforation sites and 3 out of 3 (100%) patients with contained perforation. In one of 17 (6%) patients with surgically or histopathologically proven perforation or contained perforation, a bowel wall discontinuity was revealed by computed tomography. In 6 of the 17 (35%) patients with surgical or histopathological perforation or contained perforation, extraluminal contrast material was detected by computed tomography. Conclusions: Computed tomography is a valuable imaging tool for determining the degree of acute perforated sigmoid diverticulitis, by means of which patients can be stratified according to the severity of the disease; furthermore, this tool is of assistance in surgical planning

Six years experience of sigmoid volvulus

International Nuclear Information System (INIS)

Nizamuddin, S.; Qureshi, S.; Ghazanfar, S.

2008-01-01

To study the outcome of treatment in cases of Sigmoid Volvulus. Sixty eight patients who were admitted with Sigmoid Volvulus during the study period. The records of all the patients were reviewed retrospectively. Non-surgical methods like sigmoidoscopy, and barium, water soluble and saline enemata were tried in most of the cases to relieve obstruction. In patients with peritonitis or those with failure of non-surgical treatment, emergency surgery was performed. The mean age of the patients was 58.1 years, and 89.7% of them were male. Amongst the patients 25% had a past history of similar episode, while 32.3% had co-morbidities. The mean duration of symptoms was 43 hours, and 14.8% of the patients were in shock. The most common clinical features were abdominal pain (98.7%), abdominal distension (96.0%), constipation (92.3%) and abdominal tenderness (98.7%). Correct clinical diagnosis was made in 80.6% of the cases, while abdominal X-rays revealed positive findings in 85.2% of the patients. X-rays of the abdomen in erect and supine position, ultrasound abdomen and sigmoidoscopy were used as diagnostic tools. Sigmoid volvulus is generally seen among adult males. Its major problems include a tendency to recurr, presence of co-morbidities and shock. (author)

Post double-contrast sigmoid flush: An adjuvant technique in imaging diverticular disease

International Nuclear Information System (INIS)

Lappas, J.C.; Maglinte, D.D.T.; Kopecky, K.K.; Cockerill, E.M.; Lehman, G.A.

1987-01-01

In a prospective study, the effect of a low-density contrast medium infusion was evaluated as an adjunct to high-density double-contrast medium sigmoid imaging. Following a double-contrast medium barium enema (DCBE), 52 consecutive patients with sigmoid diverticulosis received an additional 500-700-mL enema with either water or a 1.5%CT barium suspension. Rectosigmoid films were evaluated for luminal distention, visualization of the interhaustral space, definition of diverticula, and interpretation of polypoid defects. While double-contrast medium views were excellent in 21%, improvement in multiple factors by water or 1.5% barium flush resulted in improved sigmoid images in 65% and 73% of patients, respectively. Polyps may be confirmed and artifactual defects confidently excluded. Sigmoid flush, particularly with low-density barium, is a simple adjunct to DCBE that improves visualization of the diverticular sigmoid

'Twisted tape sign': Its significance in recurrent sigmoid volvulus

Energy Technology Data Exchange (ETDEWEB)

Gopal, K. [Tameside and Glossop Acute Services NHS Trust, Fountain Street, Ashton-under-Lyne OL6 9RW (United Kingdom)]. E-mail: karthikgopal73@yahoo.co.uk; Lim, Y. [Tameside and Glossop Acute Services NHS Trust, Fountain Street, Ashton-under-Lyne OL6 9RW (United Kingdom); Banerjee, B. [Tameside and Glossop Acute Services NHS Trust, Fountain Street, Ashton-under-Lyne OL6 9RW (United Kingdom)

2005-11-01

Aim: Sigmoid volvulus is a common cause of intestinal obstruction in the elderly. Mild attacks of sigmoid volvulus may be more difficult to diagnose due to the lack of severity of symptoms which may resolve spontaneously only to recur after an interval. This study was a review of patients to assess the incidence of the 'twisted tape sign' and to evaluate the significance of its presence in cases of recurrent sigmoid volvulus. Methods and materials: A retrospective study over eight years revealed six cases of surgically confirmed recurrent sigmoid volvulus. Case records and barium enemas of all patients were reviewed. Results: Six patients were identified, including four men and two women, with a median age of 56 years. Diagnostic difficulties were encountered in four (67%) patients with a delay ranging between 10 and 37 months with a mean 17.3 months. Twisted tape sign was confirmed on all barium examinations retrospectively. Conclusion: Recognition of twisted tape sign on barium enema examination along with an appropriate clinical history would suggest a diagnosis of recurrent sigmoid volvulus.

Appropriate treatment of acute sigmoid volvulus in the emergency setting

Science.gov (United States)

Lou, Zheng; Yu, En-Da; Zhang, Wei; Meng, Rong-Gui; Hao, Li-Qiang; Fu, Chuan-Gang

2013-01-01

AIM: To investigate an appropriate strategy for the treatment of patients with acute sigmoid volvulus in the emergency setting. METHODS: A retrospective review of 28 patients with acute sigmoid volvulus treated in the Department of Colorectal Surgery, Changhai Hospital, Shanghai from January 2001 to July 2012 was performed. Following the diagnosis of acute sigmoid volvulus, an initial colonoscopic approach was adopted if there was no evidence of diffuse peritonitis. RESULTS: Of the 28 patients with acute sigmoid volvulus, 19 (67.9%) were male and 9 (32.1%) were female. Their mean age was 63.1 ± 22.9 years (range, 21-93 years). Six (21.4%) patients had a history of abdominal surgery, and 17 (60.7%) patients had a history of constipation. Abdominal radiography or computed tomography was performed in all patients. Colonoscopic detorsion was performed in all 28 patients with a success rate of 92.8% (26/28). Emergency surgery was required in the other two patients. Of the 26 successfully treated patients, seven (26.9%) had recurrent volvulus. CONCLUSION: Colonoscopy is the primary emergency treatment of choice in uncomplicated acute sigmoid volvulus. Emergency surgery is only for patients in whom nonoperative treatment is unsuccessful, or in those with peritonitis. PMID:23946604

Management of Sigmoid Volvulus: Options and Prognosis

International Nuclear Information System (INIS)

Maddah, G.; Kazemzadeh, G. H.; Abdollahi, A.; Bahar, M. M.; Tavassoli, A.; Shabahang, H.

2014-01-01

Objective: To describe the management of sigmoid volvulus with reference to the type of surgical procedures performed and to determine the prognosis of sigmoid volvulus. Study Design: A case series. Place and Duration of Study: Ghaem Hospital of Mashhad, University of Medical Sciences, Mashhad, Iran, from 1996 to 2008. Methodology: A total of 944 cases of colon obstruction were reviewed. Demographic, laboratory and treatment results, mortality and complications were recorded. The data was analyzed using descriptive statistics as frequency and percentage for the qualitative variables and mean and standard deviation values for the quantitative variables. Also chisquare and Fisher's exact test were used for the association between the qualitative variables. SPSS statistical software (version 18) was used for the data analysis. Results: In all patients except those with symptoms or signs of gangrenous bowel, a long rectal tube was inserted via the rectosigmoidoscope which was successful in 80 (36.87%) cases. Rectosigmoidoscopic detorsion was unsuccessful in 137 (63.13%) patients, who underwent an emergent laparotomy. The surgical procedures performed in these cases were resection and primary anastomosis in 40 (29.1%), Mikulicz procedure in 9 (6.6%), laparotomy detorsion in 37 (27.01%), Hartmann procedure in 47 (34.3%), mesosigmoidoplasty in 3 (2.19%) patients and total colectomy in one (0.73%) case. The overall mortality was 9.8% (22) patients. Conclusion: In sigmoid volvulus, the most important determinant of patient outcome is bowel viability. The initial treatment of sigmoid colon volvulus is sigmoidoscopy with rectal tube placement. (author)

Local staging of sigmoid colon cancer using MRI

DEFF Research Database (Denmark)

Dam, Claus; Lindebjerg, Jan; Jakobsen, Anders

2017-01-01

BACKGROUND: An accurate radiological staging of colon cancer is crucial to select patients who may benefit from neoadjuvant chemotherapy. PURPOSE: To evaluate the diagnostic accuracy of preoperative magnetic resonance imaging (MRI) in identifying locally advanced sigmoid colon cancer, poor...... prognostic factors, and the inter-observer variation of the tumor apparent diffusion coefficient (ADC) values of diffusion-weighted imaging (DWI). MATERIAL AND METHODS: Using 1.5 T MRI with high resolution T2-weighted (T2W) imaging, DWI, and no contrast enhancement, 35 patients with sigmoid colon cancer were...... the measured mean ADC values were below 1.0 × 10(-3) mm(2)/s with an intra-class correlation coefficient in T3cd-T4 tumors of 0.85. CONCLUSION: Preoperative MRI can identify locally advanced sigmoid colon cancer and has potential as the imaging of choice to select patients for neoadjuvant chemotherapy. Initial...

[Manufacture and application of laparoscopic extraperitoneal sigmoid colostomy].

Science.gov (United States)

Jin, Hei-ying; DU, Yong-hong; Wang, Xiao-feng; Yao, Hang; Wu, Kun-lan; Zhang, Bei; Zhang, Jin-hao

2013-10-01

To investigate the safety and feasibility of laparoscopic extraperitoneal sigmoid colostomy. Thirty-six patients with low rectal cancer undergoing laproscopic abdominoperineal resection from July 2011 to July 2012 were prospectively enrolled in the study and randomly divided into extraperitoneal colostomy group(EPC, n=18) and internal peritoneal colostomy group(IPC, n=18). Follow-up period was 4-16 (median, 7) months and postoperative complications were compared between two groups. One case in EPC group was converted to IPC because of poor blood supply of the proximal sigmoid, who was eliminated from the subsequent analysis. Compared with the IPC group, the surgery time was longer in EPC group [(25.3±8.5) min vs. (14.7±6.4) min], while the difference was not statistically significant(P>0.05). Each group had 1 case of stoma ischemia, who both received the colostomy reconstructive surgery. The incidence of stoma edema was significantly higher in EPC group[35.3%(6/17) vs. 0, P0.05]. The late postoperative complications rate was 22.2%(4/18) in IPC group, including 1 case of stoma prolapse, 1 case of stoma stenosis and 2 cases of parastomal hernia. No later postoperative complication occurred in EPC group. Extraperitoneal sigmoid colostomy is an easy and safe procedure with lower late complications as compared to internal peritoneal sigmoid colostomy.

Sigmoid Diverticulitis: Our Experiences with 13 Patients

Directory of Open Access Journals (Sweden)

Ahmet Fikret Yücel,

2012-03-01

Full Text Available Objective: We aimed to present our treatment approach and results of the treatment in patients with the diagnosis of sigmoid diverticulitis. Material and Methods: In this study, we evaluated patients who presented to the emergency unit between March 2009 and February 2010 and have been diagnosed with sigmoid diverticulitis. The data were prospectively collected and retrospectively analyzed. Our patients were classified and staged according to Hinchey’s classification system. The results of the treatment, complication rates, and duration of hospitalization were presented in the light of the literature. Results: Thirteen patients (9 males, 4 females with a mean age of 52 years and median age of 58 (35-58 years were diagnosed with sigmoid diverticulitis. Five patients underwent laparotomy (Hinchey III-IV, while Hartmann’s procedure was carried out in 4 patients and resection and primer anastomosis was performed in 1 patient. Eight patients who were classified as Hinchey I-II (diverticulitis-abscess were followed up with medical treatment. The mean duration of hospitalization was 8.6 (4-21 days and 17.4 (10-27 days days in Hinchey I-II and III-IV groups, respectively. All patients in the laparotomy group developed at least one complication. Conclusion: Hinchey stage III-IV sigmoid diverticulitis requires laparotomy. Complication rates are higher and duration of hospitalization is longer in patients with Hinchey stage III-IV when compared to those with Hinchey I-II. We conclude that Hinchey stage I-II diverticulitis can be successfully managed with medical treatment. (The Me di cal Bul le tin of Ha se ki 2012; 50: 21-4

Using coronal loops to reconstruct the magnetic field of an active region before and after a major flare

Energy Technology Data Exchange (ETDEWEB)

Malanushenko, A. [Department of Physics, Montana State University, Bozeman, MT (United States); Schrijver, C. J.; DeRosa, M. L. [Lockheed Martin Advanced Technology Center, Palo Alto, CA (United States); Wheatland, M. S. [Sydney Institute for Astronomy, School of Physics, University of Sydney, Redfern, NSW (Australia)

2014-03-10

The shapes of solar coronal loops are sensitive to the presence of electrical currents that are the carriers of the non-potential energy available for impulsive activity. We use this information in a new method for modeling the coronal magnetic field of active region (AR) 11158 as a nonlinear force-free field (NLFFF). The observations used are coronal images around the time of major flare activity on 2011 February 15, together with the surface line-of-sight magnetic field measurements. The data are from the Helioseismic and Magnetic Imager and Atmospheric Imaging Assembly on board the Solar Dynamics Observatory. The model fields are constrained to approximate the coronal loop configurations as closely as possible, while also being subject to the force-free constraints. The method does not use transverse photospheric magnetic field components as input and is thereby distinct from methods for modeling NLFFFs based on photospheric vector magnetograms. We validate the method using observations of AR 11158 at a time well before major flaring and subsequently review the field evolution just prior to and following an X2.2 flare and associated eruption. The models indicate that the energy released during the instability is about 1 × 10{sup 32} erg, consistent with what is needed to power such a large eruptive flare. Immediately prior to the eruption, the model field contains a compact sigmoid bundle of twisted flux that is not present in the post-eruption models, which is consistent with the observations. The core of that model structure is twisted by ≈0.9 full turns about its axis.

Chronic constipation in late pregnancy: an alarming sign for sigmoid volvulus

International Nuclear Information System (INIS)

Singh, Y.; Yadav, A.K.

2015-01-01

Sigmoid volvulus complicating pregnancy is an extremely rare condition, that need an emergency management. Intestinal obstruction in pregnancy it self is a rare entity but when associated with sigmoid volvulus and history of chronic constipation in late pregnancy need emergency attention. (author)

Sigmoid-vaginal fistula during bevacizumab treatment diagnosed by fistulography.

Science.gov (United States)

Hayashi, C; Takada, S; Kasuga, A; Shinya, K; Watanabe, M; Kano, H; Takayama, T

2016-12-01

There have been several reports describing rectovaginal fistula development after bevacizumab treatment, and these fistulas were diagnosed by CT scan or colonoscopy. We report a case of sigmoid-vaginal fistula diagnosed by fistulography. The case is a 53-year-old woman who was treated for chronic myelogenous leukaemia and gynaecological cancers 8 years previously. At 52 years of age, she was diagnosed with colon cancer and had a partial colectomy performed. One year after surgery, colon cancer recurred, and she was treated with anticancer agents, including bevacizumab. During chemotherapy, she complained of a foul smelling discharge from the vagina. Fistulography revealed a sigmoid-vaginal fistula. This is the first report of vaginal fistulography performed on a patient who was treated with bevacizumab. Fistulography may be useful for detecting sigmoid-vaginal fistula. © 2016 John Wiley & Sons Ltd.

Energy released by the interaction of coronal magnetic fields

International Nuclear Information System (INIS)

Sheeley, N.R. Jr.

1976-01-01

Comparisons between coronal spectroheliograms and photospheric magnetograms are presented to support the idea that as coronal magnetic fields interact, a process of field line reconnection usually takes place as a natural way of preventing magnetic stresses from building up in the lower corona. This suggests that the energy which would have been stored in stressed fields in continuously released as kinetic energy of material being driven aside to make way for the reconnecting fields. However, this kinetic energy is negligible compared to the thermal energy of the coronal plasma. Therefore, it appears that these slow adjustments of coronal magnetic fields cannot account for even the normal heating of the corona, much less the energetic events associated with solar flares. (Auth.)

Impact of esophageal flexion level on the surgical outcome in patients with sigmoid esophageal achalasia.

Science.gov (United States)

Tsuboi, Kazuto; Omura, Nobuo; Yano, Fumiaki; Hoshino, Masato; Yamamoto, Se-Ryung; Akimoto, Shunsuke; Masuda, Takahiro; Kashiwagi, Hideyuki; Yanaga, Katsuhiko

2017-11-01

Esophageal achalasia can be roughly divided into non-sigmoid and sigmoid types. Laparoscopic surgery has been reported to be less than optimally effective for sigmoid type. The aim of this study was to examine the impact of the esophageal flexion level on the clinical condition and surgical outcomes of patients with sigmoid esophageal achalasia. The subjects were 36 patients with sigmoid esophageal achalasia who had been observed for >1 year after surgery. The subjects were divided into sigmoid type (Sg) and advanced sigmoid type (aSg) groups based on the flexion level of the lower esophagus to compare their clinical parameters and surgical outcomes. The Sg and aSg groups included 26 (72%) and 10 subjects, respectively. There were no marked differences in the clinical parameters or surgical outcomes between the two groups. However, the clearance rate calculated using the timed barium esophagogram was lower in the aSg group than in the Sg group. No differences were found in the postoperative symptom scores between the two groups, and both reported a high level of satisfaction. Although laparoscopic surgery for symptoms of sigmoid esophageal achalasia was highly successful regardless of the flexion level, the improvement in esophageal clearance was lower when the flexion level was higher.

Dark-lumen magnetic resonance colonography in patients with suspected sigmoid diverticulitis: a feasibility study

International Nuclear Information System (INIS)

Ajaj, Waleed; Lauenstein, Thomas; Goehde, Susanne; Kuehle, Christiane; Herborn, Christoph U.; Ruehm, Stefan G.; Langhorst, Jost; Zoepf, Thomas; Gerken, Guido; Goyen, Mathias

2005-01-01

To assess dark-lumen magnetic resonance colonography (MRC) for the evaluation of patients with suspected sigmoid diverticulitis. Forty patients with suspected sigmoid diverticulitis underwent MRC within 72 h prior to conventional colonoscopy (CC). A three-dimensional T1-weighted volumetric interpolated breath-hold examination sequence was acquired after an aqueous enema and intravenous administration of gadolinium-based contrast agents. All MRC data were evaluated by two radiologists. Based on wall thickness and focal uptake of contrast material and pericolic reaction including mesenteric infiltration on T1-weighted sequence the sigmoid colon was assessed for the presence of diverticulitis. MRC classified 17 of the 40 patients as normal with regard to sigmoid diverticulitis. However, CC confirmed the presence of light inflammatory signs in four patients which were missed in MRC. MRC correctly identified wall thickness and contrast uptake of the sigmoid colon in the other 23 patients. In three of these patients false-positive findings were observed, and MRC classified the inflammation of the sigmoid colon as diverticulitis whereas CC and histopathology confirmed invasive carcinoma. MRC detected additionally relevant pathologies of the entire colon and could be performed in cases where CC was incomplete. MRC may be considered a promising alternative to CC for the detection of sigmoid diverticulitis. (orig.)

Delayed presentation of a sigmoid colon injury following blunt abdominal trauma: a case report

Directory of Open Access Journals (Sweden)

Ertugrul Gokhan

2012-08-01

Full Text Available Abstract Introduction The low incidence of colon injury due to blunt abdominal trauma and the lack of a definitive diagnostic method for the same can lead to delays in diagnosis and treatment, subsequently resulting in high morbidity and mortality. Case presentation A 66-year-old woman with sigmoid colon injury was admitted to our emergency department after sustaining blunt abdominal trauma. Her physical examination findings and laboratory results led to a decision to perform a laparotomy; exploration revealed a sigmoid colon injury that was treated by sigmoid loop colostomy. Conclusions Surgical abdominal exploration revealed gross fecal contamination and a perforation site. Intra-abdominal irrigation and a sigmoid loop colostomy were performed. Our patient was discharged on post-operative day six without any problems. Closure of the sigmoid loop colostomy was performed three months after the initial surgery.

Formation of a double-decker magnetic flux rope in the sigmoidal solar active region 11520

Energy Technology Data Exchange (ETDEWEB)

Cheng, X.; Ding, M. D.; Zhang, J.; Guo, Y. [School of Astronomy and Space Science, Nanjing University, Nanjing 210093 (China); Sun, X. D. [W. W. Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA 94305 (United States); Wang, Y. M. [School of Earth and Space Sciences, University of Science and Technology of China, Hefei 230026 (China); Kliem, B. [Institute of Physics and Astronomy, University of Potsdam, D-14476 Potsdam (Germany); Deng, Y. Y., E-mail: xincheng@nju.edu.cn [Key Laboratory of Solar Activity, National Astronomical Observatories, Chinese Academy of Sciences, Beijing 100012 (China)

2014-07-10

In this paper, we address the formation of a magnetic flux rope (MFR) that erupted on 2012 July 12 and caused a strong geomagnetic storm event on July 15. Through analyzing the long-term evolution of the associated active region observed by the Atmospheric Imaging Assembly and the Helioseismic and Magnetic Imager on board the Solar Dynamics Observatory, it is found that the twisted field of an MFR, indicated by a continuous S-shaped sigmoid, is built up from two groups of sheared arcades near the main polarity inversion line a half day before the eruption. The temperature within the twisted field and sheared arcades is higher than that of the ambient volume, suggesting that magnetic reconnection most likely works there. The driver behind the reconnection is attributed to shearing and converging motions at magnetic footpoints with velocities in the range of 0.1-0.6 km s{sup –1}. The rotation of the preceding sunspot also contributes to the MFR buildup. Extrapolated three-dimensional non-linear force-free field structures further reveal the locations of the reconnection to be in a bald-patch region and in a hyperbolic flux tube. About 2 hr before the eruption, indications of a second MFR in the form of an S-shaped hot channel are seen. It lies above the original MFR that continuously exists and includes a filament. The whole structure thus makes up a stable double-decker MFR system for hours prior to the eruption. Eventually, after entering the domain of instability, the high-lying MFR impulsively erupts to generate a fast coronal mass ejection and X-class flare; while the low-lying MFR remains behind and continuously maintains the sigmoidicity of the active region.

Formation of a double-decker magnetic flux rope in the sigmoidal solar active region 11520

International Nuclear Information System (INIS)

Cheng, X.; Ding, M. D.; Zhang, J.; Guo, Y.; Sun, X. D.; Wang, Y. M.; Kliem, B.; Deng, Y. Y.

2014-01-01

In this paper, we address the formation of a magnetic flux rope (MFR) that erupted on 2012 July 12 and caused a strong geomagnetic storm event on July 15. Through analyzing the long-term evolution of the associated active region observed by the Atmospheric Imaging Assembly and the Helioseismic and Magnetic Imager on board the Solar Dynamics Observatory, it is found that the twisted field of an MFR, indicated by a continuous S-shaped sigmoid, is built up from two groups of sheared arcades near the main polarity inversion line a half day before the eruption. The temperature within the twisted field and sheared arcades is higher than that of the ambient volume, suggesting that magnetic reconnection most likely works there. The driver behind the reconnection is attributed to shearing and converging motions at magnetic footpoints with velocities in the range of 0.1-0.6 km s –1 . The rotation of the preceding sunspot also contributes to the MFR buildup. Extrapolated three-dimensional non-linear force-free field structures further reveal the locations of the reconnection to be in a bald-patch region and in a hyperbolic flux tube. About 2 hr before the eruption, indications of a second MFR in the form of an S-shaped hot channel are seen. It lies above the original MFR that continuously exists and includes a filament. The whole structure thus makes up a stable double-decker MFR system for hours prior to the eruption. Eventually, after entering the domain of instability, the high-lying MFR impulsively erupts to generate a fast coronal mass ejection and X-class flare; while the low-lying MFR remains behind and continuously maintains the sigmoidicity of the active region.

Can coronal hole spicules reach coronal temperatures?

Science.gov (United States)

Madjarska, M. S.; Vanninathan, K.; Doyle, J. G.

2011-08-01

Aims: The present study aims to provide observational evidence of whether coronal hole spicules reach coronal temperatures. Methods: We combine multi-instrument co-observations obtained with the SUMER/SoHO and with the EIS/SOT/XRT/Hinode. Results: The analysed three large spicules were found to be comprised of numerous thin spicules that rise, rotate, and descend simultaneously forming a bush-like feature. Their rotation resembles the untwisting of a large flux rope. They show velocities ranging from 50 to 250 kms-1. We clearly associated the red- and blue-shifted emissions in transition region lines not only with rotating but also with rising and descending plasmas. Our main result is that these spicules although very large and dynamic, are not present in the spectral lines formed at temperatures above 300 000 K. Conclusions: In this paper we present the analysis of three Ca ii H large spicules that are composed of numerous dynamic thin spicules but appear as macrospicules in lower resolution EUV images. We found no coronal counterpart of these and smaller spicules. We believe that the identification of phenomena that have very different origins as macrospicules is due to the interpretation of the transition region emission, and especially the He ii emission, wherein both chromospheric large spicules and coronal X-ray jets are present. We suggest that the recent observation of spicules in the coronal AIA/SDO 171 Å and 211 Å channels probably comes from the existence of transition region emission there. Movie is available in electronic form at http://www.aanda.org

Evidence linking coronal mass ejections with interplanetary magnetic clouds

International Nuclear Information System (INIS)

Wilson, R.M.; Hildner, E.

1983-12-01

Using proxy data for the occurrence of those mass ejections from the solar corona which are directed earthward, we investigate the association between the post-1970 interplanetary magnetic clouds of Klein and Burlaga and coronal mass ejections. The evidence linking magnetic clouds following shocks with coronal mass ejections is striking. Six of nine clouds observed at Earth were preceded an appropriate time earlier by meter-wave type II radio bursts indicative of coronal shock waves and coronal mass ejections occurring near central meridian. During the selected periods when no clouds were detected near Earth, the only type II bursts reported were associated with solar activity near the limbs. Where the proxy solar data to be sought are not so clearly suggested, that is, for clouds preceding interaction regions and clouds within cold magnetic enhancements, the evidence linking the clouds and coronal mass ejections is not as clear proxy data usually suggest many candidate mass-ejection events for each cloud. Overall, the data are consistent with and support the hypothesis suggested by Klein and Burlaga that magnetic clouds observed with spacecraft at 1 AU are manifestations of solar coronal mass ejection transients

Evaluation of the Minifilament-Eruption Scenario for Solar Coronal Jets in Polar Coronal Holes

Science.gov (United States)

Baikie, Tomi K.; Sterling, Alphonse C.; Falconer, David; Moore, Ronald L.; Savage, Sabrina L.

2016-01-01

Solar coronal jets are suspected to result from magnetic reconnection low in the Sun's atmosphere. Sterling et al. (2015) looked as 20 jets in polar coronal holes, using X-ray images from the Hinode/X-Ray Telescope (XRT) and EUV images from the Solar Dynamics Observatory (SDO) Atmospheric Imaging Assembly (AIA). They suggested that each jet was driven by the eruption of twisted closed magnetic field carrying a small-scale filament, which they call a 'minifilament', and that the jet was produced by reconnection of the erupting field with surrounding open field. In this study, we carry out a more extensive examination of polar coronal jets. From 180 hours of XRT polar coronal hole observations spread over two years (2014-2016), we identified 130 clearly-identifiable X-ray jet events and thus determined an event rate of over 17 jets per day per in the Hinode/XRT field of view. From the broader set, we selected 25 of the largest and brightest events for further study in AIA 171, 193, 211, and 304 Angstrom images. We find that at least the majority of the jets follow the minifilament-eruption scenario, although for some cases the evolution of the minifilament in the onset of its eruption is more complex than presented in the simplified schematic of Sterling et al. (2015). For all cases in which we could make a clear determination, the spire of the X-ray jet drifted laterally away from the jet-base-edge bright point; this spire drift away from the bright point is consistent with expectations of the minifilament-eruption scenario for coronal-jet production. This work was supported with funding from the NASA/MSFC Hinode Project Office, and from the NASA HGI program.

INTERCHANGE RECONNECTION AND CORONAL HOLE DYNAMICS

International Nuclear Information System (INIS)

Edmondson, J. K.; Antiochos, S. K.; DeVore, C. R.; Lynch, B. J.; Zurbuchen, T. H.

2010-01-01

We investigate the effect of magnetic reconnection between open and closed fields, often referred to as 'interchange' reconnection, on the dynamics and topology of coronal hole boundaries. The most important and most prevalent three-dimensional topology of the interchange process is that of a small-scale bipolar magnetic field interacting with a large-scale background field. We determine the evolution of such a magnetic topology by numerical solution of the fully three-dimensional MHD equations in spherical coordinates. First, we calculate the evolution of a small-scale bipole that initially is completely inside an open field region and then is driven across a coronal hole boundary by photospheric motions. Next the reverse situation is calculated in which the bipole is initially inside the closed region and driven toward the coronal hole boundary. In both cases, we find that the stress imparted by the photospheric motions results in deformation of the separatrix surface between the closed field of the bipole and the background field, leading to rapid current sheet formation and to efficient reconnection. When the bipole is inside the open field region, the reconnection is of the interchange type in that it exchanges open and closed fields. We examine, in detail, the topology of the field as the bipole moves across the coronal hole boundary and find that the field remains well connected throughout this process. Our results, therefore, provide essential support for the quasi-steady models of the open field, because in these models the open and closed flux are assumed to remain topologically distinct as the photosphere evolves. Our results also support the uniqueness hypothesis for open field regions as postulated by Antiochos et al. On the other hand, the results argue against models in which open flux is assumed to diffusively penetrate deeply inside the closed field region under a helmet streamer. We discuss the implications of this work for coronal observations.

A case report and literature review of sigmoid volvulus in children.

Science.gov (United States)

Chang, Po-Hsiung; Jeng, Chin-Ming; Chen, Der-Fang; Lin, Lung-Huang

2017-12-01

Sigmoid volvulus (SV) is an exceptionally rare but potentially life-threatening condition in children. Abdominal distention for 1 week. Sigmoid volvulus. We present a case of a 12-year-old boy with mechanical ileus who was finally confirmed to have SV with the combination of abdominal plain film, sonography, and computed tomography (CT) with the finding of mesenteric artery rotation. Because bowel obstruction was suspected, abdominal plain film, sonography, and CT were performed. The abdominal CT demonstrated whirlpool sign with torsion of the sigmoid vessels. In addition, lower gastrointestinal filling study showed that the contrast medium could only reach the upper descending colon. Therefore, he received laparotomy with mesosigmoidoplasty for detorsion of the sigmoid. The postoperative recovery was smooth under empirical antibiotic treatment with cefazolin. A follow-up lower gastrointestinal series on the seventh day of admission showed no obstruction compared with the previous series. He was finally discharged in a stable condition 8 days after admission. SV is a congenital anomaly and an uncommon diagnosis in children. Nevertheless, case series and case reports of SV are becoming more prevalent in the literature. Failure to recognize SV may result in life-threatening complications such as sigmoid gangrene/perforation, peritonitis, sepsis, and death. Thus, if the children have persistent and recurrent abdominal distention, abdominal pain, and vomiting, physicians should consider SV as a "do not miss diagnosis" in the differential diagnosis. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

Percutaneous Endoscopic Colostomy: A New Technique for the Treatment of Recurrent Sigmoid Volvulus

Science.gov (United States)

Al-Alawi, Ibrahim K.

2010-01-01

Sigmoid volvulus is a common cause of large bowel obstruction in western countries and Africa. It accounts for 25% of the patients admitted to the hospital for large bowel obstruction. The acute management of sigmoid volvulus is sigmoidoscopic decompression. However, the recurrence rate can be as high as 60% in some series. Recurrent sigmoid volvulus in elderly patients who are not fit for definitive surgery is difficult to manage. The percutaneous endoscopic placement of two percutaneous endoscopic colostomy tube placement is a simple and relatively safe procedure. The two tubes should be left open to act as vents for the colon from over-distending. In our opinion, this aspect is key to its success as it keeps the sigmoid colon deflated until adhesions form between the colon and the abdominal wall. PMID:20339184

Diagnosis of a sigmoid volvulus in pregnancy: ultrasonography and magnetic resonance imaging findings.

Science.gov (United States)

Palmucci, Stefano; Lanza, Maria Letizia; Gulino, Fabrizio; Scilletta, Beniamino; Ettorre, Giovanni Carlo

2014-02-01

Sigmoid volvulus complicating pregnancy is a rare, non-obstetric cause of abdominal pain that requires prompt surgical intervention (decompression) to avoid intestinal ischemia and perforation. We report the case of a 31-week pregnant woman with abdominal pain and subsequent development of constipation. Preoperative diagnosis was achieved using magnetic resonance imaging and ultrasonography: the large bowel distension and a typical whirl sign - near a sigmoid colon transition point - suggested the diagnosis of sigmoid volvulus. The decision to refer the patient for emergency laparotomy was adopted without any ionizing radiation exposure, and the pre-operative diagnosis was confirmed after surgery. Imaging features of sigmoid volvulus and differential diagnosis from other non-obstetric abdominal emergencies in pregnancy are discussed in our report, with special emphasis on the diagnostic capabilities of ultrasonography and magnetic resonance imaging.

Sigmoid exclusion: a new technique in the management of radiation-induced fistula

International Nuclear Information System (INIS)

Aitken, R.J.; Elliot, M.S.

1985-01-01

Colovesical and colovaginal fistulas following irradiation for pelvic malignancy represent a formidable surgical problem. Although complex surgical procedures to close the fistulas and restore continence have been described, often a defunctioning colostomy with an associated urinary conduit is the only feasible option. Three patients who have successfully undergone an original procedure (sigmoid exclusion) are presented. Sigmoid exclusion restores continence but avoids a permanent stoma. The involved sigmoid colon was isolated on its mesentery ensuring that the area incorporating the fistulas was not disrupted. The ends of the isolated sigmoid colon were closed and bowel continuity then restored by a colorectal or colo-anal anastomosis. Following closure of a temporary colostomy the patients were continent with no ill effects or sepsis from the excluded colon. This procedure has the dual advantage of restoring continence yet avoiding both an urinary conduit and a permanent colostomy, and represents a useful advance in the surgical management of radiation induced colonic fistulas. (author)

Coronal ``Wave'': Magnetic Footprint of a Coronal Mass Ejection?

Science.gov (United States)

Attrill, Gemma D. R.; Harra, Louise K.; van Driel-Gesztelyi, Lidia; Démoulin, Pascal

2007-02-01

We investigate the properties of two ``classical'' EUV Imaging Telescope (EIT) coronal waves. The two source regions of the associated coronal mass ejections (CMEs) possess opposite helicities, and the coronal waves display rotations in opposite senses. We observe deep core dimmings near the flare site and also widespread diffuse dimming, accompanying the expansion of the EIT wave. We also report a new property of these EIT waves, namely, that they display dual brightenings: persistent ones at the outermost edge of the core dimming regions and simultaneously diffuse brightenings constituting the leading edge of the coronal wave, surrounding the expanding diffuse dimmings. We show that such behavior is consistent with a diffuse EIT wave being the magnetic footprint of a CME. We propose a new mechanism where driven magnetic reconnections between the skirt of the expanding CME magnetic field and quiet-Sun magnetic loops generate the observed bright diffuse front. The dual brightenings and the widespread diffuse dimming are identified as innate characteristics of this process.

THE CONTRIBUTION OF CORONAL JETS TO THE SOLAR WIND

Energy Technology Data Exchange (ETDEWEB)

Lionello, R.; Török, T.; Titov, V. S.; Mikić, Z.; Linker, J. A. [Predictive Science Inc., 9990 Mesa Rim Road, Suite 170, San Diego, CA 92121 (United States); Leake, J. E.; Linton, M. G., E-mail: lionel@predsci.com [US Naval Research Laboratory 4555 Overlook Avenue, SW Washington, DC 20375 (United States)

2016-11-01

Transient collimated plasma eruptions in the solar corona, commonly known as coronal (or X-ray) jets, are among the most interesting manifestations of solar activity. It has been suggested that these events contribute to the mass and energy content of the corona and solar wind, but the extent of these contributions remains uncertain. We have recently modeled the formation and evolution of coronal jets using a three-dimensional (3D) magnetohydrodynamic (MHD) code with thermodynamics in a large spherical domain that includes the solar wind. Our model is coupled to 3D MHD flux-emergence simulations, i.e., we use boundary conditions provided by such simulations to drive a time-dependent coronal evolution. The model includes parametric coronal heating, radiative losses, and thermal conduction, which enables us to simulate the dynamics and plasma properties of coronal jets in a more realistic manner than done so far. Here, we employ these simulations to calculate the amount of mass and energy transported by coronal jets into the outer corona and inner heliosphere. Based on observed jet-occurrence rates, we then estimate the total contribution of coronal jets to the mass and energy content of the solar wind to (0.4–3.0)% and (0.3–1.0)%, respectively. Our results are largely consistent with the few previous rough estimates obtained from observations, supporting the conjecture that coronal jets provide only a small amount of mass and energy to the solar wind. We emphasize, however, that more advanced observations and simulations (including parametric studies) are needed to substantiate this conjecture.

Rupture of abdominal aortic aneurysm into sigmoid colon: A case report

Science.gov (United States)

Aksoy, Murat; Yanar, Hakan; Taviloglu, Korhan; Ertekin, Cemalettin; Ayalp, Kemal; Yanar, Fatih; Guloglu, Recep; Kurtoglu, Mehmet

2006-01-01

Primary aorto-colic fistula is rarely reported in the literature. Although infrequently encountered, it is an important complication since it is usually fatal unless detected. Primary aorto-colic fistula is a spontaneous rupture of abdominal aortic aneurysm into the lumen of the adjacent colon loop. Here we report a case of primary aorto-colic fistula in a 54-year old male. The fistulated sigmoid colon was repaired by end-to-end anastomosis. Despite inotropic support, the patient died of sepsis and multiorgan failure on the first postoperative day. PMID:17167850

Dysmenorrhoea is associated with hypersensitivity in the sigmoid colon and rectum

DEFF Research Database (Denmark)

Brinkert, Willem; Dimcevski, Georg; Arendt-Nielsen, Lars

2007-01-01

if dysmenorrhoea is associated with hypersensitivity in the referred somatic skin area or in the large bowel, i.e., viscero-visceral hyperalgesia. We measured skin sensitivity in the referred area of the sigmoid colon as well as stimulus-response relationships in the sigmoid colon and rectum. The latter were...... measured using mechanical (balloon) distension applied via a Barostat in 11 dysmenorrhoea patients without gastro-intestinal complaints and 10 healthy and age matched women, again without gastrointestinal complaints. We found no skin hypersensitivity in the colonic referred area. In contrast, significantly...... lower distension volumes were seen at each threshold in dysmenorrhoea patients, particularly in the sigmoid colon. The mean reduction in colonic distension volume thresholds for dysmenorrhoea patients vs. controls was 57% at the detection threshold and 39% at the pain threshold. There were...

Radio emission from coronal and interplanetary shocks

International Nuclear Information System (INIS)

Cane, H.V.

1987-01-01

Observational data on coronal and interplanetary (IP) type II burst events associated with shock-wave propagation are reviewed, with a focus on the past and potential future contributions of space-based observatories. The evidence presented by Cane (1983 and 1984) in support of the hypothesis that the coronal (metric) and IP (kilometric) bursts are due to different shocks is summarized, and the fast-drift kilometric events seen at the same time as metric type II bursts (and designated shock-accelerated or shock-associated events) are characterized. The need for further observations at 0.5-20 MHz is indicated. 20 references

Double sigmoid atresia with meconium pseudocyst masquerading ...

African Journals Online (AJOL)

8В 6cm dark cystic lesion was present in the left iliac fossa, which was delivered intact ... of Pediatric Surgery. Unauthorized reproduction of this article is prohibited. .... sigmoid-colon atresia: the perforated web variety. APSP J Case Rep. 2010 ...

A Novel Approach to Minimally Invasive Management of Sigmoid Volvulus

Directory of Open Access Journals (Sweden)

Alireza Tavassoli

2016-11-01

Full Text Available Resection is the most common treatment choice for sigmoid volvulus, a common complication in our region. A new minimally invasive technique for sigmoid resection with local anesthesia was done in this study. This method is invented to avoid general on regional anesthesia in high-risk patients. Nineteen patients were evaluated and then 14 were enrolled in this study. Sigmoidectomy with a left lower quadrant incision was performed and demographic data, the length of hospital stay, complications and procedure time were recorded. The mean age of participants was 65.68, and the male to female ratio was 1:2.7. The mean duration of the operation was 91.42 min. Complications include one case each of wound hematoma and wound infection. The intraoperative pain score was 1.2/10 and postoperative pain score was 2.35/10. The mean hospital staying was 8.3 days. By meticulous patient selection, sigmoidectomy under local anesthesia for sigmoid volvulus could be a surgeons’ armamentarium in special situations.

A CASE REPORT OF MULTIPLE PRIMARY SQUAMOUS CELL CARCINOMAS OF THE OVARY AND SIGMOID COLON

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A. B. Villert

2016-01-01

Full Text Available Squamous cell ovarian and sigmoid colon carcinomas are extremely rare malignancies. Because of their rarity, it is difficult to investigate the clinical characteristics and prognosis of patients with theses malignancies, and therefore, the increased interest in each clinical case report is highly relevant. Multiple primary squamous cell ovarian and sigmoid colon carcinomas are the subject of discussion and differential diagnosis of sigmoid colon cancer with secondary ovarian cancer. Histopathological and clinical characteristics of the tumors were present and evidences in favor of the multiple primary malignancies were given. The association of squamous cell ovarian and sigmoid colon carcinomas with human papilloma virus type 16 was shown.

Sigmoid Volvulus Through a Transmesenteric Hernia.

Science.gov (United States)

Brandão, Pedro Nuno; Martins, Vilma; Silva, Cristina; Davide, José

2017-06-01

Internal hernias are a rare pathology with very low incidence. Transmesenteric hernias represent less than 10% of all cases and may occur at any age. They involve more often the small bowel and, more rarely, the colon. We present a case of a sigmoid volvulus through a transmesenteric hernia in a 19-year-old patient.

The sigmoid volvulus: surgical timing and mortality for different clinical types

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Spizzirri Alessandro

2010-01-01

Full Text Available Abstract Background In western countries intestinal obstruction caused by sigmoid volvulus is rare and its mortality remains significant in patients with late diagnosis. The aim of this work is to assess what is the correct surgical timing and how the prognosis changes for the different clinical types. Methods We realized a retrospective clinical study including all the patients treated for sigmoid volvulus in the Department of General Surgery, St Maria Hospital, Terni, from January 1996 till January 2009. We selected 23 patients and divided them in 2 groups on the basis of the clinical onset: patients with clear clinical signs of obstruction and patients with subocclusive symptoms. We focused on 30-day postoperative mortality in relation to the surgical timing and procedure performed for each group. Results In the obstruction group mortality rate was 44% and it concerned only the patients who had clinical signs and symptoms of peritonitis and that were treated with a sigmoid resection (57%. Conversely none of the patients treated with intestinal derotation and colopexy died. In the subocclusive group mortality was 35% and it increased up to 50% in those patients with a late diagnosis who underwent a sigmoid resection. Conclusions The mortality of patients affected by sigmoid volvulus is related to the disease stage, prompt surgical timing, functional status of the patient and his collaboration with the clinicians in the pre-operative decision making process. Mortality is higher in both obstructed patients with generalized peritonitis and patients affected by subocclusion with late diagnosis and surgical treatment; in both scenarios a Hartmann's procedure is the proper operation to be considered.

A case of radiation sigmoiditis diagnosed by a characteristic pathological finding

International Nuclear Information System (INIS)

Kamata, Noriko; Oshitani, Nobuhide; Oiso, Ryuta

2002-01-01

A 65-year-old woman was referred to our hospital because of an intractable sigmoid colon ulcer. She had undergone a right nephrectomy for kidney stones, at age 33, and a uterectomy at age 39, followed by radiation therapy. Lower abdominal pain and hematochezia developed suddenly, following a few days of constipation, in September 1999, when she was admitted to the previous hospital because of left hydronephrosis. A punched-out oval ulcer was found in the sigmoid colon, on colonoscopic examination. She was treated with total parenteral nutrition, prednisolone, and mesalazine administration. Although her hematochezia and abdominal pain disappeared, diarrhea and abdominal pain occurred after she began eating, and she was referred to our hospital for further examination. Although intestinal lavage solution was used for bowel preparation, stercoromas were found in the rectum, which had to be manually removed before colonoscopic examination, and a stercoral-ulcer was suspected. The sigmoid colonic ulcer was intractable. A biopsy specimen, taken from the bottom of the ulcer, revealed bizarre interstitial cells, each with a large oval nucleus, showing the so-called ''owl-eye-appearance.'' Although the diagnosis of radiation sigmoiditis is sometimes difficult, owl-eye-appearance'' is a useful pathological finding in the diagnosis of late-phase radiation-induced colitis. (author)

A case of radiation sigmoiditis diagnosed by a characteristic pathological finding

Energy Technology Data Exchange (ETDEWEB)

Kamata, Noriko; Oshitani, Nobuhide; Oiso, Ryuta [Osaka City Univ. (Japan). Graduate School of Medicine] (and others)

2002-05-01

A 65-year-old woman was referred to our hospital because of an intractable sigmoid colon ulcer. She had undergone a right nephrectomy for kidney stones, at age 33, and a uterectomy at age 39, followed by radiation therapy. Lower abdominal pain and hematochezia developed suddenly, following a few days of constipation, in September 1999, when she was admitted to the previous hospital because of left hydronephrosis. A punched-out oval ulcer was found in the sigmoid colon, on colonoscopic examination. She was treated with total parenteral nutrition, prednisolone, and mesalazine administration. Although her hematochezia and abdominal pain disappeared, diarrhea and abdominal pain occurred after she began eating, and she was referred to our hospital for further examination. Although intestinal lavage solution was used for bowel preparation, stercoromas were found in the rectum, which had to be manually removed before colonoscopic examination, and a stercoral-ulcer was suspected. The sigmoid colonic ulcer was intractable. A biopsy specimen, taken from the bottom of the ulcer, revealed bizarre interstitial cells, each with a large oval nucleus, showing the so-called ''owl-eye-appearance.'' Although the diagnosis of radiation sigmoiditis is sometimes difficult, owl-eye-appearance'' is a useful pathological finding in the diagnosis of late-phase radiation-induced colitis. (author)

Giant Sigmoid Diverticulum: A Rare Presentation of a Common Pathology

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A. Guarnieri

2009-02-01

Full Text Available Although colonic diverticulum is a common disease, affecting about 35% of patients above the age of 60, giant sigmoid diverticulum is an uncommon variant of which only relatively few cases have been described in the literature. We report on our experience with a patient affected by giant sigmoid diverticulum who was treated with diverticulectomy. Resection of the diverticulum is a safe surgical procedure, provided that the colon section close to the lesion presents no sign of flogosis or diverticula; in addition, recurrences are not reported after 6-year follow-up.

Seat belt injuries and sigmoid colon trauma.

OpenAIRE

Eltahir, E M; Hamilton, D

1997-01-01

Colonic seat belt injuries are rare but carry higher mortality rates than small bowel injuries. The case of a 44 year old man is described who had severe sigmoid colon compression injury from his seat belt a few days after a road traffic accident.

PAINFUL IRRITABLE-BOWEL-SYNDROME AND SIGMOID CONTRACTIONS

NARCIS (Netherlands)

RITSEMA, GH; THIJN, CJP

Fifteen patients with abdominal pain compatible with the irritable bowel syndrome (IBS) were examined by barium enema and pressure recording. Strong circular contractions of the sigmoid colon and pressure recordings correlated with the characteristic pain in 13 of the 15 patients. In 15 control

Study of Three-dimensional Magnetic Structure and the Successive Eruptive Nature of Active Region 12371

Science.gov (United States)

Vemareddy, P.; Demóulin, P.

2018-04-01

We study the magnetic structure of a successively erupting sigmoid in active region 12371 by modeling the quasi-static coronal field evolution with nonlinear force-free field (NLFFF) equilibria. Helioseismic and Magnetic Imager/Solar Dynamic Observatory vector magnetograms are used as input to the NLFFF model. In all eruption events, the modeled structure resembles the observed pre-eruptive coronal sigmoid and the NLFFF core field is a combination of double inverse-J-shaped and inverse-S field lines with dips touching the photosphere. Such field lines are formed by the flux cancellation reconnection of opposite-J field lines at bald-patch locations, which in turn implies the formation of a weakly twisted flux-rope (FR) from large-scale sheared arcade field lines. Later on, this FR undergoes coronal tether-cutting reconnection until a coronal mass ejection is triggered. The modeled structure captured these major features of sigmoid-to-arcade-to-sigmoid transformation, which is reoccuring under continuous photospheric flux motions. Calculations of the field line twist reveal a fractional increase followed by a decrease of the number of pixels having a range of twist. This traces the buildup process of a twisted core field by slow photospheric motions and the relaxation after eruption, respectively. Our study infers that the large eruptivity of this AR is due to a steep decrease of the background coronal field meeting the torus instability criteria at a low height (≈40 Mm) in contrast to noneruptive ARs.

Spontaneous perforation of sigmoid colon in a child with acute lymphoblastic leukemia

Directory of Open Access Journals (Sweden)

Miolski Jelena

2017-01-01

Full Text Available Introduction. Perforation of the sigmoid colon is rare in children and its descriptions in medical literature are infrequent. Case Outline. In a 13-year-old boy with acute lymphoblastic leukemia, a ten-month course of chemotherapy was accompanied by many complications: parasitic infestation (Enterobius vermicularis, lung candidiasis, esophageal candidiasis, steroid diabetes, anaphylactoid reaction to L-asparaginase, febrile neutropenia, mucositis, anemia, thrombocytopenia, enterocolitis, and respiratory distress syndrome. During reinduction treatment, consisting of dexamethasone, vincristine, doxorubicin, and crisantaspase, he complained of abdominal pain and, upon radiographic examination, was found to have pneumoperitoneum. Because of suspicion of abdominal hollow organ perforation, he was subjected to explorative laparotomy, which yielded the diagnosis of perforation of the sigmoid colon. Conclusion. After an extensive review of the published reports on sigmoid perforation, all associated conditions that could possibly induce perforation – such as Hirschsprung’s disease or foreign body – were systematically excluded in our patient. Although typhlitis was the first diagnostic hypothesis, this was excluded by intraoperative findings, histopathology, and perforation site. To the best of our knowledge, this is the first report of a spontaneous perforation of the sigmoid colon in a child with acute lymphoblastic leukemia.

Are interplanetary magnetic clouds manifestations of coronal transients at 1 AU

International Nuclear Information System (INIS)

Wilson, R.M.; Hildner, E.

1984-01-01

Using proxy data for the occurrence of those mass ejections from the solar corona which are directed earthward, we investigate the association between the post-1970 interplanetary magnetic clouds of Klein and Burlaga (1982) and coronal mass ejections. The evidence linking magnetic clouds following shocks with coronal mass ejections is striking; six of nine clouds observed at Earth were preceded an appropriate time earlier by meter-wave type II radio bursts indicative of coronal shock waves and coronal mass ejections occurring near central meridian. During the selected control periods when no clouds were detected near Earth, the only type II bursts reported were associated with solar activity near the limbs. Where the proxy solar data to be sought are not so clearly suggested, that is, for clouds preceding interaction regions and clouds within cold magnetic enhancements, the evidence linking the clouds and coronal mass ejections is not as clear; proxy data usually suggest many candidate mass-ejection events for each cloud. Overall, the data are consistent with and support the hypothesis suggested by Klein and Burlaga that magnetic clouds observed with spacecraft at 1 AU are manifestations of solar coronal mass ejection transients. (orig.)

Oxidative stress response after laparoscopic versus conventional sigmoid resection

DEFF Research Database (Denmark)

Madsen, Michael Tvilling; Kücükakin, Bülent; Lykkesfeldt, Jens

2012-01-01

Surgery is accompanied by a surgical stress response, which results in increased morbidity and mortality. Oxidative stress is a part of the surgical stress response. Minimally invasive laparoscopic surgery may result in reduced oxidative stress compared with open surgery. Nineteen patients...... scheduled for sigmoid resection were randomly allocated to open or laparoscopic sigmoid resection in a double-blind, prospective clinical trial. Three biochemical markers of oxidative stress (malondialdehyde, ascorbic acid, and dehydroascorbic acid) were measured at 6 different time points (preoperatively......, 1 h, 6 h, 24 h, 48 h, and 72 h postoperatively). There were no statistical significant differences between laparoscopic and open surgery for any of the 3 oxidative stress parameters. Malondialdehyde was reduced 1 hour postoperatively (P...

[Sigmoid septum: A variant of the ventricular hypertrophy or of the hypertrophic cardiomyopathy?].

Science.gov (United States)

Gentille-Lorente, Delicia; Salvadó-Usach, Teresa

2016-01-01

Sigmoid septum and hypertrophic cardiomyopathy presenting with left ventricular hypertrophy and, although they appear to be different entities, often involve problems in the differential diagnosis. This study was carried out to assess the prevalence and characteristics of the echocardiographic sigmoid septum and its differential findings regarding hypertrophic cardiomyopathy. Descriptive, observational and prospective study. A total of 1,770 patients were studied by echocardiography. Sigmoid septum (focal and isolated hypertrophy of the basal interventricular septum≥13mm in men and ≥12mm in women, exceeding ≥50% of the median septum thickness) was classified as «Type 1» (≤14mm) and «Type 2» (≥15mm). There were 59 cases of sigmoid septum (prevalence of 3.3%): 26 (1.5%) patients with type 1 (50% male) and 33 (1.9%) patients with type 2 (72.7% male); there were 25 (1.4%) cases of hypertrophic cardiomyopathy (76% male). The group with type 2 sigmoid septum differed from hypertrophic cardiomyopathy in: was older (73±10.5years; P<.0001), with more hypertension (84.8%; P<.0001), lower glomerular filtering (73.3±21.4ml/min; P=.007), lower repolarization abnormalities (18.2%; P=.004) and Cornell index (in men, 22.2±11mm; P=.041), more diastolic dysfunction (75%; P=.0089) and in ventricular morphology and fibrosis location in magnetic resonance. Regarding the hypertrophic cardiomyopathy, patients with type 2 sigmoid septum are older and generally hypertensive; otherwise, often they have no clear differences in their clinical, electrocardiographic or echocardiographic characteristics. Therefore, cardiac resonance is helpful in the differential diagnosis. Copyright © 2016 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.

Cellular schwannoma arising from sigmoid mesocolon presenting ...

African Journals Online (AJOL)

Schwannomas are a type of peripheral nerve sheath tumors with clinically indolent behavior. Though, they can occur anywhere in body, the incidence in retroperitoneum, mediastinum, and pelvis is exceedingly rare. We present a case of a 58‑year‑old female with a massive twisted tumor arising from sigmoid mesocolon.

Cellular Schwannoma Arising from Sigmoid Mesocolon Presenting ...

African Journals Online (AJOL)

Schwannomas are a type of peripheral nerve sheath tumors with clinically indolent behavior. Though, they can occur anywhere in body, the incidence in retroperitoneum, mediastinum, and pelvis is exceedingly rare. We present a case of a 58‑year‑old female with a massive twisted tumor arising from sigmoid mesocolon.

Observations and Numerical Models of Solar Coronal Heating Associated with Spicules

Energy Technology Data Exchange (ETDEWEB)

Pontieu, B. De; Martinez-Sykora, J. [Lockheed Martin Solar and Astrophysics Laboratory, 3251 Hanover Street, Org. A021S, Building 252, Palo Alto, CA 94304 (United States); Moortel, I. De [School of Mathematics and Statistics, University of St Andrews, St Andrews, Fife KY16 9SS (United Kingdom); McIntosh, S. W. [High Altitude Observatory, National Center for Atmospheric Research, P.O. Box 3000, Boulder, CO 80307 (United States)

2017-08-20

Spicules have been proposed as significant contributors to the mass and energy balance of the corona. While previous observations have provided a glimpse of short-lived transient brightenings in the corona that are associated with spicules, these observations have been contested and are the subject of a vigorous debate both on the modeling and the observational side. Therefore, it remains unclear whether plasma is heated to coronal temperatures in association with spicules. We use high-resolution observations of the chromosphere and transition region (TR) with the Interface Region Imaging Spectrograph and of the corona with the Atmospheric Imaging Assembly on board the Solar Dynamics Observatory to show evidence of the formation of coronal structures associated with spicular mass ejections and heating of plasma to TR and coronal temperatures. Our observations suggest that a significant fraction of the highly dynamic loop fan environment associated with plage regions may be the result of the formation of such new coronal strands, a process that previously had been interpreted as the propagation of transient propagating coronal disturbances. Our observations are supported by 2.5D radiative MHD simulations that show heating to coronal temperatures in association with spicules. Our results suggest that heating and strong flows play an important role in maintaining the substructure of loop fans, in addition to the waves that permeate this low coronal environment.

Determining the Critical Point of a Sigmoidal Curve via its Fourier Transform

International Nuclear Information System (INIS)

Bilge, Ayse Humeyra; Ozdemir, Yunus

2016-01-01

A sigmoidal curve y(t) is a monotone increasing curve such that all derivatives vanish at infinity. Let t_n be the point where the nth derivative of y(t) reaches its global extremum. In the previous work on sol-gel transition modelled by the Susceptible-Infected- Recovered (SIR) system, we observed that the sequence { t_n } seemed to converge to a point that agrees qualitatively with the location of the gel point [2]. In the present work we outline a proof that for sigmoidal curves satisfying fairly general assumptions on their Fourier transform, the sequence { t_n } is convergent and we call it “the critical point of the sigmoidal curve”. In the context of phase transitions, the limit point is interpreted as a junction point of two different regimes where all derivatives undergo their highest rate of change. (paper)

Percutaneous Endoscopic Colostomy (PEC): An Effective Alternative in High Risk Patients with Recurrent Sigmoid Volvulus

International Nuclear Information System (INIS)

Khan, M. A. S.; Ullah, S.; Beckly, D.; Oppong, F. C.

2013-01-01

Treatment of recurrent sigmoid volvulus is a major challenge in frail and elderly patients with multiple co-morbidities. Early management involves endoscopic decompression with high success rate, however, its recurrence make it a real challenge as most of these patients are not suitable for major colonic resection. The aim of this study was to assess the role of percutaneous endoscopic colostomy (PEC) in the treatment of recurrent sigmoid volvulus in these patients. Twelve PEC procedures were performed in 8 patients under our care. This prevented major colonic resection in 7 patients. One patient underwent sigmoid resection and died with postoperative complications. Two patients experienced minor complications. Three patients required repeat procedures for permanent PEC tube placement. Six patients managed permanently with PEC procedure. PEC is an effective treatment for recurrent sigmoid volvulus in high-risk elderly patients. (author)

Coronal Waves and Oscillations

Directory of Open Access Journals (Sweden)

Nakariakov Valery M.

2005-07-01

Full Text Available Wave and oscillatory activity of the solar corona is confidently observed with modern imaging and spectral instruments in the visible light, EUV, X-ray and radio bands, and interpreted in terms of magnetohydrodynamic (MHD wave theory. The review reflects the current trends in the observational study of coronal waves and oscillations (standing kink, sausage and longitudinal modes, propagating slow waves and fast wave trains, the search for torsional waves, theoretical modelling of interaction of MHD waves with plasma structures, and implementation of the theoretical results for the mode identification. Also the use of MHD waves for remote diagnostics of coronal plasma - MHD coronal seismology - is discussed and the applicability of this method for the estimation of coronal magnetic field, transport coefficients, fine structuring and heating function is demonstrated.

Robustification of a One-Dimensional Generic Sigmoidal Chaotic Map with Application of True Random Bit Generation

Directory of Open Access Journals (Sweden)

Nattagit Jiteurtragool

2018-02-01

Full Text Available The search for generation approaches to robust chaos has received considerable attention due to potential applications in cryptography or secure communications. This paper is of interest regarding a 1-D sigmoidal chaotic map, which has never been distinctly investigated. This paper introduces a generic form of the sigmoidal chaotic map with three terms, i.e., xn+1 = ∓AfNL(Bxn ± Cxn ± D, where A, B, C, and D are real constants. The unification of modified sigmoid and hyperbolic tangent (tanh functions reveals the existence of a “unified sigmoidal chaotic map” generically fulfilling the three terms, with robust chaos partially appearing in some parameter ranges. A simplified generic form, i.e., xn+1 = ∓fNL(Bxn ± Cxn, through various S-shaped functions, has recently led to the possibility of linearization using (i hardtanh and (ii signum functions. This study finds a linearized sigmoidal chaotic map that potentially offers robust chaos over an entire range of parameters. Chaos dynamics are described in terms of chaotic waveforms, histogram, cobweb plots, fixed point, Jacobian, and a bifurcation structure diagram based on Lyapunov exponents. As a practical example, a true random bit generator using the linearized sigmoidal chaotic map is demonstrated. The resulting output is evaluated using the NIST SP800-22 test suite and TestU01.

Simultaneous development of ulcerative colitis in the colon and sigmoid neovagina.

Science.gov (United States)

Webster, Toni; Appelbaum, Heather; Weinstein, Toba A; Rosen, Nelson; Mitchell, Ian; Levine, Jeremiah J

2013-03-01

Vaginoplasty using sigmoid colon is a common technique for creation of a neovagina. However, special consideration must be given to potential long term consequences of using a colonic conduit for vaginal replacement. We report on the youngest described case in which a patient developed ulcerative colitis refractory to medical therapy with simultaneous involvement of a sigmoid neovagina requiring total proctocolectomy and neovaginectomy. A 17 year old XY female with a history of gonadal dysgenesis and sigmoid graft vaginoplasty presented with a history of bloody, mucoid vaginal discharge, abdominal pain, bloody diarrhea and weight loss. Colonic and neovaginal biopsies demonstrated active colitis with diffuse ulcerations, consistent with ulcerative colitis. Despite aggressive immunosuppressive treatment she had persistent neovaginal and colonic bleeding requiring multiple transfusions, subtotal colectomy and ultimately completion proctectomy and neovaginectomy. It is imperative to recognize that colectomy alone may be an inadequate surgical intervention in patients with ulcerative colitis and a colonic neovaginal graft and that a concomitant neovaginectomy may be integral in providing appropriate treatment. Copyright © 2013 Elsevier Inc. All rights reserved.

Irrigation management of sigmoid colostomy.

Science.gov (United States)

Jao, S W; Beart, R W; Wendorf, L J; Ilstrup, D M

1985-08-01

Questionnaires were sent to 270 patients who had undergone abdominoperineal resection and sigmoid colostomy at the Mayo Clinic, Rochester, Minn, during the ten years from 1972 to 1982; 223 patients returned their questionnaires with evaluable data. Sixty percent of the patients were continent with irrigation, and 22% were incontinent with irrigation. Eighteen percent had discontinued irrigation for various reasons. The proportion continent was higher in women, younger patients, and previously constipated patients. A poorly constructed colostomy may cause acute angle, parastoma hernia, stomal prolapse, or stenosis and thus be the cause of failure of irrigation.

Analysis of Solar Coronal Holes with Synoptic Magnetogram Data

Science.gov (United States)

Canner, A.; Kim, T. K.; Pogorelov, N.; Yalim, M. S.

2017-12-01

Coronal holes are regions in which the magnetic field of the Sun is open with high magnetic flux and low plasma density. Because of the low plasma beta in these regions, the open field lines transport plasma from the Sun throughout the heliosphere. Coronal hole area is closely related to the expansion factor of the magnetic flux tube, as demonstrated by Tokumaru et al. (2017). Following the approach of Tokumaru et al. (2017), we employ a potential field source surface model to identify the open field regions on the photosphere and estimate the area and expansion factor for each coronal hole. While Tokumaru et al. (2017) analyzed synoptic maps from Kitt Peak National Observatory for the period 1995-2011, we use different magnetograph observations with higher spatial resolution (e.g., SOHO-MDI) for the same time period. We compare the coronal hole area - expansion factor relationship with the original results of Tokumaru et al (2017). This work was supported by the NSF-funded Research Experience for Undergraduates program "Solar and Heliospheric Physics at UAH and MSFC" run by the University of Alabama in Huntsville in partnership with the Marshall Space Flight Center through grant AGS-1460767.

Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus

Science.gov (United States)

Coban, Sacid; Yilmaz, Mehmet; Terzi, Alpaslan; Yildiz, Fahrettin; Ozgor, Dincer; Ara, Cengiz; Yologlu, Saim; Kirimlioglu, Vedat

2008-01-01

AIM: To evaluate the efficacy of resection and primary anastomosis (RPA) and RPA with modified blow-hole colostomy for sigmoid volvulus. METHODS: From March 2000 to September 2007, 77 patients with acute sigmoid volvulus were treated. A total of 47 patients underwent RPA or RPA with modified blow-hole colostomy. Twenty-five patients received RPA (Group A), and the remaining 22 patients had RPA with modified blow-hole colostomy (Group B). The clinical course and postoperative complications of the two groups were compared. RESULTS: The mean hospital stay, wound infection and mortality did not differ significantly between the groups. Superficial wound infection rate was higher in group A (32% vs 9.1%). Anastomotic leakage was observed only in group A, with a rate of 6.3%. The difference was numerically impressive but was statistically not significant. CONCLUSION: RPA with modified blow-hole colostomy provides satisfactory results. It is easy to perform and may become a method of choice in patients with sigmoid volvulus. Further studies are required to further establish its role in the treatment of sigmoid volvulus. PMID:18810779

Rare extraskeletal Ewing's sarcoma mimicking as adenocarcinoma of the sigmoid.

Science.gov (United States)

Mertens, Michelle; Haenen, Filip W N; Siozopoulou, Vasiliki; Van Cleemput, Marc

2017-06-01

Extraskeletal Ewing's sarcoma (EES) is a rare finding in comparison with Ewing's sarcoma of bone and usually manifests in young patients. However, even in older patients, one must consider the diagnosis. In this case, we describe a 52-year-old woman diagnosed with EES, mimicking as adenocarcinoma of the sigmoid. The tumor was not visualized by a multi-slice spiral computed tomography of the abdomen and pelvis with intravenous contrast, and eventually the diagnosis was made by positive immunohistochemical staining for CD99 and by molecular testing for EWSR1 translocation. This combination of the patient's age and the localization of the tumor mimicking an adenocarcinoma of the sigmoid has never been described before.

Coronal Mass Ejections: Models and Their Observational Basis

Directory of Open Access Journals (Sweden)

P. F. Chen

2011-04-01

Full Text Available Coronal mass ejections (CMEs are the largest-scale eruptive phenomenon in the solar system, expanding from active region-sized nonpotential magnetic structure to a much larger size. The bulk of plasma with a mass of ∼10^11 – 10^13 kg is hauled up all the way out to the interplanetary space with a typical velocity of several hundred or even more than 1000 km s^-1, with a chance to impact our Earth, resulting in hazardous space weather conditions. They involve many other much smaller-sized solar eruptive phenomena, such as X-ray sigmoids, filament/prominence eruptions, solar flares, plasma heating and radiation, particle acceleration, EIT waves, EUV dimmings, Moreton waves, solar radio bursts, and so on. It is believed that, by shedding the accumulating magnetic energy and helicity, they complete the last link in the chain of the cycling of the solar magnetic field. In this review, I try to explicate our understanding on each stage of the fantastic phenomenon, including their pre-eruption structure, their triggering mechanisms and the precursors indicating the initiation process, their acceleration and propagation. Particular attention is paid to clarify some hot debates, e.g., whether magnetic reconnection is necessary for the eruption, whether there are two types of CMEs, how the CME frontal loop is formed, and whether halo CMEs are special.

SUNSPOT ROTATION AS A DRIVER OF MAJOR SOLAR ERUPTIONS IN THE NOAA ACTIVE REGION 12158

Energy Technology Data Exchange (ETDEWEB)

Vemareddy, P.; Ravindra, B. [Indian Institute of Astrophysics, Koramangala, Bangalore-560034 (India); Cheng, X., E-mail: vemareddy@iiap.res.in [School of Astronomy and Space Science, Nanjing University, Nanjing-210023 (China)

2016-09-20

We studied the development conditions of sigmoid structure under the influence of the magnetic non-potential characteristics of a rotating sunspot in the active region (AR) 12158. Vector magnetic field measurements from the Helioseismic Magnetic Imager and coronal EUV observations from the Atmospheric Imaging Assembly reveal that the erupting inverse-S sigmoid had roots at the location of the rotating sunspot. The sunspot rotates at a rate of 0°–5° h{sup −1} with increasing trend in the first half followed by a decrease. The time evolution of many non-potential parameters had a good correspondence with the sunspot rotation. The evolution of the AR magnetic structure is approximated by a time series of force-free equilibria. The non-linear force-free field magnetic structure around the sunspot manifests the observed sigmoid structure. Field lines from the sunspot periphery constitute the body of the sigmoid and those from the interior overlie the sigmoid, similar to a flux rope structure. While the sunspot was rotating, two major coronal mass ejection eruptions occurred in the AR. During the first (second) event, the coronal current concentrations were enhanced (degraded), consistent with the photospheric net vertical current; however, magnetic energy was released during both cases. The analysis results suggest that the magnetic connections of the sigmoid are driven by the slow motion of sunspot rotation, which transforms to a highly twisted flux rope structure in a dynamical scenario. Exceeding the critical twist in the flux rope probably leads to the loss of equilibrium, thus triggering the onset of the two eruptions.

Analysis of Surface Plasmon Resonance Curves with a Novel Sigmoid-Asymmetric Fitting Algorithm

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Daeho Jang

2015-09-01

Full Text Available The present study introduces a novel curve-fitting algorithm for surface plasmon resonance (SPR curves using a self-constructed, wedge-shaped beam type angular interrogation SPR spectroscopy technique. Previous fitting approaches such as asymmetric and polynomial equations are still unsatisfactory for analyzing full SPR curves and their use is limited to determining the resonance angle. In the present study, we developed a sigmoid-asymmetric equation that provides excellent curve-fitting for the whole SPR curve over a range of incident angles, including regions of the critical angle and resonance angle. Regardless of the bulk fluid type (i.e., water and air, the present sigmoid-asymmetric fitting exhibited nearly perfect matching with a full SPR curve, whereas the asymmetric and polynomial curve fitting methods did not. Because the present curve-fitting sigmoid-asymmetric equation can determine the critical angle as well as the resonance angle, the undesired effect caused by the bulk fluid refractive index was excluded by subtracting the critical angle from the resonance angle in real time. In conclusion, the proposed sigmoid-asymmetric curve-fitting algorithm for SPR curves is widely applicable to various SPR measurements, while excluding the effect of bulk fluids on the sensing layer.

Higher-speed coronal mass ejections and their geoeffectiveness

Science.gov (United States)

Singh, A. K.; Bhargawa, Asheesh; Tonk, Apeksha

2018-06-01

We have attempted to examine the ability of coronal mass ejections to cause geoeffectiveness. To that end, we have investigated total 571 cases of higher-speed (> 1000 km/s) coronal mass ejection events observed during the years 1996-2012. On the basis of angular width (W) of observance, events of coronal mass ejection were further classified as front-side or halo coronal mass ejections (W = 360°); back-side halo coronal mass ejections (W = 360°); partial halo (120°mass ejections were much faster and more geoeffective in comparison of partial halo and non-halo coronal mass ejections. We also inferred that the front-sided halo coronal mass ejections were 67.1% geoeffective while geoeffectiveness of partial halo coronal mass ejections and non-halo coronal mass ejections were found to be 44.2% and 56.6% respectively. During the same period of observation, 43% of back-sided CMEs showed geoeffectiveness. We have also investigated some events of coronal mass ejections having speed > 2500 km/s as a case study. We have concluded that mere speed of coronal mass ejection and their association with solar flares or solar activity were not mere criterion for producing geoeffectiveness but angular width of coronal mass ejections and their originating position also played a key role.

Factors Influencing Outcome of Sigmoid Volvulus in Northern ...

African Journals Online (AJOL)

Surgical management was by resection and primary anastomosis or Hartmann's procedure or double barrel colostomy. Patients 13 years and above with sigmoid volvulus and who had consented/Assented were included in the study and followed up to the 30th postoperative day. Ethical approval for the study was obtained ...

An equatorial coronal hole at solar minimum

Science.gov (United States)

Bromage, B. J. I.; DelZanna, G.; DeForest, C.; Thompson, B.; Clegg, J. R.

1997-01-01

The large transequatorial coronal hole that was observed in the solar corona at the end of August 1996 is presented. It consists of a north polar coronal hole called the 'elephant's trunk or tusk'. The observations of this coronal hole were carried out with the coronal diagnostic spectrometer onboard the Solar and Heliospheric Observatory (SOHO). The magnetic field associated with the equatorial coronal hole is strongly connected to that of the active region at its base, resulting in the two features rotating at almost the same rate.

Novel Approach to Treat Uncomplicated Sigmoid Volvulus Combining Minimally Invasive Surgery with Enhanced Recovery, in a Rural Hospital in Zambia

NARCIS (Netherlands)

van der Naald, Niels; Prins, Marloes I.; Otten, Kars; Kumwenda, Dayson; Bleichrodt, Robert P.

2018-01-01

In sub-Saharan Africa, sigmoid volvulus is a frequent cause of bowel obstruction. The aim of this study was to evaluate the results of acute sigmoid resection and anastomosis via a mini-laparotomy in patients with uncomplicated sigmoid volvulus, following the principles of "Enhanced Recovery After

Solar radio bursts of spectral type II, coronal shocks, and optical coronal transients

Science.gov (United States)

Maxwell, A.; Dryer, M.

1981-01-01

An examination is presented of the association of solar radio bursts of spectral type II and coronal shocks with solar flare ejecta observed in H-alpha, the green coronal line, and white-light coronagraphs. It is suggested that fast-moving optical coronal transients should for the most part be identified with piston-type phenomena well behind the outward-traveling shock waves that generate type II radio bursts. A general model is presented which relates type II radio bursts and coronal shocks to optically observed ejecta and consists of three main velocity regimes: (1) a quasi-hemispherical shock wave moving outward from the flare at speeds of 1000-2000 km/sec and Alfven Mach number of about 1.5; (2) the velocity of the piston driving the shock, on the order of 0.8 that of the shock; and (3) the regime of the slower-moving H-alpha ejecta, with velocities of 300-500 km/sec.

Interpretation of coronal synoptic observations

International Nuclear Information System (INIS)

Munro, R.H.; Fisher, R.R.

1986-01-01

Three-dimensional reconstruction techniques used to determine coronal density distributions from synoptic data are complicated and time consuming to employ. Current techniques also assume time invariant structures and thus mix both temporal and spatial variations present in the coronal data. The observed distribution of polarized brightness, pB, and brightness, B, of coronal features observed either at eclipses or with coronagraphs depends upon both the three-dimensional distribution of electron density within the structure and the location of the feature with respect to the plane-of-the-sky. By theoretically studying the signature of various coronal structures as they would appear during a limb transit, it is possible to recognize these patterns in real synoptic data as well as estimate temporal evolutionary effects

The Relation between Coronal Holes and Coronal Mass Ejections during the Rise, Maximum, and Declining Phases of Solar Cycle 23

Science.gov (United States)

Mohamed, A. A.; Gopalswamy, N; Yashiro, S.; Akiyama, S.; Makela, P.; Xie, H.; Jung, H.

2012-01-01

We study the interaction between coronal holes (CHs) and coronal mass ejections (CMEs) using a resultant force exerted by all the coronal holes present on the disk and is defined as the coronal hole influence parameter (CHIP). The CHIP magnitude for each CH depends on the CH area, the distance between the CH centroid and the eruption region, and the average magnetic field within the CH at the photospheric level. The CHIP direction for each CH points from the CH centroid to the eruption region. We focus on Solar Cycle 23 CMEs originating from the disk center of the Sun (central meridian distance =15deg) and resulting in magnetic clouds (MCs) and non-MCs in the solar wind. The CHIP is found to be the smallest during the rise phase for MCs and non-MCs. The maximum phase has the largest CHIP value (2.9 G) for non-MCs. The CHIP is the largest (5.8 G) for driverless (DL) shocks, which are shocks at 1 AU with no discernible MC or non-MC. These results suggest that the behavior of non-MCs is similar to that of the DL shocks and different from that of MCs. In other words, the CHs may deflect the CMEs away from the Sun-Earth line and force them to behave like limb CMEs with DL shocks. This finding supports the idea that all CMEs may be flux ropes if viewed from an appropriate vantage point.

[A Case of Chemotherapy with FOLFOXIRI plus Cetuximab for Liver Metastasis of Sigmoid ColonCan cer].

Science.gov (United States)

Saito, Akina; Konishi, Ken; Fukunaga, Mutsumi; Takiguchi, Nobuo; Nakai, Shigeto; Honda, Shoko; Yukimoto, Ryohei; Okamoto, Aoi; Takeoka, Tomohira; Matsuno, Hiroshi; Okada, Kazuyuki; Ota, Hideo; Yokoyama, Shigekazu; Konishi, Muneharu; Kobayashi, Kenji

2018-03-01

We report a case of chemotherapy with FOLFOXIRI plus cetuximab for liver metastasis of sigmoid colon cancer. The patient was a 40's man who was diagnosed with sigmoid colon cancer with liver metastasis. Colonoscopy revealed a type 2 tumor with stenosis in the sigmoid colon. He underwent sigmoidectomy under laparotomy, and after the operation, received 7 courses of chemotherapy with FOLFOXIRI plus cetuximab. The liver tumor was sufficiently reduced, and laparotomy and liver right lobectomy were performed. Histopathology revealed a modified, Grade 2 tumor regression. He has been followed for 1 year 4months after the operation.

The relation between mastoid pneumatization and sigmoid sinus position in chronic otomastoiditis

International Nuclear Information System (INIS)

Yang, Kee Hyuk; Park, Dong Woo; Lee, Seung Ro; Joo, Kyung Bin

2001-01-01

If significantly influenced by chronic otomastoiditis(COM), mastoid pneumatization and the position of the sigmoid sinus affect the operative procedure and postoperative complications in middle ear surgery. We evaluated mastoid pneumatization and sigmoid sinus position, and their relationship in COM, especially its during onset. Using temporal bone CT and referring to any relevant medical records, we retrospectively analyzed 107 cases of COM and 49 cases of normal ear. The total case load comprised an adult group, aged above 16 years [100 cases of COM (M:F=46:54, mean age = 45 years), and 42 cases of normal ear, (M:F=20:22, mean age = 44 years)], and a childhood group, aged less than 16 years [7 cases of COM (M:F=4:3, mean age = 8.4 years), and 7 cases of normal ear (M:F=4:3, mean age = 7 years)]. We determined the thickness of the mastoid bone by measuring the shortest distance between the outer cortex of this bone and the deepest border of the sigmoid sinus; the depth of the sigmoid sinus; and the degree of mastoid pneumatization and sclerosis. Fifty-three patients whose medical history clearly included the onset of otomastoiditis were divided into a child-onset group and an adult-onset group, and the relationship between the onset of otomastoiditis and the thickness of the mastoid bone was compared between the two groups. The mean axial thickness of the mastoid bone was 9.672±2.745 mm in COM and 12.430±3.027 mm in normal ear. The difference was statisfically significant (ρ < 0.0001). The mean depth of the sigmoid sinus was 7.557±1.868 mm in COM and 7.591±2.315 mm in normal ear, with no statistically significant difference. In the childhood group, the mean axial thickness of the mastoid bone was 8.672±2.978 mm in COM and 11.778±3.087 mm in normal ear. This difference was statistically significant (ρ < 0.05). In the adult group, the corresponding figures were 9.742±2.731 mm in COM and 12.538±3.041 mm in normal ear, a difference which was also

MULTIDIMENSIONAL MODELING OF CORONAL RAIN DYNAMICS

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Fang, X.; Xia, C.; Keppens, R. [Centre for mathematical Plasma Astrophysics, Department of Mathematics, KU Leuven, B-3001 Leuven (Belgium)

2013-07-10

We present the first multidimensional, magnetohydrodynamic simulations that capture the initial formation and long-term sustainment of the enigmatic coronal rain phenomenon. We demonstrate how thermal instability can induce a spectacular display of in situ forming blob-like condensations which then start their intimate ballet on top of initially linear force-free arcades. Our magnetic arcades host a chromospheric, transition region, and coronal plasma. Following coronal rain dynamics for over 80 minutes of physical time, we collect enough statistics to quantify blob widths, lengths, velocity distributions, and other characteristics which directly match modern observational knowledge. Our virtual coronal rain displays the deformation of blobs into V-shaped features, interactions of blobs due to mostly pressure-mediated levitations, and gives the first views of blobs that evaporate in situ or are siphoned over the apex of the background arcade. Our simulations pave the way for systematic surveys of coronal rain showers in true multidimensional settings to connect parameterized heating prescriptions with rain statistics, ultimately allowing us to quantify the coronal heating input.

MULTIDIMENSIONAL MODELING OF CORONAL RAIN DYNAMICS

International Nuclear Information System (INIS)

Fang, X.; Xia, C.; Keppens, R.

2013-01-01

We present the first multidimensional, magnetohydrodynamic simulations that capture the initial formation and long-term sustainment of the enigmatic coronal rain phenomenon. We demonstrate how thermal instability can induce a spectacular display of in situ forming blob-like condensations which then start their intimate ballet on top of initially linear force-free arcades. Our magnetic arcades host a chromospheric, transition region, and coronal plasma. Following coronal rain dynamics for over 80 minutes of physical time, we collect enough statistics to quantify blob widths, lengths, velocity distributions, and other characteristics which directly match modern observational knowledge. Our virtual coronal rain displays the deformation of blobs into V-shaped features, interactions of blobs due to mostly pressure-mediated levitations, and gives the first views of blobs that evaporate in situ or are siphoned over the apex of the background arcade. Our simulations pave the way for systematic surveys of coronal rain showers in true multidimensional settings to connect parameterized heating prescriptions with rain statistics, ultimately allowing us to quantify the coronal heating input.

Coronal magnetometry

CERN Document Server

Zhang, Jie; Bastian, Timothy

2014-01-01

This volume is a collection of research articles on the subject of the solar corona, and particularly, coronal magnetism. The book was motivated by the Workshop on Coronal Magnetism: Connecting Models to Data and the Corona to the Earth, which was held 21 - 23 May 2012 in Boulder, Colorado, USA. This workshop was attended by approximately 60 researchers. Articles from this meeting are contained in this topical issue, but the topical issue also contains contributions from researchers not present at the workshop. This volume is aimed at researchers and graduate students active in solar physics. Originally published in Solar Physics, Vol. 288, Issue 2, 2013 and Vol. 289, Issue 8, 2014.

Ischemic or toxic injury: A challenging diagnosis and treatment of drug-induced stenosis of the sigmoid colon.

Science.gov (United States)

Zhang, Zong-Ming; Lin, Xiang-Chun; Ma, Li; Jin, An-Qin; Lin, Fang-Cai; Liu, Zhuo; Liu, Li-Min; Zhang, Chong; Zhang, Na; Huo, Li-Juan; Jiang, Xue-Liang; Kang, Feng; Qin, Hong-Jun; Li, Qiu-Yang; Yu, Hong-Wei; Deng, Hai; Zhu, Ming-Wen; Liu, Zi-Xu; Wan, Bai-Jiang; Yang, Hai-Yan; Liao, Jia-Hong; Luo, Xu; Li, You-Wei; Wei, Wen-Ping; Song, Meng-Meng; Zhao, Yue; Shi, Xue-Ying; Lu, Zhao-Hui

2017-06-07

A 48-year-old woman was admitted with 15-mo history of abdominal pain, diarrhea and hematochezia, and 5-mo history of defecation difficulty. She had been successively admitted to nine hospitals, with an initial diagnosis of inflammatory bowel disease with stenotic sigmoid colon. Findings from computed tomography virtual colonoscopy, radiography with meglumine diatrizoate, endoscopic balloon dilatation, metallic stent implantation and later overall colonoscopy, coupled with the newfound knowledge of compound Qingdai pill-taking, led to a subsequent diagnosis of ischemic or toxic bowel disease with sigmoid colon stenosis. The patient was successfully treated by laparoscopic sigmoid colectomy, and postoperative pathological examination revealed ischemic or toxic injury of the sigmoid colon, providing a final diagnosis of drug-induced sigmoid colon stenosis. This case highlights that adequate awareness of drug-induced colon stenosis has a decisive role in avoiding misdiagnosis and mistreatment. The diagnostic and therapeutic experiences learnt from this case suggest that endoscopic balloon expansion and colonic metallic stent implantation as bridge treatments were demonstrated as crucial for the differential diagnosis of benign colonic stenosis. Skillful surgical technique and appropriate perioperative management helped to ensure the safety of our patient in subsequent surgery after long-term use of glucocorticoids.

Case report: Stercoral sigmoid colonic perforation with fecal peritonitis

International Nuclear Information System (INIS)

Sharma, Monika; Agrawal, Anjali

2010-01-01

Chronic constipation can lead to fecal impaction. It can also rarely lead to catastrophic complications like perforation, colonic obstruction, and fecal peritonitis. We report a rare case of stercoral sigmoid colonic perforation with fecal peritonitis and pneumoperitoneum, which was diagnosed on preoperative CT scan

DIRECT OBSERVATION OF SOLAR CORONAL MAGNETIC FIELDS BY VECTOR TOMOGRAPHY OF THE CORONAL EMISSION LINE POLARIZATIONS

International Nuclear Information System (INIS)

Kramar, M.; Lin, H.; Tomczyk, S.

2016-01-01

We present the first direct “observation” of the global-scale, 3D coronal magnetic fields of Carrington Rotation (CR) Cycle 2112 using vector tomographic inversion techniques. The vector tomographic inversion uses measurements of the Fe xiii 10747 Å Hanle effect polarization signals by the Coronal Multichannel Polarimeter (CoMP) and 3D coronal density and temperature derived from scalar tomographic inversion of Solar Terrestrial Relations Observatory (STEREO)/Extreme Ultraviolet Imager (EUVI) coronal emission lines (CELs) intensity images as inputs to derive a coronal magnetic field model that best reproduces the observed polarization signals. While independent verifications of the vector tomography results cannot be performed, we compared the tomography inverted coronal magnetic fields with those constructed by magnetohydrodynamic (MHD) simulations based on observed photospheric magnetic fields of CR 2112 and 2113. We found that the MHD model for CR 2112 is qualitatively consistent with the tomography inverted result for most of the reconstruction domain except for several regions. Particularly, for one of the most noticeable regions, we found that the MHD simulation for CR 2113 predicted a model that more closely resembles the vector tomography inverted magnetic fields. In another case, our tomographic reconstruction predicted an open magnetic field at a region where a coronal hole can be seen directly from a STEREO-B/EUVI image. We discuss the utilities and limitations of the tomographic inversion technique, and present ideas for future developments

Laparoscopic anterior pelvic exenteration with sigmoid colon resection (clinical observation

Directory of Open Access Journals (Sweden)

A. O. Rasulov

2017-01-01

Full Text Available The clinical observation demonstrates a successful surgical treatment of a 61-year-old female patient K. (body mass index 38.4 diagnosed with locally advanced sigmoid colon cancer protruded into the bladder and uterus (сT4bN2M0 with formation of a colovesical fistula. The patient underwent surgical treatment in the form of laparoscopic resection of the sigmoid colon and supralevator anterior pelvic exenteration with formation of a Bricker conduit. Intraoperative blood loss was 200 ml. Postoperative period was smooth, with fast track rehabilitation; the patient was discharged on day 9. Considering cancer stage, the patient received XELOX as adjuvant chemotherapy for 6 months after the surgery. During a year of follow-up, no signs of disease progression were evident. The patient is fully socially rehabilitated.  

Takotsubo Cardiomyopathy in a Patient with Undiscovered Sigmoid Colon Cancer

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Huang Po-Yen

2017-01-01

Full Text Available Takotsubo cardiomyopathy (TTC is a stress-related cardiomyopathy that is characterized by reversible left systolic dysfunction, which appears to be precipitated by sudden emotional or physical stress in the absence of myocardial infarction. Here we present a rare case that clinically presented with intermittent abdominal pain, initially impressed as non-ST elevation myocardial infarction and congestive heart failure but with a normal coronary angiogram. Her symptoms relieved spontaneously without returning. Sigmoid colon cancer was diagnosed via colonoscopy later due to persistent abdominal discomfort. In the absence of detectable emotional or physical stress factors, the newly diagnosed sigmoid colon cancer was the only possible trigger factor of TTC. We offer this case as a reminder that cancer should be considered in the differential diagnosis of patients presenting with the etiology of TTC.

The dynamics of coronal magnetic structures

International Nuclear Information System (INIS)

Weber, W.

1978-01-01

An analysis is made of the evolution of coronal magnetic fields due to the interaction with the solar wind. An analysis of the formation of coronal streamers, arising as a result of the stretching of bipolar fields, is given. Numerical simulations of the formation of coronal streamers are presented. Fast-mode shocks as triggers of microturbulence in the solar corona are discussed

Endometriotic stricture of the sigmoid colon presenting with intestinal ...

African Journals Online (AJOL)

... to an emergency department with intestinal obstruction secondary to an endometriotic stricture of the sigmoid colon, without evidence of disease elsewhere in the peritoneal cavity. Although large-bowel obstruction is usually caused by a malignant tumour, it can sometimes result from rare causes such as endometriosis.

Evolving Coronal Holes and Interplanetary Erupting Stream ...

Indian Academy of Sciences (India)

prominences, have a significantly higher rate of occurrence in the vicinity of coronal .... coronal holes due to the birth of new holes or the growth of existing holes. .... Statistics of newly formed coronal hole areas (NFOCHA) associated with ...

A Comparison of Coronal Dimming Behavior Between XRT and AIA Data

Science.gov (United States)

King, C. A.; Weber, M.; Jibben, P.

2017-12-01

A coronal dimming is an event that takes place in the sun's atmosphere, in which a patch of bright plasma seemingly disappears leaving a dark spot. These events are often associated with other solar phenomena such as flares and coronal mass ejections. Over the lifetimes of the SDO/AIA and Hinode/XRT telescopes many of these dimmings have been observed, however very few have been studied using XRT data. For this project one event was selected, and the goal was to measure how the area of the dimming region behaved over time in relation to other events in the area. In doing this, a new objective method for determining a threshold between the dimming region and the surrounding area was developed which can now be used to analyze the area of almost any dimming region. After comparing the region's behavior over multiple wavelengths, our results support the common theory that these dimmings are caused by an evacuation of plasma due to opening magnetic field lines, rather than a sudden temperature change. Keywords: coronal, dimmings, XRT This work supported by the NSF-REU solar physics program at SAO, grant number AGS-1560313.

Sigmoid Sinus Diverticulum, Dehiscence, and Venous Sinus Stenosis: Potential Causes of Pulsatile Tinnitus in Patients with Idiopathic Intracranial Hypertension?

Science.gov (United States)

Lansley, J A; Tucker, W; Eriksen, M R; Riordan-Eva, P; Connor, S E J

2017-09-01

Pulsatile tinnitus is experienced by most patients with idiopathic intracranial hypertension. The pathophysiology remains uncertain; however, transverse sinus stenosis and sigmoid sinus diverticulum/dehiscence have been proposed as potential etiologies. We aimed to determine whether the prevalence of transverse sinus stenosis and sigmoid sinus diverticulum/dehiscence was increased in patients with idiopathic intracranial hypertension and pulsatile tinnitus relative to those without pulsatile tinnitus and a control group. CT vascular studies of patients with idiopathic intracranial hypertension with pulsatile tinnitus ( n = 42), without pulsatile tinnitus ( n = 37), and controls ( n = 75) were independently reviewed for the presence of severe transverse sinus stenosis and sigmoid sinus diverticulum/dehiscence according to published criteria. The prevalence of transverse sinus stenosis and sigmoid sinus diverticulum/dehiscence in patients with idiopathic intracranial hypertension with pulsatile tinnitus was compared with that in the nonpulsatile tinnitus idiopathic intracranial hypertension group and the control group. Further comparisons included differing degrees of transverse sinus stenosis (50% and 75%), laterality of transverse sinus stenosis/sigmoid sinus diverticulum/dehiscence, and ipsilateral transverse sinus stenosis combined with sigmoid sinus diverticulum/dehiscence. Severe bilateral transverse sinus stenoses were more frequent in patients with idiopathic intracranial hypertension than in controls ( P tinnitus within the idiopathic intracranial hypertension group. Sigmoid sinus dehiscence (right- or left-sided) was also more common in patients with idiopathic intracranial hypertension compared with controls ( P = .01), but there was no significant association with pulsatile tinnitus within the idiopathic intracranial hypertension group. While our data corroborate previous studies demonstrating increased prevalence of sigmoid sinus diverticulum

Semi-automated segmentation of the sigmoid and descending colon for radiotherapy planning using the fast marching method

International Nuclear Information System (INIS)

Losnegaard, Are; Hodneland, Erlend; Lundervold, Arvid; Hysing, Liv Bolstad; Muren, Ludvig Paul

2010-01-01

A fast and accurate segmentation of organs at risk, such as the healthy colon, would be of benefit for planning of radiotherapy, in particular in an adaptive scenario. For the treatment of pelvic tumours, a great challenge is the segmentation of the most adjacent and sensitive parts of the gastrointestinal tract, the sigmoid and descending colon. We propose a semi-automated method to segment these bowel parts using the fast marching (FM) method. Standard 3D computed tomography (CT) image data obtained from routine radiotherapy planning were used. Our pre-processing steps distinguish the intestine, muscles and air from connective tissue. The core part of our method separates the sigmoid and descending colon from the muscles and other segments of the intestine. This is done by utilizing the ability of the FM method to compute a specified minimal energy functional integrated along a path, and thereby extracting the colon centre line between user-defined control points in the sigmoid and descending colon. Further, we reconstruct the tube-shaped geometry of the sigmoid and descending colon by fitting ellipsoids to points on the path and by adding adjacent voxels that are likely voxels belonging to these bowel parts. Our results were compared to manually outlined sigmoid and descending colon, and evaluated using the Dice coefficient (DC). Tests on 11 patients gave an average DC of 0.83 (±0.07) with little user interaction. We conclude that the proposed method makes it possible to fast and accurately segment the sigmoid and descending colon from routine CT image data.

Rapid totally diverting loop sigmoid colostomy with noncontaminating rectal irrigation.

Science.gov (United States)

Sachatello, C R; Maull, K I

1977-08-01

Loop sigmoid colostomy employing a stapling device and catheter irrigation of the distal segment is less time-consuming and has lest potential for contamination than the standard double-barrel colostomy. Unlike the standard loop colostomy, it is totally diverting.

Vólvulo del sigmoides: Morbilidad; estudio de 63 pacientes

Directory of Open Access Journals (Sweden)

Eddy Sierra Enrique

1998-04-01

Full Text Available Se realiza un estudio de 63 pacientes que presentaron obstrucción intestinal por vólvulo del sigmoides, a los cuales se les trató por diferentes métodos en el Hospital Yekatit 12, de Addis Abeba, Etiopía, durante el período de agosto de 1988 a julio de 1990. Esta afección se presentó en el 87,3 % de los pacientes con más de 50 años y es la causa más frecuente de obstrucción intestinal en dicha región, pues representa el 75,0 % de la serie estudiada. Se trataron médicamente de urgencia por medio de la reducción no quirúrgica del vólvulo del sigmoides un total de 12 pacientes, para el 19,0 % de la serie; en el 75,0 % de ellos se obtuvo la reducción del vólvulo, mientras que en el 25,0 % restante se fracasó. Los resultados del tratamiento quirúrgico de urgencia por la técnica de la desvolvulación, mostraron una recurrencia del 55,5 %. La mortalidad por tratamiento médico es cero, y por tratamiento quirúrgico es 13,7 %. Dentro de las distintas formas de tratamiento quirúrgico, el de resección y anastomosis primaria presenta el 23,8 % de mortalidadA study of 63 patients who suffered from intestinal obstruction due to sigmoid volvulus is conducted. They were treated by different methods at the Yekatit 12 Hospital, in Addis Abeba, Ethiopia, from August, 1988, to July, 1990. This affection was present in 87,3 % of the patients over 50 and it is the most frequent cause of intestinal obstruction in that region, since it accounts for 75.0 % of the series studied. 12 patients were urgently treated by means of the non-surgical reduction of the sigmoid volvulus, accounting for 19.0 %. Volvulus reduction was possible in 75 % of them, where as it failed in 25 %. The results of the urgent surgical treatment by the removal of the volvulus showed a recurrence of 55.5 %. The mortality from medical treatment was null, whereas the mortality from surgical treatment was 13.7 %. Among the different forms of surgical treatment, resection and

Tubular sigmoid duplication in an adult man: an interesting incidental finding.

Science.gov (United States)

Asour, Amani; Kim, Hyun-Kyung; Arya, Shobhit; Hepworth, Clive

2017-11-12

A 61-year-old man attended an outpatient colorectal clinic for a chronic, non-specific abdominal pain, associated with rectal bleeding. He underwent a number of investigations including a CT pneumocolon, which revealed an incidental finding of 20 cm of additional sigmoid colon. This case is interesting because tubular sigmoid duplication is an extremely unusual condition, rarely diagnosed in adults; only a few cases have been reported of this condition in the adult population. Our team chose to treat this patient conservatively, in order to avoid putting the patient at risk of an unnecessary surgery. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Rupture of sigmoid colon caused by compressed air.

Science.gov (United States)

Yin, Wan-Bin; Hu, Ji-Lin; Gao, Yuan; Zhang, Xian-Xiang; Zhang, Mao-Shen; Liu, Guang-Wei; Zheng, Xue-Feng; Lu, Yun

2016-03-14

Compressed air has been generally used since the beginning of the 20(th) century for various applications. However, rupture of the colon caused by compressed air is uncommon. We report a case of pneumatic rupture of the sigmoid colon. The patient was admitted to the emergency room complaining of abdominal pain and distention. His colleague triggered a compressed air nozzle against his anus as a practical joke 2 h previously. On arrival, his pulse rate was 126 beats/min, respiratory rate was 42 breaths/min and blood pressure was 86/54 mmHg. Physical examination revealed peritoneal irritation and the abdomen was markedly distended. Computed tomography of the abdomen showed a large volume of air in the abdominal cavity. Peritoneocentesis was performed to relieve the tension pneumoperitoneum. Emergency laparotomy was done after controlling shock. Laparotomy revealed a 2-cm perforation in the sigmoid colon. The perforation was sutured and temporary ileostomy was performed as well as thorough drainage and irrigation of the abdominopelvic cavity. Reversal of ileostomy was performed successfully after 3 mo. Follow-up was uneventful. We also present a brief literature review.

A sigmoidal fit for pressure-volume curves of idiopathic pulmonary fibrosis patients on mechanical ventilation: clinical implications

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Juliana C. Ferreira

2011-01-01

Full Text Available OBJECTIVE: Respiratory pressure-volume curves fitted to exponential equations have been used to assess disease severity and prognosis in spontaneously breathing patients with idiopathic pulmonary fibrosis. Sigmoidal equations have been used to fit pressure-volume curves for mechanically ventilated patients but not for idiopathic pulmonary fibrosis patients. We compared a sigmoidal model and an exponential model to fit pressure-volume curves from mechanically ventilated patients with idiopathic pulmonary fibrosis. METHODS: Six idiopathic pulmonary fibrosis patients and five controls underwent inflation pressure-volume curves using the constant-flow technique during general anesthesia prior to open lung biopsy or thymectomy. We identified the lower and upper inflection points and fit the curves with an exponential equation, V = A-B.e-k.P, and a sigmoid equation, V = a+b/(1+e-(P-c/d. RESULTS: The mean lower inflection point for idiopathic pulmonary fibrosis patients was significantly higher (10.5 ± 5.7 cm H2O than that of controls (3.6 ± 2.4 cm H2O. The sigmoidal equation fit the pressure-volume curves of the fibrotic and control patients well, but the exponential equation fit the data well only when points below 50% of the inspiratory capacity were excluded. CONCLUSION: The elevated lower inflection point and the sigmoidal shape of the pressure-volume curves suggest that respiratory system compliance is decreased close to end-expiratory lung volume in idiopathic pulmonary fibrosis patients under general anesthesia and mechanical ventilation. The sigmoidal fit was superior to the exponential fit for inflation pressure-volume curves of anesthetized patients with idiopathic pulmonary fibrosis and could be useful for guiding mechanical ventilation during general anesthesia in this condition.

Improvements on coronal hole detection in SDO/AIA images using supervised classification

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Reiss Martin A.

2015-01-01

Full Text Available We demonstrate the use of machine learning algorithms in combination with segmentation techniques in order to distinguish coronal holes and filaments in SDO/AIA EUV images of the Sun. Based on two coronal hole detection techniques (intensity-based thresholding, SPoCA, we prepared datasets of manually labeled coronal hole and filament channel regions present on the Sun during the time range 2011–2013. By mapping the extracted regions from EUV observations onto HMI line-of-sight magnetograms we also include their magnetic characteristics. We computed shape measures from the segmented binary maps as well as first order and second order texture statistics from the segmented regions in the EUV images and magnetograms. These attributes were used for data mining investigations to identify the most performant rule to differentiate between coronal holes and filament channels. We applied several classifiers, namely Support Vector Machine (SVM, Linear Support Vector Machine, Decision Tree, and Random Forest, and found that all classification rules achieve good results in general, with linear SVM providing the best performances (with a true skill statistic of ≈ 0.90. Additional information from magnetic field data systematically improves the performance across all four classifiers for the SPoCA detection. Since the calculation is inexpensive in computing time, this approach is well suited for applications on real-time data. This study demonstrates how a machine learning approach may help improve upon an unsupervised feature extraction method.

Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss

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Brors, D. [Univ. Hospital Wuerzburg (Germany). Dept. of Oto-Rhino-Laryngology, Head- and Neck-Surgery; Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany); Schaefers, M. [Dept. of Neurology, University Hospital Wuerzburg (Germany); Schick, B.; Draf, W. [Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany); Dazert, S. [Univ. Hospital Wuerzburg (Germany). Dept. of Oto-Rhino-Laryngology, Head- and Neck-Surgery; Kahle, G. [Department of Radiology, Hospital Fulda (Germany)

2001-02-01

Sinus thrombosis has rarely been associated with closed head injury; more often, thrombosis of the sigmoid or transverse sinus is caused by otogenic inflammations or tumours, or occurs during pregnancy. Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible. (orig.)

Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss

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Brors, D [Univ. Hospital Wuerzburg (Germany). Dept. of Oto-Rhino-Laryngology, Head- and Neck-Surgery; Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany); Schaefers, M [Dept. of Neurology, University Hospital Wuerzburg (Germany); Schick, B; Draf, W [Dept. of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Klinikum Fulda (Germany); Dazert, S [Univ. Hospital Wuerzburg (Germany). Dept. of Oto-Rhino-Laryngology, Head- and Neck-Surgery; Kahle, G [Department of Radiology, Hospital Fulda (Germany)

2001-02-01

Sinus thrombosis has rarely been associated with closed head injury; more often, thrombosis of the sigmoid or transverse sinus is caused by otogenic inflammations or tumours, or occurs during pregnancy. Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible. (orig.)

Sigmoid and transverse sinus thrombosis after closed head injury presenting with unilateral hearing loss

International Nuclear Information System (INIS)

Brors, D.; Schaefers, M.; Schick, B.; Draf, W.; Dazert, S.

2001-01-01

Sinus thrombosis has rarely been associated with closed head injury; more often, thrombosis of the sigmoid or transverse sinus is caused by otogenic inflammations or tumours, or occurs during pregnancy. Symptoms are frequently vague, while untreated thrombus progression may be fatal due to venous congestion and infarction. We report a 32-year-old man presenting with right hearing loss, tinnitus and headache 2 days after a closed head injury. Neurological examination showed no additional abnormality. The EEG showed focal bifrontal slowing. CT revealed a fracture of the occipital bone. MRI and MRA demonstrated complete thrombosis of the right sigmoid and transverse sinuses. After 2 weeks of intravenous heparin therapy followed by warfarin, the patient's hearing improved and MRI and MRA showed complete recanalisation of the sigmoid and transverse sinuses. Venous sinus thrombosis can be an undetected sequel to head injury. Appropriate imaging studies should be carried out to enable therapy to be started as soon as possible. (orig.)

Sigmoid volvulus. Diagnosis and interdisciplinary treatment. Sigmavolvulus, Diagnostik und Moeglichkeit einer interdisziplinaeren Primaertherapie

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Schoen, G. (Innsbruck Univ. (Austria). Klinik fuer Radiodiagnostik); Offer, C.; Glaser, K. (Innsbruck Univ. (Austria). Klinik fuer Chirurgie 2)

1991-02-01

Sigmoid volvolus is an emergency which requires rapid diagnosis and immediate adequate treatment. Diagnosis is primarily radiological. Emergency laparotomy carries a high mortality and should therefore not be the immediate treatment. In our opinion, detorsion by colonoscopy under radiological control is a promising form of treatment. Selective resection of the sigmoid, thereby removing the cause of the abnormality, should not be forgotten, since this prevents recurrences. For this method, mortality after adequate gut preparation is only 5.4%. An exception to the above is gangrene of the bowel, when an emergency laparotomy cannot be avoided. (orig.).

PONDEROMOTIVE ACCELERATION IN CORONAL LOOPS

International Nuclear Information System (INIS)

Dahlburg, R. B.; Obenschain, K.; Laming, J. M.; Taylor, B. D.

2016-01-01

Ponderomotive acceleration has been asserted to be a cause of the first ionization potential (FIP) effect, the well-known enhancement in abundance by a factor of 3–4 over photospheric values of elements in the solar corona with FIP less than about 10 eV. It is shown here by means of numerical simulations that ponderomotive acceleration occurs in solar coronal loops, with the appropriate magnitude and direction, as a “by-product” of coronal heating. The numerical simulations are performed with the HYPERION code, which solves the fully compressible three-dimensional magnetohydrodynamic equations including nonlinear thermal conduction and optically thin radiation. Numerical simulations of coronal loops with an axial magnetic field from 0.005 to 0.02 T and lengths from 25,000 to 75,000 km are presented. In the simulations the footpoints of the axial loop magnetic field are convected by random, large-scale motions. There is a continuous formation and dissipation of field-aligned current sheets, which act to heat the loop. As a consequence of coronal magnetic reconnection, small-scale, high-speed jets form. The familiar vortex quadrupoles form at reconnection sites. Between the magnetic footpoints and the corona the reconnection flow merges with the boundary flow. It is in this region that the ponderomotive acceleration occurs. Mirroring the character of the coronal reconnection, the ponderomotive acceleration is also found to be intermittent.

PONDEROMOTIVE ACCELERATION IN CORONAL LOOPS

Energy Technology Data Exchange (ETDEWEB)

Dahlburg, R. B.; Obenschain, K. [LCP and FD, Naval Research Laboratory, Washington, DC 20375 (United States); Laming, J. M. [Space Science Division, Naval Research Laboratory, Washington, DC 20375 (United States); Taylor, B. D. [AFRL Eglin AFB, Pensacola, FL 32542 (United States)

2016-11-10

Ponderomotive acceleration has been asserted to be a cause of the first ionization potential (FIP) effect, the well-known enhancement in abundance by a factor of 3–4 over photospheric values of elements in the solar corona with FIP less than about 10 eV. It is shown here by means of numerical simulations that ponderomotive acceleration occurs in solar coronal loops, with the appropriate magnitude and direction, as a “by-product” of coronal heating. The numerical simulations are performed with the HYPERION code, which solves the fully compressible three-dimensional magnetohydrodynamic equations including nonlinear thermal conduction and optically thin radiation. Numerical simulations of coronal loops with an axial magnetic field from 0.005 to 0.02 T and lengths from 25,000 to 75,000 km are presented. In the simulations the footpoints of the axial loop magnetic field are convected by random, large-scale motions. There is a continuous formation and dissipation of field-aligned current sheets, which act to heat the loop. As a consequence of coronal magnetic reconnection, small-scale, high-speed jets form. The familiar vortex quadrupoles form at reconnection sites. Between the magnetic footpoints and the corona the reconnection flow merges with the boundary flow. It is in this region that the ponderomotive acceleration occurs. Mirroring the character of the coronal reconnection, the ponderomotive acceleration is also found to be intermittent.

Coronal Heating: Testing Models of Coronal Heating by Forward-Modeling the AIA Emission of the Ansample of Coronal Loops

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Malanushenko, A. V.

2015-12-01

We present a systemic exploration of the properties of coronal heating, by forward-modeling the emission of the ensemble of 1D quasi-steady loops. This approximations were used in many theoretical models of the coronal heating. The latter is described in many such models in the form of power laws, relating heat flux through the photosphere or volumetric heating to the strength of the magnetic field and length of a given field line. We perform a large search in the parameter space of these power laws, amongst other variables, and compare the resulting emission of the active region to that observed by AIA. We use a recently developed magnetic field model which uses shapes of coronal loops to guide the magnetic model; the result closely resembles observed structures by design. We take advantage of this, by comparing, in individual sub-regions of the active region, the emission of the active region and its synthetic model. This study allows us to rule out many theoretical models and formulate predictions for the heating models to come.

Novel Approach to Treat Uncomplicated Sigmoid Volvulus Combining Minimally Invasive Surgery with Enhanced Recovery, in a Rural Hospital in Zambia.

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van der Naald, Niels; Prins, Marloes I; Otten, Kars; Kumwenda, Dayson; Bleichrodt, Robert P

2018-06-01

In sub-Saharan Africa, sigmoid volvulus is a frequent cause of bowel obstruction. The aim of this study was to evaluate the results of acute sigmoid resection and anastomosis via a mini-laparotomy in patients with uncomplicated sigmoid volvulus, following the principles of "Enhanced Recovery After Surgery (ERAS)", in a low-resource setting. Patients with uncomplicated sigmoid volvulus were operated acutely, via a mini-laparotomy, according to the principles of ERAS. Intraoperative complications, duration of operation, morbidity, mortality and length of hospital stay were evaluated, retrospectively. From 1 March 2012 to 1 September 2017, 31 consecutive patients were treated with acute sigmoid resection and anastomosis, via a mini-laparotomy. There were 29 men and 2 women, median age 57 (range 17-92) years. Patients were operated after a median period of 4 (range 1.5-18) hours. The median duration of the operative procedure was 50 (range 30-105) minutes. Two patients died (6.3%). One patient died during an uncomplicated operation. The cause of death is unknown. One patient with a newly diagnosed HIV infection had an anastomotic dehiscence. After Hartmann's procedure, he died on the 17th post-operative day as a result of a HIV-related double-sided pneumonia, without signs of abdominal sepsis. One patient had an urinary retention and 1 patient haematuria after bladder catheter insertion. Acute sigmoid resection and primary anastomosis via a mini-laparotomy for uncomplicated sigmoid volvulus, without preoperative endoscopic decompression is a safe procedure with a low morbidity and mortality.

Double Trouble: Concurrent Sigmoid Volvulus and Gastric Volvulus in Alzheimer’s Disease.

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Ngo Choon Woon

2017-10-01

Full Text Available Background: Volvulus is the rotation of a hollow viscus either on its mesentery or upwards against its own body. Multiple gastrointestinal volvuli occurring in a single individual is extremely rare. Several reports have suggested sequential dilatation of the proximal sigmoid as the triggering factor for the development of the gastric volvulus. This is only the 4th case of concurrent sigmoid and gastric volvulus to be reported in the world and the first in Asia, making it a rare and unique learning opportunity for surgeons of all ages with varying levels of experience. Case Report: We discuss an acute presentation of concurrent sigmoid and gastric volvulus in an elderly individual with underlying Alzheimer’s disease. Despite initial endoscopic treatment, he eventually succumbed as a result of septic shock with multi-organ failure secondary to bowel ischemia. Discussion and Conclusion: The increased morbidity and mortality risk associated with the dual pathology warrants high index of suspicion and prompt management. Clinical symptoms and radiological imaging are often sufficient to reach a diagnosis. Decision to treat the patient conservatively, endoscopically or surgically would depend on the manner of presentation. The relative vascularity of all affected organs should be taken into consideration when prioritizing the order of organs to undergo de-torsion and decompression.

Case of a sigmoid colon cancer with metachronous metastases to the mesorectum and the abdominal wall

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Hadjimarcou Andreas

2010-03-01

Full Text Available Abstract Backround Sigmoid colon cancer metachronous metastases commonly occur in the liver and lungs with sporadic reports also to the spleen, stomach, thyroid gland, abdominal wall and upper urinary tract. This is a rare case of metachronous metastases invading the mesorectum and the abdominal wall. Case presentation A 72-year-old female underwent sigmoidectomy for stage I (T2N0 M0 sigmoid colon cancer in May 2008. In June 2009, an abdominal computed tomography scan revealed a tumor 2 cm in size at the lower anterior mesorectum and a second mass 2 cm in size at the anterior abdominal wall midline. Total colonoscopy showed no mucosal lesion. The serum carcinoembryonic antigen level was normal. A biopsy of the mesorectum tumor showed similar histologic characteristics with the primary tumor. Since no other site of recurrence was identified, an abdominoperineal resection was attempted. During the operation and after the removal of the incision recurrence, sinus bradycardia and signs of myocardial ischemia were noticed. A loop transverse colostomy was immediately perfomed and the operation was terminated. Postoperative cardiologic examination revealed an acute myocardium infract. Chemo-radiation of the mesorectum tumor and re-evaluation for surgical excision was decided. Conclusion Metachronous metastasis of the mesorectum from sigmoid colon cancer is extremely rare. Although patterns of lymphatic spread from rectal cancer to sigmoid colon have recently been demonstrated, there is no evidence of metachronous mesorectum invasion from sigmoid colon cancer. This could be the issue for future trials.

Critical Magnetic Field Strengths for Unipolar Solar Coronal Plumes In Quiet Regions and Coronal Holes?

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Avallone, Ellis; Tiwari, Sanjiv K.; Panesar, Navdeep K.; Moore, Ronald L.; Winebarger, Amy

2017-01-01

Coronal plumes are bright magnetic funnels that are found in quiet regions and coronal holes that extend high into the solar corona whose lifetimes can last from hours to days. The heating processes that make plumes bright involve the magnetic field at the base of the plume, but their intricacies remain mysterious. Raouafi et al. (2014) infer from observation that plume heating is a consequence of magnetic reconnection at the base, whereas Wang et al. (2016) infer that plume heating is a result of convergence of the magnetic flux at the plume's base, or base flux. Both papers suggest that the base flux in their plumes is of mixed polarity, but do not quantitatively measure the base flux or consider whether a critical magnetic field strength is required for plume production. To investigate the magnetic origins of plume heating, we track plume luminosity in the 171 Å wavelength as well as the abundance and strength of the base flux over the lifetimes of six unipolar coronal plumes. Of these, three are in coronal holes and three are in quiet regions. For this sample, we find that plume heating is triggered when convergence of the base flux surpasses a field strength of approximately 300 - 500 Gauss, and that the luminosity of both quiet region and coronal hole plumes respond similarly to the strength of the magnetic field in the base.

Evidence for the Magnetic Breakout Model in an Equatorial Coronal-hole Jet

Science.gov (United States)

Kumar, Pankaj; Karpen, Judith T.; Antiochos, Spiro K.; Wyper, Peter F.; DeVore, C. Richard; DeForest, Craig E.

2018-02-01

Small, impulsive jets commonly occur throughout the solar corona, but are especially visible in coronal holes. Evidence is mounting that jets are part of a continuum of eruptions that extends to much larger coronal mass ejections and eruptive flares. Because coronal-hole jets originate in relatively simple magnetic structures, they offer an ideal testbed for theories of energy buildup and release in the full range of solar eruptions. We analyzed an equatorial coronal-hole jet observed by the Solar Dynamics Observatory (SDO)/AIA on 2014 January 9 in which the magnetic-field structure was consistent with the embedded-bipole topology that we identified and modeled previously as an origin of coronal jets. In addition, this event contained a mini-filament, which led to important insights into the energy storage and release mechanisms. SDO/HMI magnetograms revealed footpoint motions in the primary minority-polarity region at the eruption site, but show negligible flux emergence or cancellation for at least 16 hr before the eruption. Therefore, the free energy powering this jet probably came from magnetic shear concentrated at the polarity inversion line within the embedded bipole. We find that the observed activity sequence and its interpretation closely match the predictions of the breakout jet model, strongly supporting the hypothesis that the breakout model can explain solar eruptions on a wide range of scales.

Determination of Coronal Magnetic Fields from Vector Magnetograms

Science.gov (United States)

Mikic, Zoran

1997-01-01

During the course of the present contract we developed an 'evolutionary technique' for the determination of force-free coronal magnetic fields from vector magnetograph observations. The method can successfully generate nonlinear force- free fields (with non-constant-a) that match vector magnetograms. We demonstrated that it is possible to determine coronal magnetic fields from photospheric measurements, and we applied it to vector magnetograms of active regions. We have also studied theoretical models of coronal fields that lead to disruptions. Specifically, we have demonstrated that the determination of force-free fields from exact boundary data is a well-posed mathematical problem, by verifying that the computed coronal field agrees with an analytic force-free field when boundary data for the analytic field are used; demonstrated that it is possible to determine active-region coronal magnetic fields from photospheric measurements, by computing the coronal field above active region 5747 on 20 October 1989, AR6919 on 15 November 1991, and AR7260 on 18 August 1992, from data taken with the Stokes Polarimeter at Mees Solar Observatory, University of Hawaii; started to analyze active region 7201 on 19 June 1992 using measurements made with the Advanced Stokes Polarimeter at NSO/Sac Peak; investigated the effects of imperfections in the photospheric data on the computed coronal magnetic field; documented the coronal field structure of AR5747 and compared it to the morphology of footpoint emission in a flare, showing that the 'high- pressure' H-alpha footpoints are connected by coronal field lines; shown that the variation of magnetic field strength along current-carrying field lines is significantly different from the variation in a potential field, and that the resulting near-constant area of elementary flux tubes is consistent with observations; begun to develop realistic models of coronal fields which can be used to study flare trigger mechanisms; demonstrated that

Sigmoid Colon is an Unexpected Organ at Risk in Brachytherapy for Cervix Cancer

International Nuclear Information System (INIS)

Ffrrcsi, H.F.; Mrcpfrcr, I.B.; Appleby, H.

2006-01-01

Purpose: To identify organs at risk (OAR) and analyze the dose volume histograms (DVHs) for intracavitary brachytherapy in cancer of the cervix. Late toxicities are our concern in treatment of cancer cervix especially as it is presenting in younger age population. Material and Methods: Patients with cancer of the cervix were treated using CT and MRI compatible, high dose rate, (HDR) applicators. CT images were acquired with the intra-uterine tube and colpostats in place and subsequently imported into Varian Brachyvision planning software. We identified the gross tumour volume (GTV) and organs at risk (OARs) and analyzed the dose distribution using dose volume histograms (DVHs). Doses were calculated according to ICRU 38. Critical tissue DVHs were analysed following the American Brachytherapy Society rules. Dose points are recorded as the dose encompassed by the greatest contiguous I cm3, 2 cm3, and 5 cm3 volumes in the plan. Results: We found the sigmoid colon to be a relatively immobile structure that repeatedly received doses in excess of 70% of the intended point A dose. The only solution in order to bring sigmoid DVHs within 5% toxicity limits was to reduce the dose to point A. Planning images and DVHs for the OARs are shown as an example of our work. Conclusion: The recto-sigmoid colon is identified as an unexpected OAR in a majority of cervix brachytherapy plans. A new consensus on the DVH limit of this structure will be needed in the era of CT planned brachytherapy, if arbitrary dose reductions to point A are to be the solution to the problem of sigmoid DVHs that exceed conventional tolerance limits

Appendiceal-sigmoid fistula presenting in a man with ulcerative colitis: a case report

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Minutolo Vincenzo

2010-07-01

Full Text Available Abstract Introduction Ulcerative colitis is a chronic disease characterized by diffuse mucosal inflammation limited to the colon. It mostly affects young adults, yet a large number of middle-aged and older patients with ulcerative colitis have also been reported. Case presentation A 58-year-old Caucasian man presented to our hospital in August 2006 with continuous and diffuse abdominal pain, meteorism, fever and bloody diarrhea. He had a two-year history of ulcerative colitis. Our patient was treated with intravenous medical therapy. As his condition worsened, he underwent surgery. An explorative laparotomy revealed that the entire colon was distended and pus was found around an appendiceal-sigmoid fistula. Conclusions Therapy for ulcerative colitis is a rapidly evolving field, with many new biological agents under investigation that are likely to change therapeutic strategies radically in the next decade. Indications for surgery are intractability (49%, stricture, dysplasia, toxic colitis, hemorrhage and perforation. To the best of our knowledge, this is the first case of an appendiceal-sigmoid fistula in a patient affected by ulcerative colitis reported in the literature. Fistulae between the appendix and the sigmoid tract are rarely reported in cases of diverticular disease and appendicitis.

The incidence of inclusion of the sigmoid colon and small bowel in the planning target volume in radiotherapy for prostate cancer

International Nuclear Information System (INIS)

Meerleer, G.O. de; Vakaet, L.; Neve, W.J. de; Villeirs, G.M.; Delrue, L.J.

2004-01-01

Background and purpose: in radiotherapy for prostate cancer, the rectum is considered the dose-limiting organ. The incidence of overlap between the sigmoid colon and/or small bowel and the planning target volume (PTV) as well as the dose to sigmoid colon and small bowel were investigated. Patients and methods: the CT data of 75 prostate cancer patients were analyzed. The clinical target volume (CTV) consisted of prostate and seminal vesicles. The PTV was defined as a three-dimensional expansion of the CTV with a 10-mm margin in craniocaudal and a 7-mm margin in the other directions. All patients were planned to a mean CTV dose of at least 76 Gy. Minimum CTV dose was set at 70 Gy. Dose inhomogeneity within the CTV was kept between 12% and 17%. Sigmoid colon was defined upward from the level where the rectum turned in a transverse plane. Contrast-filled small bowel was contoured on all slices where it was visible. The presence of sigmoid colon and/or small bowel in close vicinity to or overlapping with the PTV was recorded. For each case, the dose to the sigmoid colon and small bowel was calculated. Results: the PTV was found to overlap with the sigmoid colon in 60% and with the small bowel in 19% of the cases. In these patients, mean maximum dose to the sigmoid colon was 76.2 Gy (5th-95th percentile: 70.0-80.7 Gy). Mean maximum dose to the small bowel was 74.9 Gy (5th-95th percentile: 68.0-80.0 Gy). Conclusion: when systematically investigating the anatomic position of sigmoid colon and small bowel in patients accepted for prostate irradiation, parts of both organs were often observed in close vicinity to the PTV. Apart from the rectum, these organs may be dose-limiting in prostate radiotherapy. (orig.)

The incidence of inclusion of the sigmoid colon and small bowel in the planning target volume in radiotherapy for prostate cancer

Energy Technology Data Exchange (ETDEWEB)

Meerleer, G.O. de; Vakaet, L.; Neve, W.J. de [Dept. of Radiation Oncology, Gent Univ. Hospital, Gent (Belgium); Villeirs, G.M.; Delrue, L.J. [Dept. of Radiology, Gent Univ. Hospital, Gent (Belgium)

2004-09-01

Background and purpose: in radiotherapy for prostate cancer, the rectum is considered the dose-limiting organ. The incidence of overlap between the sigmoid colon and/or small bowel and the planning target volume (PTV) as well as the dose to sigmoid colon and small bowel were investigated. Patients and methods: the CT data of 75 prostate cancer patients were analyzed. The clinical target volume (CTV) consisted of prostate and seminal vesicles. The PTV was defined as a three-dimensional expansion of the CTV with a 10-mm margin in craniocaudal and a 7-mm margin in the other directions. All patients were planned to a mean CTV dose of at least 76 Gy. Minimum CTV dose was set at 70 Gy. Dose inhomogeneity within the CTV was kept between 12% and 17%. Sigmoid colon was defined upward from the level where the rectum turned in a transverse plane. Contrast-filled small bowel was contoured on all slices where it was visible. The presence of sigmoid colon and/or small bowel in close vicinity to or overlapping with the PTV was recorded. For each case, the dose to the sigmoid colon and small bowel was calculated. Results: the PTV was found to overlap with the sigmoid colon in 60% and with the small bowel in 19% of the cases. In these patients, mean maximum dose to the sigmoid colon was 76.2 Gy (5th-95th percentile: 70.0-80.7 Gy). Mean maximum dose to the small bowel was 74.9 Gy (5th-95th percentile: 68.0-80.0 Gy). Conclusion: when systematically investigating the anatomic position of sigmoid colon and small bowel in patients accepted for prostate irradiation, parts of both organs were often observed in close vicinity to the PTV. Apart from the rectum, these organs may be dose-limiting in prostate radiotherapy. (orig.)

Grave's disease with transverse and sigmoid sinus thrombosis needing surgical intervention.

Science.gov (United States)

Srikant, Banumathy; Balasubramaniam, Srikant

2013-07-01

Thrombosis of venous sinuses associated with thyrotoxicosis is rare, and isolated transverse and sigmoid sinus thrombosis is rarer and reported only once previously. We present a case of Graves disease, who suffered unilateral sigmoid and transverse sinus thrombosis with intracranial hemorrhage. A 42-year-old female, a diagnosed case of Graves disease, presented to us with headache, drowsiness, and hemiparesis. Computed Tomography revealed a large right temporo-parieto-occipital venous infarct. The patient needed surgical intervention in the form of decompressive craniotomy following which she improved, and on follow-up is having no deficits. Thrombophilia profile showed a low Protein S and Anti thrombin III (AT III) levels. Deranged thrombophilia profile in combination with the hypercoagulable state in thyrotoxicosis, most likely precipitated the thrombotic event. Timely surgical intervention can be offered in selective cases with a good clinical outcome.

Comparative study of collagen deposition in the colon wall of patients operated for sigmoid diverticular disease.

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Pantaroto, Mário; Lopes Filho, Gaspar de Jesus; Pinto, Clovis Antonio Lopes; Antico Filho, Armando

2015-10-01

To investigate the deposition of collagen in the colon wall of patients with sigmoid diverticulitis. Samples of sigmoid tissue from 15 patients (disease group), seven men and eight women aged 37-77 years who underwent surgery for the treatment of diverticulitis, were selected. For the control group, specimens from five patients, three men and two women aged 19-58 years undergoing emergency surgery for sigmoid trauma were selected. These subjects had no associated diseases. The histological study of the surgical specimens was performed by staining with hematoxylin-eosin and picrosirius and using a histochemical method for collagen quantification. Collagen deposition in the colon wall in terms of area (F), glandular epithelium (E) and total area was significantly higher in the disease group compared to control (p=0.003, p=0.026 and p=0.010, respectively). The collagen volume fraction (F fraction) and muscle tissue (M fraction) were also significantly higher compared to control (p=0.044 and p=0.026, respectively). The muscle (M area) and volume fraction of glandular epithelium (E fraction) did not differ significantly between the two groups, (p=0.074 and p=1.000, respectively). In this study, collagen deposition in the colon wall of the patients operated for sigmoid diverticulitis was higher compared to patients without the disease.

A Rare Case of Splenic Torsion with Sigmoid Volvulus in a 14-Year-Old Girl.

Science.gov (United States)

Ahmadi, Hamid; Tehrani, Mahdieh Mohammad Khan

2016-01-01

Wandering spleen is an uncommon entity in adults and has been described only rarely with sigmoid volvulus, that rarely affects children and adolescents. It is usually described in adults.Wandering spleen characterized by the abnormal location of the spleen, caused by incomplete fusion of the four primary splenic ligaments, allowing the spleen to be mobile within the abdomen.The wandering spleen can lead to torsion and subsequent splenic infarction or rupture. Clinical suspicion plus urgent investigation and intervention are important. We present a rare clinical case of acute abdomen due to torsion of wandering spleen and volvulus of sigmoid in a 14-year-old girl presented with painful periumbilical mass. Detorsion of sigmoid occurred while undergoing exploratory laparotomy and splenectomy was performed. The possibility of torsion and its complication like gastric, pancreas tail and colon volvulus should be kept in mind in the differential diagnosis of the acute abdomen to avoid serious complications.

A Rare Case of Splenic Torsion with Sigmoid Volvulus in a 14-Year-Old Girl

Directory of Open Access Journals (Sweden)

Hamid Ahmadi

2016-01-01

Full Text Available Wandering spleen is an uncommon entity in adults and has been described only rarely with sigmoid volvulus, that rarely affects children and adolescents. It is usually described in adults.Wandering spleen characterized by the abnormal location of the spleen, caused by incomplete fusion of the four primary splenic ligaments, allowing the spleen to be mobile within the abdomen.The wandering spleen can lead to torsion and subsequent splenic infarction or rupture. Clinical suspicion plus urgent investigation and intervention are important. We present a rare clinical case of acute abdomen due to torsion of wandering spleen and volvulus of sigmoid in a 14-year-old girl presented with painful periumbilical mass. Detorsion of sigmoid occurred while undergoing exploratory laparotomy and splenectomy was performed. The possibility of torsion and its complication like gastric, pancreas tail and colon volvulus should be kept in mind in the differential diagnosis of the acute abdomen to avoid serious complications.

Space weather and coronal mass ejections

CERN Document Server

Howard, Tim

2013-01-01

Space weather has attracted a lot of attention in recent times. Severe space weather can disrupt spacecraft, and on Earth can be the cause of power outages and power station failure. It also presents a radiation hazard for airline passengers and astronauts. These ""magnetic storms"" are most commonly caused by coronal mass ejections, or CMES, which are large eruptions of plasma and magnetic field from the Sun that can reach speeds of several thousand km/s. In this SpringerBrief, Space Weather and Coronal Mass Ejections, author Timothy Howard briefly introduces the coronal mass ejection, its sc

Recto-sigmoid lipoma: a case report and review of the literature

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Gholamreza Bagherzade

2017-01-01

Full Text Available Lipomas are a growth of fat cells in a fibrous capsule. They are most common in noncancerous tissues. Lipoma of rectum is uncommon and the most common sit of its origin is the perinanal region. Rarely they could cause rectal bleeding. In this study, we have reported a 53-yrs old man who had been referred to the hospital with symptoms of abdominal pain, rectal bleeding and the problem in bowel movement. Rectal prolapsed with solitary rectal were observed during the clinical observation. Colonoscopy, CT-Scan and MRI were performed for the patient and the results showed a mass suggestive to lipoma which was located in recto/sigmoid region. He underwent the surgery. Intra operative findings showed several soft masses in rectum and a large mass with dimension of 10 cm × 10 cm in sigmoid. Low anterior resection was performed for him and pathology diagnosis was lipoma. Resumo: Lipomas são um crescimento de adipócitos em uma cápsula fibrosa. Essas formações são mais comuns em tecidos não cancerosos. O lipoma do reto é de rara ocorrência, e o local mais comum para sua origem é a região perianal. Raramente essas formações podem causar sangramento retal. Nesse estudo, descrevemos um paciente, homem, 53 anos, que foi encaminhado ao hospital com sintomas de dor abdominal, sangramento retal e problemas nos movimentos intestinais. Ao exame clínico, foram observados prolapso retal com solitária do recto. Foi realizada uma colonoscopia e obtidos estudos de TC e IRM; os resultados demonstraram uma massa sugestiva de lipoma, localizada na região retossigmoide. O paciente foi encaminhado à cirurgia. Os achados intraoperatórios demonstraram várias massas macias no reto e uma grande massa que media 10 cm × 10 cm no sigmoide. Foi realizada a ressecção anterior e o diagnóstico da patologia foi lipoma. Keywords: Lipoma, Recto-sigmoid, Colorectal, Palavras-chave: Lipoma, Retossigmoide, Colorretal

Spontaneous seromuscular laceration of the sigmoid colon: a case report

OpenAIRE

Pollard, Courtney; Fransman, Ryan B.; Jessie, Timothy A.; Gurfinchel, Gregory

2015-01-01

Key Clinical Message Injury to bowel can result in high morbidity and death. Bowel injuries typically occur after external trauma to the abdomen. Bowel injury in the absence of external trauma is rare. Here, we report a 36?year?old male presenting with a sigmoid colon laceration likely due to long?standing constipation.

Laparoscopic Approach for Metachronous Cecal and Sigmoid Volvulus

Science.gov (United States)

Greenstein, Alexander J.; Zisman, Sharon R.

2010-01-01

Background: Metachronous colonic volvulus is a rare event that has never been approached laparoscopically. Methods: Here we discuss the case of a 63-year-old female with a metachronous sigmoid and cecal volvulus. Results: The patient underwent 2 separate successful laparoscopic resections. Discussion and Conclusion: The following is a discussion of the case and the laparoscopic technique, accompanied by a brief review of colonic volvulus. In experienced hands, laparoscopy is a safe approach for acute colonic volvulus. PMID:21605523

A Bayesian Approach to Period Searching in Solar Coronal Loops

Energy Technology Data Exchange (ETDEWEB)

Scherrer, Bryan; McKenzie, David [Montana State University, P.O. Box 173840 Bozeman, MT 59717-3840 (United States)

2017-03-01

We have applied a Bayesian generalized Lomb–Scargle period searching algorithm to movies of coronal loop images obtained with the Hinode X-ray Telescope (XRT) to search for evidence of periodicities that would indicate resonant heating of the loops. The algorithm makes as its only assumption that there is a single sinusoidal signal within each light curve of the data. Both the amplitudes and noise are taken as free parameters. It is argued that this procedure should be used alongside Fourier and wavelet analyses to more accurately extract periodic intensity modulations in coronal loops. The data analyzed are from XRT Observation Program 129C: “MHD Wave Heating (Thin Filters),” which occurred during 2006 November 13 and focused on active region 10293, which included coronal loops. The first data set spans approximately 10 min with an average cadence of 2 s, 2″ per pixel resolution, and used the Al-mesh analysis filter. The second data set spans approximately 4 min with a 3 s average cadence, 1″ per pixel resolution, and used the Al-poly analysis filter. The final data set spans approximately 22 min at a 6 s average cadence, and used the Al-poly analysis filter. In total, 55 periods of sinusoidal coronal loop oscillations between 5.5 and 59.6 s are discussed, supporting proposals in the literature that resonant absorption of magnetic waves is a viable mechanism for depositing energy in the corona.

Insights into the mechanics of en-échelon sigmoidal vein formation using ultra-high resolution photogrammetry and computed tomography

Science.gov (United States)

Thiele, Samuel T.; Micklethwaite, Steven; Bourke, Paul; Verrall, Michael; Kovesi, Peter

2015-08-01

Two novel techniques, photo based reconstruction (photogrammetry) and computed tomography (CT), are used to investigate the formation of an exceptional array of sigmoidal veins in a hand sample from Cape Liptrap, Southern Victoria, and to provide constraint on models for their development. The accuracies of the photogrammetric models were tested by comparison with a laser scan generated three dimensional (3D) model. The photogrammetric model was found to be accurate to at least 0.25 mm and substantially more detailed than the laser scan. A methodology was developed by which 3D structural measurements could be extracted from the photogrammetric model. This was augmented with the CT model which, through its capacity to elucidate internal structure, was used to constrain the geometry and linkage of structures within the rock volume. The photogrammetric and CT data were then combined with detailed photomicrographs to evaluate the evolution of the sigmoidal veins in the sample. The angle between the sigmoidal vein margins and an inferred shear zone, as well as the orientations of the crystal fibres, were found to imply a rotation of >27°. However coeval pressure solution seams and older veinlets in the rock bridges between the veins were only found to have rotated by ∼10°, an observation not easily explained using existing models for sigmoidal vein formation. A new model is proposed in which a significant component of sigmoidal vein geometry is due to localised dilation caused by slip on the pressure solution seams. The process involves strain partitioning onto pressure solution seams, which leads to exaggeration of sigmoidal vein geometries. If not accounted for, the apparent vein rotation due to slip partitioning introduces errors into calculations of simple shear and volume strain based on sigmoidal arrays of this type. Furthermore, the CT data demonstrated that in 3D the veins are continuous and channel-like, implying a far higher degree of connectivity and

Laparoscopic versus open resection for sigmoid diverticulitis.

Science.gov (United States)

Abraha, Iosief; Binda, Gian A; Montedori, Alessandro; Arezzo, Alberto; Cirocchi, Roberto

2017-11-25

Diverticular disease is a common condition in Western industrialised countries. Most individuals remain asymptomatic throughout life; however, 25% experience acute diverticulitis. The standard treatment for acute diverticulitis is open surgery. Laparoscopic surgery - a minimal-access procedure - offers an alternative approach to open surgery, as it is characterised by reduced operative stress that may translate into shorter hospitalisation and more rapid recovery, as well as improved quality of life. To evaluate the effectiveness of laparoscopic surgical resection compared with open surgical resection for individuals with acute sigmoid diverticulitis. We searched the following electronic databases: the Cochrane Central Register of Controlled Trials (CENTRAL; 2017, Issue 2) in the Cochrane Library; Ovid MEDLINE (1946 to 23 February 2017); Ovid Embase (1974 to 23 February 2017); clinicaltrials.gov (February 2017); and the World Health Organization (WHO) International Clinical Trials Registry (February 2017). We reviewed the bibliographies of identified trials to search for additional studies. We included randomised controlled trials comparing elective or emergency laparoscopic sigmoid resection versus open surgical resection for acute sigmoid diverticulitis. Two review authors independently selected studies, assessed the domains of risk of bias from each included trial, and extracted data. For dichotomous outcomes, we calculated risk ratios (RRs) with 95% confidence intervals (CIs). For continuous outcomes, we planned to calculate mean differences (MDs) with 95% CIs for outcomes such as hospital stay, and standardised mean differences (SMDs) with 95% CIs for quality of life and global rating scales, if researchers used different scales. Three trials with 392 participants met the inclusion criteria. Studies were conducted in three European countries (Switzerland, Netherlands, and Germany). The median age of participants ranged from 62 to 66 years; 53% to 64% were

Synchronizations in small-world networks of spiking neurons: Diffusive versus sigmoid couplings

International Nuclear Information System (INIS)

Hasegawa, Hideo

2005-01-01

By using a semianalytical dynamical mean-field approximation previously proposed by the author [H. Hasegawa, Phys. Rev. E 70, 066107 (2004)], we have studied the synchronization of stochastic, small-world (SW) networks of FitzHugh-Nagumo neurons with diffusive couplings. The difference and similarity between results for diffusive and sigmoid couplings have been discussed. It has been shown that with introducing the weak heterogeneity to regular networks, the synchronization may be slightly increased for diffusive couplings, while it is decreased for sigmoid couplings. This increase in the synchronization for diffusive couplings is shown to be due to their local, negative feedback contributions, but not due to the short average distance in SW networks. Synchronization of SW networks depends not only on their structure but also on the type of couplings

NON-INVASIVE METHODS OF THE WORK-UP FOR ASSESSMENT OF MORPHOLOGIC AND FUNCTIONAL STATE OF THE SIGMOID WALL

Directory of Open Access Journals (Sweden)

A. E. Mashkov

2015-01-01

Full Text Available Background: Prolonged colonic congestion in children with chronic constipation and dolichosigma are characterized  by a permanent imbalance of gut microflora, secondary inflammation and degeneration of the sigmoid wall. There is plenty of research papers on the optic non-invasive diagnostics in medicine, based on spectrophotometry and laser spectral analysis. Aim: To study morphologic and functional state  of the sigmoid wall for detection of inflammation  and  degeneration in the  sigmoid  wall and  optimization  of treatment of children with dolichosigma  and long-standing constipation. Materials and methods: From 2009 to 2014, 30 children with dolichosigma  were seen in the Department of Pediatric surgery of MONIKI. All patients  were  hospitalized  after unsuccessful conservative  treatment in in-patient  clinics of the Moscow Region. The children underwent a set of investigations  for objective assessment of degree of the secondary  inflammatory and degenerative abnormalities  in the sigmoid wall, such as microbiological assessment, cytological assessment and fluorescent  diagnostics.  Results:  There  was  no   caused  by dolichosigma. It maintains  chronic inflammation  and  may play an indirect  role in abnormalities  of gut  motor  function. Inflammatory and  degenerative abnormalities  were  confirmed by a cytological investigation  of wall-adjacent biopsy of the  sigma. The results of the  complex assessment showed  moderate inflammation  and degeneration in the  sigmoid wall in 20 children; subsequent conservative treatment of chronic colostasis was effective. Ten children had advanced secondary inflammatory and degenerative abnormalities of the  sigmoid  wall, with high  levels of elastin and collagen in the colon wall. Surgery was performed in 6 children with the highest degree of fibrous transformation of the sigma. Conclusion: Complex assessment of the sigmoid wall, including �

Diverticulitis of the sigmoid colon. A comparison of CT, colonic enema and laparoscopy

International Nuclear Information System (INIS)

Stefansson, T.; Univ. Hospital, Uppsala; Nyman, R.; Nilsson, S.; Ekbom, A.; Univ. Hospital, Uppsala; Paahlman, L.

1997-01-01

Purpose: To evaluate the use of laparoscopy, CT, colonic enema (CE), and laboratory tests (white blood cell count (WBC), sedimentation rate (SR), and C-reactive protein (CRP)) in diagnosing diverticulitis of the sigmoid colon. Material and Methods: The diagnostic methods were prospectively evaluated in 88 patients, 30 of whom were referred for laparoscopy. Results: Fity-two patients were found to have sigmoid diverticulitis: 20 patients by lanparoscopy, 21 by CT, and 11 by CE combined with one positive laboratory test. Laparoscopy proved to be superior to the other diagnostic methods in diagnosing diverticulitis of the sigmoid colon. CT had a high specificity (1.0; 95% CI: 0.92-1.0) but low sensitivity (0.69; 95% CI: 0.56-0.79) in detecting diverticulitis. CE had a higher sensitivity (0.82; 95% CI: 0.71-0.90) but a lower specificity (0.81; 95% CI: 0.67-0.91) than CT. Conclusion: CT was the best method for diagnosing abdominal pathology outside the colon. CT can be recommended as the first examination in seriously ill patients where abscesses and other causes of the symptoms than diverticulitis must first be rule out. Laparoscopy is probably the most accurate method in diagnosing diverticulitis. (orig.)

Synchronous volvulus of the sigmoid colon and caecum, a very rare cause of large bowel obstruction.

Science.gov (United States)

Islam, Shariful; Hosein, Devin; Bheem, Vinoo; Dan, Dilip

2016-10-14

Colonic volvulus usually occurs as a single event that can affect various parts of the colon. The usual sites affected being the sigmoid colon (75%) and the caecum (22%). The phenomenon of multiple sites simultaneously undergoing volvulus is an extremely rare occurrence. Synchronous double colonic volvulus is extremely rare and to the best of our knowledge, this is the 4th reported case of simultaneous sigmoid and caecal volvulus in the English literature. The clinical presentation and the radiological findings are that of large bowel obstruction. Classic radiological findings may not be present or may be overlooked due to its rarity. Treatment of this condition is early surgical intervention to prevent the sequalae of a colonic volvulus and its associated mortality. We report a case of an 80-year-old man with synchronous volvulus of the sigmoid colon and caecum. 2016 BMJ Publishing Group Ltd.

Acute diverticulitis of the sigmoid colon: value of ultrasound as an initial diagnostic test

International Nuclear Information System (INIS)

Garcia-Aguayo, F. J.; Gil, P. M.

2002-01-01

To assess the value of ultrasound as an initial diagnostic method in cases of acute diverticulitis. Ultrasound was carried out in 76 patients with a clinical diagnosis of acute sigmoid diverticulitis. The final diagnosis was based on the clinical course in every case, as well as on computed tomography (CT; n=46), histopathological examination (n=10), colonoscopy (n=4) and barium enema (n=2). The diagnostic criteria established for ultrasound was a thickening of the sigmoid colon wall of >4 mm and the presence of a least one of the following features: diverticular, phlegmon or abscess. The CT diagnosis was based on two indispensable findings: thickening of the sigmoid colon of>4 mm and inflammation of pericolonic fat. The final diagnosis was acute diverticulitis in 52 patients, some other disease in 18 and undetermined in 6. The sensitivities of ultrasound and CT were 81% and 94%, respectively, and their specificities were 79% and 83%, respectively. Of the 10 false negatives on ultrasound, seven corresponded to cases of simple diverticulitis and three to cases of complicated diverticulitis (two in patients with abscess and one in a patient with pneumoperitoneum). CT provided the correct diagnosis in eight of these cases, and resulted in false negatives in two cases of mild diverticulitis. Ultrasound is a valid test in the initial diagnosis of acute diverticulitis of the sigmoid colon. CT should be performed when ultrasound fails to provide a diagnosis or in cases of negative results when there is a strong clinical suspicion of diverticulitis, as well as when the possibility of complicated diverticulitis exists. (Author) 14 refs

Observational Analysis of Coronal Fans

Science.gov (United States)

Talpeanu, D.-C.; Rachmeler, L; Mierla, Marilena

2017-01-01

Coronal fans (see Figure 1) are bright observational structures that extend to large distances above the solar surface and can easily be seen in EUV (174 angstrom) above the limb. They have a very long lifetime and can live up to several Carrington rotations (CR), remaining relatively stationary for many months. Note that they are not off-limb manifestation of similarly-named active region fans. The solar conditions required to create coronal fans are not well understood. The goal of this research was to find as many associations as possible of coronal fans with other solar features and to gain a better understanding of these structures. Therefore, we analyzed many fans and created an overview of their properties. We present the results of this statistical analysis and also a case study on the longest living fan.

A single centre case series of gallstone sigmoid ileus management

Directory of Open Access Journals (Sweden)

Nicholas Farkas

2017-01-01

Conclusions: This is the first case series highlighting the differing strategies and challenges faced by clinicians managing gallstone sigmoid ileus. Conservative measures (including manual evacuation, endoscopy, lithotripsy and surgery all play important roles in relieving large bowel obstruction. It is essential to tailor care to individual patients’ needs given the complexities of this potentially life threatening condition.

Colonic involvement in celiac disease and possible implications of the sigmoid mucosa organ culture in its diagnosis.

Science.gov (United States)

Picarelli, Antonio; Di Tola, Marco; Borghini, Raffaele; Isonne, Claudia; Saponara, Annarita; Marino, Mariacatia; Casale, Rossella; Tiberti, Antonio; Pica, Roberta; Donato, Giuseppe; Frieri, Giuseppe; Corazziari, Enrico

2013-10-01

Celiac disease (CD), a systemic autoimmune disorder that typically involves duodenal mucosa, can also affect other intestinal areas. Duodenal and oral mucosa organ culture has already been demonstrated as a reliable procedure to identify CD. The present study investigated gluten-dependent immunological activation of colonic mucosa in CD patients. We took advantage of the numerous colonoscopies performed for various clinical conditions or only for defensive medicine. Forty-four patients with gastrointestinal symptoms or in need of colorectal cancer screening were divided into patients with serum anti-endomysium (EMA) and anti-tissue transglutaminase (anti-tTG) antibody positive results (Group A), patients with serum antibody negative results (Group B), and patients with inflammatory bowel disease (IBD) (Group C). The autoantibodies EMA and anti-tTG were evaluated in supernatants of cultured sigmoid and duodenal biopsies from patients on a gluten-containing diet. In Group A, EMA and anti-tTG resulted positive in all duodenal culture supernatants. In sigmoid culture supernatants, EMA and anti-tTG were detected in 12/16 (75 %) and 13/16 (81.3 %) patients, respectively. In Group B, none of the 17 patients showed EMA and anti-tTG positive results in both duodenal and sigmoid cultures. In Group C, all 11 patients presented EMA negative results in sigmoid cultures. Only in one patient, anti-tTG were detectable in the sigmoid culture supernatant, as expected in cases of IBD. Data confirm that the gluten-dependent immunological activation affects more intestinal tracts with different degrees of involvement, suggesting that the organ culture of colonic biopsies could represent a new tool to opportunistically detect CD.

The acceleration of electrons at a spherical coronal shock in a streamer-like coronal field

Energy Technology Data Exchange (ETDEWEB)

Kong, Xiangliang, E-mail: kongx@sdu.edu.cn; Chen, Yao, E-mail: yaochen@sdu.edu.cn [Shandong Provincial Key Laboratory of Optical Astronomy and Solar-Terrestrial Environment, and Institute of Space Sciences, Shandong University, Weihai, Shandong 264209 (China); Guo, Fan, E-mail: guofan.ustc@gmail.com [Theoretical Division, Los Alamos National Laboratory, Los Alamos, NM 87545 (United States)

2016-03-25

We study the effect of large-scale coronal magnetic field on the electron acceleration at a spherical coronal shock using a test-particle method. The coronal field is approximated by an analytical solution with a streamer-like magnetic field featured by partially open magnetic field and a current sheet at the equator atop the closed region. It shows that the closed field plays the role of a trapping agency of shock-accelerated electrons, allowing for repetitive reflection and acceleration, therefore can greatly enhance the shock-electron acceleration efficiency. It is found that, with an ad hoc pitch-angle scattering, electron injected in the open field at the shock flank can be accelerated to high energies as well. In addition, if the shock is faster or stronger, a relatively harder electron energy spectrum and a larger maximum energy can be achieved.

Optimizing Global Coronal Magnetic Field Models Using Image-Based Constraints

Science.gov (United States)

Jones-Mecholsky, Shaela I.; Davila, Joseph M.; Uritskiy, Vadim

2016-01-01

The coronal magnetic field directly or indirectly affects a majority of the phenomena studied in the heliosphere. It provides energy for coronal heating, controls the release of coronal mass ejections, and drives heliospheric and magnetospheric activity, yet the coronal magnetic field itself has proven difficult to measure. This difficulty has prompted a decades-long effort to develop accurate, timely, models of the field, an effort that continues today. We have developed a method for improving global coronal magnetic field models by incorporating the type of morphological constraints that could be derived from coronal images. Here we report promising initial tests of this approach on two theoretical problems, and discuss opportunities for application.

The physical structure of coronal holes

International Nuclear Information System (INIS)

Pneuman, G.W.

1978-11-01

The longitudinal geometrical structure of solar wind streams as observed at the orbit of earth is governed by two mechanisms - solar rotation and, most importantly, the geometry of the inner coronal magnetic fields. Here, we study the influence of the latter for the polar coronal hole observed by Skylab in 1973 and modeled by Munro and Jackson (1977). The influence of coronal heating on the properties of the solar wind in this geometry is also investigated. To do this, a crude exponentially damped heating function similar to that used by Kopp and Orrall (1976) is introduced into the solar wind equations. We find that increased heating produces higher temperatures in the inner corona but has little effect upon the temperature at 1 A.U. However, the density at 1 A.U. is increased significantly due to the increase in scale height. The most surprising consequence of coronal heating is its effect on the solar wind velocity, being that the velocity at 1 A.U. is actually decreased by heating in the inner corona. Physical reasons for this effect are discussed. (orig./WL) [de

Solar wind acceleration in coronal holes

International Nuclear Information System (INIS)

Kopp, R.A.

1978-01-01

Past attempts to explain the large solar wind velocities in high speed streams by theoretical models of the expansion have invoked either extended nonthermal heating of the corona, heat flux inhibition, or direct addition of momentum to the expanding coronal plasma. Several workers have shown that inhibiting the heat flux at low coronal densities is probably not adequate to explain quantitatively the observed plasma velocities in high speed streams. It stressed that, in order to account for both these large plasma velocities and the low densities found in coronal holes (from which most high speed streams are believed to emanate), extended heating by itself will not suffice. One needs a nonthermal mechanism to provide the bulk acceleration of the high wind plasma close to the sun, and the most likely candidate at present is direct addition of the momentum carried by outward-propagating waves to the expanding corona. Some form of momentum addition appears to be absolutely necessary if one hopes to build quantitatively self-consistent models of coronal holes and high speed solar wind streams

Space- and Ground-based Coronal Spectro-Polarimetry

Science.gov (United States)

Fineschi, Silvano; Bemporad, Alessandro; Rybak, Jan; Capobianco, Gerardo

This presentation gives an overview of the near-future perspectives of ultraviolet and visible-light spectro-polarimetric instrumentation for probing coronal magnetism from space-based and ground-based observatories. Spectro-polarimetric imaging of coronal emission-lines in the visible-light wavelength-band provides an important diagnostics tool of the coronal magnetism. The interpretation in terms of Hanle and Zeeman effect of the line-polarization in forbidden emission-lines yields information on the direction and strength of the coronal magnetic field. As study case, this presentation will describe the Torino Coronal Magnetograph (CorMag) for the spectro-polarimetric observation of the FeXIV, 530.3 nm, forbidden emission-line. CorMag - consisting of a Liquid Crystal (LC) Lyot filter and a LC linear polarimeter - has been recently installed on the Lomnicky Peak Observatory 20cm Zeiss coronagraph. The preliminary results from CorMag will be presented. The linear polarization by resonance scattering of coronal permitted line-emission in the ultraviolet (UV)can be modified by magnetic fields through the Hanle effect. Space-based UV spectro-polarimeters would provide an additional tool for the disgnostics of coronal magnetism. As a case study of space-borne UV spectro-polarimeters, this presentation will describe the future upgrade of the Sounding-rocket Coronagraphic Experiment (SCORE) to include the capability of imaging polarimetry of the HI Lyman-alpha, 121.6 nm. SCORE is a multi-wavelength imager for the emission-lines, HeII 30.4 nm and HI 121.6 nm, and visible-light broad-band emission of the polarized K-corona. SCORE has flown successfully in 2009. This presentation will describe how in future re-flights SCORE could observe the expected Hanle effect in corona with a HI Lyman-alpha polarimeter.

Coronal rain in magnetic bipolar weak fields

Science.gov (United States)

Xia, C.; Keppens, R.; Fang, X.

2017-07-01

Aims: We intend to investigate the underlying physics for the coronal rain phenomenon in a representative bipolar magnetic field, including the formation and the dynamics of coronal rain blobs. Methods: With the MPI-AMRVAC code, we performed three dimensional radiative magnetohydrodynamic (MHD) simulation with strong heating localized on footpoints of magnetic loops after a relaxation to quiet solar atmosphere. Results: Progressive cooling and in-situ condensation starts at the loop top due to radiative thermal instability. The first large-scale condensation on the loop top suffers Rayleigh-Taylor instability and becomes fragmented into smaller blobs. The blobs fall vertically dragging magnetic loops until they reach low-β regions and start to fall along the loops from loop top to loop footpoints. A statistic study of the coronal rain blobs finds that small blobs with masses of less than 1010 g dominate the population. When blobs fall to lower regions along the magnetic loops, they are stretched and develop a non-uniform velocity pattern with an anti-parallel shearing pattern seen to develop along the central axis of the blobs. Synthetic images of simulated coronal rain with Solar Dynamics Observatory Atmospheric Imaging Assembly well resemble real observations presenting dark falling clumps in hot channels and bright rain blobs in a cool channel. We also find density inhomogeneities during a coronal rain "shower", which reflects the observed multi-stranded nature of coronal rain. Movies associated to Figs. 3 and 7 are available at http://www.aanda.org

THE CORONAL ABUNDANCES OF MID-F DWARFS

International Nuclear Information System (INIS)

Wood, Brian E.; Laming, J. Martin

2013-01-01

A Chandra spectrum of the moderately active nearby F6 V star π 3 Ori is used to study the coronal properties of mid-F dwarfs. We find that π 3 Ori's coronal emission measure distribution is very similar to those of moderately active G and K dwarfs, with an emission measure peak near log T = 6.6 seeming to be ubiquitous for such stars. In contrast to coronal temperature, coronal abundances are known to depend on spectral type for main sequence stars. Based on this previously known relation, we expected π 3 Ori's corona to exhibit an extremely strong ''first ionization potential (FIP) effect'', a phenomenon first identified on the Sun where elements with low FIP are enhanced in the corona. We instead find that π 3 Ori's corona exhibits a FIP effect essentially identical to that of the Sun and other early G dwarfs, perhaps indicating that the increase in FIP bias toward earlier spectral types stops or at least slows for F stars. We find that π 3 Ori's coronal characteristics are significantly different from two previously studied mid-F stars, Procyon (F5 IV-V) and τ Boo (F7 V). We believe π 3 Ori is more representative of the coronal characteristics of mid-F dwarfs, with Procyon being different because of luminosity class, and τ Boo being different because of the effects of one of two close companions, one stellar (τ Boo B: M2 V) and one planetary.

Recurrent sigmoid volvulus - early resection may obviate later emergency surgery and reduce morbidity and mortality.

LENUS (Irish Health Repository)

Larkin, J O

2012-01-31

INTRODUCTION: Acute sigmoid volvulus is a well recognised cause of acute large bowel obstruction. PATIENTS AND METHODS: We reviewed our unit\\'s experience with non-operative and operative management of this condition. A total of 27 patients were treated for acute sigmoid volvulus between 1996 and 2006. In total, there were 62 separate hospital admissions. RESULTS: Eleven patients were managed with colonoscopic decompression alone. The overall mortality rate for non-operative management was 36.4% (4 of 11 patients). Fifteen patients had operative management (five semi-elective following decompression, 10 emergency). There was no mortality in the semi-elective cohort and one in the emergency surgery group. The overall mortality for surgery was 6% (1 of 15). Five of the seven patients managed with colonoscopic decompression alone who survived were subsequently re-admitted with sigmoid volvulus (a 71.4% recurrence rate). The six deaths in our overall series each occurred in patients with established gangrene of the bowel. With early surgical intervention before the onset of gangrene, however, good outcomes may be achieved, even in patients apparently unsuitable for elective surgery. Eight of the 15 operatively managed patients were considered to be ASA (American Society of Anesthesiologists) grade 4. There was no postoperative mortality in this group. CONCLUSIONS: Given the high rate of recurrence of sigmoid volvulus after initial successful non-operative management and the attendant risks of mortality from gangrenous bowel developing with a subsequent volvulus, it is our contention that all patients should be considered for definitive surgery after initial colonoscopic decompression, irrespective of the ASA score.

Level of arterial ligation in sigmoid colon and rectal cancer surgery.

Science.gov (United States)

Yasuda, Koji; Kawai, Kazushige; Ishihara, Soichiro; Murono, Koji; Otani, Kensuke; Nishikawa, Takeshi; Tanaka, Toshiaki; Kiyomatsu, Tomomichi; Hata, Keisuke; Nozawa, Hiroaki; Yamaguchi, Hironori; Aoki, Shigeo; Mishima, Hideyuki; Maruyama, Tsunehiko; Sako, Akihiro; Watanabe, Toshiaki

2016-04-01

Curative resection of sigmoid colon and rectal cancer includes "high tie" of the inferior mesenteric artery (IMA). However, IMA ligation compromises blood flow to the anastomosis, which may increase the leakage rate, and it is unclear whether this confers a survival advantage. Accordingly, the IMA may be ligated at a point just below the origin of the left colic artery (LCA) "low tie" combined with lymph node dissection (LND) around the origin of the IMA (low tie with LND). However, no study has investigated the detailed prognostic results between "high tie" and "low tie with LND." The aim of this study was to assess the utility of "low tie with LND" on survival in patients with sigmoid colon or rectal cancer. A total of 189 sigmoid colon or rectal cancer patients who underwent curative operation from 1997 to 2007 were enrolled in this study. The patient's medical records were reviewed to obtain clinicopathological information. Overall survival (OS) and relapse-free survival (RFS) rates were calculated using the Kaplan-Meier method, with differences assessed using log-rank test. Forty-two and 147 patients were ligated at the origin of the IMA (high tie) and just below the origin of the LCA combined with LND around the origin of the IMA (low tie with LND), respectively. No significant differences were observed in the complication rate and OS and RFS rates in the two groups. Further, no significant difference was observed in the OS and RFS rates in the lymph node-positive cases in the two groups. "Low tie with LND" is anatomically less invasive and is not inferior to "high tie" with prognostic point of view.

New Evidence that Magnetoconvection Drives Solar–Stellar Coronal Heating

Energy Technology Data Exchange (ETDEWEB)

Tiwari, Sanjiv K.; Panesar, Navdeep K.; Moore, Ronald L.; Winebarger, Amy R. [NASA Marshall Space Flight Center, Mail Code ST 13, Huntsville, AL 35812 (United States); Thalmann, Julia K., E-mail: sanjivtiwari80@gmail.com [Institute of Physics/IGAM, University of Graz, Universittsplatz 5/II, A-8010 Graz (Austria)

2017-07-10

How magnetic energy is injected and released in the solar corona, keeping it heated to several million degrees, remains elusive. Coronal heating generally increases with increasing magnetic field strength. From a comparison of a nonlinear force-free model of the three-dimensional active region coronal field to observed extreme-ultraviolet loops, we find that (1) umbra-to-umbra coronal loops, despite being rooted in the strongest magnetic flux, are invisible, and (2) the brightest loops have one foot in an umbra or penumbra and the other foot in another sunspot’s penumbra or in unipolar or mixed-polarity plage. The invisibility of umbra-to-umbra loops is new evidence that magnetoconvection drives solar-stellar coronal heating: evidently, the strong umbral field at both ends quenches the magnetoconvection and hence the heating. Broadly, our results indicate that depending on the field strength in both feet, the photospheric feet of a coronal loop on any convective star can either engender or quench coronal heating in the loop’s body.

Coronal Mass Ejections An Introduction

CERN Document Server

Howard, Timothy

2011-01-01

In times of growing technological sophistication and of our dependence on electronic technology, we are all affected by space weather. In its most extreme form, space weather can disrupt communications, damage and destroy spacecraft and power stations, and increase radiation exposure to astronauts and airline passengers. Major space weather events, called geomagnetic storms, are large disruptions in the Earth’s magnetic field brought about by the arrival of enormous magnetized plasma clouds from the Sun. Coronal mass ejections (CMEs) contain billions of tons of plasma and hurtle through space at speeds of several million miles per hour. Understanding coronal mass ejections and their impact on the Earth is of great interest to both the scientific and technological communities. This book provides an introduction to coronal mass ejections, including a history of their observation and scientific revelations, instruments and theory behind their detection and measurement, and the status quo of theories describing...

Vólvulo del sigmoides: Morbilidad y mortalidad. Estudio de 63 pacientes

Directory of Open Access Journals (Sweden)

Eddy Sierra Enrique

1997-08-01

Full Text Available Se realiza un estudio de 63 pacientes que presentaron obstrucción intestinal por vólvulo del sigmoides, los cuales fueron tratados por diferentes métodos en el Hospital Yekatit 12, de Addis Abeba, Etiopía, durante el período de agosto de 1988 a julio de 1990. Esta afección se presentó en el 87,3 % de los pacientes con más de 50 años y es la causa más frecuente de obstrucción intestinal en dicha región, pues representa el 75,0 % de la serie estudiada. Se trataron médicamente de urgencia por medio de la reducción no quirúrgica del vólvulo del sigmoides un total de 12 pacientes, para el 19,0 % de la serie; en el 75,0 % de ellos se obtuvo la reducción del vólvulo, mientras que en el 25,0 % restante se fracasó. Los resultados del tratamiento quirúrgico de urgencia por la técnica de la desvolvulación, mostraron una recurrencia del 55,5 %. La mortalidad por tratamiento médico es cero, y por tratamiento quirúrgico es de 13,7 %. Dentro de las distintas formas de tratamiento quirúrgico, el de resección y anastomosis primaria presenta el 23,8 % de mortalidadA study of 63 patients presenting with intestinal obstruction due to a volvulus of the sigmoid is carried out. Patients were treated by different methods at Yekatit 12 hospital, Addis Abeba, Ethiopia from August, 1988 to July, 1990. This entity occurred in 87,3 % of patients over 50 years of age and it is the most frequent cause for intestinal obstruction in the region accounting for 75.0 % of the series studies. Twelve patients (19.0 % of the series were treated by nonsurgical reduction of the volvulus of the sigmoid; in 75.0 % of them the reduction of the volvulus was satisfactory, while in 25.0 % the results failed to be good. Results from the emergency surgical treatment by disvolvulation showed a recurrence rate of 55.5 %. Mortality from medical treatment is null, while mortality from surgical treatment is found to be 13.7 %. Among the different forms of surgical treatment

Reconstructive treatment of dural arteriovenous fistulas of the transverse and sigmoid sinus: transvenous angioplasty and stent deployment

International Nuclear Information System (INIS)

Liebig, T.; Henkes, H.; Brew, S.; Miloslavski, E.; Kuehne, D.; Kirsch, M.

2005-01-01

Various techniques for the endovascular treatment of dural arteriovenous fistulas (dAVFs) of the transverse and sigmoid sinus have recently evolved. Transvenous coil occlusion of the involved segment and transarterial embolization of the feeding arteries with liquid agents are the commonest treatments utilized. However, with respect to venous hypertension as the probable pathogenic cause of this disorder, a nonocclusive or remodeling technique might be preferable. We will present a series involving four patients, treated with transvenous angioplasty and stent deployment as a definitive treatment of dAVFs of the transverse and sigmoid sinus. This method was used as a primary treatment or as an adjunct to previous noncurative transarterial n-butyl cyanoacrylate and particle embolization. In three of the four cases, complete occlusion of the fistula was achieved with confirmation of occlusion seen on follow-up angiographical studies. In one case a negligible and nonsymptomatic remnant of the fistula fed by the tentorial artery was left untreated. From our experience, we conclude that transvenous stent deployment is an alternative to traditional concepts. Additionally, the pathological theory of dAVFs in this region located in venous pouches of the sinus wall is supported by the fact that they can be occluded by mechanical compression during angioplasty and subsequently maintained by a stent. (orig.)

Free Magnetic Energy and Coronal Heating

Science.gov (United States)

Winebarger, Amy; Moore, Ron; Falconer, David

2012-01-01

Previous work has shown that the coronal X-ray luminosity of an active region increases roughly in direct proportion to the total photospheric flux of the active region's magnetic field (Fisher et al. 1998). It is also observed, however, that the coronal luminosity of active regions of nearly the same flux content can differ by an order of magnitude. In this presentation, we analyze 10 active regions with roughly the same total magnetic flux. We first determine several coronal properties, such as X-ray luminosity (calculated using Hinode XRT), peak temperature (calculated using Hinode EIS), and total Fe XVIII emission (calculated using SDO AIA). We present the dependence of these properties on a proxy of the free magnetic energy of the active region

Treatment planning for adenocarcinoma of the rectum and sigmoid: a patterns of care study

International Nuclear Information System (INIS)

Kline, Robert W.; Smith, Alfred R.; Coia, Lawrence R.; Owen, Jean B.; Hanlon, Alexandra; Wallace, Marsha; Hanks, Gerald

1997-01-01

Purpose: To conduct a study of the process of treatment planning and treatment of adenocarcinoma of the rectum and sigmoid in the United States, and to compare survey results to consensus guidelines. Methods and Materials: A consensus committee developed guidelines for the radiotherapeutic management of adenocarcinoma of the rectum and sigmoid, and also developed a survey form that was used to gather data to evaluate the practice patterns for patients treated in 1989 and 1990 against the consensus guidelines. Seventy-three facilities were randomly selected for site visits from the 1321 radiation therapy facilities in the US: 21 academic, 26 hospital based, and 26 free standing. During the site visits, the radiotherapy records were examined by the surveyor physicist and radiation oncologist to extract and record the required data. Data collected included items related to treatment specific parameters, including treatment planning considerations. Analyses included stratification as to the types of institutions, academic, hospital based, or free standing. Results: For many treatment parameters there are discrepancies between the patterns of practice determined by the surveys and the consensus guidelines for radiotherapy treatment of adenocarcinoma of the rectum and sigmoid. Significant differences in practice among the stratified institution types were found in only a few parameters

Cancer and diverticulitis of the sigmoid colon. Differentiation with computed tomography versus magnetic resonance imaging - Preliminary experiences

Energy Technology Data Exchange (ETDEWEB)

Oeistaemoe, Emma; Hjern, Fredrik; Abraham-Nordling, Mirna [Dept. of Clinical Sciences, Div. of Surgery, Danderyd Hospital, Karolinska Institutet, Stockholm (Sweden)], e-mail: mirna.abraham.nordling@ki.se; Blomqvist, Lennart [Dept. of Diagnostic Radiology, Dept. of Molecular Medicine and Surgery Karolinska Univ. Hospital Solna and Karolinska Institutet, Stockholm (Sweden); Von Heijne, Anders [Dept. of Clinical Sciences, Div. of Radiology, Danderyd Hospital, Karolinska Institutet, Stockholm (Sweden)

2013-04-15

Background: Both colon cancer and diverticular disease are common in the Western world. A challenge when patients present with clinical findings is that both diseases can present with symptoms that may mimic the other. Purpose: To determine whether magnetic resonance imaging (MRI) could be helpful to differentiate between diverticulitis and cancer of the sigmoid colon compared to the differentiation offered by evaluation of multidetector computed tomography (CT) in a clinical situation. Material and Methods: Thirty patients were consecutively included. Fifteen patients were under work-up for a recently diagnosed sigmoid cancer and 15 patients had recently been treated in hospital due to first-time acute sigmoid diverticulitis. All patients underwent CT, T2- weighted MRI and diffusion-weighted MRI. Anonymized examinations were retrospectively presented in random order to one experienced radiologist. Results: With contrast-enhanced CT, the sensitivity and specificity for diagnosis of cancer and diverticulitis were 66.7% (10/15) and 93.3% (14/15), respectively. Using T2-weighted and diffusion-weighted MR images, the sensitivity and specificity for diagnosis of cancer and diverticulitis were 100% (14/14) and 100% (14/14), respectively. Conclusion: MRI provides information that may contribute to improve the differentiation between sigmoid cancer and diverticulitis that is offered by CT. These encouraging results need to be confirmed in a larger study.

Cancer and diverticulitis of the sigmoid colon. Differentiation with computed tomography versus magnetic resonance imaging - Preliminary experiences

International Nuclear Information System (INIS)

Oeistaemoe, Emma; Hjern, Fredrik; Abraham-Nordling, Mirna; Blomqvist, Lennart; Von Heijne, Anders

2013-01-01

Background: Both colon cancer and diverticular disease are common in the Western world. A challenge when patients present with clinical findings is that both diseases can present with symptoms that may mimic the other. Purpose: To determine whether magnetic resonance imaging (MRI) could be helpful to differentiate between diverticulitis and cancer of the sigmoid colon compared to the differentiation offered by evaluation of multidetector computed tomography (CT) in a clinical situation. Material and Methods: Thirty patients were consecutively included. Fifteen patients were under work-up for a recently diagnosed sigmoid cancer and 15 patients had recently been treated in hospital due to first-time acute sigmoid diverticulitis. All patients underwent CT, T2- weighted MRI and diffusion-weighted MRI. Anonymized examinations were retrospectively presented in random order to one experienced radiologist. Results: With contrast-enhanced CT, the sensitivity and specificity for diagnosis of cancer and diverticulitis were 66.7% (10/15) and 93.3% (14/15), respectively. Using T2-weighted and diffusion-weighted MR images, the sensitivity and specificity for diagnosis of cancer and diverticulitis were 100% (14/14) and 100% (14/14), respectively. Conclusion: MRI provides information that may contribute to improve the differentiation between sigmoid cancer and diverticulitis that is offered by CT. These encouraging results need to be confirmed in a larger study

FLARE-GENERATED TYPE II BURST WITHOUT ASSOCIATED CORONAL MASS EJECTION

Energy Technology Data Exchange (ETDEWEB)

Magdalenic, J.; Marque, C.; Zhukov, A. N. [Solar-Terrestrial Center of Excellence, SIDC, Royal Observatory of Belgium, Avenue Circulaire 3, B-1180 Brussels (Belgium); Vrsnak, B. [Hvar Observatory, Faculty of Geodesy, Kaciceva 26, HR-10000 Zagreb (Croatia); Veronig, A., E-mail: Jasmina.Magdalenic@oma.be [IGAM/Kanzelhoehe Observatory, Institut of Physics, Universitaet Graz, Universitaetsplatz 5, A-8010 Graz (Austria)

2012-02-20

We present a study of the solar coronal shock wave on 2005 November 14 associated with the GOES M3.9 flare that occurred close to the east limb (S06 Degree-Sign E60 Degree-Sign ). The shock signature, a type II radio burst, had an unusually high starting frequency of about 800 MHz, indicating that the shock was formed at a rather low height. The position of the radio source, the direction of the shock wave propagation, and the coronal electron density were estimated using Nancay Radioheliograph observations and the dynamic spectrum of the Green Bank Solar Radio Burst Spectrometer. The soft X-ray, H{alpha}, and Reuven Ramaty High Energy Solar Spectroscopic Imager observations show that the flare was compact, very impulsive, and of a rather high density and temperature, indicating a strong and impulsive increase of pressure in a small flare loop. The close association of the shock wave initiation with the impulsive energy release suggests that the impulsive increase of the pressure in the flare was the source of the shock wave. This is supported by the fact that, contrary to the majority of events studied previously, no coronal mass ejection was detected in association with the shock wave, although the corresponding flare occurred close to the limb.

Measurements of EUV coronal holes and open magnetic flux

International Nuclear Information System (INIS)

Lowder, C.; Qiu, J.; Leamon, R.; Liu, Y.

2014-01-01

Coronal holes are regions on the Sun's surface that map the footprints of open magnetic field lines. We have developed an automated routine to detect and track boundaries of long-lived coronal holes using full-disk extreme-ultraviolet (EUV) images obtained by SOHO/EIT, SDO/AIA, and STEREO/EUVI. We measure coronal hole areas and magnetic flux in these holes, and compare the measurements with calculations by the potential field source surface (PFSS) model. It is shown that, from 1996 through 2010, the total area of coronal holes measured with EIT images varies between 5% and 17% of the total solar surface area, and the total unsigned open flux varies between (2-5)× 10 22 Mx. The solar cycle dependence of these measurements is similar to the PFSS results, but the model yields larger hole areas and greater open flux than observed by EIT. The AIA/EUVI measurements from 2010-2013 show coronal hole area coverage of 5%-10% of the total surface area, with significant contribution from low latitudes, which is under-represented by EIT. AIA/EUVI have measured much enhanced open magnetic flux in the range of (2-4)× 10 22 Mx, which is about twice the flux measured by EIT, and matches with the PFSS calculated open flux, with discrepancies in the location and strength of coronal holes. A detailed comparison between the three measurements (by EIT, AIA-EUVI, and PFSS) indicates that coronal holes in low latitudes contribute significantly to the total open magnetic flux. These low-latitude coronal holes are not well measured with either the He I 10830 line in previous studies, or EIT EUV images; neither are they well captured by the static PFSS model. The enhanced observations from AIA/EUVI allow a more accurate measure of these low-latitude coronal holes and their contribution to open magnetic flux.

The benefit of an enhanced recovery programme following elective laparoscopic sigmoid colectomy.

LENUS (Irish Health Repository)

Al Chalabi, Hasan

2012-02-01

BACKGROUND: Enhanced recovery programmes (ERPs) have demonstrated reduced morbidity and length of hospital stay in patients undergoing open elective colorectal resections. The application of laparoscopic techniques to colorectal surgery is associated with shorter length of stay and morbidity compared to open resections. In the setting of laparoscopic surgery, it is unclear whether there is an additive effect on length of stay and morbidity by combining these. The current study addresses the benefit of an ERP (RAPID protocol) in a cohort of matched patients undergoing laparoscopic sigmoid colon resection MATERIALS AND METHODS: Consecutive patients over a 40-month period who underwent laparoscopic sigmoid colon resection were assigned either to the RAPID protocol (group 1) or traditional post operative care (group 2) in a non-randomised manner. Analysis was on an "intention to treat" basis. Primary and secondary endpoints were identified; primary endpoints included length of hospital stay and readmission rate. Secondary endpoints included morbidity and mortality rate. RESULTS: Seventy-three consecutive patients were included. Group 1 included 37 patients. Group 2 included 36 patients. Median length of hospital stay in groups 1 and 2 was 5 and 8 days, respectively (p = 0.01). Readmission rate in groups 1 and 2 was 8.1% and 8.3%, respectively (p = 0.98). Morbidity rate in groups 1 and 2 was 30% and 22%, respectively (p = 0.61); there was one mortality in each group. CONCLUSION: The application of the ERP (RAPID) to patients undergoing laparoscopic sigmoid colon resection results in a significant improvement in length of hospital stay, with comparable morbidity and readmission rates.

A Case of Urethral Metastasis from Sigmoid Colon Cancer Diagnostically and Prognostically Indicated by F 18 FDG PET/CT

Energy Technology Data Exchange (ETDEWEB)

Seo, Han Seok; Kim, Eun Sil; Kim, Soyon; Im, Su Jin; Park, Yong Hyun; Lee, Ju Hyoung; Hur, So Chong [National Police Hospital, Seoul (Korea, Republic of)

2011-12-15

Urethral metastasis from colorectal cancer is rare and is known to have a poor prognosis. A 72 year old man with a history of colectomy and colostomy due to sigmoid colon cancer was admitted to the emergency room with bowel distension, rectal bleeding and urinary symptoms. Computed tomography of the abdominopelvis showed sigmoid colon cancer with multiple metastases involving the liver. Positron emission tomography with F 18 fluorodeoxyglucose (FDG) showed multiple hypermetabolic foci in the liver, penis and pubic bone, which otherwise could not be diagnosed. The lesions revealed no improvement with chemotherapy and urological surgery on follow up F 18 FDG PET/CT. We present a case of urethral metastasis of sigmoid colon cancer diagnostically and prognostically indicated by F 18 FDG PET/CT.

A Case of Urethral Metastasis from Sigmoid Colon Cancer Diagnostically and Prognostically Indicated by F 18 FDG PET/CT

International Nuclear Information System (INIS)

Seo, Han Seok; Kim, Eun Sil; Kim, Soyon; Im, Su Jin; Park, Yong Hyun; Lee, Ju Hyoung; Hur, So Chong

2011-01-01

Urethral metastasis from colorectal cancer is rare and is known to have a poor prognosis. A 72 year old man with a history of colectomy and colostomy due to sigmoid colon cancer was admitted to the emergency room with bowel distension, rectal bleeding and urinary symptoms. Computed tomography of the abdominopelvis showed sigmoid colon cancer with multiple metastases involving the liver. Positron emission tomography with F 18 fluorodeoxyglucose (FDG) showed multiple hypermetabolic foci in the liver, penis and pubic bone, which otherwise could not be diagnosed. The lesions revealed no improvement with chemotherapy and urological surgery on follow up F 18 FDG PET/CT. We present a case of urethral metastasis of sigmoid colon cancer diagnostically and prognostically indicated by F 18 FDG PET/CT.

Invading of intrauterine contraceptive device into the sigmoid colon through uterine perforation caused by a blunt trauma.

Science.gov (United States)

Davoodabadi, Abdoulhossein; Mohammadzadeh, Mahdi; Amirbeigi, Mahdieh; Jazayeri, Hoda

2015-01-01

Intrauterine contraceptive device (IUCD) is relatively safe but still with some serious risks. Uterus perforation is rare and would be fatal. A case of Cu-7 IUCD invading into the sigmoid colon through uterine perforation caused by a pelvic blunt trauma was presented. Our case showed that uterus perforation by an IUCD could induce utero-sigmoid fistula which is likely to be missed. Imaging is required when the patients with IUCD present abdominal pain, particularly with a history of trauma.

DARK JETS IN SOLAR CORONAL HOLES

Energy Technology Data Exchange (ETDEWEB)

Young, Peter R. [College of Science, George Mason University, 4400 University Drive, Fairfax, VA 22030 (United States)

2015-03-10

A new solar feature termed a dark jet is identified from observations of an extended solar coronal hole that was continuously monitored for over 44 hr by the Extreme Ultraviolet Imaging Spectrometer on board the Hinode spacecraft in 2011 February 8–10 as part of Hinode Operation Plan No. 177 (HOP 177). Line of sight (LOS) velocity maps derived from the coronal Fe xii λ195.12 emission line, formed at 1.5 MK, revealed a number of large-scale, jet-like structures that showed significant blueshifts. The structures had either weak or no intensity signal in 193 Å filter images from the Atmospheric Imaging Assembly on board the Solar Dynamics Observatory, suggesting that the jets are essentially invisible to imaging instruments. The dark jets are rooted in bright points and occur both within the coronal hole and at the quiet Sun–coronal hole boundary. They exhibit a wide range of shapes, from narrow columns to fan-shaped structures, and sometimes multiple jets are seen close together. A detailed study of one dark jet showed LOS speeds increasing along the jet axis from 52 to 107 km s{sup −1} and a temperature of 1.2–1.3 MK. The low intensity of the jet was due either to a small filling factor of 2% or to a curtain-like morphology. From the HOP 177 sample, dark jets are as common as regular coronal hole jets, but their low intensity suggests a mass flux around two orders of magnitude lower.

Nonlinear Force-free Field Extrapolation of a Coronal Magnetic Flux Rope Supporting a Large-scale Solar Filament from a Photospheric Vector Magnetogram

Science.gov (United States)

Jiang, Chaowei; Wu, S. T.; Feng, Xueshang; Hu, Qiang

2014-05-01

Solar filaments are commonly thought to be supported in magnetic dips, in particular, in those of magnetic flux ropes (FRs). In this Letter, based on the observed photospheric vector magnetogram, we implement a nonlinear force-free field (NLFFF) extrapolation of a coronal magnetic FR that supports a large-scale intermediate filament between an active region and a weak polarity region. This result is a first, in the sense that current NLFFF extrapolations including the presence of FRs are limited to relatively small-scale filaments that are close to sunspots and along main polarity inversion lines (PILs) with strong transverse field and magnetic shear, and the existence of an FR is usually predictable. In contrast, the present filament lies along the weak-field region (photospheric field strength barbs very well, which strongly supports the FR-dip model for filaments. The filament is stably sustained because the FR is weakly twisted and strongly confined by the overlying closed arcades.

Solar Wind Associated with Near Equatorial Coronal Hole M ...

Indian Academy of Sciences (India)

2015-05-25

May 25, 2015 ... coronal hole and solar wind. For both the wavelength bands, we also com- pute coronal hole radiative energy near the earth and it is found to be of similar order as that of solar wind energy. However, for the wavelength. 193 Å, owing to almost similar magnitudes of energy emitted by coronal hole and ...

Coronal Magnetism and Forward Solarsoft Idl Package

Science.gov (United States)

Gibson, S. E.

2014-12-01

The FORWARD suite of Solar Soft IDL codes is a community resource for model-data comparison, with a particular emphasis on analyzing coronal magnetic fields. FORWARD may be used both to synthesize a broad range of coronal observables, and to access and compare to existing data. FORWARD works with numerical model datacubes, interfaces with the web-served Predictive Science Inc MAS simulation datacubes and the Solar Soft IDL Potential Field Source Surface (PFSS) package, and also includes several analytic models (more can be added). It connects to the Virtual Solar Observatory and other web-served observations to download data in a format directly comparable to model predictions. It utilizes the CHIANTI database in modeling UV/EUV lines, and links to the CLE polarimetry synthesis code for forbidden coronal lines. FORWARD enables "forward-fitting" of specific observations, and helps to build intuition into how the physical properties of coronal magnetic structures translate to observable properties.

Restenosis of the sigmoid sinus after stenting for treatment of intracranial venous hypertension: case report

International Nuclear Information System (INIS)

Tsumoto, T.; Miyamoto, T.; Shimizu, M.; Inui, Y.; Nakakita, K.; Hayashi, S.; Terada, T.

2003-01-01

We report what we believe to be the first case of restenosis of the sigmoid sinus after stenting, in a 42-year-old man with an arteriovenous malformation with progressive right hemiparesis secondary to venous hypertension. Angiography revealed severe stenosis of the left sigmoid sinus, which was dilated with a self-expandable stent. Six months after the procedure, however, the sinus was again severely stenosed. Intravascular sonography revealed intimal proliferation in the stented sinus. It was dilated percutaneously, and the venous pressure decreased from 51 to 33 mmHg. On sonography, the intimal tissue decreased in thickness and the diameter of the stent enlarged a little. (orig.)

Restenosis of the sigmoid sinus after stenting for treatment of intracranial venous hypertension: case report

Energy Technology Data Exchange (ETDEWEB)

Tsumoto, T.; Miyamoto, T.; Shimizu, M.; Inui, Y.; Nakakita, K.; Hayashi, S. [Department of Neurosurgery, Minami Wakayama National Hospital, Wakayama (Japan); Terada, T. [Department of Neurological Surgery, Wakayama Medical University, Wakayama (Japan)

2003-12-01

We report what we believe to be the first case of restenosis of the sigmoid sinus after stenting, in a 42-year-old man with an arteriovenous malformation with progressive right hemiparesis secondary to venous hypertension. Angiography revealed severe stenosis of the left sigmoid sinus, which was dilated with a self-expandable stent. Six months after the procedure, however, the sinus was again severely stenosed. Intravascular sonography revealed intimal proliferation in the stented sinus. It was dilated percutaneously, and the venous pressure decreased from 51 to 33 mmHg. On sonography, the intimal tissue decreased in thickness and the diameter of the stent enlarged a little. (orig.)

Dynamics of Coronal Hole Boundaries

Energy Technology Data Exchange (ETDEWEB)

Higginson, A. K.; Zurbuchen, T. H. [Department of Climate and Space Sciences and Engineering, University of Michigan, Ann Arbor, MI 48109 (United States); Antiochos, S. K.; DeVore, C. R. [Heliophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States); Wyper, P. F. [Universities Space Research Association, NASA Goddard Space Flight Center, 8800 Greenbelt Road, Greenbelt, MD 20771 (United States)

2017-03-10

Remote and in situ observations strongly imply that the slow solar wind consists of plasma from the hot, closed-field corona that is released onto open magnetic field lines. The Separatrix Web theory for the slow wind proposes that photospheric motions at the scale of supergranules are responsible for generating dynamics at coronal-hole boundaries, which result in the closed plasma release. We use three-dimensional magnetohydrodynamic simulations to determine the effect of photospheric flows on the open and closed magnetic flux of a model corona with a dipole magnetic field and an isothermal solar wind. A rotational surface motion is used to approximate photospheric supergranular driving and is applied at the boundary between the coronal hole and helmet streamer. The resulting dynamics consist primarily of prolific and efficient interchange reconnection between open and closed flux. The magnetic flux near the coronal-hole boundary experiences multiple interchange events, with some flux interchanging over 50 times in one day. Additionally, we find that the interchange reconnection occurs all along the coronal-hole boundary and even produces a lasting change in magnetic-field connectivity in regions that were not driven by the applied motions. Our results show that these dynamics should be ubiquitous in the Sun and heliosphere. We discuss the implications of our simulations for understanding the observed properties of the slow solar wind, with particular focus on the global-scale consequences of interchange reconnection.

Features of solar wind streams on June 21-28, 2015 as a result of interactions between coronal mass ejections and recurrent streams from coronal holes

Science.gov (United States)

Shugay, Yu. S.; Slemzin, V. A.; Rod'kin, D. G.

2017-11-01

Coronal sources and parameters of solar wind streams during a strong and prolonged geomagnetic disturbance in June 2015 have been considered. Correspondence between coronal sources and solar wind streams at 1 AU has been determined using an analysis of solar images, catalogs of flares and coronal mass ejections, solar wind parameters including the ionic composition. The sources of disturbances in the considered period were a sequence of five coronal mass ejections that propagated along the recurrent solar wind streams from coronal holes. The observed differences from typical in magnetic and kinetic parameters of solar wind streams have been associated with the interactions of different types of solar wind. The ionic composition has proved to be a good additional marker for highlighting components in a mixture of solar wind streams, which can be associated with different coronal sources.

LONG-TERM TREND OF SOLAR CORONAL HOLE DISTRIBUTION FROM 1975 TO 2014

Energy Technology Data Exchange (ETDEWEB)

Fujiki, K.; Tokumaru, M.; Hayashi, K.; Satonaka, D. [Institute for Space-Earth Environmental Research (ISEE), Nagoya University, Furo-cho, Chikusa, Nagoya Aichi 464-8601 (Japan); Hakamada, K., E-mail: fujiki@isee.nagoya-u.ac.jp [Department of Natural Science and Mathematics, Chubu University, 1200 Matsumoto-cho, Kasugai, Aichi 487-8501 (Japan)

2016-08-20

We developed an automated prediction technique for coronal holes using potential magnetic field extrapolation in the solar corona to construct a database of coronal holes appearing from 1975 February to 2015 July (Carrington rotations from 1625 to 2165). Coronal holes are labeled with the location, size, and average magnetic field of each coronal hole on the photosphere and source surface. As a result, we identified 3335 coronal holes and found that the long-term distribution of coronal holes shows a similar pattern known as the magnetic butterfly diagram, and polar/low-latitude coronal holes tend to decrease/increase in the last solar minimum relative to the previous two minima.

CT evaluation of sigmoid plate dehiscence causing pulsatile tinnitus

Energy Technology Data Exchange (ETDEWEB)

Zhao, Pengfei; Lv, Han; Dong, Cheng; Wang, Zhenchang [Capital Medical University, Department of Radiology, Beijing Friendship Hospital, Beijing (China); Niu, Yantao; Xian, Junfang [Capital Medical University, Department of Radiology, Beijing Tongren Hospital, Beijing (China)

2016-01-15

To evaluate the characteristics of sigmoid plate dehiscence (SPD) causing pulsatile tinnitus (PT) on CT arteriography and venography (CTA + V). Thirty PT patients treated successfully with SPD reconstruction were enrolled. Sixty asymptomatic patients were matched. The location, extent, number of SPD cases and concomitant signs, including venous outflow dominance, transverse sinus stenosis, high jugular bulb, temporal bone pneumatization, height of pituitary gland and pituitary fossa, abnormal mastoid emissary vein, were detected and compared using CTA + V. More than one SPD was found on the symptomatic side in 13/30 PT patients (43.3 %). The upper segment of the sigmoid plate was involved in 29/44 SPDs in the vertical direction (65.9 %); the lateral wall was involved in 38/44 SPDs in the horizontal direction (86.4 %). Singular SPD was detected in 3/60 asymptomatic patients (1.67 ± 0.35 mm{sup 2}), less so in PT patients (7.97 ± 5.17 mm{sup 2}). Compared with the control group, ipsilateral venous outflow dominance, high jugular bulb and bilateral transverse sinus stenosis were more common in the PT group, together with deeper pituitary fossa and flatter pituitary glands. SPD causing PT has characteristic CT findings. It may be generated by vascular or intracranial pressure abnormalities and act as a common key to triggering PT's perception. (orig.)

CT evaluation of sigmoid plate dehiscence causing pulsatile tinnitus

International Nuclear Information System (INIS)

Zhao, Pengfei; Lv, Han; Dong, Cheng; Wang, Zhenchang; Niu, Yantao; Xian, Junfang

2016-01-01

To evaluate the characteristics of sigmoid plate dehiscence (SPD) causing pulsatile tinnitus (PT) on CT arteriography and venography (CTA + V). Thirty PT patients treated successfully with SPD reconstruction were enrolled. Sixty asymptomatic patients were matched. The location, extent, number of SPD cases and concomitant signs, including venous outflow dominance, transverse sinus stenosis, high jugular bulb, temporal bone pneumatization, height of pituitary gland and pituitary fossa, abnormal mastoid emissary vein, were detected and compared using CTA + V. More than one SPD was found on the symptomatic side in 13/30 PT patients (43.3 %). The upper segment of the sigmoid plate was involved in 29/44 SPDs in the vertical direction (65.9 %); the lateral wall was involved in 38/44 SPDs in the horizontal direction (86.4 %). Singular SPD was detected in 3/60 asymptomatic patients (1.67 ± 0.35 mm 2 ), less so in PT patients (7.97 ± 5.17 mm 2 ). Compared with the control group, ipsilateral venous outflow dominance, high jugular bulb and bilateral transverse sinus stenosis were more common in the PT group, together with deeper pituitary fossa and flatter pituitary glands. SPD causing PT has characteristic CT findings. It may be generated by vascular or intracranial pressure abnormalities and act as a common key to triggering PT's perception. (orig.)

Solo-Surgeon Single-Port Laparoscopic Anterior Resection for Sigmoid Colon Cancer: Comparative Study.

Science.gov (United States)

Choi, Byung Jo; Jeong, Won Jun; Kim, Say-June; Lee, Sang Chul

2018-03-01

To report our experience with solo-surgeon, single-port laparoscopic anterior resection (solo SPAR) for sigmoid colon cancer. Data from sigmoid colon cancer patients who underwent anterior resections (ARs) using the single-port, solo surgery technique (n = 31) or the conventional single-port laparoscopic technique (n = 45), between January 2011 and July 2016, were retrospectively analyzed. In the solo surgeries, making the transumbilical incision into the peritoneal cavity was facilitated through the use of a self-retaining retractor system. After establishing a single port through the umbilicus, an adjustable mechanical camera holder replaced the human scope assistant. Patient and tumor characteristics and operative, pathologic, and postoperative outcomes were compared. The operative times and estimated blood losses were similar for the patients in both treatment groups. In addition, most of the postoperative variables were comparable between the two groups, including postoperative complications and hospital stays. In the solo SPAR group, comparable lymph nodes were attained, and sufficient proximal and distal cut margins were obtained. The difference in the proximal cut margin significantly favored the solo SPAR, compared with the conventional AR group (P = .000). This study shows that solo SPAR, using a passive camera system, is safe and feasible for use in sigmoid colon cancer surgery, if performed by an experienced laparoscopic surgeon. In addition to reducing the need for a surgical assistant, the oncologic requirements, including adequate margins and sufficient lymph node harvesting, could be fulfilled. Further evaluations, including prospective randomized studies, are warranted.

The X-ray signature of solar coronal mass

Science.gov (United States)

Harrison, R. A.; Waggett, P. W.; Bentley, R. D.; Phillips, K. J. H.; Bruner, M.

1985-01-01

The coronal response to six solar X-ray flares has been investigated. At a time coincident with the projected onset of the white-light coronal mass ejection associated with each flare, there is a small, discrete soft X-ray enhancement. These enhancements (precursors) precede by typically about 20 m the impulsive phase of the solar flare which is dominant by the time the coronal mass ejection has reached an altitude above 0.5 solar radii. Motions of hot X-ray emitting plasma, during the precursors, which may well be a signature of the mass ejection onsets, are identified. Further investigations have also revealed a second class of X-ray coronal transient, during the main phase of the flare. These appear to be associated with magnetic reconnection above post-flare loop systems.

Introduction of hind foot coronal alignment view

International Nuclear Information System (INIS)

Moon, Il Bong; Jeon, Ju Seob; Yoon, Kang Cheol; Choi, Nam Kil; Kim, Seung Kook

2006-01-01

Accurate clinical evaluation of the alignment of the calcaneus relative to the tibia in the coronal plane is essential in the evaluation and treatment of hind foot pathologic condition. Previously described standard anteroposterior, lateral, and oblique radiographic methods of the foot or ankle do not demonstrate alignment of the tibia relation to the calcaneus in the coronal plane. The purpose of this study was to introduce hind foot coronal alignment view. Both feet were imaged simultaneously on an elevated, radiolucent foot stand equipment. Both feet stood on a radiolucent platform with equal weight on both feet. Both feet are located foot axis longitudinal perpendicular to the platform. Silhouette tracing around both feet are made, and line is then drawn to bisect the silhouette of the second toe and the outline of the heel. The x-ray beam is angled down approximately 15 .deg. to 20 .deg. This image described tibial axis and medial, lateral tuberosity of calcaneus. Calcaneus do not rotated. The view is showed by talotibial joint space. Although computed tomographic and magnetic resonance imaging techniques are capable of demonstrating coronal hind foot alignment, they lack usefulness in most clinical situations because the foot is imaged in a non-weight bearing position. But hind foot coronal alignment view is obtained for evaluating position changing of inversion, eversion of the hind foot and varus, valgus deformity of calcaneus

Quality of coroner's post-mortems in a UK hospital.

Science.gov (United States)

Al Mahdy, Husayn

2014-01-01

The aim of this paper was, principally, to look at the coroner's post-mortem report quality regarding adult medical patients admitted to an English hospital; and to compare results with Royal College of Pathologists guidelines. Hospital clinical notes of adult medical patients dying in 2011 and who were referred to the coroner's office to determine the cause of death were scrutinised. Their clinical care was also reviewed. There needs to be a comprehensive approach to coroner's post-mortems such as routinely taking histological and microbiological specimens. Acute adult medical patient care needs to improve. Steps should be taken to ensure that comprehensive coroner's post-mortems are performed throughout the UK, including with routine histological and microbiological specimens examination. Additionally, closer collaboration between clinicians and pathologists needs to occur to improve emergency adult medical patient clinical care. The study highlights inadequacies in coroner's pathology services.

Schistosomiasis Presenting as Recurring Sigmoid Volvulus in a Danish Man With an Inconspicuous Travel History-A Case Report.

Science.gov (United States)

Krog, Asger D; Axelsson, Johanna M; Bondgaard, Anna-Louise R; Kurtzhals, Jørgen A

2018-04-01

A healthy 72-year-old Danish male presenting with recurring sigmoid volvulus was found to be infested with Schistosoma mansoni . No other explanation for recurring volvulus was found. A travel history 12 years ago, which included bathing in the Botswana Okavango delta for 10 minutes, revealed the likely time and place of infection. To our knowledge, this is the first reported case of recurrent sigmoid volvulus and chronic intestinal schistosomiasis in a patient from a nonendemic area.

Schistosomiasis presenting as recurring sigmoid volvulus in a Danish man with an inconspicuous travel history - a case report

DEFF Research Database (Denmark)

Krog, Asger D; Axelsson, Johanna M; Bondgaard, Anna-Louise R

2018-01-01

A healthy 72-year-old Danish male presenting with recurring sigmoid volvulus was found to be infested with Schistosoma mansoni. No other explanation for recurring volvulus was found. A travel history 12 years ago, which included bathing in the Botswana Okavango delta for 10 minutes, revealed...... the likely time and place of infection. To our knowledge, this is the first reported case of recurrent sigmoid volvulus and chronic intestinal schistosomiasis in a patient from a nonendemic area....

Measurements of EUV coronal holes and open magnetic flux

Energy Technology Data Exchange (ETDEWEB)

Lowder, C.; Qiu, J.; Leamon, R. [Department of Physics, Montana State University, Bozeman, MT 59717 (United States); Liu, Y., E-mail: clowder@solar.physics.montana.edu [W. W. Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA 94305 (United States)

2014-03-10

Coronal holes are regions on the Sun's surface that map the footprints of open magnetic field lines. We have developed an automated routine to detect and track boundaries of long-lived coronal holes using full-disk extreme-ultraviolet (EUV) images obtained by SOHO/EIT, SDO/AIA, and STEREO/EUVI. We measure coronal hole areas and magnetic flux in these holes, and compare the measurements with calculations by the potential field source surface (PFSS) model. It is shown that, from 1996 through 2010, the total area of coronal holes measured with EIT images varies between 5% and 17% of the total solar surface area, and the total unsigned open flux varies between (2-5)× 10{sup 22} Mx. The solar cycle dependence of these measurements is similar to the PFSS results, but the model yields larger hole areas and greater open flux than observed by EIT. The AIA/EUVI measurements from 2010-2013 show coronal hole area coverage of 5%-10% of the total surface area, with significant contribution from low latitudes, which is under-represented by EIT. AIA/EUVI have measured much enhanced open magnetic flux in the range of (2-4)× 10{sup 22} Mx, which is about twice the flux measured by EIT, and matches with the PFSS calculated open flux, with discrepancies in the location and strength of coronal holes. A detailed comparison between the three measurements (by EIT, AIA-EUVI, and PFSS) indicates that coronal holes in low latitudes contribute significantly to the total open magnetic flux. These low-latitude coronal holes are not well measured with either the He I 10830 line in previous studies, or EIT EUV images; neither are they well captured by the static PFSS model. The enhanced observations from AIA/EUVI allow a more accurate measure of these low-latitude coronal holes and their contribution to open magnetic flux.

Robotic adrenalectomy for sigmoid colon cancer oligometastasis.

Science.gov (United States)

Pai, Vishwas D; Bhandare, Manish; Deodhar, Kedar; Yuvaraja, Thyavihally Boregowda; Saklani, Avanish P

2015-12-01

Solitary adrenal metastasis from colorectal cancer is rare with reported incidence from 3.1% to 14.4% in the literature. Conventionally, adrenal metastasis is considered as indicative of widespread systemic disease and hence treated with palliative intent. Surgical resection remains controversial although a median survival of 32 months was found in the largest reported case series. It has been postulated that surgical resection should be offered when the adrenal metastasis develops more than 6 months after the treatment of the primary tumor. For the metastatic lesions and potentially malignant lesions, role of minimally invasive surgery is still considered controversial. We are presenting a case of metachronous, solitary adrenal metastasis from sigmoid colon carcinoma treated surgically with curative intent.

Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation.

Science.gov (United States)

Bosker, Robbert; Hoogenboom, Froukje; Groen, Henk; Hoff, Christiaan; Ploeg, Rutger; Pierie, Jean-Pierre

2010-04-01

Some authors state that elective laparoscopic recto-sigmoid resection is more difficult for diverticular disease as compared with malignancy. For this reason, starting laparoscopic surgeons might avoid diverticulitis, making the implementation phase unnecessary long. The aim of this study was to determine whether laparoscopic resection for diverticular disease should be included during the implementation phase. All consecutive patients who underwent an elective laparoscopic recto-sigmoid resection in our hospital for diverticulitis or cancer from 2003 to 2007 were analysed. A total of 256 consecutive patients were included in this prospective cohort study. One hundred and fifty-one patients were operated on for diverticulitis and 105 for cancer. There was no significant difference in operation time (168 vs. 172 min), blood loss (189 vs. 208 ml), conversion rates (9.9% vs. 11.4%), hospital stay (8 vs. 8 days), total number of peroperative (2.3% vs. 1.6%) or postoperative complications (21.9% vs. 26.9%). The occurrence of anastomotic leakages was associated with higher American Society of Anesthesiologists (ASA) classification, which differed between the groups (86.8% vs. 64.8% ASA I-II, p < 0.001). Since there are no differences in operation time, blood loss, conversion rate and total complications, there is no need to avoid laparoscopic recto-sigmoid resection for diverticular disease early in the learning curve.

Hirschsprung's Disease-Related Giant Sigmoid Volvulus Complicated by Refractory Hypertension in an Elderly Man.

Science.gov (United States)

Wu, Shaohan; Sun, Xiaofang; Yu, Yawei; Shen, Yiyu

2018-04-20

BACKGROUND Sigmoid volvulus (SV) is a life-threatening condition occasionally seen in adults. Adult Hirschsprung's disease (HD)-related SV is rarely complicated by difficult-to-control hypertension. In this report we present the case of an elderly man with a rare constellation of HD, SV, and refractory hypertension. CASE REPORT An 82-year-old man had long-term constipation, moderate abdominal pain, and progressive abdominal distension. A CT scan revealed the typical "coffee bean sign". Blood pressure was abnormal high. Subsequently, the patient's condition deteriorated. Therefore, he underwent a Hartmann's procedure. A giant and redundant sigmoid colon (length more than 60 cm, maximal diameter about 15 cm) was demonstrated to be the cause of SV during the process of surgery. Moreover, abdominal compartment syndrome caused by SV resulted in his high and refractory blood pressure (BP). Postoperative pathological results revealed HD in his sigmoid colon. CONCLUSIONS SV is rarely combined with conditions like refractory hypertension or HD among the elderly. Clinical features of SV typically present with long-term constipation, severe abdominal pain, and progressive abdominal distension. The "coffee bean sign" could be observed in imaging examinations. It is important to note that the management of SV is to relieve the obstruction and prevent recurrence, no matter which therapy is used in elderly patients with Hirschsprung's disease.

Coronal Loops: Evolving Beyond the Isothermal Approximation

Science.gov (United States)

Schmelz, J. T.; Cirtain, J. W.; Allen, J. D.

2002-05-01

Are coronal loops isothermal? A controversy over this question has arisen recently because different investigators using different techniques have obtained very different answers. Analysis of SOHO-EIT and TRACE data using narrowband filter ratios to obtain temperature maps has produced several key publications that suggest that coronal loops may be isothermal. We have constructed a multi-thermal distribution for several pixels along a relatively isolated coronal loop on the southwest limb of the solar disk using spectral line data from SOHO-CDS taken on 1998 Apr 20. These distributions are clearly inconsistent with isothermal plasma along either the line of sight or the length of the loop, and suggested rather that the temperature increases from the footpoints to the loop top. We speculated originally that these differences could be attributed to pixel size -- CDS pixels are larger, and more `contaminating' material would be expected along the line of sight. To test this idea, we used CDS iron line ratios from our data set to mimic the isothermal results from the narrowband filter instruments. These ratios indicated that the temperature gradient along the loop was flat, despite the fact that a more complete analysis of the same data showed this result to be false! The CDS pixel size was not the cause of the discrepancy; rather, the problem lies with the isothermal approximation used in EIT and TRACE analysis. These results should serve as a strong warning to anyone using this simplistic method to obtain temperature. This warning is echoed on the EIT web page: ``Danger! Enter at your own risk!'' In other words, values for temperature may be found, but they may have nothing to do with physical reality. Solar physics research at the University of Memphis is supported by NASA grant NAG5-9783. This research was funded in part by the NASA/TRACE MODA grant for Montana State University.

[Follow-up and dietary advice after sigmoid diverticulitis].

Science.gov (United States)

Barret, Maximilien; Abbes, Leila; Zinzindohoué, Franck

2013-06-01

Currently published data do not demonstrate the benefit of any medical treatment in the prevention of the onset or the recurrence of colonic diverticular disease. No specific diet can be recommended to patients with colonic diverticula for the prevention of diverticular disease. Non steroidal anti-inflammatory drugs as well as corticosteroids should be used cautiously in patients with diverticular disease since they induce a higher rate of complications, especially diverticular haemorrhage and severe sigmoid diverticulitis. In patients over 50 years old, or if a sigmoidectomy is needed, physicians should perform a colonoscopy in order to rule out colonic polyps or neoplasm.

SEX REASSIGNMENT SURGERY WITH LAPAROSCOPIC SIGMOID COLON VAGINOPLASTY IN A MALE TO FEMALE TRANSSEXUAL: A CASE REPORT.

Science.gov (United States)

Ichihara, Koji; Masumori, Naoya

2016-01-01

We herein report and discuss our first experience about a sex reassignment surgery (SRS) with laparoscopic sigmoid colon vaginoplasty for a 40s male to female gender identity disorder. SRS for this subject included bilateral orchiectomy, penectomy, clitoroplasty, vaginoplasty, and vulvoplasty. About 20 cm of the sigmoid colon was harvested laparoscopicaly for the neovagina. Total operating time was about 9 hours, and the estimated blood loss was 900 ml without transfusion. There was no trouble during the postoperative course, and a sufficient length of vagina has been maintained.

Case report: pre-eruptive intra-coronal radiolucencies revisited.

LENUS (Irish Health Repository)

Counihan, K P

2012-08-01

Pre-eruptive intra-coronal radiolucency (PEIR) describes a radiolucent lesion located in the coronal dentine, just beneath the enamel-dentine junction of unerupted teeth. The prevalence of this lesion varies depending on the type and quality of radiographic exposure and age of patients used for assessment. The aetiology of pre-eruptive intra-coronal radiolucent lesions is not fully understood, but published clinical and histological evidence suggest that these lesions are resorptive in nature. Issues around the diagnosis, treatment planning and clinical management of this lesion are explored using previously unreported cases.

The first coronation churches of medieval Serbia

Directory of Open Access Journals (Sweden)

Kalić Jovanka

2017-01-01

Full Text Available The medieval ceremony of coronation as a rule took place in the most important church of a realm. The sites of the coronation of Serbian rulers before the establishment of the Žiča monastery church as the coronation church of Serbian kings in the first half of the thirteenth century have not been reliably identified so far. Based on the surviving medieval sources and the archaeological record, this paper provides background information about the titles of Serbian rulers prior to the creation of the Nemanjić state, and proposes that Stefan, son of the founder of the Nemanjić dynasty, was crowned king (1217 in the church of St Peter in Ras.

Giant sigmoid diverticulum: case report and review of the literature.

Science.gov (United States)

Toiber-Levy, M; Golffier-Rosete, C; Martínez-Munive, A; Baquera, J; Stoppen, M E; D'Hyver, C; Quijano-Orvañanos, F

2008-01-01

Giant colonic diverticulum is a rare entity first described in 1946 by Bonvin and Bonte. It may be congenital or acquired and the average age of presentation is 65. There are less than 150 reported cases in the literature. A large abdominal mass was detected during a routine physical examination in an 82-year-old man. CT scan showed a large air-filled mass, barium enema showed multiple sigmoid diverticula, but no communication with the mass was found. A diagnosis of giant sigmoid diverticulum was made, elective sigmoidectomy and resection of the diverticulum was performed with no complications. The clinical picture may be different, varying from asymptomatic to acute abdomen, intestinal perforation or fistula. It can be diagnosed with abdominal X-ray, CT scan, barium enema or MRI, but colonoscopy is not effective. There are two accepted theories of the pathophysiology of this entity: first, a congenital origin and second, that inflammatory diverticula are caused by a perforation with a ball-valve that allows gas to enter, but not to leave the cyst, thus, enlarging the false diverticulum, and progressively destroying the bowel layers, causing secondary fibrosis. Elective treatment is a segmental resection of the affected colon with the diverticulum and in cases of acute abdomen two-stage bowel resection is preferred.

Sigmoid Colonic Perforation with Faecal Peritonitis due to Faecaloma

Directory of Open Access Journals (Sweden)

Ibrahim Khalil

2014-09-01

Full Text Available Colon perforation is an uncommon event usually caused by malignancy, diverticular disease, amoebic colitis, steroid therapy, trauma and ulcerative colitis, but stercoral perforation is very rare. Severe chronic constipation is considered to be the main causative factor in development of stercoral perforation of colon. Sometimes it can also produce catastrophic complications like colonic obstruction, faecal peritonitis and septicaemia. We report a rare case of sigmoid colonic perforation with faecal peritonitis and pneumoperitonium due to faecaloma which was diagnosed after exploratory laparotomy.

Coronal Mass Ejections

CERN Document Server

Kunow, H; Linker, J. A; Schwenn, R; Steiger, R

2006-01-01

It is well known that the Sun gravitationally controls the orbits of planets and minor bodies. Much less known, however, is the domain of plasma fields and charged particles in which the Sun governs a heliosphere out to a distance of about 15 billion kilometers. What forces activates the Sun to maintain this power? Coronal Mass Ejections (CMEs) and their descendants are the troops serving the Sun during high solar activity periods. This volume offers a comprehensive and integrated overview of our present knowledge and understanding of Coronal Mass Ejections (CMEs) and their descendants, Interplanetary CMEs (ICMEs). It results from a series of workshops held between 2000 and 2004. An international team of about sixty experimenters involved e.g. in the SOHO, ULYSSES, VOYAGER, PIONEER, HELIOS, WIND, IMP, and ACE missions, ground observers, and theoreticians worked jointly on interpreting the observations and developing new models for CME initiations, development, and interplanetary propagation. The book provides...

Wandering spleen, gastric and pancreatic volvulus and right-sided descending and sigmoid colon.

Science.gov (United States)

Flores-Ríos, Enrique; Méndez-Díaz, Cristina; Rodríguez-García, Esther; Pérez-Ramos, Tania

2015-10-01

Wandering spleen is a rare condition, characterized by a mobile spleen that is attached only by an elongated vascular pedicle, allowing it to migrate to any part of the abdomen or pelvis. Mesenteroaxial gastric volvulus usually occurs in children and may be associated with wandering spleen. Both entities result from abnormal laxity or absence of the peritoneal attachments due to abnormal fusion of the peritoneal mesenteries. Pancreatic volvulus is a very rare anomaly, with only a few isolated case reports described in association with wandering spleen. Anomalous right sided descending and sigmoid colon is a very rare entity and its association with wandering spleen has not been previously reported. We report a case of wandering spleen associated with mesenteroaxial gastric volvulus, pancreatic volvulus and rightward shift of the splenic flexure of the colon and right sided descending and sigmoid colon in a young female.

Nonlinear Force-free Coronal Magnetic Stereoscopy

Energy Technology Data Exchange (ETDEWEB)

Chifu, Iulia; Wiegelmann, Thomas; Inhester, Bernd, E-mail: chifu@mps.mpg.de [Max-Planck-Institut für Sonnensystemforschung, Justus-von-Liebig-Weg 3, D-37077 Göttingen (Germany)

2017-03-01

Insights into the 3D structure of the solar coronal magnetic field have been obtained in the past by two completely different approaches. The first approach are nonlinear force-free field (NLFFF) extrapolations, which use photospheric vector magnetograms as boundary condition. The second approach uses stereoscopy of coronal magnetic loops observed in EUV coronal images from different vantage points. Both approaches have their strengths and weaknesses. Extrapolation methods are sensitive to noise and inconsistencies in the boundary data, and the accuracy of stereoscopy is affected by the ability of identifying the same structure in different images and by the separation angle between the view directions. As a consequence, for the same observational data, the 3D coronal magnetic fields computed with the two methods do not necessarily coincide. In an earlier work (Paper I) we extended our NLFFF optimization code by including stereoscopic constrains. The method was successfully tested with synthetic data, and within this work, we apply the newly developed code to a combined data set from SDO /HMI, SDO /AIA, and the two STEREO spacecraft. The extended method (called S-NLFFF) contains an additional term that monitors and minimizes the angle between the local magnetic field direction and the orientation of the 3D coronal loops reconstructed by stereoscopy. We find that when we prescribe the shape of the 3D stereoscopically reconstructed loops, the S-NLFFF method leads to a much better agreement between the modeled field and the stereoscopically reconstructed loops. We also find an appreciable decrease by a factor of two in the angle between the current and the magnetic field. This indicates the improved quality of the force-free solution obtained by S-NLFFF.

Idiopathic Perforation of the Sigmoid Colon in a 2.5 Years Old Girl: A Case Report

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Sanaz Mehrabani

2017-09-01

Full Text Available Idiopathic colon perforation is rare in children. It is more common at the extremes of age. Splenic flextures, ileocecal and lower sigmoid regions are the most common sites of perforation. Delay in proper management of this condition is associated with high mortality and morbidity rate. We report on the case of a 2.5 years old girl who presented with fever, diarrhea, nausea and vomiting and progressive abdominal distention.Finally, she underwent an exploratory laparotomy for suspected peritonitis because of the patient's worsening condition. An area of perforation was found in the sigmoid colon that segmental resection and an end double barrel colostomy was done.

Sigmoid colon volvulus immediately after ultrasound-guided simple ovarian cyst aspiration: a case report

Directory of Open Access Journals (Sweden)

Firas Al-Rshoud

2017-03-01

Conclusion: Clinicians should bear in mind such complication(Sigmoid volvulus while draining a pelvic cyst as this procedure is adapted by some clinician as it is less invasive than surgical management of persistent simple ovarian cyst.

Magnetic Topology of Coronal Hole Linkages

Science.gov (United States)

Titov, V. S.; Mikic, Z.; Linker, J. A.; Lionello, R.; Antiochos, S. K.

2010-01-01

In recent work, Antiochos and coworkers argued that the boundary between the open and closed field regions on the Sun can be extremely complex with narrow corridors of open ux connecting seemingly disconnected coronal holes from the main polar holes, and that these corridors may be the sources of the slow solar wind. We examine, in detail, the topology of such magnetic configurations using an analytical source surface model that allows for analysis of the eld with arbitrary resolution. Our analysis reveals three important new results: First, a coronal hole boundary can join stably to the separatrix boundary of a parasitic polarity region. Second, a single parasitic polarity region can produce multiple null points in the corona and, more important, separator lines connecting these points. Such topologies are extremely favorable for magnetic reconnection, because it can now occur over the entire length of the separators rather than being con ned to a small region around the nulls. Finally, the coronal holes are not connected by an open- eld corridor of finite width, but instead are linked by a singular line that coincides with the separatrix footprint of the parasitic polarity. We investigate how the topological features described above evolve in response to motion of the parasitic polarity region. The implications of our results for the sources of the slow solar wind and for coronal and heliospheric observations are discussed.

The Prospect for Detecting Stellar Coronal Mass Ejections

Science.gov (United States)

Osten, Rachel A.; Crosley, Michael Kevin

2018-06-01

The astrophysical study of mass loss, both steady-state and transient, on the cool half of the HR diagram has implications bothfor the star itself and the conditions created around the star that can be hospitable or inimical to supporting life. Recent results from exoplanet studies show that planets around M dwarfs are exceedingly common, which together with the commonality of M dwarfs in our galaxy make this the dominant mode of star and planet configurations. The closeness of the exoplanets to the parent M star motivate a comprehensive understanding of habitability for these systems. Radio observations provide the most clear signature of accelerated particles and shocks in stars arising as the result of MHD processes in the stellar outer atmosphere. Stellar coronal mass ejections have not been conclusively detected, despite the ubiquity with which their radiative counterparts in an eruptive event (stellar flares) have. I will review some of the different observational methods which have been used and possibly could be used in the future in the stellar case, emphasizing some of the difficulties inherent in such attempts. I will provide a framework for interpreting potential transient stellar mass loss in light of the properties of flares known to occur on magnetically active stars. This uses a physically motivated way to connect the properties of flares and coronal mass ejections and provides a testable hypothesis for observing or constraining transient stellar mass loss. I will describe recent results using radio observations to detect stellar coronal mass ejections, and what those results imply about transient stellar mass loss. I will provide some motivation for what could be learned in this topic from space-based low frequency radio experiments.

Anastomotic Recurrence of Sigmoid Colon Cancer over Five Years after Surgery

Directory of Open Access Journals (Sweden)

Takahiro Yamauchi

2013-10-01

Full Text Available The incidence of anastomotic recurrence after curative resection of colorectal cancer is relatively low compared to that of other types of recurrence, such as hepatic, lung and local recurrence. However, almost all cases of anastomotic recurrence of colorectal cancer occur within 3 years after surgery. We experienced a rare case of anastomotic recurrence in whom colonoscopy revealed no signs of recurrence 3 years after surgery; however, anastomotic recurrence was detected over 5 years after surgery. A 60-year-old female with a history of surgery for cancer of the cecum in her forties underwent sigmoidectomy and right colectomy with D3 lymph node dissection for both stage IIA sigmoid colon cancer and stage IIA transverse colon cancer. Computed tomography and colonoscopy revealed no signs of recurrence 3 years after surgery; however, 5 years and 4 months after surgery, colonoscopy demonstrated surrounding flaring and swelling in the anastomotic area of the sigmoid colon, and a biopsy revealed an adenocarcinoma. Under the diagnosis of anastomotic recurrence over 5 years after surgery, lower anterior resection was performed. The patient has exhibited no other signs of recurrence in the 2 years since the last operation.

PHYSICAL CONDITIONS OF CORONAL PLASMA AT THE TRANSIT OF A SHOCK DRIVEN BY A CORONAL MASS EJECTION

Energy Technology Data Exchange (ETDEWEB)

Susino, R.; Bemporad, A.; Mancuso, S., E-mail: susino@oato.inaf.it [INAF–Turin Astrophysical Observatory, via Osservatorio 20, I-10025 Pino Torinese (Italy)

2015-10-20

We report here on the determination of plasma physical parameters across a shock driven by a coronal mass ejection using white light (WL) coronagraphic images and radio dynamic spectra (RDS). The event analyzed here is the spectacular eruption that occurred on 2011 June 7, a fast CME followed by the ejection of columns of chromospheric plasma, part of them falling back to the solar surface, associated with a M2.5 flare and a type-II radio burst. Images acquired by the Solar and Heliospheric Observatory/LASCO coronagraphs (C2 and C3) were employed to track the CME-driven shock in the corona between 2–12 R{sub ⊙} in an angular interval of about 110°. In this interval we derived two-dimensional (2D) maps of electron density, shock velocity, and shock compression ratio, and we measured the shock inclination angle with respect to the radial direction. Under plausible assumptions, these quantities were used to infer 2D maps of shock Mach number M{sub A} and strength of coronal magnetic fields at the shock's heights. We found that in the early phases (2–4 R{sub ⊙}) the whole shock surface is super-Alfvénic, while later on (i.e., higher up) it becomes super-Alfvénic only at the nose. This is in agreement with the location for the source of the observed type-II burst, as inferred from RDS combined with the shock kinematic and coronal densities derived from WL. For the first time, a coronal shock is used to derive a 2D map of the coronal magnetic field strength over intervals of 10 R{sub ⊙} altitude and ∼110° latitude.

SAUSAGE WAVES IN TRANSVERSELY NONUNIFORM MONOLITHIC CORONAL TUBES

Energy Technology Data Exchange (ETDEWEB)

Lopin, I. [Ussuriisk astrophysical observatory, Russion Academy of Sciences (Russian Federation); Nagorny, I., E-mail: lopin78@mail.ru [Institute of Automation and Control Processes FEB RAS, Vladivostok (Russian Federation)

2015-09-10

We investigate fast sausage waves in a monolithic coronal magnetic tube, modeled as a local density inhomogeneity with a continuous radial profile. This work is a natural extension of our previous results, obtained for a slab loop model for the case of cylindrical geometry. Using Kneser’s oscillating theorem, we provided the criteria for the existence of trapped and leaky wave regimes as a function of the profile features. For a number of density profiles there are only trapped modes for the entire range of longitudinal wave numbers. The phase speed of these modes tends toward the external Alfvén speed in the long wavelength limit. The generalized results were supported by the analytic solution of the wave equation for the specific density profiles. The approximate Wentzel–Kramers–Brillouin solutions allowed us to obtain the desired dispersion relations and to study their properties as a function of the profile parameters. The multicomponent quasi-periodic pulsations in flaring loops, observed on 2001 May 2 and 2002 July 3, are interpreted in terms of the transversely fundamental trapped fast sausage mode with several longitudinal harmonics in a smooth coronal waveguide.

Sigmoid colon cancer arising in a diverticulum of the colon with involvement of the urinary bladder: a case report and review of the literature.

Science.gov (United States)

Yagi, Yasumichi; Shoji, Yasuhiro; Sasaki, Shozo; Yoshikawa, Akemi; Tsukioka, Yuji; Fukushima, Wataru; Hirosawa, Hisashi; Izumi, Ryohei; Saito, Katsuhiko

2014-05-13

Colon cancer can arise from the mucosa in a colonic diverticulum. Although colon diverticulum is a common disease, few cases have been previously reported on colon cancer associated with a diverticulum. We report a rare case of sigmoid colon cancer arising in a diverticulum with involvement of the urinary bladder, which presented characteristic radiographic images. A 73-year-old man was admitted to our hospital for macroscopic hematuria. Computed tomography and magnetic resonance imaging revealed a sigmoid colon tumor that protruded into the urinary bladder lumen. The radiographs showed a tumor with a characteristic dumbbell-shaped appearance. Colonoscopy showed a type 1 cancer and multiple diverticula in the sigmoid colon. A diagnosis of sigmoid colon cancer with involvement of the urinary bladder was made based on the pathological findings of the biopsied specimens. We performed sigmoidectomy and total resection of the urinary bladder with colostomy and urinary tract diversion. Histopathological findings showed the presence of a colovesical fistula due to extramurally growing colon cancer. Around the colon cancer, the normal colon mucosa was depressed sharply with lack of the muscular layer, suggesting that the colon cancer was arising from a colon diverticulum. The present case is the first report of sigmoid colon cancer arising in a diverticulum with involvement of the urinary bladder. Due to an accurate preoperative radiological diagnosis, we were able to successfully perform a curative resection for sigmoid colon cancer arising in a diverticulum with involvement of the urinary bladder.

A Rare Case of Atretic Uterus Causing Compression Over the Sigmoid Colon

Directory of Open Access Journals (Sweden)

Shirish Vaidya

2017-10-01

Full Text Available Pseudo-hermaphroditism is so called when a person is born with primary sex characteristics of one sex but develops the secondary sexual characteristics that are different sex from what would actually be expected on the basis of the primary sex (testis or ovaries. Sometimes, there is partial appearance of the either of the external sex organs together that is a one between a typical penis and clitoris. In rest of the cases, the expected external sex organs are seen. Thus, pseudo-hermaphroditism can be difficult to identify until puberty. The condition may also remain hidden until adulthood. Male pseudo-hermaphroditism is an individual with XY karyotype and testes is present with a partial or complete female phenotype. This condition is attributed to hypoandrogenism in XY individuals. There is a lack in the action or presence of testosterone and dihydrotestosterone. This is a case report of a 60-year-old male who presented to the surgery out-patient services with complain of lower abdominal pain since 6 months. After proper clinical history and consent, the patient was subjected to endoscopy and contrast enhanced CT of abdomen. On endoscopy, there was restriction at passing the probe beyond the distal end of sigmoid colon and the probe could not be passed beyond it. A stricture of unknown etiology was reported. CT revealed an ill-defined elongated enhancing soft tissue lesion noted in right side of pelvis superolateral to the urinary bladder causing compression over the sigmoid colon with no obvious bowel connection. Exploratory laparotomy was them performed which revealed an elongated soft tissue lesion adherent to the sigmoid colon without obvious communication to the bowel lumen. The organ of origin could not be confirmed. The lesion was excised and sent for histopathology which revealed atretic uterine tissue.

The nature of micro CMEs within coronal holes

Science.gov (United States)

Bothmer, Volker; Nistico, Giuseppe; Zimbardo, Gaetano; Patsourakos, Spiros; Bosman, Eckhard

Whilst investigating the origin and characteristics of coronal jets and large-scale CMEs identi-fied in data from the SECCHI (Sun Earth Connection Coronal and Heliospheric Investigation) instrument suites on board the two STEREO satellites, we discovered transient events that originated in the low corona with a morphology resembling that of typical three-part struc-tured coronal mass ejections (CMEs). However, the CMEs occurred on considerably smaller spatial scales. In this presentation we show evidence for the existence of small-scale CMEs from inside coronal holes and present quantitative estimates of their speeds and masses. We interprete the origin and evolution of micro CMEs as a natural consequence of the emergence of small-scale magnetic bipoles related to the Sun's ever changing photospheric magnetic flux on various scales and their interactions with the ambient plasma and magnetic field. The analysis of CMEs is performed within the framework of the EU Erasmus and FP7 SOTERIA projects.

Coronal Heating Observed with Hi-C

Science.gov (United States)

Winebarger, Amy R.

2013-01-01

The recent launch of the High-Resolution Coronal Imager (Hi-C) as a sounding rocket has offered a new, different view of the Sun. With approx 0.3" resolution and 5 second cadence, Hi-C reveals dynamic, small-scale structure within a complicated active region, including coronal braiding, reconnection regions, Alfven waves, and flows along active region fans. By combining the Hi-C data with other available data, we have compiled a rich data set that can be used to address many outstanding questions in solar physics. Though the Hi-C rocket flight was short (only 5 minutes), the added insight of the small-scale structure gained from the Hi-C data allows us to look at this active region and other active regions with new understanding. In this talk, I will review the first results from the Hi-C sounding rocket and discuss the impact of these results on the coronal heating problem.

Forward Modeling of a Coronal Cavity

Science.gov (United States)

Kucera, T. A.; Gibson, S. E.; Schmit, D. J.

2011-01-01

We apply a forward model of emission from a coronal cavity in an effort to determine the temperature and density distribution in the cavity. Coronal cavities are long, low-density structures located over filament neutral lines and are often seen as dark elliptical features at the solar limb in white light, EUV and X-rays. When these structures erupt they form the cavity portions of CMEs The model consists of a coronal streamer model with a tunnel-like cavity with elliptical cross-section and a Gaussian variation of height along the tunnel length. Temperature and density can be varied as a function of altitude both in the cavity and streamer. We apply this model to a cavity observed in Aug. 2007 by a wide array of instruments including Hinode/EIS, STEREO/EUVI and SOHO/EIT. Studies such as these will ultimately help us understand the the original structures which erupt to become CMEs and ICMES, one of the prime Solar Orbiter objectives.

SUNQUAKE GENERATION BY CORONAL MAGNETIC RESTRUCTURING

Energy Technology Data Exchange (ETDEWEB)

Russell, A. J. B.; Mooney, M. K. [School of Science and Engineering, University of Dundee, Dundee DD1 4HN (United Kingdom); Leake, J. E. [Naval Research Laboratory, Washington, DC 20375 (United States); Hudson, H. S. [Space Sciences Lab, University of California Berkeley, Berkeley, CA 94720 (United States)

2016-11-01

Sunquakes are the surface signatures of acoustic waves in the Sun’s interior that are produced by some but not all flares and coronal mass ejections (CMEs). This paper explores a mechanism for sunquake generation by the changes in magnetic field that occur during flares and CMEs, using MHD simulations with a semiempirical FAL-C atmosphere to demonstrate the generation of acoustic waves in the interior in response to changing magnetic tilt in the corona. We find that Alfvén–sound resonance combined with the ponderomotive force produces acoustic waves in the interior with sufficient energy to match sunquake observations when the magnetic field angle changes of the order of 10° in a region where the coronal field strength is a few hundred gauss or more. The most energetic sunquakes are produced when the coronal field is strong, while the variation of magnetic field strength with height and the timescale of the change in tilt are of secondary importance.

SUNQUAKE GENERATION BY CORONAL MAGNETIC RESTRUCTURING

International Nuclear Information System (INIS)

Russell, A. J. B.; Mooney, M. K.; Leake, J. E.; Hudson, H. S.

2016-01-01

Sunquakes are the surface signatures of acoustic waves in the Sun’s interior that are produced by some but not all flares and coronal mass ejections (CMEs). This paper explores a mechanism for sunquake generation by the changes in magnetic field that occur during flares and CMEs, using MHD simulations with a semiempirical FAL-C atmosphere to demonstrate the generation of acoustic waves in the interior in response to changing magnetic tilt in the corona. We find that Alfvén–sound resonance combined with the ponderomotive force produces acoustic waves in the interior with sufficient energy to match sunquake observations when the magnetic field angle changes of the order of 10° in a region where the coronal field strength is a few hundred gauss or more. The most energetic sunquakes are produced when the coronal field is strong, while the variation of magnetic field strength with height and the timescale of the change in tilt are of secondary importance.

A contemporary view of coronal heating.

Science.gov (United States)

Parnell, Clare E; De Moortel, Ineke

2012-07-13

Determining the heating mechanism (or mechanisms) that causes the outer atmosphere of the Sun, and many other stars, to reach temperatures orders of magnitude higher than their surface temperatures has long been a key problem. For decades, the problem has been known as the coronal heating problem, but it is now clear that 'coronal heating' cannot be treated or explained in isolation and that the heating of the whole solar atmosphere must be studied as a highly coupled system. The magnetic field of the star is known to play a key role, but, despite significant advancements in solar telescopes, computing power and much greater understanding of theoretical mechanisms, the question of which mechanism or mechanisms are the dominant supplier of energy to the chromosphere and corona is still open. Following substantial recent progress, we consider the most likely contenders and discuss the key factors that have made, and still make, determining the actual (coronal) heating mechanism (or mechanisms) so difficult.

CME Interaction with Coronal Holes and Their Interplanetary Consequences

Science.gov (United States)

Gopalswamy, N.; Makela, P.; Xie, H.; Akiyama, S.; Yashiro, S.

2008-01-01

A significant number of interplanetary (IP) shocks (-17%) during cycle 23 were not followed by drivers. The number of such "driverless" shocks steadily increased with the solar cycle with 15%, 33%, and 52% occurring in the rise, maximum, and declining phase of the solar cycle. The solar sources of 15% of the driverless shocks were very close the central meridian of the Sun (within approx.15deg), which is quite unexpected. More interestingly, all the driverless shocks with their solar sources near the solar disk center occurred during the declining phase of solar cycle 23. When we investigated the coronal environment of the source regions of driverless shocks, we found that in each case there was at least one coronal hole nearby suggesting that the coronal holes might have deflected the associated coronal mass ejections (CMEs) away from the Sun-Earth line. The presence of abundant low-latitude coronal holes during the declining phase further explains why CMEs originating close to the disk center mimic the limb CMEs, which normally lead to driverless shocks due to purely geometrical reasons. We also examined the solar source regions of shocks with drivers. For these, the coronal holes were located such that they either had no influence on the CME trajectories. or they deflected the CMEs towards the Sun-Earth line. We also obtained the open magnetic field distribution on the Sun by performing a potential field source surface extrapolation to the corona. It was found that the CMEs generally move away from the open magnetic field regions. The CME-coronal hole interaction must be widespread in the declining phase, and may have a significant impact on the geoeffectiveness of CMEs.

Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation

NARCIS (Netherlands)

Bosker, Robbert; Hoogenboom, Froukje; Groen, Henk; Hoff, Christiaan; Ploeg, Rutger; Pierie, Jean-Pierre

Some authors state that elective laparoscopic recto-sigmoid resection is more difficult for diverticular disease as compared with malignancy. For this reason, starting laparoscopic surgeons might avoid diverticulitis, making the implementation phase unnecessary long. The aim of this study was to

MHD Simulations of the Eruption of Coronal Flux Ropes under Coronal Streamers

Energy Technology Data Exchange (ETDEWEB)

Fan, Yuhong, E-mail: yfan@ucar.edu [High Altitude Observatory, National Center for Atmospheric Research, 3080 Center Green Drive, Boulder, CO 80301 (United States)

2017-07-20

Using three-dimensional magnetohydrodynamic (MHD) simulations, we investigate the eruption of coronal flux ropes underlying coronal streamers and the development of a prominence eruption. We initialize a quasi-steady solution of a coronal helmet streamer, into which we impose at the lower boundary the slow emergence of a part of a twisted magnetic torus. As a result, a quasi-equilibrium flux rope is built up under the streamer. With varying streamer sizes and different lengths and total twists of the flux rope that emerges, we found different scenarios for the evolution from quasi-equilibrium to eruption. In the cases with a broad streamer, the flux rope remains well confined until there is sufficient twist such that it first develops the kink instability and evolves through a sequence of kinked, confined states with increasing height until it eventually develops a “hernia-like” ejective eruption. For significantly twisted flux ropes, prominence condensations form in the dips of the twisted field lines due to runaway radiative cooling. Once formed, the prominence-carrying field becomes significantly non-force-free due to the weight of the prominence, despite having low plasma β . As the flux rope erupts, the prominence erupts, showing substantial draining along the legs of the erupting flux rope. The prominence may not show a kinked morphology even though the flux rope becomes kinked. On the other hand, in the case with a narrow streamer, the flux rope with less than one wind of twist can erupt via the onset of the torus instability.

Unusual metachronous isolated inguinal lymph node metastasis from adenocarcinoma of the sigmoid colon

Directory of Open Access Journals (Sweden)

Parodo Giuseppina

2011-10-01

Full Text Available Abstract This study aimed to describe an unusual case of metachronous isolated inguinal lymph nodes metastasis from sigmoid carcinoma. A 62-year-old man was referred to our department because of an obstructing sigmoid carcinoma. Colonoscopy showed the obstructing lesion at 30 cm from the anal verge and abdominal CT revealed a sigmoid lesion infiltrating the left lateral abdominal wall. The patient underwent a colonic resection extended to the abdominal wall. Histology showed an adenocarcinoma of the colon infiltrating the abdominal wall with iuxtacolic nodal involvement. Thirty three months after surgery abdominal CT and PET scan revealed a metastatic left inguinal lymph node involvement. The metastatic lymph node was found strictly adherent to the left iliac-femoral artery and encompassing the origin of the left inferior epigastric artery. Histology showed a metachronous nodal metastasis from colonic adenocarcinoma. Despite metastastic involvement of inguinal lymph node from rectal cancer is a rare but well known clinical entity, to the best of our knowledge, this is the first report of inguinal metastasis from a carcinoma of the left colon. Literature review shows only three other similar reported cases: two cases of inguinal metastasis secondary to adenocarcinoma of the cecum and one case of axillary metastasis from left colonic carcinoma. A metastatic pathway through superficial abdominal wall lymphatic vessels could be possible through the route along the left inferior epigastric artery. The solitary inguinal nodal involvement from rectal carcinoma could have a more favorable prognosis. In the case of nodal metastasis to the body surface lymph nodes from colonic carcinoma, following the small number of such cases reported in the literature, no definitive conclusions can be drawn.

Modelling of electric characteristics of 150-watt peak solar panel using Boltzmann sigmoid function under various temperature and irradiance

Science.gov (United States)

Sapteka, A. A. N. G.; Narottama, A. A. N. M.; Winarta, A.; Amerta Yasa, K.; Priambodo, P. S.; Putra, N.

2018-01-01

Solar energy utilized with solar panel is a renewable energy that needs to be studied further. The site nearest to the equator, it is not surprising, receives the highest solar energy. In this paper, a modelling of electrical characteristics of 150-Watt peak solar panels using Boltzmann sigmoid function under various temperature and irradiance is reported. Current, voltage, temperature and irradiance data in Denpasar, a city located at just south of equator, was collected. Solar power meter is used to measure irradiance level, meanwhile digital thermometer is used to measure temperature of front and back panels. Short circuit current and open circuit voltage data was also collected at different temperature and irradiance level. Statistically, the electrical characteristics of 150-Watt peak solar panel can be modelled using Boltzmann sigmoid function with good fit. Therefore, it can be concluded that Boltzmann sigmoid function might be used to determine current and voltage characteristics of 150-Watt peak solar panel under various temperature and irradiance.

Prominence Bubbles and Plumes: Thermo-magnetic Buoyancy in Coronal Cavity Systems

Science.gov (United States)

Berger, Thomas; Hurlburt, N.

2009-05-01

The Hinode/Solar Optical Telescope continues to produce high spatial and temporal resolution images of solar prominences in both the Ca II 396.8 nm H-line and the H-alpha 656.3 nm line. Time series of these images show that many quiescent prominences produce large scale (50 Mm) dark "bubbles" that "inflate" into, and sometimes burst through, the prominence material. In addition, small-scale (2--5 Mm) dark plumes are seen rising into many quiescent prominences. We show typical examples of both phenomena and argue that they originate from the same mechanism: concentrated and heated magnetic flux that rises due to thermal and magnetic buoyancy to equilibrium heights in the prominence/coronal-cavity system. More generally, these bubbles and upflows offer a source of both magnetic flux and mass to the overlying coronal cavity, supporting B.C. Low's theory of CME initiation via steadily increasing magnetic buoyancy breaking through the overlying helmut streamer tension forces. Quiescent prominences are thus seen as the lowermost parts of the larger coronal cavity system, revealing through thermal effects both the cooled downflowing "drainage" from the cavity and the heated upflowing magnetic "plasmoids" supplying the cavity. We compare SOT movies to new 3D compressible MHD simulations that reproduce the dark turbulent plume dynamics to establish the magnetic and thermal character of these buoyancy-driven flows into the corona.

Simulating coronal condensation dynamics in 3D

Science.gov (United States)

Moschou, S. P.; Keppens, R.; Xia, C.; Fang, X.

2015-12-01

We present numerical simulations in 3D settings where coronal rain phenomena take place in a magnetic configuration of a quadrupolar arcade system. Our simulation is a magnetohydrodynamic simulation including anisotropic thermal conduction, optically thin radiative losses, and parametrised heating as main thermodynamical features to construct a realistic arcade configuration from chromospheric to coronal heights. The plasma evaporation from chromospheric and transition region heights eventually causes localised runaway condensation events and we witness the formation of plasma blobs due to thermal instability, that evolve dynamically in the heated arcade part and move gradually downwards due to interchange type dynamics. Unlike earlier 2.5D simulations, in this case there is no large scale prominence formation observed, but a continuous coronal rain develops which shows clear indications of Rayleigh-Taylor or interchange instability, that causes the denser plasma located above the transition region to fall down, as the system moves towards a more stable state. Linear stability analysis is used in the non-linear regime for gaining insight and giving a prediction of the system's evolution. After the plasma blobs descend through interchange, they follow the magnetic field topology more closely in the lower coronal regions, where they are guided by the magnetic dips.

The alterations of the sigmoid-rectal junction in diverticular disease of the colon revealed by MR-defecography.

Science.gov (United States)

Romagnoli, Francesco; Colaiacomo, Maria Chiara; De Milito, Ritanna; Modini, Claudio; Gualdi, Gianfranco; Catani, Marco

2014-01-01

The sigmoidorectal junction (SRJ) has been defined as an anatomical sphincter with particular physiological behavior that regulates sigmoid and rectum evacuation. Its function in clinical conditions, such as diverticular disease has been advocated. The aim of our study is to identify the SRJ and to compare the morphometric and dynamic features of the SRJ between patients with diverticular disease and healthy subjects using MR-defecography. Sixteen individuals, eight with uncomplicated diverticular disease and eight healthy subjects, were studied using MR-defecography to identify the SRJ and to compare the morphometric and dynamic features observed. In each subject studied, MR-defecography was able to identify the SRJ. This resulted in the identification of a discrete anatomical entity with a mean length of 31.23 mm, located in front of the first sacral vertebra (S1) and at a mean distance of 15.55 cm from the anal verge, with a mean wall thickness of 4.45 mm, significantly different from the sigmoid and rectal parietal thickness. The SRJ wall was significantly thicker in patients with diverticular disease than the controls (P = 0.005), showing a unique shape and behavior in dynamic sequences. Our findings support the hypothesis that SRJ plays a critical role in patients with symptomatic diverticular disease; further investigation may clarify whether specific SRJ analysis, such as MR-defecography, would predict inflammatory complications of this diffuse and heterogenic disease.

An Estimate of Solar Wind Velocity Profiles in a Coronal Hole and a Coronal Streamer Area (6-40 R(radius symbol)

Science.gov (United States)

Patzold, M.; Tsurutani, B. T.; Bird, M. K.

1995-01-01

Total electron content data obtained from the Ulysses Solar Corona Experiment (SCE) in 1991 were used to select two data sets, one associated with a coronal hole and the other with coronal streamer crossings. (This is largely equatorial data shortly after solar maximum.) The solar wind velocity profile is estimated for these areas.

VECTOR TOMOGRAPHY FOR THE CORONAL MAGNETIC FIELD. II. HANLE EFFECT MEASUREMENTS

International Nuclear Information System (INIS)

Kramar, M.; Inhester, B.; Lin, H.; Davila, J.

2013-01-01

In this paper, we investigate the feasibility of saturated coronal Hanle effect vector tomography or the application of vector tomographic inversion techniques to reconstruct the three-dimensional magnetic field configuration of the solar corona using linear polarization measurements of coronal emission lines. We applied Hanle effect vector tomographic inversion to artificial data produced from analytical coronal magnetic field models with equatorial and meridional currents and global coronal magnetic field models constructed by extrapolation of real photospheric magnetic field measurements. We tested tomographic inversion with only Stokes Q, U, electron density, and temperature inputs to simulate observations over large limb distances where the Stokes I parameters are difficult to obtain with ground-based coronagraphs. We synthesized the coronal linear polarization maps by inputting realistic noise appropriate for ground-based observations over a period of two weeks into the inversion algorithm. We found that our Hanle effect vector tomographic inversion can partially recover the coronal field with a poloidal field configuration, but that it is insensitive to a corona with a toroidal field. This result demonstrates that Hanle effect vector tomography is an effective tool for studying the solar corona and that it is complementary to Zeeman effect vector tomography for the reconstruction of the coronal magnetic field

Reconstructed coronal views of CT and isotopic images of the pancreas

International Nuclear Information System (INIS)

Kasuga, Toshio; Kobayashi, Toshio; Nakanishi, Fumiko

1980-01-01

To compare functional images of the pancreas by scintigraphy with morphological views of the pancreas by CT, CT coronal views of the pancreas were reconstructed. As CT coronal views were reconstructed from the routine scanning, there was a problem in longitudinal spatial resolution. However, almost satisfactory total images of the pancreas were obtained by improving images adequately. In 27 patients whose diseases had been confirmed, it was easy to compare pancreatic scintigrams with pancreatic CT images by using reconstructed CT coronal views, and information which had not been obtained by original CT images could be obtained by using reconstructed CT coronal views. Especially, defects on pancreatic images and the shape of pancreas which had not been visualized clearly by scintigraphy alone could be visualized by using reconstructed CT coronal views of the pancreas. (Tsunoda, M.)

Sigmoid colon cancer in an incarcerated left inguinal hernia

OpenAIRE

González González, Daniel Alfredo; Tarigo, Nicolás

2017-01-01

Resumen: El cáncer de colon como contenido de una hernia inguinal es una situación infrecuente. Pocos casos se han reportado en la literatura. Habitualmente ocurre en hernias inguinales izquierdas y es el colon sigmoides su contenido. La palpación de una tumoración en una hernia que previamente no existía y la aparición de sintomatología intestinal orientan el diagnóstico. El colon por enema constituye el examen paraclínico por excelencia para su confirmación. El tratamiento quirúrgico se imp...

Characteristics of Low-latitude Coronal Holes near the Maximum of Solar Cycle 24

Energy Technology Data Exchange (ETDEWEB)

Hofmeister, Stefan J.; Veronig, Astrid; Reiss, Martin A.; Temmer, Manuela [University of Graz, Institute of Physics, IGAM-Kanzelhöhe Observatory, Graz (Austria); Vennerstrom, Susanne [National Space Institute, DTU Space (Denmark); Vršnak, Bojan [Hvar Observatory, Faculty of Geodesy, Zagreb (Croatia); Heber, Bernd, E-mail: stefan.hofmeister@uni-graz.at [Universität Kiel, Institut für Experimentelle und Angewandte Physik, Kiel (Germany)

2017-02-01

We investigate the statistics of 288 low-latitude coronal holes extracted from SDO /AIA-193 filtergrams over the time range of 2011 January 01–2013 December 31. We analyze the distribution of characteristic coronal hole properties, such as the areas, mean AIA-193 intensities, and mean magnetic field densities, the local distribution of the SDO /AIA-193 intensity and the magnetic field within the coronal holes, and the distribution of magnetic flux tubes in coronal holes. We find that the mean magnetic field density of all coronal holes under study is 3.0 ± 1.6 G, and the percentaged unbalanced magnetic flux is 49 ± 16%. The mean magnetic field density, the mean unsigned magnetic field density, and the percentaged unbalanced magnetic flux of coronal holes depend strongly pairwise on each other, with correlation coefficients cc > 0.92. Furthermore, we find that the unbalanced magnetic flux of the coronal holes is predominantly concentrated in magnetic flux tubes: 38% (81%) of the unbalanced magnetic flux of coronal holes arises from only 1% (10%) of the coronal hole area, clustered in magnetic flux tubes with field strengths >50 G (10 G). The average magnetic field density and the unbalanced magnetic flux derived from the magnetic flux tubes correlate with the mean magnetic field density and the unbalanced magnetic flux of the overall coronal hole (cc>0.93). These findings give evidence that the overall magnetic characteristics of coronal holes are governed by the characteristics of the magnetic flux tubes.

[The coroner's autopsies in the Great Britain: the problems related to the quality of the studies, standardization, auditing, financial support and the approaches to their solution].

Science.gov (United States)

Makarov, I Yu; Fetisov, V A; Filimonov, B A; Gusarov, A A

The objective of the present study was to analyze the experience of the coroners and pathologists in the Great Britain based on the results of the coroner's autopsies and recommendations of the experts involved in the activities carried out in the framework of the National Confidential Enquiry into Patient Outcome and Death program (NCEPOD). The recommendations are designed to reform the country's medical examiner system, improve the equipment of the mortuary facilities, and optimize funding for the autopsy studies. The authors consider in the chronological order the following issues of the coroners and pathologists' activities: organization of their work and its procedural aspects, ordering coroner's autopsies, preparation for their performance, analysis of the relevant documentation (autopsy reports) and medical case histories (discharge summaries). Also discussed are the recommendations of the NCEPOD experts for the improvement of the said studies with the detailed analysis of the causes underlying the aforementioned problems and concise comments of the authors.

A case of abdominal compartment syndrome derived from simple elongated sigmoid colon in an elderly man

Directory of Open Access Journals (Sweden)

Masaaki Shida

2016-01-01

Discussion and conclusion: Considering the increase in the aging population, we must bear in mind that abdominal compartment syndrome may occur in simple elongated sigmoid colon without other risk factors.

Plasma Diagnostics of Coronal Dimming Events

Science.gov (United States)

Vanninathan, Kamalam; Veronig, Astrid M.; Dissauer, Karin; Temmer, Manuela

2018-04-01

Coronal mass ejections are often associated with coronal dimmings, i.e., transient dark regions that are most distinctly observed in Extreme Ultra-violet wavelengths. Using Atmospheric Imaging Assembly (AIA) data, we apply Differential Emission Measure diagnostics to study the plasma characteristics of six coronal dimming events. In the core dimming region, we find a steep and impulsive decrease of density with values up to 50%–70%. Five of the events also reveal an associated drop in temperature of 5%–25%. The secondary dimming regions also show a distinct decrease in density, but less strong, decreasing by 10%–45%. In both the core and the secondary dimming the density changes are much larger than the temperature changes, confirming that the dimming regions are mainly caused by plasma evacuation. In the core dimming, the plasma density reduces rapidly within the first 20–30 minutes after the flare start and does not recover for at least 10 hr later, whereas the secondary dimming tends to be more gradual and starts to replenish after 1–2 hr. The pre-event temperatures are higher in the core dimming (1.7–2.6 MK) than in the secondary dimming regions (1.6–2.0 MK). Both core and secondary dimmings are best observed in the AIA 211 and 193 Å filters. These findings suggest that the core dimming corresponds to the footpoints of the erupting flux rope rooted in the AR, while the secondary dimming represents plasma from overlying coronal structures that expand during the CME eruption.

Effect of treatment on rectal and sigmoid motility in chronically constipated children.

Science.gov (United States)

Loening-Baucke, V A; Younoszai, M K

1984-02-01

Using three pressure transducers, motility of the lower and upper rectum and sigmoid was recorded in 18 healthy and 18 chronically constipated children. The 36 children had a wide range of values for frequency of contractions, duration, amplitude, percent of activity, and surface area under the contraction curves. The mean values for percent of activity and surface area were significantly lower in the constipated than in the control children in all three recording areas (P less than .05). Motility in the constipated children, after 2 months of treatment that included milk of magnesia, showed significant increase when compared with corresponding pretreatment values (P less than .05), and were not different from corresponding values of the control children (P greater than .1). Seven to 12 months and 3 years later, rectal and sigmoid motility remained normal. Three-year follow-up revealed that most of the constipated children were not completely free of constipation and fecal soiling in spite of normal motility. Therefore, it appears that the hypomotility in the untreated patients was the result of the chronic fecal impaction and rectal distension and while it was not the cause of the constipation, it may have contributed to its severity.

Coronal holes and high-speed wind streams

International Nuclear Information System (INIS)

Zirker, J.B.

1977-01-01

Coronal holes low have been identified as Bartel's M regions, i.e., sources of high-speed wind streams that produce recurrent geomagnetic variations. Throughout the Skylab period the polar caps of the Sun were coronal holes, and at lower latitudes the most persistent and recurrent holes were equatorial extensions of the polar caps. The holes rotated 'rigidly' at the equatorial synodic rate. They formed in regions of unipolar photospheric magnetic field, and their internal magnetic fields diverged rapidly with increasing distance from the sun. The geometry of the magnetic field in the inner corona seems to control both the physical properties of the holes and the global distribution of high-speed wind streams in the heliosphere. The latitude variation of the divergence of the coronal magnetic field lines produces corresponding variations in wind speed.During the years of declining solar activity the global field of the corona approximates a perturbed dipole. The divergence of field lines in each hemisphere produces a high-speed wind near the poles and low-speed wind in a narrow belt that coincides with the magnetic neutral sheet. The analysis of electron density measurements within a polar hole indicates that solar wind is accelerated principally in the region between 2 and 5 R/sub s/ and that mechanical wave pressure (possibly Alfven wave) may be responsible for the accleration of the wind. Phenomenological models for the birth and decay of coronal holes have been proposed. Attempts to explain the birth and rigid rotation of holes through dynamo action have been only partially successful. The 11-year variation of cosmic ray intensities at the earth may result from cyclic variation of open field regions associated with coronal holes

Activity associated with the solar origin of coronal mass ejections

Science.gov (United States)

Webb, D. F.; Hundhausen, A. J.

1987-01-01

Solar coronal mass ejections (CMEs) observed in 1980 with the HAO Coronagraph/Polarimeter on the Solar Maximum Mission (SMM) satellite are compared with other forms of solar activity that might be physically related to the ejections. The solar phenomena checked and the method of association used were intentionally patterned after those of Munro et al.'s (1979) analysis of mass ejections observed with the Skylab coronagraph to facilitate comparison of the two epochs. Comparison of the results reveals that the types and degree of CME associations are similar near solar activity minimum and at maximum. For both epochs, most CMEs with associations had associated eruptive prominences, and the proportions of association of all types of activity were similar. A high percentage of association between SMM CMEs and X-ray long duration events is also found, in agreement with Skylab results. It is concluded that most CMEs are the result of the destabilization and eruption of a prominence and its overlying coronal structure, or of a magnetic structure capable of supporting a prominence.

Solar wind heavy ions from energetic coronal events

International Nuclear Information System (INIS)

Bame, S.J.

1978-01-01

Ions heavier than those of He can be resolved in the solar wind with electrostatic E/q analyzers when the local thermal temperatures are low. Ordinarily this condition prevails in the low speed solar wind found between high speed streams, i.e. the interstream, IS, solar wind. Various ions of O, Si and Fe are resolved in IS heavy ion spectra. Relative ion peak intensities indicate that the O ionization state is established in the IS coronal source regions at approx. 2.1 x 10 6 K while the state of Fe is frozen in at approx. 1.5 x 10 6 K farther out. Occasionally, anomalous spectra are observed in which the usually third most prominent ion peak, O 8+ , is depressed as are the Fe peaks ranging from Fe 12+ to Fe 7+ . A prominent peak in the usual Si 8+ position of IS spectra is self-consistently shown to be Fe 16+ . These features demonstrate that the ionization states were frozen in at higher than usual coronal temperatures. The source regions of these hot heavy ion spectra are identified as energetic coronal events including flares and nonflare coronal mass ejections. 24 references

Calcium K-line network in coronal holes

Energy Technology Data Exchange (ETDEWEB)

Marsh, K A [Hale Observatories, Pasadena, Calif. (USA)

1977-05-01

Microphotometry of calcium K-line photographs in the regions of polar coronal holes shows that the chromospheric network exterior to a hole has a slightly broader intensity distribution than that inside the hole itself, a fact which can be attributed to a greater number of bright network elements outside the hole. These bright elements presumably represent the enhanced network resulting from the dispersal of magnetic flux from old active regions, a hypothesis which is consistent with current ideas of coronal hole formation.

Polarization of Coronal Forbidden Lines

Energy Technology Data Exchange (ETDEWEB)

Li, Hao; Qu, Zhongquan [Yunnan Observatories, Chinese Academy of Sciences, Kunming, Yunnan 650011 (China); Landi Degl’Innocenti, Egidio, E-mail: sayahoro@ynao.ac.cn [Dipartimento di Astronomia e Scienza dello Spazio, Università di Firenze, Largo E. Fermi 2, I-50125 Firenze (Italy)

2017-03-20

Since the magnetic field is responsible for most manifestations of solar activity, one of the most challenging problems in solar physics is the diagnostics of solar magnetic fields, particularly in the outer atmosphere. To this end, it is important to develop rigorous diagnostic tools to interpret polarimetric observations in suitable spectral lines. This paper is devoted to analyzing the diagnostic content of linear polarization imaging observations in coronal forbidden lines. Although this technique is restricted to off-limb observations, it represents a significant tool to diagnose the magnetic field structure in the solar corona, where the magnetic field is intrinsically weak and still poorly known. We adopt the quantum theory of polarized line formation developed in the framework of the density matrix formalism, and synthesize images of the emergent linear polarization signal in coronal forbidden lines using potential-field source-surface magnetic field models. The influence of electronic collisions, active regions, and Thomson scattering on the linear polarization of coronal forbidden lines is also examined. It is found that active regions and Thomson scattering are capable of conspicuously influencing the orientation of the linear polarization. These effects have to be carefully taken into account to increase the accuracy of the field diagnostics. We also found that linear polarization observation in suitable lines can give valuable information on the long-term evolution of the magnetic field in the solar corona.

Association between the extent of sigmoid sinus dehiscence and an occurrence of pulsatile tinnitus: a retrospective imaging study

International Nuclear Information System (INIS)

Dong, C.; Zhao, P.; Liu, Z.; Xu, W.; Lv, H.; Pang, S.; Wang, Z.

2016-01-01

Aim: To assess the extent of sigmoid sinus dehiscence (SSD) on high-resolution computed tomography venography (HRCTV) or high-resolution computed tomography (HRCT) images in pulsatile tinnitus (PT) and non-PT groups to determine whether there is an association between the extent of SSD and occurrence of PT. Materials and methods: Twenty-eight SSD patients with ipsilateral PT and 28 age- and gender-matched SSD patients without PT who underwent HRCTV or HRCT were enrolled in this study and categorised into two groups: “PT group” and “non-PT group”. The extent of SSD in each group was calculated and compared. Results: The largest transverse diameter and largest vertical diameter of SSD in the PT group were 6.21±1.7 and 6.15±2.19 mm, respectively. The largest transverse diameter and largest vertical diameter of SSD in the non-PT group were 3.06±1.38 and 2.51±1.03 mm, respectively. The extent of SSD was statistically different between the two groups (p<0.001; p<0.001). Conclusions: As a cause of PT, SSD can also occur in individuals without PT symptoms. Preliminary findings suggest that there may be a potential correlation between the extent of SSD and an occurrence of PT. - Highlights: • We compared the extent of sigmoid sinus dehiscence in pulsatile tinnitus and non-pulsatile tinnitus groups. • The sigmoid sinus dehiscence in the pulsatile tinnitus patients was larger than those in non-pulsatile tinnitus patients. • There may be a potential correlation between the extent of sigmoid sinus dehiscence and an occurrence of pulsatile tinnitus.

[Successful Removal of Hard Sigmoid Fecaloma Using Endoscopic Cola Injection].

Science.gov (United States)

Lee, Jong Jin; Kim, Jeong Wook

2015-07-01

Colorectal fecaloma is hardening of feces into lumps of varying size that is much harder in consistency than a fecal impaction. Complications of colorectal fecaloma include ulceration, bleeding, perforation and obstruction of the colon. Most fecalomas are successfully removed by conservative treatment with laxatives, enemas and rectal evacuation to relieve fecal impaction. When conservative treatments have failed, a surgical intervention may be needed. Herein, we report a case of 4.7 cm sized sigmoid fecaloma showing no response to conservative treatments that was successfully removed by endoscopic fragmentation with Coca-Cola injection instead of surgery.

Temperature Structure of a Coronal Cavity

Science.gov (United States)

Kucera, T. A.; Gibson, S. E.; Schmit, D. J.

2011-01-01

we analyze the temperature structure of a coronal cavity observed in Aug. 2007. coronal cavities are long, low-density structures located over filament neutral lines and are often seen as dark elliptical features at the solar limb in white light, EUV and x-rays. when these structures erupt they form the cavity portions of CMEs. It is important to establish the temperature structure of cavities in order to understand the thermodynamics of cavities in relation to their three-dimensional magnetic structure. To analyze the temperature we compare temperature ratios of a series of iron lines observed by the Hinode/EUv Imaging spectrometer (EIS). We also use those lines to constrain a forward model of the emission from the cavity and streamer. The model assumes a coronal streamer with a tunnel-like cavity with elliptical cross-section and a Gaussian variation of height along the tunnel lenth. Temperature and density can be varied as a function of altitude both in the cavity and streamer. The general cavity morphology and the cavity and streamer density have already been modeled using data from STEREO's SECCHI/EUVI and Hinode/EIS (Gibson et al 2010 and Schmit & Gibson 2011).

Trans-anal barotrauma by compressed air leading to sigmoid perforation due to a dangerous practical joke.

Science.gov (United States)

Pahwa, Harvinder Singh; Kumar, Awanish; Srivastava, Rohit; Rai, Anurag

2012-08-01

To present a case report of trans-anal barotrauma by high-pressure compressed air jet as a dangerous practical joke, that is, playful insufflation of high-pressure air jet through the anal orifice resulting in sigmoid perforation. The patient presented to emergency a day later with complaints of severe pain in the abdomen and abdominal distension following insufflation of high-pressure air jet through the anus. On examination, he had signs suggestive of perforation peritonitis and x-ray of the abdomen showed gas under the diaphragm. An emergency exploratory laparotomy was performed which revealed a 4-cm perforation in the sigmoid colon. Resection of the segment containing perforation along with the surrounding devitalised part was done with double-barrel colostomy. Reversal of colostomy was done after 8 weeks. Follow-up was uneventful.

Invasive ductal breast cancer metastatic to the sigmoid colon

Directory of Open Access Journals (Sweden)

Zhou Xiao-cong

2012-11-01

Full Text Available Abstract The most common sites of breast cancer metastasis are the bone, lung, liver and brain. However, colonic metastases from breast cancer are very rare in the clinic. We describe an unusual case of sigmoid colonic metastasis from invasive ductal breast cancer. With this report, we should increase the clinical awareness that any patient with a colorectal lesion and a history of malignancy should be considered to have a metastasis until proven otherwise. Early diagnosis is very important, which enables prompt initiation of systemic treatment, such as chemotherapy, endocrine therapy or both, thus avoiding unnecessary radical surgical resection and improving the prognosis.

3D Global Coronal Density Structure and Associated Magnetic Field near Solar Maximum

Energy Technology Data Exchange (ETDEWEB)

Kramar, Maxim [Physics Department, The Catholic University of America, Washington, DC (United States); Airapetian, Vladimir [Department of Physics and Astronomy, George Mason University, Fairfax, VA (United States); NASA/Goddard Space Flight Center, Code 671, Greenbelt, MD (United States); Lin, Haosheng, E-mail: vladimir.airapetian@nasa.gov [College of Natural Sciences, Institute for Astronomy, University of Hawaii at Manoa, Pukalani, HI (United States)

2016-08-09

Measurement of the coronal magnetic field is a crucial ingredient in understanding the nature of solar coronal dynamic phenomena at all scales. We employ STEREO/COR1 data obtained near maximum of solar activity in December 2012 (Carrington rotation, CR 2131) to retrieve and analyze the three-dimensional (3D) coronal electron density in the range of heights from 1.5 to 4 R{sub ⊙} using a tomography method and qualitatively deduce structures of the coronal magnetic field. The 3D electron density analysis is complemented by the 3D STEREO/EUVI emissivity in 195 Å band obtained by tomography for the same CR period. We find that the magnetic field configuration during CR 2131 has a tendency to become radially open at heliocentric distances below ~2.5 R{sub ⊙}. We compared the reconstructed 3D coronal structures over the CR near the solar maximum to the one at deep solar minimum. Results of our 3D density reconstruction will help to constrain solar coronal field models and test the accuracy of the magnetic field approximations for coronal modeling.

3D Global Coronal Density Structure and Associated Magnetic Field near Solar Maximum

Directory of Open Access Journals (Sweden)

Maxim Kramar

2016-08-01

Full Text Available Measurement of the coronal magnetic field is a crucial ingredient in understanding the nature of solar coronal dynamic phenomena at all scales. We employ STEREO/COR1 data obtained near maximum of solar activity in December 2012 (Carrington rotation, CR 2131 to retrieve and analyze the three-dimensional (3D coronal electron density in the range of heights from $1.5$ to $4 R_odot$ using a tomography method and qualitatively deduce structures of the coronal magnetic field. The 3D electron density analysis is complemented by the 3D STEREO/EUVI emissivity in 195 AA band obtained by tomography for the same CR period. We find that the magnetic field configuration during CR 2131 has a tendency to become radially open at heliocentric distances below $sim 2.5 R_odot$. We compared the reconstructed 3D coronal structures over the CR near the solar maximum to the one at deep solar minimum. Results of our 3D density reconstruction will help to constrain solar coronal field models and test the accuracy of the magnetic field approximations for coronal modeling.

Extreme ultraviolet observations of coronal holes. II

International Nuclear Information System (INIS)

Bohlin, J.D.; Sheeley, N.R. Jr.

1978-01-01

Extreme-ultraviolet Skylab and ground-based solar magnetic field data have been combined to study the origin and evolution of coronal holes. It is shown that holes exist only within the large-scale unipolar magnetic cells into which the solar surface is divided at any given time. A well-defined boundary zone usually exists between the edge of a hole and the neutral line which marks the edge of its magnetic cell. This boundary zone is the region across which a cell is connected by magnetic arcades with adjacent cells of opposite polarity. Three pieces of observational evidence are offered to support the hypothesis that the magnetic lines of force from a hole are open. Kitt Peak magnetograms are used to show that, at least on a relative scale, the average field strengths within holes are quite variable, but indistinguishable from the field strengths in other quiet parts of the Sun's surface. Finally it is shown that the large, equatorial holes characteristic of the declining phase of the last solar cycle during Skylab (1973-74) were all formed as a result of the mergence of bipolar magnetic regions (BMR's), confirming an earlier hypothesis by Timothy et al. (1975). Systematic application of this model to the different aspects of the solar cycle correctly predicts the occurrence of both large, equatorial coronal holes (the 'M-regions' which cause recurrent geomagnetic storms) and the polar cap holes. (Auth.)

Mid-term periodicities and heliospheric modulation of coronal index ...

Indian Academy of Sciences (India)

PRITHVI RAJ SINGH

2018-03-06

Mar 6, 2018 ... long-term periodicity of ∼11 years, with different solar activities. The physical processes that occur inside the. Sun are reflected by a periodic character in terms of coronal index of coronal emission (Fe XIV 530.3 nm) during solar activity cycles. Recently, a link between the strength of photospheric magnetic ...

CLOSED-FIELD CORONAL HEATING DRIVEN BY WAVE TURBULENCE

Energy Technology Data Exchange (ETDEWEB)

Downs, Cooper; Lionello, Roberto; Mikić, Zoran; Linker, Jon A [Predictive Science Incorporated, 9990 Mesa Rim Rd. Suite 170, San Diego, CA 92121 (United States); Velli, Marco, E-mail: cdowns@predsci.com [EPSS, UCLA, Los Angeles, CA 90095 (United States)

2016-12-01

To simulate the energy balance of coronal plasmas on macroscopic scales, we often require the specification of the coronal heating mechanism in some functional form. To go beyond empirical formulations and to build a more physically motivated heating function, we investigate the wave-turbulence-driven (WTD) phenomenology for the heating of closed coronal loops. Our implementation is designed to capture the large-scale propagation, reflection, and dissipation of wave turbulence along a loop. The parameter space of this model is explored by solving the coupled WTD and hydrodynamic evolution in 1D for an idealized loop. The relevance to a range of solar conditions is also established by computing solutions for over one hundred loops extracted from a realistic 3D coronal field. Due to the implicit dependence of the WTD heating model on loop geometry and plasma properties along the loop and at the footpoints, we find that this model can significantly reduce the number of free parameters when compared to traditional empirical heating models, and still robustly describe a broad range of quiet-Sun and active region conditions. The importance of the self-reflection term in producing relatively short heating scale heights and thermal nonequilibrium cycles is also discussed.

Stricture of the sigmoid colon after pelvic irradiation. Report of two cases

Energy Technology Data Exchange (ETDEWEB)

Koga, Yutaka; Nakamura, Katsuya; Tasaki, Akira; Tsutsumi, Nobuo; Terasaka, Reiji [Shin Kokura Hospital, Kitakyushu, Fukuoka (Japan); Taguchi, Kenichi [Kyushu Univ., Fukuoka (Japan). Graduate School of Medical Sciences

2002-07-01

Disorders of the large and small intestines after pelvic irradiation are classified into early and late complications. Common late complications are stricture and perforation. Some cases with such complications are indicated for surgical therapy. Moreover, it is suggested that radiation induced cancer can occur in patients surviving more than 5 years after radiotherapy. Patient 1, a 78-year-old woman, had been treated by surgery and pelvic irradiation for uterine cancer 20 years earlier. She had been suffered from constipation for a long time after the treatment. This time, examinations revealed a whole- circumference stricture and cancer of the sigmoid colon. Sigmoidectomy was performed. Pathological diagnosis was carcinoma in radiation colitis. Patient 2, a 73-year-old woman, had been treated by surgery and pelvic irradiation for uterine cancer 15 years earlier. This time, she admitted to the hospital because of intestinal bleeding. Angiography showed hemorrhage in the ileum. Arterial injection of vasopressin succeeded in hemostasis. However, the procedure caused marked stricture of the sigmoid colon unexpectedly. A sigmoidectomy and a partial resection of the ileum were performed. Pathological diagnosis was radiation colitis and ileitis without malignant findings. Patients with long interval after pelvic irradiation must be carefully followed from the standpoint of late complications and cancer. (author)

TEMPORAL AND SPATIAL RELATIONSHIP OF FLARE SIGNATURES AND THE FORCE-FREE CORONAL MAGNETIC FIELD

Energy Technology Data Exchange (ETDEWEB)

Thalmann, J. K.; Veronig, A.; Su, Y., E-mail: julia.thalmann@uni-graz.at [Institute of Physics/IGAM, University of Graz, Universitätsplatz 5/II, A-8010 Graz (Austria)

2016-08-01

We investigate the plasma and magnetic environment of active region NOAA 11261 on 2011 August 2 around a GOES M1.4 flare/CME (SOL2011-08-02T06:19). We compare coronal emission at the (extreme) ultraviolet and X-ray wavelengths, using SDO AIA and RHESSI images, in order to identify the relative timing and locations of reconnection-related sources. We trace flare ribbon signatures at ultraviolet wavelengths in order to pin down the intersection of previously reconnected flaring loops in the lower solar atmosphere. These locations are used to calculate field lines from three-dimensional (3D) nonlinear force-free magnetic field models, established on the basis of SDO HMI photospheric vector magnetic field maps. Using this procedure, we analyze the quasi-static time evolution of the coronal model magnetic field previously involved in magnetic reconnection. This allows us, for the first time, to estimate the elevation speed of the current sheet’s lower tip during an on-disk observed flare as a few kilometers per second. A comparison to post-flare loops observed later above the limb in STEREO EUVI images supports this velocity estimate. Furthermore, we provide evidence for an implosion of parts of the flaring coronal model magnetic field, and identify the corresponding coronal sub-volumes associated with the loss of magnetic energy. Finally, we spatially relate the build up of magnetic energy in the 3D models to highly sheared fields, established due to the dynamic relative motions of polarity patches within the active region.

Culex coronator in coastal Georgia and South Carolina.

Science.gov (United States)

Moulis, Robert A; Russell, Jennifer D; Lewandowski, Henry B; Thompson, Pamela S; Heusel, Jeffrey L

2008-12-01

In 2007, adult Culex coronator were collected in Chatham County, Georgia, and Jasper County, South Carolina, during nuisance and disease vector surveillance efforts. A total of 75 specimens of this species were collected at 8 widely separated locations in Chatham County, Georgia, and 4 closely situated sites in Jasper County, South Carolina. These represent the first Atlantic coastal records of this species in Georgia and the first confirmed records of Cx. coronator in South Carolina.

RECONNECTION-DRIVEN CORONAL-HOLE JETS WITH GRAVITY AND SOLAR WIND

Energy Technology Data Exchange (ETDEWEB)

Karpen, J. T.; DeVore, C. R.; Antiochos, S. K. [Heliophysics Science Division, NASA Goddard Space Flight Center, Greenbelt MD 20771 (United States); Pariat, E. [LESIA, Observatoire de Paris, PSL Research University, CNRS, Sorbonne Université, UPMC Univ. Paris 06, Univ. Paris Diderot, Sorbonne Paris Cité, 5 place Jules Janssen, F-92195 Meudon (France)

2017-01-01

Coronal-hole jets occur ubiquitously in the Sun's coronal holes, at EUV and X-ray bright points associated with intrusions of minority magnetic polarity. The embedded-bipole model for these jets posits that they are driven by explosive, fast reconnection between the stressed closed field of the embedded bipole and the open field of the surrounding coronal hole. Previous numerical studies in Cartesian geometry, assuming uniform ambient magnetic field and plasma while neglecting gravity and solar wind, demonstrated that the model is robust and can produce jet-like events in simple configurations. We have extended these investigations by including spherical geometry, gravity, and solar wind in a nonuniform, coronal hole-like ambient atmosphere. Our simulations confirm that the jet is initiated by the onset of a kink-like instability of the internal closed field, which induces a burst of reconnection between the closed and external open field, launching a helical jet. Our new results demonstrate that the jet propagation is sustained through the outer corona, in the form of a traveling nonlinear Alfvén wave front trailed by slower-moving plasma density enhancements that are compressed and accelerated by the wave. This finding agrees well with observations of white-light coronal-hole jets, and can explain microstreams and torsional Alfvén waves detected in situ in the solar wind. We also use our numerical results to deduce scaling relationships between properties of the coronal source region and the characteristics of the resulting jet, which can be tested against observations.

Macrospicule Jets in On-Disk Coronal Holes

Science.gov (United States)

Adams, M. L.; Sterling, A. C.; Moore, R. L.

2014-01-01

We examine the magnetic structure and dynamics of multiple jets found in coronal holes close to or on disk center. All data are from the Atmospheric Imaging Assembly (AIA) and the Helioseismic and Magnetic Imager (HMI) of the Solar Dynamics Observatory (SDO). We report on observations of six jets in an equatorial coronal hole spanning 2011 February 27 and 28. We show the evolution of these jets in AIA 193 A, examine the magnetic field configuration, and postulate the probable trigger mechanism of these events. We recently reported on another jet in the same coronal hole on 2011 February 27, approximately 13:04 Universal Time (Adams et al 2014, Astrophysical Journal, 783: 11); this jet is a previously-unrecognized variety of blowout jet. In this variety, the reconnection bright point is not made by interchange reconnection of initially-closed erupting field in the base of the jet with ambient open field. Instead, there is a miniature filament-eruption flare arcade made by internal reconnection of the legs of the erupting field.

Solar origins of coronal mass ejections

Science.gov (United States)

Kahler, Stephen

1987-01-01

The large scale properties of coronal mass ejections (CMEs), such as morphology, leading edge speed, and angular width and position, have been cataloged for many events observed with coronagraphs on the Skylab, P-78, and SMM spacecraft. While considerable study has been devoted to the characteristics of the SMEs, their solar origins are still only poorly understood. Recent observational work has involved statistical associations of CMEs with flares and filament eruptions, and some evidence exists that the flare and eruptive-filament associated CMEs define two classes of events, with the former being generally more energetic. Nevertheless, it is found that eruptive-filament CMEs can at times be very energetic, giving rise to interplanetary shocks and energetic particle events. The size of the impulsive phase in a flare-associated CME seems to play no significant role in the size or speed of the CME, but the angular sizes of CMEs may correlate with the scale sizes of the 1-8 angstrom x-ray flares. At the present time, He 10830 angstrom observations should be useful in studying the late development of double-ribbon flares and transient coronal holes to yield insights into the CME aftermath. The recently available white-light synoptic maps may also prove fruitful in defining the coronal conditions giving rise to CMEs.

EIT Observations of Coronal Mass Ejections

Science.gov (United States)

Gurman, J. B.; Fisher, Richard B. (Technical Monitor)

2000-01-01

Before the Solar and Heliospheric Observatory (SOHO), we had only the sketchiest of clues as to the nature and topology of coronal mass ejections (CMEs) below 1.1 - 1.2 solar radii. Occasionally, dimmings (or 'transient coronal holes') were observed in time series of soft X-ray images, but they were far less frequent than CME's. Simply by imaging the Sun frequently and continually at temperatures of 0.9 - 2.5 MK we have stumbled upon a zoo of CME phenomena in this previously obscured volume of the corona: (1) waves, (2) dimmings, and (3) a great variety of ejecta. In the three and a half years since our first observations of coronal waves associated with CME's, combined Large Angle Spectroscopic Coronagraph (LASCO) and extreme ultra-violet imaging telescope (EIT) synoptic observations have become a standard prediction tool for space weather forecasters, but our progress in actually understanding the CME phenomenon in the low corona has been somewhat slower. I will summarize the observations of waves, hot (> 0.9 MK) and cool ejecta, and some of the interpretations advanced to date. I will try to identify those phenomena, analysis of which could most benefit from the spectroscopic information available from ultraviolet coronograph spectrometer (UVCS) observations.

Hepatoduodenal lymph node metastasis mimicking Klatskin tumor in a patient with sigmoid colon mucinous cancer

Directory of Open Access Journals (Sweden)

Hovhannes Vardevanyan, PhD

2017-09-01

Full Text Available We report a case of a 48-year-old female patient, who presented with abdominal pain, jaundice, and lack of appetite. Ultrasound showed intrahepatic biliary dilatation with retroperitoneal lymphadenopathy. Further magnetic resonance cholangiopancreatography detected Klatskin tumor. Computed tomography (CT confirmed the Klatskin tumor with liver metastases and retroperitoneal lymphadenopathy. Biopsy from the hepatic lesion identified mucinous adenocarcinoma, likely originating from bile ducts. Endoscopic retrograde cholangiopancreatography was performed 3 times with stents placed in the left and right hepatic bile ducts. Later the patient had hematochezia and was referred to colonoscopy. Tubulovillous adenoma with dysplasia was diagnosed with signs of in situ cancer. Preoperative CT was done for further staging: new pulmonary metastases were discovered. Sigmoid colon was resected. Histopathology verified a poorly differentiated mucinous adenocarcinoma within the tubulovillous adenoma. Intraoperative biopsies of porta hepatis mass resembled metastatic lymph nodes in hepatoduodenal ligament, mimicking Klatskin tumor. Retrospective analysis of CT data demonstrated presence of sigmoid colon tumor.

Solar Coronal Loops Associated with Small-scale Mixed Polarity Surface Magnetic Fields

International Nuclear Information System (INIS)

Chitta, L. P.; Peter, H.; Solanki, S. K.; Barthol, P.; Gandorfer, A.; Gizon, L.; Hirzberger, J.; Riethmüller, T. L.; Noort, M. van; Rodríguez, J. Blanco; Iniesta, J. C. Del Toro; Suárez, D. Orozco; Schmidt, W.; Pillet, V. Martínez; Knölker, M.

2017-01-01

How and where are coronal loops rooted in the solar lower atmosphere? The details of the magnetic environment and its evolution at the footpoints of coronal loops are crucial to understanding the processes of mass and energy supply to the solar corona. To address the above question, we use high-resolution line-of-sight magnetic field data from the Imaging Magnetograph eXperiment instrument on the Sunrise balloon-borne observatory and coronal observations from the Atmospheric Imaging Assembly onboard the Solar Dynamics Observatory of an emerging active region. We find that the coronal loops are often rooted at the locations with minor small-scale but persistent opposite-polarity magnetic elements very close to the larger dominant polarity. These opposite-polarity small-scale elements continually interact with the dominant polarity underlying the coronal loop through flux cancellation. At these locations we detect small inverse Y-shaped jets in chromospheric Ca ii H images obtained from the Sunrise Filter Imager during the flux cancellation. Our results indicate that magnetic flux cancellation and reconnection at the base of coronal loops due to mixed polarity fields might be a crucial feature for the supply of mass and energy into the corona.

Solar Coronal Loops Associated with Small-scale Mixed Polarity Surface Magnetic Fields

Energy Technology Data Exchange (ETDEWEB)

Chitta, L. P.; Peter, H.; Solanki, S. K.; Barthol, P.; Gandorfer, A.; Gizon, L.; Hirzberger, J.; Riethmüller, T. L.; Noort, M. van [Max-Planck-Institut für Sonnensystemforschung, Justus-von-Liebig-Weg 3, D-37077 Göttingen (Germany); Rodríguez, J. Blanco [Grupo de Astronomía y Ciencias del Espacio, Universidad de Valencia, E-46980 Paterna, Valencia (Spain); Iniesta, J. C. Del Toro; Suárez, D. Orozco [Instituto de Astrofísica de Andalucía (CSIC), Apartado de Correos 3004, E-18080 Granada (Spain); Schmidt, W. [Kiepenheuer-Institut für Sonnenphysik, Schöneckstr. 6, D-79104 Freiburg (Germany); Pillet, V. Martínez [National Solar Observatory, 3665 Discovery Drive, Boulder, CO 80303 (United States); Knölker, M., E-mail: chitta@mps.mpg.de [High Altitude Observatory, National Center for Atmospheric Research, P.O. Box 3000, Boulder, CO 80307-3000 (United States)

2017-03-01

How and where are coronal loops rooted in the solar lower atmosphere? The details of the magnetic environment and its evolution at the footpoints of coronal loops are crucial to understanding the processes of mass and energy supply to the solar corona. To address the above question, we use high-resolution line-of-sight magnetic field data from the Imaging Magnetograph eXperiment instrument on the Sunrise balloon-borne observatory and coronal observations from the Atmospheric Imaging Assembly onboard the Solar Dynamics Observatory of an emerging active region. We find that the coronal loops are often rooted at the locations with minor small-scale but persistent opposite-polarity magnetic elements very close to the larger dominant polarity. These opposite-polarity small-scale elements continually interact with the dominant polarity underlying the coronal loop through flux cancellation. At these locations we detect small inverse Y-shaped jets in chromospheric Ca ii H images obtained from the Sunrise Filter Imager during the flux cancellation. Our results indicate that magnetic flux cancellation and reconnection at the base of coronal loops due to mixed polarity fields might be a crucial feature for the supply of mass and energy into the corona.

Decision-making in a death investigation: Emotion, families and the coroner.

Science.gov (United States)

Tait, Gordon; Carpenter, Belinda; Quadrelli, Carol; Barnes, Michael

2016-03-01

The role of the coroner in common law countries such as Australia, England, Canada and New Zealand is to preside over death investigations where there is uncertainty as to the manner of death, a need to identify the deceased, a death of unknown cause, or a violent or unnatural death. The vast majority of these deaths are not suspicious and thus require coroners to engage with grieving families who have been thrust into a legal process through the misfortune of a loved one's sudden or unexpected death. In this research, 10 experienced coroners discussed how they negotiated the grief and trauma evident in a death investigation. In doing so, they articulated two distinct ways in which legal officers engaged with emotions, which are also evident in the literature. The first engages the script of judicial dispassion, articulating a hierarchical relationship between reason and emotion, while the second introduces an ethic of care via the principles of therapeutic jurisprudence, and thus offers a challenge to the role of emotion in the personae of the professional judicial officer. By using Hochschild's work on the sociology of emotions, this article discusses the various ways in which coroners manage the emotion of a death investigation through emotion work. While emotional distance may be an understandable response by coroners to the grief and trauma experienced by families and directed at cleaner coronial decision-making, the article concludes that coroners may be better served by offering emotions such as sympathy, consideration and compassion directly to the family in those situations where families are struggling to accept, or are resistant to, coroners' decisions.

Examining the Properties of Jets in Coronal Holes

Science.gov (United States)

Gaulle, Owen; Adams, Mitzi L.; Tennant, A. F.

2012-01-01

We examined both X-ray and Magnetic field data in order to determine if there is a correlation between emerging magnetic flux and the production of Coronal jets. It was proposed that emerging flux can be a trigger to a coronal jet. The jet is thought to be caused when local bipoles reconnect or when a region of magnetic polarity emerges through a uniform field. In total we studied 15 different jets that occurred over a two day period starting 2011-02-27 00:00:00 UTC and ending 2011-02-28 23:59:55 UTC. All of the jets were contained within a coronal hole that was centered on the disk. Of the 15 that we studied 6 were shown to have an increase of magnetic flux within one hour prior to the creation of the jet and 10 were within 3 hours before the event.

OBSERVING THE FINE STRUCTURE OF LOOPS THROUGH HIGH-RESOLUTION SPECTROSCOPIC OBSERVATIONS OF CORONAL RAIN WITH THE CRISP INSTRUMENT AT THE SWEDISH SOLAR TELESCOPE

International Nuclear Information System (INIS)

Antolin, P.; Rouppe van der Voort, L.

2012-01-01

Observed in cool chromospheric lines, such as Hα or Ca II H, coronal rain corresponds to cool and dense plasma falling from coronal heights. Considered as a peculiar sporadic phenomenon of active regions, it has not received much attention since its discovery more than 40 years ago. Yet, it has been shown recently that a close relationship exists between this phenomenon and the coronal heating mechanism. Indeed, numerical simulations have shown that this phenomenon is most likely due to a loss of thermal equilibrium ensuing from a heating mechanism acting mostly toward the footpoints of loops. We present here one of the first high-resolution spectroscopic observations of coronal rain, performed with the CRisp Imaging Spectro Polarimeter (CRISP) instrument at the Swedish Solar Telescope. This work constitutes the first attempt to assess the importance of coronal rain in the understanding of the coronal magnetic field in active regions. With the present resolution, coronal rain is observed to literally invade the entire field of view. A large statistical set is obtained in which dynamics (total velocities and accelerations), shapes (lengths and widths), trajectories (angles of fall of the blobs), and thermodynamic properties (temperatures) of the condensations are derived. Specifically, we find that coronal rain is composed of small and dense chromospheric cores with average widths and lengths of ∼310 km and ∼710 km, respectively, average temperatures below 7000 K, displaying a broad distribution of falling speeds with an average of ∼70 km s –1 , and accelerations largely below the effective gravity along loops. Through estimates of the ion-neutral coupling in the blobs we show that coronal rain acts as a tracer of the coronal magnetic field, thus supporting the multi-strand loop scenario, and acts as a probe of the local thermodynamic conditions in loops. We further elucidate its potential in coronal heating. We find that the cooling in neighboring strands

Multidetector CT enteroclysis: comparison of the reading performance for axial and coronal views

International Nuclear Information System (INIS)

Schmidt, Sabine; Chalaron, Marc; Schnyder, Pierre; Denys, Alban; Chevallier, Patrick; Bessoud, Bertrand; Verdun, Francis R.; Frascarolo, Philippe

2005-01-01

The purpose of this study was to compare the diagnostic performance of axial and coronal views in multidetector CT enteroclysis (MDCTE). We retrospectively evaluated 48 patients with pathological correlation investigated by MDCTE for small bowel disorders. After nasojejunal administration of 2 l of 5% methylcellulose axial arterial and venous acquisition of MDCTE was followed by coronal reconstructions using equal slice thicknesses of 2.5 mm with 2 mm increments. Spatial resolution of both planes was evaluated by phantom. Three radiologists independently read axial and coronal images concerning 12 pathological features. The interobserver agreement and time of reading was calculated. Sensitivity and specificity resulted from comparison with histopathology (n=39) or follow-up (n=9). Phantom study revealed higher spatial resolution for axial than coronal views, whatever reconstruction interval was used. However, spatial frequency always remained high. Most pathological signs, such as bowel wall thickening (BWT), bowel wall enhancement (BWE) and intraperitoneal fluid (IPF), showed better interobserver agreement on axial than coronal views (BWT: 0.61 vs. 0.44; BWE: 0.56 vs. 0.5; IPF:0.53 vs. 0.43). The Wilcoxon signed-rank test revealed significantly higher sensitivity for axial than coronal views (P=0.0453); the time of reading was significantly shorter for the latter (P=0.0146). The diagnostic value of axial slices is superior to coronal reconstructions despite the reduced data volume and display of the physiological course of bowel loops on the coronal plane. (orig.)

Coronal mass ejections and coronal structures

International Nuclear Information System (INIS)

Hildner, E.; Bassi, J.; Bougeret, J.L.

1986-01-01

Research on coronal mass ejections (CMF) took a variety of forms, both observational and theoretical. On the observational side there were: case studies of individual events, in which it was attempted to provide the most complete descriptions possible, using correlative observations in diverse wavelengths; statistical studies of the properties of CMEs and their associated activity; observations which may tell us about the initiation of mass ejections; interplanetary observations of associated shocks and energetic particles; observations of CMEs traversing interplanetary space; and the beautiful synoptic charts which show to what degree mass ejections affect the background corona and how rapidly (if at all) the corona recovers its pre-disturbance form. These efforts are described in capsule form with an emphasis on presenting pictures, graphs, and tables so that the reader can form a personal appreciation of the work and its results

More Macrospicule Jets in On-Disk Coronal Holes

Science.gov (United States)

Adams, M. L.; Sterling, A. C.; Moore, R. L.

2015-01-01

We examine the magnetic structure and dynamics of multiple jets found in coronal holes close to or on disk center. All data are from the Atmospheric Imaging Assembly (AIA) and the Helioseismic and Magnetic Imager (HMI) of the Solar Dynamics Observatory (SDO). We report on observations of about ten jets in an equatorial coronal hole spanning 2011 February 27 and 28. We show the evolution of these jets in AIA 193 A, examine the magnetic field configuration and flux changes in the jet area, and discuss the probable trigger mechanism of these events. We reported on another jet in this same coronal hole on 2011 February 27, (is) approximately 13:04 UT (Adams et al 2014, ApJ, 783: 11). That jet is a previously-unrecognized variety of blowout jet, in which the base-edge bright point is a miniature filament-eruption flare arcade made by internal reconnection of the legs of the erupting field. In contrast, in the presently-accepted 'standard' picture for blowout jets, the base-edge bright point is made by interchange reconnection of initially-closed erupting jet-base field with ambient open field. This poster presents further evidence of the production of the base-edge bright point in blowout jets by internal reconnection. Our observations suggest that most of the bigger and brighter EUV jets in coronal holes are blowout jets of the new-found variety.

Automated coronal hole identification via multi-thermal intensity segmentation

Science.gov (United States)

Garton, Tadhg M.; Gallagher, Peter T.; Murray, Sophie A.

2018-01-01

Coronal holes (CH) are regions of open magnetic fields that appear as dark areas in the solar corona due to their low density and temperature compared to the surrounding quiet corona. To date, accurate identification and segmentation of CHs has been a difficult task due to their comparable intensity to local quiet Sun regions. Current segmentation methods typically rely on the use of single Extreme Ultra-Violet passband and magnetogram images to extract CH information. Here, the coronal hole identification via multi-thermal emission recognition algorithm (CHIMERA) is described, which analyses multi-thermal images from the atmospheric image assembly (AIA) onboard the solar dynamics observatory (SDO) to segment coronal hole boundaries by their intensity ratio across three passbands (171 Å, 193 Å, and 211 Å). The algorithm allows accurate extraction of CH boundaries and many of their properties, such as area, position, latitudinal and longitudinal width, and magnetic polarity of segmented CHs. From these properties, a clear linear relationship was identified between the duration of geomagnetic storms and coronal hole areas. CHIMERA can therefore form the basis of more accurate forecasting of the start and duration of geomagnetic storms.

Coronal Activity in the R CrA T Association

Science.gov (United States)

Patten, Brian M.; Oliversen, Ronald J. (Technical Monitor)

2005-01-01

Brian Patten is the Principal Investigator of the NASA ROSS-ADP project Coronal Activity in the R CrA T Association. For this project we have extracted net counts and variability information for all of the X-ray sources found in 23 archival ROSAT PSPC and HRI images in the region of the R CrA T association. These data have been merged with an extensive database of optical and near-infrared photometry, optical spectroscopy, and parallax data. These data have been used to (1) identify new association members and clarify the membership status of a number of previously suspected members of the association, and (2) derive, for the first time, an accurate coronal luminosity function for the T Tauri members of this T association and make direct comparisons between the coronal luminosity functions for other T associations and those of large clusters. We have used our survey data to assess (a) the importance of the star-formation environment in initial coronal activity levels, (b) the effects of PMS evolution on dynamo activity as a function of mass and age, and (c) the level of contamination by field post-T Tauri stars on association membership surveys.

Numerical simulations of flares on M dwarf stars. I - Hydrodynamics and coronal X-ray emission

Science.gov (United States)

Cheng, Chung-Chieh; Pallavicini, Roberto

1991-01-01

Flare-loop models are utilized to simulate the time evolution and physical characteristics of stellar X-ray flares by varying the values of flare-energy input and loop parameters. The hydrodynamic evolution is studied in terms of changes in the parameters of the mass, energy, and momentum equations within an area bounded by the chromosphere and the corona. The zone supports a magnetically confined loop for which processes are described including the expansion of heated coronal gas, chromospheric evaporation, and plasma compression at loop footpoints. The intensities, time profiles, and average coronal temperatures of X-ray flares are derived from the simulations and compared to observational evidence. Because the amount of evaporated material does not vary linearly with flare-energy input, large loops are required to produce the energy measured from stellar flares.

Is laparoscopic surgery the best treatment in fistulas complicating diverticular disease of the sigmoid colon? A systematic review.

Science.gov (United States)

Cirocchi, Roberto; Arezzo, Alberto; Renzi, Claudio; Cochetti, Giovanni; D'Andrea, Vito; Fingerhut, Abe; Mearini, Ettore; Binda, Gian Andrea

2015-12-01

Laparoscopic surgery is considered in the treatment of diverticular fistula for the possible reduction of overall morbidity and complication rate if compared to open surgery. Aim of this review is to assess the possible advantages deriving from a laparoscopic approach in the treatment of diverticular fistulas of the colon. Studies presenting at least 10 adult patients who underwent laparoscopic surgery for sigmoid diverticular fistula were reviewed. Fistula recurrence, reintervention, Hartmann's procedure or proximal diversion, conversion to laparotomy were the outcomes considered. 11 non randomized studies were included. Rates of fistula recurrence (0.8%), early reintervention (30 days) (2%) and need for Hartmann's procedure or proximal diversion (1.4%) did not show significant difference between laparoscopy and open technique. there is still concern about which surgery in complicated diverticulitis should be preferred. Laparoscopic approach has led to less postoperative pain, shorter hospital stay, faster recovery and better cosmetic results. Laparoscopic resection and primary anastomosis is a possible approach to sigmoid fistulas but its advantages in terms of lower mortality rate and postoperative stay after colon resection with primary anastomosis should be interpreted with caution. When there is firm evidence supporting it, it is likely that minimally invasive surgery should become the standard approach for diverticular fistulas, thus achieving adequate exposure and better visualization of the surgical field. The lack of RCTs, the small sample size, the heterogeneity of literature do not allow to draw statistically significant conclusions on the laparoscopic surgery for fistulas despite this approach is considered safe. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

Solar Magnetic Carpet III: Coronal Modelling of Synthetic Magnetograms

Science.gov (United States)

Meyer, K. A.; Mackay, D. H.; van Ballegooijen, A. A.; Parnell, C. E.

2013-09-01

This article is the third in a series working towards the construction of a realistic, evolving, non-linear force-free coronal-field model for the solar magnetic carpet. Here, we present preliminary results of 3D time-dependent simulations of the small-scale coronal field of the magnetic carpet. Four simulations are considered, each with the same evolving photospheric boundary condition: a 48-hour time series of synthetic magnetograms produced from the model of Meyer et al. ( Solar Phys. 272, 29, 2011). Three simulations include a uniform, overlying coronal magnetic field of differing strength, the fourth simulation includes no overlying field. The build-up, storage, and dissipation of magnetic energy within the simulations is studied. In particular, we study their dependence upon the evolution of the photospheric magnetic field and the strength of the overlying coronal field. We also consider where energy is stored and dissipated within the coronal field. The free magnetic energy built up is found to be more than sufficient to power small-scale, transient phenomena such as nanoflares and X-ray bright points, with the bulk of the free energy found to be stored low down, between 0.5 - 0.8 Mm. The energy dissipated is currently found to be too small to account for the heating of the entire quiet-Sun corona. However, the form and location of energy-dissipation regions qualitatively agree with what is observed on small scales on the Sun. Future MHD modelling using the same synthetic magnetograms may lead to a higher energy release.

Coronal seismology waves and oscillations in stellar coronae

CERN Document Server

Stepanov, Alexander; Nakariakov, Valery M

2012-01-01

This concise and systematic account of the current state of this new branch of astrophysics presents the theoretical foundations of plasma astrophysics, magneto-hydrodynamics and coronal magnetic structures, taking into account the full range of available observation techniques -- from radio to gamma. The book discusses stellar loops during flare energy releases, MHD waves and oscillations, plasma instabilities and heating and charged particle acceleration. Current trends and developments in MHD seismology of solar and stellar coronal plasma systems are also covered, while recent p

Does correction of preoperative coronal imbalance make a difference in outcomes of adult patients with deformity?

Science.gov (United States)

Daubs, Michael D; Lenke, Lawrence G; Bridwell, Keith H; Kim, Yongjung J; Hung, Man; Cheh, Gene; Koester, Linda A

2013-03-15

Retrospective study with prospectively collected outcomes data. Determine the significance of coronal balance on spinal deformity surgery outcomes. Sagittal balance has been confirmed as an important radiographic parameter correlating with adult deformity treatment outcomes. The significance of coronal balance on functional outcomes is less clear. Eighty-five patients with more than 4 cm of coronal imbalance who underwent reconstructive spinal surgery were evaluated to determine the significance of coronal balance on functional outcomes as measured with the Oswestry Disability Index (ODI) and Scoliosis Research Society outcomes questionnaires. Sixty-two patients had combined coronal (>4 cm) and sagittal imbalance (>5 cm), while 23 patients had coronal imbalance alone. Postoperatively, 85% of patients demonstrated improved coronal balance. The mean improvement in the coronal C7 plumb line was 26 mm for a mean correction of 42%. The mean preoperative sagittal C7 plumb line in patients with combined coronal and sagittal imbalance was 118 mm (range, 50-310 mm) and improved to a mean 49 mm. The mean preoperative and postoperative ODI scores were 42 (range, 0-90) and 27 (range, 0-78), for a mean improvement of 15 (36%) (P = 0.00001; 95% CI, 12-20). The mean Scoliosis Research Society scores improved by 17 points (29%) (P = 0.00). Younger age (P = 0.008) and improvement in sagittal balance (P = 0.014) were positive predictors for improved ODI scores. Improvement in sagittal balance (P = 0.010) was a positive predictor for improved Scoliosis Research Society scores. In patients with combined coronal and sagittal imbalance, improvement in sagittal balance was the most significant predictor for improved ODI scores (P = 0.009). In patients with preoperative coronal imbalance alone, improvement in coronal balance trended toward, but was not a significant predictor for improved ODI (P = 0.092). Sagittal balance improvement is the strongest predictor of improved outcomes in

Remaking the medico-legal scene: a social history of the late-Victorian coroner in Oxford.

Science.gov (United States)

Hurren, Elizabeth T

2010-04-01

There have been wide-ranging debates about medicine and the law encapsulated in the figure of the coroner in Victorian England. Recently the historical literature on coroners has been enriched by macro-studies. Despite this important research, the social lives of coroners and their daily interactions remain relatively neglected in standard historical accounts. This article redresses that issue by examining the working life of the coroner for Oxford during the late-Victorian era. Edward Law Hussey kept very detailed records of his time in office as coroner. New research material makes it feasible to trace his professional background, from doctor of the sick poor, to hospital house surgeon and then busy coroner. His career trajectory, personal interactions, and professional disputes, provide an important historical prism illuminating contemporary debates that occupied coroners in their working lives. Hussey tried to improve his medico-legal reach and the public image of his coroner's office by reducing infanticide rates, converting a public mortuary, and acquiring a proper coroner's court. His campaigns had limited success because the social scene in which he worked was complicated by the dominance of health and welfare agencies that resented his role as an expanding arm of the Victorian information state.

FGFR2c-mediated ERK-MAPK activity regulates coronal suture development

Science.gov (United States)

Pfaff, Miles J.; Xue, Ke; Li, Li; Horowitz, Mark C.; Steinbacher, Derek M.; Eswarakumar, Jacob V.P.

2017-01-01

Fibroblast growth factor receptor 2 (FGFR2) signaling is critical for proper craniofacial development. A gain-of-function mutation in the 2c splice variant of the receptor’s gene is associated with Crouzon syndrome, which is characterized by craniosynostosis, the premature fusion of one or more of the cranial vault sutures, leading to craniofacial maldevelopment. Insight into the molecular mechanism of craniosynostosis has identified the ERK-MAPK signaling cascade as a critical regulator of suture patency. The aim of this study is to investigate the role of FGFR2c-induced ERK-MAPK activation in the regulation of coronal suture development. Loss-of-function and gain-of-function Fgfr2c mutant mice have overlapping phenotypes, including coronal synostosis and craniofacial dysmorphia. In vivo analysis of coronal sutures in loss-of-function and gain-of-function models demonstrated fundamentally different pathogenesis underlying coronal suture synostosis. Calvarial osteoblasts from gain-of-function mice demonstrated enhanced osteoblastic function and maturation with concomitant increase in ERK-MAPK activation. In vitro inhibition with the ERK protein inhibitor U0126 mitigated ERK protein activation levels with a concomitant reduction in alkaline phosphatase activity. This study identifies FGFR2c-mediated ERK-MAPK signaling as a key mediator of craniofacial growth and coronal suture development. Furthermore, our results solve the apparent paradox between loss-of-function and gain-of-function FGFR2c mutants with respect to coronal suture synostosis. PMID:27034231

The origin of coronal lines in Seyfert galaxies

International Nuclear Information System (INIS)

Korista, K.T.; Ferland, G.J.

1989-01-01

This paper examines the possibility that the coronal line region in Seyfert galaxies may be the result of an interstellar medium (ISM) exposed to, and subsequently photoionized by, a 'bare' Seyfert nucleus. It is shown that a 'generic' AGN continuum illuminating the warm-phase of the ISM of a spiral galaxy can produce the observed emission. In this picture the same UV-radiation cone that is responsible for the high-excitation extended narrow-line emission clouds observed out to 1-2 kpc or farther from the nuclei of some Seyfert galaxies also produces the coronal lines. Soft X-rays originating in the nucleus are Compton-scattered off the ISM, thus producing extended soft X-ray emission, as observed in NGC 4151. The results of the calculations show a basic insensitivity to the ISM density, which explains why similar coronal line spectra are found in many Seyfert galaxies of varying physical environments. 60 refs

Coronal Loop Evolution Observed with AIA and Hi-C

Science.gov (United States)

Mulu-Moore, Fana; Winebarger, A.; Cirtain, J.; Kobayashi, K.; Korreck, K.; Golub, L.; Kuzin. S.; Walsh, R.; DeForest, C.; DePontieu, B.;

Additional merit of coronal STIR imaging for MR imaging of lumbar spine

Directory of Open Access Journals (Sweden)

Ranjana Gupta

2015-01-01

Full Text Available Introduction: Back pain is a common clinical problem and is the frequent complaint for referral of lumbar spine magnetic resonance imaging (MRI. Coronal short tau inversion recovery sequence (STIR can provide diagnostically significant information in small percentage of patients. Materials and Methods: MRI examinations of a total of 350 patients were retrospectively included in the study. MR sequences were evaluated in two settings. One radiologist evaluated sagittal and axial images only, while another radiologist evaluated all sequences, including coronal STIR sequence. After recording the diagnoses, we compared the MRI findings in two subsets of patients to evaluate additional merit of coronal STIR imaging. Results: With addition of coronal STIR imaging, significant findings were observed in 24 subjects (6.8%. Twenty-one of these subjects were considered to be normal on other sequences and in three subjects diagnosis was changed with the addition of coronal STIR. Additional diagnoses on STIR included sacroiliitis, sacroiliac joint degenerative disease, sacral stress/insufficiency fracture/Looser′s zones, muscular sprain and atypical appendicitis. Conclusion: Coronal STIR imaging can provide additional diagnoses in a small percentage of patients presenting for lumbar spine MRI for back pain. Therefore, it should be included in the routine protocol for MR imaging of lumbar spine.

Classification of temporal bone pneumatization based on sigmoid sinus using computed tomography

Energy Technology Data Exchange (ETDEWEB)

Han, S.-J. [Department of Otorhinolaryngology, National Health Insurance Corporation Ilsan Hospital, Seoul (Korea, Republic of); Song, M.H. [Department of Otorhinolaryngology, Yonsei University College of Medicine, Kang-nam Gu, Do-gok Dong, 146-92, Seoul, Republic of Korea 135-720 (Korea, Republic of); Kim, J. [Department of Radiology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Lee, W.-S. [Department of Otorhinolaryngology, Yonsei University College of Medicine, Kang-nam Gu, Do-gok Dong, 146-92, Seoul, Republic of Korea 135-720 (Korea, Republic of); Lee, H.-K. [Department of Otorhinolaryngology, Yonsei University College of Medicine, Kang-nam Gu, Do-gok Dong, 146-92, Seoul, Republic of Korea 135-720 (Korea, Republic of)], E-mail: hoki@yuhs.ac

2007-11-15

Aim: To analyse several reference structures using axial computed tomography (CT) imaging of the temporal bone, which may reflect pneumatization of the entire temporal bone by statistical correlation to the actual volume of the temporal bone measured using three-dimensional reconstruction. Materials and methods: One hundred and sixteen temporal bones were studied, comprising 48 with normal findings and 68 sides showing chronic otitis media or temporal bone fracture. After measuring the volume of temporal bone air cells by the volume rendering technique using three-dimensional reconstruction images, classification of temporal bone pneumatization was performed using various reference structures on axial images to determine whether significant differences in the volume of temporal bone air cells could be found between the groups. Results: When the sigmoid sinus at the level of the malleoincudal complex was used in the classification, there were statistically significant differences between the groups that correlated with the entire volume of the temporal bone. Grouping based on the labyrinth and the ascending carotid artery showed insignificant differences in volume. Furthermore, there was no significant correlation between the cross-sectional area of the antrum and the entire volume of the temporal bone. Conclusion: The degree of pneumatization of temporal bone can be estimated easily by the evaluation of the air cells around the sigmoid sinus on axial CT images.

Urachal-sigmoid fistula managed by laparoscopic assisted high anterior resection, primary anastomosis and en bloc resection of the urachal cyst and involved bladder.

Science.gov (United States)

Sakata, Shinichiro; Grundy, Joshua; Naidu, Sanjeev; Gillespie, Christopher

2016-08-01

Sigmoid-urachal fistula is exceedingly rare in adults and only a few cases have been reported in the world literature. We present the case of a 54-year-old man with symptomatic sigmoid-urachal fistula managed successfully with a laparoscopic assisted high anterior resection, primary anastomosis and an en bloc resection of the urachal cyst and the involved cuff of bladder. © 2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

[Development of electroforming apparatus for coronal restoration].

Science.gov (United States)

Watanabe, M; Sawada, T; Ukiya, M

1989-03-01

As dental technologies become highly developed, techniques have been more diversified. From as aspect of prosthodontic practice, both esthetic and functional requirements are emphasized for coronal restoration and consequently, these should be considered in the routine procedure. In fabrication of coronal restorations, metal, porcelain and resin are commonly used, and there exists the various disadvantages for metal cast method due to complicated processes by using different dental materials. Therefore, an electroforming apparatus was developed by us to replace the conventional procedure by a cathode rotary system. It was applied for coronal restorations to allow an electroforming directly on a working model. An experiment was successfully conducted to apply for a veneer crown on abutment tooth of upper central incisor on plaster model. The results were obtained as follows, 1. It was become possible to construct a metal framework by the electroforming. 2. Metal framework can be constructed on the same working model without a duplication of it. 3. The combined system for cathode rotation and liquid circulation could shorten the electroposition time, and allows a high current density extending to 50 A/dm2.

The Coronal Analysis of SHocks and Waves (CASHeW) framework

Science.gov (United States)

Kozarev, Kamen A.; Davey, Alisdair; Kendrick, Alexander; Hammer, Michael; Keith, Celeste

2017-11-01

Coronal bright fronts (CBF) are large-scale wavelike disturbances in the solar corona, related to solar eruptions. They are observed (mostly in extreme ultraviolet (EUV) light) as transient bright fronts of finite width, propagating away from the eruption source location. Recent studies of individual solar eruptive events have used EUV observations of CBFs and metric radio type II burst observations to show the intimate connection between waves in the low corona and coronal mass ejection (CME)-driven shocks. EUV imaging with the atmospheric imaging assembly instrument on the solar dynamics observatory has proven particularly useful for detecting large-scale short-lived CBFs, which, combined with radio and in situ observations, holds great promise for early CME-driven shock characterization capability. This characterization can further be automated, and related to models of particle acceleration to produce estimates of particle fluxes in the corona and in the near Earth environment early in events. We present a framework for the coronal analysis of shocks and waves (CASHeW). It combines analysis of NASA Heliophysics System Observatory data products and relevant data-driven models, into an automated system for the characterization of off-limb coronal waves and shocks and the evaluation of their capability to accelerate solar energetic particles (SEPs). The system utilizes EUV observations and models written in the interactive data language. In addition, it leverages analysis tools from the SolarSoft package of libraries, as well as third party libraries. We have tested the CASHeW framework on a representative list of coronal bright front events. Here we present its features, as well as initial results. With this framework, we hope to contribute to the overall understanding of coronal shock waves, their importance for energetic particle acceleration, as well as to the better ability to forecast SEP events fluxes.

The Fate of Cool Material in the Hot Corona: Solar Prominences and Coronal Rain

Science.gov (United States)

Liu, Wei; Antolin, Patrick; Sun, Xudong; Vial, Jean-Claude; Berger, Thomas

2017-08-01

As an important chain of the chromosphere-corona mass cycle, some of the million-degree hot coronal mass undergoes a radiative cooling instability and condenses into material at chromospheric or transition-region temperatures in two distinct forms - prominences and coronal rain (some of which eventually falls back to the chromosphere). A quiescent prominence usually consists of numerous long-lasting, filamentary downflow threads, while coronal rain consists of transient mass blobs falling at comparably higher speeds along well-defined paths. It remains puzzling why such material of similar temperatures exhibit contrasting morphologies and behaviors. We report recent SDO/AIA and IRIS observations that suggest different magnetic environments being responsible for such distinctions. Specifically, in a hybrid prominence-coronal rain complex structure, we found that the prominence material is formed and resides near magnetic null points that favor the radiative cooling process and provide possibly a high plasma-beta environment suitable for the existence of meandering prominence threads. As the cool material descends, it turns into coronal rain tied onto low-lying coronal loops in a likely low-beta environment. Such structures resemble to certain extent the so-called coronal spiders or cloud prominences, but the observations reported here provide critical new insights. We will discuss the broad physical implications of these observations for fundamental questions, such as coronal heating and beyond (e.g., in astrophysical and/or laboratory plasma environments).

Anatomy-Based navigation for ventriculostomy: Nasion-coronal suture distance measurement

Directory of Open Access Journals (Sweden)

Mevci Özdemir

2014-09-01

Full Text Available Objective: In this study we aimed to determine a landmark that can be measured through the skin with nasal mid-point (bregma to coronal suture, and additionally an average value was calculated. We report, to our knowledge, the distance between the nasion-coronal sutures is reported for the first time in Turkish population. Methods: The study included 30 craniums and 30 frontal bones. Each skull from midline nasal suture to coronal suture curved up at the distance was measured with tape measure. Results: Mean values were determined. Nasal suture between coronal suture distance average 12,2 cm (min10,3 cm, up to 13,5 cm were detected. Conclusion: Nasal suture is an easily palpable area through the skin. A small incision is carried down through skin to bone at the spot 12 cm back from the nasion 3 cm lateral to the midline for ventricular drainage operation. This data provide practical information for neurosurgeon and is available everywhere. J Clin Exp Invest 2014; 5 (3: 368-370

Recurring coronal holes and their rotation rates during the solar cycles 22-24

Science.gov (United States)

Prabhu, K.; Ravindra, B.; Hegde, Manjunath; Doddamani, Vijayakumar H.

2018-05-01

Coronal holes (CHs) play a significant role in making the Earth geo-magnetically active during the declining and minimum phases of the solar cycle. In this study, we analysed the evolutionary characteristics of the Recurring CHs from the year 1992 to 2016. The extended minimum of Solar Cycle 23 shows unusual characteristics in the number of persistent coronal holes in the mid- and low-latitude regions of the Sun. Carrington rotation maps of He 10830 Å and EUV 195 Å observations are used to identify the Coronal holes. The latitude distribution of the RCHs shows that most of them are appeared between ± 20° latitudes. In this period, more number of recurring coronal holes appeared in and around 100° and 200° Carrington longitudes. The large sized coronal holes lived for shorter period and they appeared close to the equator. From the area distribution over the latitude considered, it shows that more number of recurring coronal holes with area <10^{21} cm2 appeared in the southern latitude close to the equator. The rotation rates calculated from the RCHs appeared between ± 60° latitude shows rigid body characteristics. The derived rotational profiles of the coronal holes show that they have anchored to a depth well below the tachocline of the interior, and compares well with the helioseismology results.

Assessment of Coronal Radiographic Parameters of the Spine in the Treatment of Adolescent Idiopathic Scoliosis.

Science.gov (United States)

Karami, Mohsen; Maleki, Arash; Mazda, Keyvan

2016-10-01

To determine the most important preoperative factors that affect postoperative coronal parameters of scoliotic curves. All Adolescent Idiopathic Scoliosis (AIS) patients included in the study were classified according to Lenke and King Classification. The fusion levels were selected according to the rigidity of the existing curves (correction less than 50%), tilt of T1 and shoulders, sagittal angle of the curves and with considering stable and neutral end vertebra. The radiographic coronal parameters: shoulders tilt angle, iliolumbar angle and coronal balance were measured in all patients before, after, and in the last follow-up visit. One hundred twenty patients after mean of 25 months follow-up (18-40 months) were included in the study. Before operation, abnormal coronal balance (more than 2 cm shift) was noticed in 46 patents (38%) and in the last visit, was noted in 22 patients (18%). Multivariate regression analysis revealed a significant predictive value of the preoperative coronal balance on the last visit coronal balance ( P value=0.01). Preoperative coronal balance is very important to make a balanced spine after surgery. Other parameters like Lenke classification or main thoracic overcorrection did not affect postoperative coronal decompensation.

A case of adenocarcinoma occurred at site of radiated double-barrel sigmoid colostomy

Energy Technology Data Exchange (ETDEWEB)

Ogawa, Hideaki; Kondo, Yukifumi; Takahashi, Masatoshi [Sapporo-Kosei General Hospital (Japan)] [and others

1996-10-01

A 60-year-old female developed an adenocarcinoma at the site of double-barrel sigmoid colostomy. She underwent a total hysterectomy and the subsequent radiation therapy due to carcinoma uteri when she was 34 years old. She had rectal stenosis one year later and underwent sigmoid colostomy. She had been healthy thereafter, however, when she was 58 years old, she noticed an elevated lesion at the site of colostomy. Biopsy revealed well-differentiated adenocarcinoma, so surgery was recommended but she refused it. Two years later, the entire stoma became a carcinoma, which directly invaded the abdominal wall on MRI images. A bow-shaped skin incision was made and en bloc resection of the tumor, colostomy and the surrounding tissues was performed. Finally, descending colostomy in the left upper quadrant of the abdomen was reconstructed. Primary adenocarcinoma occurring at a double-barrel colostomy is very rare, and such a case may never have been reported, although there were some reports of carcinoma occurring at an end colostomy. Since the site of the present carcinoma was radiated, the radiation may contribute to this carcinogenesis, suspecting its late effect. Our surgical procedure enabled simultaneously operation of combined resection and intraabdominal manipulation, and the reconstruction site of the stoma was easily selected. (author)

A case of adenocarcinoma occurred at site of radiated double-barrel sigmoid colostomy

International Nuclear Information System (INIS)

Ogawa, Hideaki; Kondo, Yukifumi; Takahashi, Masatoshi

1996-01-01

A 60-year-old female developed an adenocarcinoma at the site of double-barrel sigmoid colostomy. She underwent a total hysterectomy and the subsequent radiation therapy due to carcinoma uteri when she was 34 years old. She had rectal stenosis one year later and underwent sigmoid colostomy. She had been healthy thereafter, however, when she was 58 years old, she noticed an elevated lesion at the site of colostomy. Biopsy revealed well-differentiated adenocarcinoma, so surgery was recommended but she refused it. Two years later, the entire stoma became a carcinoma, which directly invaded the abdominal wall on MRI images. A bow-shaped skin incision was made and en bloc resection of the tumor, colostomy and the surrounding tissues was performed. Finally, descending colostomy in the left upper quadrant of the abdomen was reconstructed. Primary adenocarcinoma occurring at a double-barrel colostomy is very rare, and such a case may never have been reported, although there were some reports of carcinoma occurring at an end colostomy. Since the site of the present carcinoma was radiated, the radiation may contribute to this carcinogenesis, suspecting its late effect. Our surgical procedure enabled simultaneously operation of combined resection and intraabdominal manipulation, and the reconstruction site of the stoma was easily selected. (author)

FAST CONTRACTION OF CORONAL LOOPS AT THE FLARE PEAK

International Nuclear Information System (INIS)

Liu Rui; Wang Haimin

2010-01-01

On 2005 September 8, a coronal loop overlying the active region NOAA 10808 was observed in TRACE 171 A to contract at ∼100 km s -1 at the peak of an X5.4-2B flare at 21:05 UT. Prior to the fast contraction, the loop underwent a much slower contraction at ∼6 km s -1 for about 8 minutes, initiating during the flare preheating phase. The sudden switch to fast contraction is presumably corresponding to the onset of the impulsive phase. The contraction resulted in the oscillation of a group of loops located below, with the period of about 10 minutes. Meanwhile, the contracting loop exhibited a similar oscillatory pattern superimposed on the dominant downward motion. We suggest that the fast contraction reflects a suddenly reduced magnetic pressure underneath due either to (1) the eruption of magnetic structures located at lower altitudes or to (2) the rapid conversion of magnetic free energy in the flare core region. Electrons accelerated in the shrinking trap formed by the contracting loop can theoretically contribute to a late-phase hard X-ray burst, which is associated with Type IV radio emission. To complement the X5.4 flare which was probably confined, a similar event observed in SOHO/EIT 195 A on 2004 July 20 in an eruptive, M8.6 flare is briefly described, in which the contraction was followed by the expansion of the same loop leading up to a halo coronal mass ejection. These observations further substantiate the conjecture of coronal implosion and suggest coronal implosion as a new exciter mechanism for coronal loop oscillations.

A comparison study of a solar active-region eruptive filament and a neighboring non-eruptive filament

Science.gov (United States)

Jiang, Chao-Wei; Wu, Shi-Tsan; Feng, Xue-Shang; Hu, Qiang

2016-01-01

Solar active region (AR) 11283 is a very magnetically complex region and it has produced many eruptions. However, there exists a non-eruptive filament in the plage region just next to an eruptive one in the AR, which gives us an opportunity to perform a comparison analysis of these two filaments. The coronal magnetic field extrapolated using our CESE-MHD-NLFFF code reveals that two magnetic flux ropes (MFRs) exist in the same extrapolation box supporting these two filaments, respectively. Analysis of the magnetic field shows that the eruptive MFR contains a bald-patch separatrix surface (BPSS) cospatial very well with a pre-eruptive EUV sigmoid, which is consistent with the BPSS model for coronal sigmoids. The magnetic dips of the non-eruptive MFRs match Hα observation of the non-eruptive filament strikingly well, which strongly supports the MFR-dip model for filaments. Compared with the non-eruptive MFR/filament (with a length of about 200 Mm), the eruptive MFR/filament is much smaller (with a length of about 20 Mm), but it contains most of the magnetic free energy in the extrapolation box and holds a much higher free energy density than the non-eruptive one. Both the MFRs are weakly twisted and cannot trigger kink instability. The AR eruptive MFR is unstable because its axis reaches above a critical height for torus instability, at which the overlying closed arcades can no longer confine the MFR stably. On the contrary, the quiescent MFR is very firmly held by its overlying field, as its axis apex is far below the torus-instability threshold height. Overall, this comparison investigation supports that an MFR can exist prior to eruption and the ideal MHD instability can trigger an MFR eruption.

A comparison study of a solar active-region eruptive filament and a neighboring non-eruptive filament

International Nuclear Information System (INIS)

Jiang, Chao-Wei; Feng, Xue-Shang; Wu, Shi-Tsan; Hu, Qiang

2016-01-01

Solar active region (AR) 11283 is a very magnetically complex region and it has produced many eruptions. However, there exists a non-eruptive filament in the plage region just next to an eruptive one in the AR, which gives us an opportunity to perform a comparison analysis of these two filaments. The coronal magnetic field extrapolated using our CESE–MHD–NLFFF code reveals that two magnetic flux ropes (MFRs) exist in the same extrapolation box supporting these two filaments, respectively. Analysis of the magnetic field shows that the eruptive MFR contains a bald-patch separatrix surface (BPSS) cospatial very well with a pre-eruptive EUV sigmoid, which is consistent with the BPSS model for coronal sigmoids. The magnetic dips of the non-eruptive MFRs match Hα observation of the non-eruptive filament strikingly well, which strongly supports the MFR-dip model for filaments. Compared with the non-eruptive MFR/filament (with a length of about 200 Mm), the eruptive MFR/filament is much smaller (with a length of about 20 Mm), but it contains most of the magnetic free energy in the extrapolation box and holds a much higher free energy density than the non-eruptive one. Both the MFRs are weakly twisted and cannot trigger kink instability. The AR eruptive MFR is unstable because its axis reaches above a critical height for torus instability, at which the overlying closed arcades can no longer confine the MFR stably. On the contrary, the quiescent MFR is very firmly held by its overlying field, as its axis apex is far below the torus-instability threshold height. Overall, this comparison investigation supports that an MFR can exist prior to eruption and the ideal MHD instability can trigger an MFR eruption. (paper)

Dynamics of low density coronal plasma in low current x-pinches

International Nuclear Information System (INIS)

Haas, D; Bott, S C; Vikhrev, V; Eshaq, Y; Ueda, U; Zhang, T; Baranova, E; Krasheninnikov, S I; Beg, F N

2007-01-01

Experiments were performed on an x-pinch using a pulsed power current generator capable of producing an 80 kA current with a rise time of 50 ns. Molybdenum wires with and without gold coating were employed to study the effect of high z coating on the low-density ( 18 cm -3 ) coronal plasma dynamics. A comparison of images from XUV frames and optical probing shows that the low density coronal plasma from the wires initially converges at the mid-plane immediately above and below the cross-point. A central jet is formed which moves with a velocity of 6 x 10 4 ms -1 towards both electrodes forming a z-pinch column before the current maximum. A marked change in the low density coronal plasma dynamics was observed when molybdenum wires coated with ∼ 0.09 μm of gold were used. The processes forming the jet structure were delayed relative to bare Mo x-pinches, and the time-resolved x-ray emission also showed differences. An m = 0 instability was observed in the coronal plasma along the x-pinch legs, which were consistent with x-ray PIN diode signals in which x-ray pulses were observed before x-ray spot formation. These early time x-ray pulses were not observed with pure molybdenum x-pinches. These observations indicate that a thin layer of gold coating significantly changes the coronal plasma behaviour. Two dimensional MHD simulations were performed and qualitatively agree with experimental observations of low density coronal plasma

Photospheric Driving of Non-Potential Coronal Magnetic Field Simulations

Science.gov (United States)

2016-09-19

synthesize observable emission . In future, the computational speed of the MF model makes it a potential avenue for near- real time and/or ensemble...AFRL-AFOSR-UK-TR-2016-0030 PHOTOSPHERIC DRIVING OF NON-POTENTIAL CORONAL MAGNETIC FIELD SIMULATIONS Anthony Yeates UNIVERSITY OF DURHAM Final Report...Final 3. DATES COVERED (From - To)  15 Sep 2014 to 14 Sep 2017 4. TITLE AND SUBTITLE PHOTOSPHERIC DRIVING OF NON-POTENTIAL CORONAL MAGNETIC FIELD

Reconstructing the Morphology of an Evolving Coronal Mass Ejection

Science.gov (United States)

2009-01-01

694, 707 Wood, B. E., Howard, R. A ., Thernisien, A ., Plunkett, S. P., & Socker, D. G. 2009b, Sol. Phys., 259, 163 Wood, B. E., Karovska , M., Chen, J...Reconstructing the Morphology of an Evolving Coronal Mass Ejection B. E. Wood, R. A . Howard, D. G. Socker Naval Research Laboratory, Space Science...mission, we empirically reconstruct the time-dependent three-dimensional morphology of a coronal mass ejection (CME) from 2008 June 1, which exhibits

Diphallus with imperforate anus and complete duplication of recto-sigmoid colon and lower urinary tract.

Science.gov (United States)

Mirshemirani, Alireza; Roshanzamir, Fatollah; Shayeghi, Shahnaz; Mohajerzadeh, Leily; Hasas-Yeganeh, Shaghayegh

2010-06-01

Diphallus is a rare anomaly and accompanying anomalies vary from bifid scrotum, bladder exstrophy, imperforate anus and colo-rectal anomaly such as duplication, and other associated anomalies. A 2-day old infant is reported with imperforate anus and complete duplication of recto-sigmoid colon, rectal pouch, doubling of the genitalia with completely formed penis (diphallus), double bladder, urethra and hypospadias. No family history of abnormalities was noted. The patient underwent several operations: laparatory and colostomy at 3rd day of life, and after clinical and paraclinical investigations, cystoplasty, ureteral reimplantation and resection of left phallus were carried out when 4 months old. At the age of 1 year, after colostogram and total colon evaluation, laparatomy, resection of duplicated recto-sigmoid colon, and pull-through was carried out; 3 months later colostomy closure was performed and the patient discharged without complications. The patients with diphallus have to be examined carefully because of the high incidence of other systemic anomalies. Treatment of diphallus usually includes excision of the duplicated penile structure, its urethra, and repair of associated anomalies.

Diphallus with Imperforate Anus and Complete Duplication of Recto-Sigmoid Colon and Lower Urinary Tract

Science.gov (United States)

Mirshemirani, Alireza; Roshanzamir, Fatollah; Shayeghi, Shahnaz; Mohajerzadeh, Leily; Hasas-yeganeh, Shaghayegh

2010-01-01

Background Diphallus is a rare anomaly and accompanying anomalies vary from bifid scrotum, bladder exstrophy, imperforate anus and colo-rectal anomaly such as duplication, and other associated anomalies. Case Presentation A 2-day old infant is reported with imperforate anus and complete duplication of recto-sigmoid colon, rectal pouch, doubling of the genitalia with completely formed penis (diphallus), double bladder, urethra and hypospadias. No family history of abnormalities was noted. The patient underwent several operations: laparatory and colostomy at 3rd day of life, and after clinical and paraclinical investigations, cystoplasty, ureteral reimplantation and resection of left phallus were carried out when 4 months old. At the age of 1 year, after colostogram and total colon evaluation, laparatomy, resection of duplicated recto-sigmoid colon, and pull-through was carried out; 3 months later colostomy closure was performed and the patient discharged without complications. Conclusion The patients with diphallus have to be examined carefully because of the high incidence of other systemic anomalies. Treatment of diphallus usually includes excision of the duplicated penile structure, its urethra, and repair of associated anomalies. PMID:23056710

Vasoactive intestinal peptide and somatostatin in the plasma and sigmoid mucosa in irritable bowel syndrome

International Nuclear Information System (INIS)

Zhang Ru; Wang Fuxian

2004-01-01

To investigate the possible role and clinical significance of vasoactive intestinal peptide (VIP) and somatostatin(SS) in the irritable bowel syndrome (IBS), the VIP and SS in the plasma and sigmoid mucosa were measured by radioimmunoassay in the control group and the IBS group. The VIP concentration in the plasma and sigmoid mucosa of the IBS patients with constipation was significantly higher than that of the control group (P<0.01), while that of the IBS patients with diarrhea was significantly lower than that of the control group (P<0.05). The SS concentration in two sites was significantly elevated in IBS patients of both types and was significantly higher in IBS with constipation than in IBS with diarrhea (P<0.05). Conclusion: The VIP and SS in IBS are abnormal, which might play a role in the pathogenesis of IBS. The plasma and mucosa concenration of VIP and SS in two kinds of IBS patients are significantly different, which indicates that there might be different pathophysiological basis involved in the pathogenesis of the two kinds of IBS patients. (authors)

Two-zone model of coronal hole structure in the high corona

International Nuclear Information System (INIS)

Wang, Z.; Kundu, M.R.; Yoshimura, H.

1988-01-01

The two-zone coronal hole structure model presently proposed for the high corona at 1.5-1.7 solar radii emerges from a comparison of computation results for the potential magnetic fields of the corona and meter-decameter radio observations. The two zones of a coronal hole are defined by the configuration of magnetic field lines around a coronal hole: (1) the central hole of an open diverging magnetic field line system; and (2) the boundary zone between the central zone of the open field line system and the closed field line system or systems surrounding the open field line system. 19 references

Diagnostics of Coronal Heating in Solar Active Regions

Science.gov (United States)

Fludra, Andrzej; Hornsey, Christopher; Nakariakov, Valery

2015-04-01

We aim to develop a diagnostic method for the coronal heating mechanism in active region loops. Observational constraints on coronal heating models have been sought using measurements in the X-ray and EUV wavelengths. Statistical analysis, using EUV emission from many active regions, was done by Fludra and Ireland (2008) who studied power-law relationships between active region integrated magnetic flux and emission line intensities. A subsequent study by Fludra and Warren (2010) for the first time compared fully resolved images in an EUV spectral line of OV 63.0 nm with the photospheric magnetic field, leading to the identification of a dominant, ubiquitous variable component of the transition region EUV emission and a discovery of a steady basal heating, and deriving the dependence of the basal heating rate on the photospheric magnetic flux density. In this study, we compare models of single coronal loops with EUV observations. We assess to what degree observations of individual coronal loops made in the EUV range are capable of providing constraints on the heating mechanism. We model the coronal magnetic field in an active region using an NLFF extrapolation code applied to a photospheric vector magnetogram from SDO/HMI and select several loops that match an SDO/AIA 171 image of the same active region. We then model the plasma in these loops using a 1D hydrostatic code capable of applying an arbitrary heating rate as a function of magnetic field strength along the loop. From the plasma parameters derived from this model, we calculate the EUV emission along the loop in AIA 171 and 335 bands, and in pure spectral lines of Fe IX 17.1 nm and Fe XVI 33.5 nm. We use different spatial distributions of the heating function: concentrated near the loop top, uniform and concentrated near the footpoints, and investigate their effect on the modelled EUV intensities. We find a diagnostics based on the dependence of the total loop intensity on the shape of the heating function

Mechanistic rationalization of unusual sigmoidal kinetic profiles in the Machetti-De Sarlo cycloaddition reaction.

Science.gov (United States)

Mower, Matthew P; Blackmond, Donna G

2015-02-18

Unusual sigmoidal kinetic profiles in the Machetti-De Sarlo base-catalyzed 1,3-dipolar cycloaddition of acrylamide to N-methylnitroacetamide are rationalized by detailed in situ kinetic analysis. A dual role is uncovered in which a substrate acts as a precursor to catalyze its own reaction. Such kinetic studies provide a general protocol for distinguishing among different mechanistic origins of induction periods in complex organic reactions.

Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation

OpenAIRE

Bosker, Robbert; Hoogenboom, Froukje; Groen, Henk; Hoff, Christiaan; Ploeg, Rutger; Pierie, Jean-Pierre

2010-01-01

Purpose Some authors state that elective laparoscopic recto-sigmoid resection is more difficult for diverticular disease as compared with malignancy. For this reason, starting laparoscopic surgeons might avoid diverticulitis, making the implementation phase unnecessary long. The aim of this study was to determine whether laparoscopic resection for diverticular disease should be included during the implementation phase. Methods All consecutive patients who underwent an elective laparoscopic re...

DISPELLING ILLUSIONS OF REFLECTION: A NEW ANALYSIS OF THE 2007 MAY 19 CORONAL 'WAVE' EVENT

International Nuclear Information System (INIS)

Attrill, Gemma D. R.

2010-01-01

A new analysis of the 2007 May 19 coronal wave-coronal mass ejection-dimmings event is offered employing base difference extreme-ultraviolet (EUV) images. Previous work analyzing the coronal wave associated with this event concluded strongly in favor of purely an MHD wave interpretation for the expanding bright front. This conclusion was based to a significant extent on the identification of multiple reflections of the coronal wave front. The analysis presented here shows that the previously identified 'reflections' are actually optical illusions and result from a misinterpretation of the running difference EUV data. The results of this new multiwavelength analysis indicate that two coronal wave fronts actually developed during the eruption. This new analysis has implications for our understanding of diffuse coronal waves and questions the validity of the analysis and conclusions reached in previous studies.

CORONAL MASS EJECTION INDUCED OUTFLOWS OBSERVED WITH HINODE/EIS

International Nuclear Information System (INIS)

Jin, M.; Ding, M. D.; Chen, P. F.; Fang, C.; Imada, S.

2009-01-01

We investigate the outflows associated with two halo coronal mass ejections (CMEs) that occurred on 2006 December 13 and 14 in NOAA 10930, using the Hinode/EIS observations. Each CME was accompanied by an EIT wave and coronal dimmings. Dopplergrams in the dimming regions are obtained from the spectra of seven EIS lines. The results show that strong outflows are visible in the dimming regions during the CME eruption at different heights from the lower transition region to the corona. It is found that the velocity is positively correlated with the photospheric magnetic field, as well as the magnitude of the dimming. We estimate the mass loss based on height-dependent EUV dimmings and find it to be smaller than the CME mass derived from white-light observations. The mass difference is attributed partly to the uncertain atmospheric model, and partly to the transition region outflows, which refill the coronal dimmings.

Diagnostics of Coronal Magnetic Fields through the Hanle Effect in UV and IR Lines

Energy Technology Data Exchange (ETDEWEB)

Raouafi, Nour E. [The John Hopkins University Applied Physics Laboratory, Laurel, MD (United States); Riley, Pete [Predictive Science Inc., San Diego, CA (United States); Gibson, Sarah [High Altitude Observatory, National Center for Atmospheric Research, Boulder, CO (United States); Fineschi, Silvano [The Astrophysical Observatory of Turin, National Institute for Astrophysics, Turin (Italy); Solanki, Sami K., E-mail: noureddine.raouafi@jhuapl.edu [Max-Planck-Institut für Sonnensystemforschung, Göttingen (Germany); School of Space Research, Kyung Hee University, Yongin, South (Korea, Republic of)

2016-06-22

The plasma thermodynamics in the solar upper atmosphere, particularly in the corona, are dominated by the magnetic field, which controls the flow and dissipation of energy. The relative lack of knowledge of the coronal vector magnetic field is a major handicap for progress in coronal physics. This makes the development of measurement methods of coronal magnetic fields a high priority in solar physics. The Hanle effect in the UV and IR spectral lines is a largely unexplored diagnostic. We use magnetohydrodynamic (MHD) simulations to study the magnitude of the signal to be expected for typical coronal magnetic fields for selected spectral lines in the UV and IR wavelength ranges, namely the H i Ly-α and the He i 10,830 Å lines. We show that the selected lines are useful for reliable diagnosis of coronal magnetic fields. The results show that the combination of polarization measurements of spectral lines with different sensitivities to the Hanle effect may be most appropriate for deducing coronal magnetic properties from future observations.

Perforated Sigmoid Diverticulitis in the Presence of Toxic Epidermal Necrolysis

Directory of Open Access Journals (Sweden)

P. Heye

2014-02-01

Full Text Available Even though the incidence of toxic epidermal necrolysis (TEN is low, it is also associated with a high mortality rate. The condition predominantly affects the skin, but may also affect the gastrointestinal tract, dramatically increasing mortality. We present a case of perforated sigmoid diverticulitis in the presence of TEN. The patient was taking medication, known to be a risk factor, and presented an affected total body surface area and temporal development similar to previously reported cases of TEN. Characteristic abdominal symptoms, however, were missing. Gastrointestinal involvement in TEN appears to be a poor prognostic factor; medical staff must therefore be alert to patients with TEN who complain of abdominal discomfort. The exact pathogenesis, however, remains unclear.

Support vector machine: a tool for mapping mineral prospectivity

NARCIS (Netherlands)

Zuo, R.; Carranza, E.J.M

2011-01-01

In this contribution, we describe an application of support vector machine (SVM), a supervised learning algorithm, to mineral prospectivity mapping. The free R package e1071 is used to construct a SVM with sigmoid kernel function to map prospectivity for Au deposits in western Meguma Terrain of Nova

Future space missions and ground observatory for measurements of coronal magnetic fields

Science.gov (United States)

Fineschi, Silvano; Gibson, Sarah; Bemporad, Alessandro; Zhukov, Andrei; Damé, Luc; Susino, Roberto; Larruquert, Juan

2016-07-01

This presentation gives an overview of the near-future perspectives for probing coronal magnetism from space missions (i.e., SCORE and ASPIICS) and ground-based observatory (ESCAPE). Spectro-polarimetric imaging of coronal emission-lines in the visible-light wavelength-band provides an important diagnostics tool of the coronal magnetism. The interpretation in terms of Hanle and Zeeman effect of the line-polarization in forbidden emission-lines yields information on the direction and strength of the coronal magnetic field. As study case, this presentation will describe the Torino Coronal Magnetograph (CorMag) for the spectro-polarimetric observation of the FeXIV, 530.3 nm, forbidden emission-line. CorMag - consisting of a Liquid Crystal (LC) Lyot filter and a LC linear polarimeter. The CorMag filter is part of the ESCAPE experiment to be based at the French-Italian Concordia base in Antarctica. The linear polarization by resonance scattering of coronal permitted line-emission in the ultraviolet (UV)can be modified by magnetic fields through the Hanle effect. Space-based UV spectro-polarimeters would provide an additional tool for the disgnostics of coronal magnetism. As a case study of space-borne UV spectro-polarimeters, this presentation will describe the future upgrade of the Sounding-rocket Coronagraphic Experiment (SCORE) to include new generation, high-efficiency UV polarizer with the capability of imaging polarimetry of the HI Lyman-α, 121.6 nm. SCORE is a multi-wavelength imager for the emission-lines, HeII 30.4 nm and HI 121.6 nm, and visible-light broad-band emission of the polarized K-corona. SCORE has flown successfully in 2009. The second lauch is scheduled in 2016. Proba-3 is the other future solar mission that would provide the opportunity of diagnosing the coronal magnetic field. Proba-3 is the first precision formation-flying mission to launched in 2019). A pair of satellites will fly together maintaining a fixed configuration as a 'large rigid

Mode Conversion of a Solar Extreme-ultraviolet Wave over a Coronal Cavity

Energy Technology Data Exchange (ETDEWEB)

Zong, Weiguo [Key Laboratory of Space Weather, National Center for Space Weather, China Meteorological Administration, Beijing 100081 (China); Dai, Yu, E-mail: ydai@nju.edu.cn [Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023 (China)

2017-01-10

We report on observations of an extreme-ultraviolet (EUV) wave event in the Sun on 2011 January 13 by Solar Terrestrial Relations Observatory and Solar Dynamics Observatory in quadrature. Both the trailing edge and the leading edge of the EUV wave front in the north direction are reliably traced, revealing generally compatible propagation velocities in both perspectives and a velocity ratio of about 1/3. When the wave front encounters a coronal cavity near the northern polar coronal hole, the trailing edge of the front stops while its leading edge just shows a small gap and extends over the cavity, meanwhile getting significantly decelerated but intensified. We propose that the trailing edge and the leading edge of the northward propagating wave front correspond to a non-wave coronal mass ejection component and a fast-mode magnetohydrodynamic wave component, respectively. The interaction of the fast-mode wave and the coronal cavity may involve a mode conversion process, through which part of the fast-mode wave is converted to a slow-mode wave that is trapped along the magnetic field lines. This scenario can reasonably account for the unusual behavior of the wave front over the coronal cavity.

Sigmoid stenosis caused by diverticulitis vs. carcinoma: usefulness of sonographic features for their differentiation in the emergency setting.

Science.gov (United States)

Ripollés, Tomás; Martínez-Pérez, María Jesús; Gómez Valencia, Diana Patricia; Vizuete, José; Martín, Gregorio

2015-10-01

To retrospectively evaluate the accuracy of ultrasound as a diagnostic method for differentiating acute diverticulitis from colon cancer in patients with sigmoid colon stenosis. Ultrasound examinations of 91 consecutive patients with sigmoid stenosis (50 diverticulitis and 41 colon cancers) were reviewed by two trained radiologists. Sixty-five (71%) patients presented with acute abdominal symptoms. Thirteen sonographic criteria retrieved from the literature were evaluated to differentiate benign from malignant strictures. A score including all parameters which showed significant differences between benign vs. malignant was built. Sensitivity, specificity, accuracy, and positive or negative predictive values of each sonographic sign, the overall diagnosis, and sonographic score were calculated. Loss of the bowel wall stratification was the most reliable criteria for the diagnosis of malignancy (92% and 94% of sensitivity and specificity, respectively), and the best inter-radiologist agreement (κ = 0.848). Adjacent lymph nodes were the most specific feature (98%) for colon cancer, but its sensitivity was low. Global assessment could differentiate both diseases with high sensitivity (92-94.9%) and specificity (98-100%). Sonographic score >3 enabled differentiation of carcinoma from diverticulitis with 95% sensitivity and 92-94% specificity, with an area under the ROC curve of 0.98-0.987. There were no significant differences in the results between patients with acute and nonacute abdominal symptoms. The combination of several morphological sonographic findings using a score can differentiate most cases of diverticulitis from colon carcinoma in sigmoid strictures.

CORONAL MAGNETIC FIELDS DERIVED FROM SIMULTANEOUS MICROWAVE AND EUV OBSERVATIONS AND COMPARISON WITH THE POTENTIAL FIELD MODEL

Energy Technology Data Exchange (ETDEWEB)

Miyawaki, Shun; Nozawa, Satoshi [Department of Science, Ibaraki University, Mito, Ibaraki 310-8512 (Japan); Iwai, Kazumasa; Shibasaki, Kiyoto [Nobeyama Solar Radio Observatory, National Astronomical Observatory of Japan, Minamimaki, Nagano 384-1305 (Japan); Shiota, Daikou, E-mail: shunmi089@gmail.com [Solar-Terrestrial Environment Laboratory, Nagoya University, Nagoya, Aichi 464-8601 (Japan)

2016-02-10

We estimated the accuracy of coronal magnetic fields derived from radio observations by comparing them to potential field calculations and the differential emission measure measurements using EUV observations. We derived line-of-sight components of the coronal magnetic field from polarization observations of the thermal bremsstrahlung in the NOAA active region 11150, observed around 3:00 UT on 2011 February 3 using the Nobeyama Radioheliograph at 17 GHz. Because the thermal bremsstrahlung intensity at 17 GHz includes both chromospheric and coronal components, we extracted only the coronal component by measuring the coronal emission measure in EUV observations. In addition, we derived only the radio polarization component of the corona by selecting the region of coronal loops and weak magnetic field strength in the chromosphere along the line of sight. The upper limits of the coronal longitudinal magnetic fields were determined as 100–210 G. We also calculated the coronal longitudinal magnetic fields from the potential field extrapolation using the photospheric magnetic field obtained from the Helioseismic and Magnetic Imager. However, the calculated potential fields were certainly smaller than the observed coronal longitudinal magnetic field. This discrepancy between the potential and the observed magnetic field strengths can be explained consistently by two reasons: (1) the underestimation of the coronal emission measure resulting from the limitation of the temperature range of the EUV observations, and (2) the underestimation of the coronal magnetic field resulting from the potential field assumption.

Image-based reconstruction of the Newtonian dynamics of solar coronal ejecta

Science.gov (United States)

Uritsky, Vadim M.; Thompson, Barbara J.

2016-10-01

We present a new methodology for analyzing rising and falling dynamics of unstable coronal material as represented by high-cadence SDO AIA images. The technique involves an adaptive spatiotemporal tracking of propagating intensity gradients and their characterization in terms of time-evolving areas swept out by the position vector originated from the Sun disk center. The measured values of the areal velocity and acceleration are used to obtain quantitative information on the angular momentum and acceleration along the paths of the rising and falling coronal plasma. In the absence of other forces, solar gravitation results in purely ballistic motions consistent with the Kepler's second law; non-central forces such as the Lorentz force introduce non-zero torques resulting in more complex motions. The developed algorithms enable direct evaluation of the line-of-sight component of the net torque applied to a unit mass of the ejected coronal material which is proportional to the image-plane projection of the observed areal acceleration. The current implementation of the method cannot reliably distinguish torque modulations caused by the coronal force field from those imposed by abrupt changes of plasma mass density and nontrivial projection effects. However, it can provide valid observational constraints on the evolution of large-scale unstable magnetic topologies driving major solar-coronal eruptions as demonstrated in the related talk by B. Thompson et al.

Spectroscopic observations of Nova Cygni 1975: The coronal line region revisited

International Nuclear Information System (INIS)

Ferland, G.J.; Lambert, D.L.; Woodman, J.H.

1986-01-01

A synopsis of the McDonald Observatory spectrophotometric observations of Nova Cyg 1975 (V1500 Cyg) is presented. We present these data in a form in which they can be readily accessed in the future, and also study the continous spectrum during the early nebular phase. We show that (1) the remnant probably maintained a luminosity at or above the Eddington limit for at least a year after outburst, (2) free-free emission from the coronal line region made a significant contribution to the optical continuum, and (3) the coronal line region was probably a significant source of ionizing radiation. The energetics of this nova appear to be dominated by the lift-off energy from the white dwarf and radiation from the coronal line region. Thus the light curve of Nova Cyg may tell more about the cooling of the coronal line region than about the decline of the central object. In appendices we discuss the argon abundance of Nova Cyg (less than 8 times solar) and describe how to obtain copies of the McDonald nova data

Short-term outcomes after incontinent conduit for gynecologic cancer: comparison of ileal, sigmoid, and transverse colon.

Science.gov (United States)

Tabbaa, Zaid M; Janco, Jo Marie T; Mariani, Andrea; Dowdy, Sean C; McGree, Michaela E; Weaver, Amy L; Cliby, William A

2014-06-01

The aim of this study is to estimate the overall rates of significant incontinent conduit-related complications and compare rates between conduit types. This was a retrospective review of 166 patients who underwent incontinent urinary diversion from April 1993 through April 2013. Patients were categorized by conduit type-ileal, sigmoid colon, and transverse colon. Significant conduit-related complications were assessed at 30 and 90days after surgery. Significant conduit-related complication was defined as any of the following: ureteral stricture, conduit leak, conduit obstruction, conduit ischemia, ureteral anastomotic leak, stent obstruction requiring intervention via interventional radiology procedure or reoperation, and renal failure. A total of 166 patients underwent formation of an incontinent urinary conduit, most commonly during exenteration for gynecologic malignancy. There were 129 ileal, 11 transverse colon, and 26 sigmoid conduits. The overall significant conduit-related complication rate within 30days was 15.1%. Complication rates for ileal, transverse and sigmoid conduits were 14.7%, 0%, and 23.1%, respectively (Fisher's exact test, p=0.24). By 90days, the Kaplan-Meier estimated rates of significant complications were 21.8% overall, and 22.3%, 0%, and 28.9%, respectively, by conduit type (log-rank test, p=0.19). The most common significant conduit-related complications were conduit or ureteral anastomotic leaks and conduit obstructions. By 1 and 2years following surgery, the Kaplan-Meier estimated overall rate of significant conduit-related complication increased to 26.5% and 30.1%, respectively. Our study suggests that there are multiple appropriate tissue sites for use in incontinent conduit formation, and surgical approach should be individualized. Most significant conduit-related complications occur within 90days after surgery. Copyright © 2014 Elsevier Inc. All rights reserved.

[Dural arteriovenous fistula involving the superior sagittal and transverse-sigmoid sinuses, treated by thrombolysis: case report].

Science.gov (United States)

Arai, T; Ohno, K; Yoshino, Y; Tanaka, Y; Nariai, T; Hirakawa, K; Nemoto, S

1997-07-01

A rare case of dural arteriovenous fistula (DAVF) in the superior sagittal sinus (SSS), the transverse sinus and the sigmoid sinus is reported. A 64-year-old man, who had had an episode of temporary visual disturbance after moderate fever for a week about 20 years before, was aware of loss of visual acuity and reduced field of view in the right eye. When he was introduced to our outpatient service, increased intracranial pressure (ICP) was detected by lumbar puncture. Cerebral angiograms showed bilateral DAVFs both in the posterior fossa and the SSS concomitant with thrombosis in the transverse sinus, sigmoid sinus and SSS. Afterwards, endovascular transarterial embolization through bilateral occipital, posterior auricular and left middle meningeal, superior temporal arteries was carried out. In addition, transvenous thrombolytic therapy using a catheter inserted into SSS resulted in the improvement of his visual problems. Although he was discharged at once, he was readmitted to our department with Foster Kennedy syndrome and increased ICP. Cerebral angiograms showed recurrence of both DAVF and sinus thrombosis. Transarterial embolization was performed again resulting in a significant reduction of DAVF, and his visual acuity was recovered to a moderate degree. The origin of DAVF is still controversial. Although two theories, "congenital" and "acquired", are put forward, it has been thought that both factors play important roles. In our case, the patient had stenosis in the jugular canal portions of the sigmoid sinus. In addition, sinus thrombosis seemed to have occurred. It is thought that increased intrasinus pressure may have lead to communication with surrounding arteries through existing dural vessels. We applied transvenous thrombolytic therapy in this case. Our result suggests that we should consider this therapy for some cases of DAVF.

Added value of using a CT coronal reformation to diagnose adnexal torsion

Energy Technology Data Exchange (ETDEWEB)

Jung, Sung Il; Park, Hee Sun; Yim, Young Hee; Jeon, Hae Jeong; Yu, Mi Hye; Kim, Young Jun [Dept. of Radiology, Konkuk University School of Medicine, Research Institute of Medical Science, Seoul (Korea, Republic of); Jeong, Kyung Ah [Dept. of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Seoul (Korea, Republic of)

2015-08-15

To evaluate the increased value of using coronal reformation of a transverse computed tomography (CT) scan for detecting adnexal torsion. This study included 106 woman suspected of having adnexal torsion who underwent CT with coronal reformations and subsequent surgical exploration. Two readers independently recorded the CT findings, such as the thickening of a fallopian tube, twisting of the adnexal pedicle, eccentric smooth wall thickening of the torsed adnexal mass, eccentric septal thickening of the torsed adnexal mass, eccentric poor enhancement of the torsed adnexal mass, uterine deviation to the twisted side, ascites or infiltration of pelvic fat, and the overall impression of adnexal torsion with a transverse scan alone or combined with coronal reformation and a transverse scan. The areas under the receiver operating characteristic curves (AUCs), sensitivity, specificity, and positive predictive value were used to compare diagnostic performance. Fifty-two patients were confirmed to have adnexal torsion. The addition of coronal reformations to the transverse scan improved AUCs for readers 1 and 2 from 0.74 and 0.75 to 0.92 and 0.87, respectively, for detecting adnexal torsion (p < 0.001 and p = 0.004, respectively). Sensitivity of CT for detecting twisting of the adnexal pedicle increased significantly for readers 1 and 2 from 0.27 and 0.29 with a transverse scan alone to 0.79 and 0.77 with a combined coronal reformation and a transverse scan, respectively (p < 0.001 and p < 0.001, respectively). Use of a coronal reformation with transverse CT images improves detection of adnexal torsion.

Swift X-ray monitoring of stellar coronal variability

Science.gov (United States)

Miller, Brendan; Hagen, Cedric; Gallo, Elena; Wright, Jason T.

2018-01-01

We used California Planet Search Ca II H and K core emission measurements to identify and characterize chromospheric activity cycles in a sample of main-sequence FGK stars. About a dozen of these with existing ROSAT archival data were targeted with Swift to obtain a current epoch X-ray flux. We find that coronal variability by a factor of several is common on decade-long timescales (we attempt to link to the chromospheric cycle phase) but can also occur on short timescales between Swift visits to a given target, presumably related to stellar rotation and coronal inhomogeneity or to small flares. Additionally, we present new Swift monitoring observations of two M dwarfs with known exoplanets: GJ 15A and GJ 674. GJ 15A b is around 5.3 Earth masses with an 11.4 day orbital period, while GJ 674 is around 11.1 Earth masses with a 4.7 day orbital period. GJ 15A was observed several times in late 2014 and then monitored at approximately weekly intervals for several months in early 2016, for a total exposure of 18 ks. GJ 674 was monitored at approximately weekly intervals for most of 2016, for a total exposure of 40 ks. We provide light curves and hardness ratios for both sources, and also compare to earlier archival X-ray data. Both sources show significant X-ray variability, including between consecutive observations. We quantify the energy distribution for coronal flaring, and compare to optical results for M dwarfs from Kepler. Finally, we discuss the implications of M dwarf coronal activity for exoplanets orbiting within the nominal habitable zone.

NONLINEAR FORCE-FREE FIELD EXTRAPOLATION OF A CORONAL MAGNETIC FLUX ROPE SUPPORTING A LARGE-SCALE SOLAR FILAMENT FROM A PHOTOSPHERIC VECTOR MAGNETOGRAM

Energy Technology Data Exchange (ETDEWEB)

Jiang, Chaowei; Wu, S. T.; Hu, Qiang [Center for Space Plasma and Aeronomic Research, The University of Alabama in Huntsville, Huntsville, AL 35899 (United States); Feng, Xueshang, E-mail: cwjiang@spaceweather.ac.cn, E-mail: wus@uah.edu, E-mail: qh0001@uah.edu, E-mail: fengx@spaceweather.ac.cn [SIGMA Weather Group, State Key Laboratory for Space Weather, Center for Space Science and Applied Research, Chinese Academy of Sciences, Beijing 100190 (China)

2014-05-10

Solar filaments are commonly thought to be supported in magnetic dips, in particular, in those of magnetic flux ropes (FRs). In this Letter, based on the observed photospheric vector magnetogram, we implement a nonlinear force-free field (NLFFF) extrapolation of a coronal magnetic FR that supports a large-scale intermediate filament between an active region and a weak polarity region. This result is a first, in the sense that current NLFFF extrapolations including the presence of FRs are limited to relatively small-scale filaments that are close to sunspots and along main polarity inversion lines (PILs) with strong transverse field and magnetic shear, and the existence of an FR is usually predictable. In contrast, the present filament lies along the weak-field region (photospheric field strength ≲ 100 G), where the PIL is very fragmented due to small parasitic polarities on both sides of the PIL and the transverse field has a low signal-to-noise ratio. Thus, extrapolating a large-scale FR in such a case represents a far more difficult challenge. We demonstrate that our CESE-MHD-NLFFF code is sufficient for the challenge. The numerically reproduced magnetic dips of the extrapolated FR match observations of the filament and its barbs very well, which strongly supports the FR-dip model for filaments. The filament is stably sustained because the FR is weakly twisted and strongly confined by the overlying closed arcades.

Does Tibial Slope Affect Perception of Coronal Alignment on a Standing Anteroposterior Radiograph?

Science.gov (United States)

Schwartz, Adam J; Ravi, Bheeshma; Kransdorf, Mark J; Clarke, Henry D

2017-07-01

A standing anteroposterior (AP) radiograph is commonly used to evaluate coronal alignment following total knee arthroplasty (TKA). The impact of coronal alignment on TKA outcomes is controversial, perhaps due to variability in imaging and/or measurement technique. We sought to quantify the effect of image rotation and tibial slope on coronal alignment. Using a standard extramedullary tibial alignment guide, 3 cadaver legs were cut to accept a tibial tray at 0°, 3°, and 7° of slope. A computed tomography scan of the entire tibia was obtained for each specimen to confirm neutral coronal alignment. Images were then obtained at progressive 10° intervals of internal and external rotation up to 40° maximum in each direction. Images were then randomized and 5 blinded TKA surgeons were asked to determine coronal alignment. Continuous data values were transformed to categorical data (neutral [0], valgus [L], and varus [R]). Each 10° interval of external rotation of a 7° sloped tibial cut (or relative internal rotation of a tibial component viewed in the AP plane) resulted in perception of an additional 0.75° of varus. The slope of the proximal tibia bone cut should be taken into account when measuring coronal alignment on a standing AP radiograph. Copyright © 2017 Elsevier Inc. All rights reserved.

Do coronal holes influence cosmic ray daily harmonics

International Nuclear Information System (INIS)

Ahluwalia, H.S.

1977-01-01

Coronal holes are identified by their low emissivity in either EUV (Munro and Withrobe, 1973) or in X-rays (Krieger et al, 1973). They are seats of unidirectional magnetic fields. Also, high speed solar wind streams originate in them. Also, high speed solar wind streams originate in then (Krieger et al, 1973; Neupert and Pizzo, 1974; Nolte et al, 1976). Coronal holes often extend over a wide range of heliolatitudes (Timothy et al, 1975). Elsewhere in the Proceedings we have presented results on the long term changes observed in the amplitudes and the times of maximum of the diurnal, the semidiurnal and the tridiurnal variations of cosmic rays, at low (neutrons) and at high (underground muons) primary rigidities (Ahluwalia, 1977). We have shown that a dramatic shift to early hours is noticeable in the times of maxima of the harmonics during 1971-72 period. In this paper we examine the nature of the contributions of off-ecliptic cosmic rays of high enough rigidity, streaming under the influence of large scale ordered interplanetary magnetic field set up by the coronal holes, to the cosmic ray daily harmonics. Some models are presented and discussed in a preliminary fashion. (author)

Coronal Physics and the Chandra Emission Line Project

Science.gov (United States)

Brickhouse, N. S.; Drake, J. J.

2000-01-01

With the launch of the Chandra X-ray Observatory, high resolution X-ray spectroscopy of cosmic sources has begun. Early, deep observations of three stellar coronal sources Capella, Procyon, and HR 1099 are providing not only invaluable calibration data, but also benchmarks for plasma spectral models. These models are needed to interpret data from stellar coronae, galaxies and clusters of galaxies, supernova, remnants and other astrophysical sources. They have been called into question in recent years as problems with understanding low resolution ASCA and moderate resolution Extreme Ultraviolet Explorer Satellite (EUVE) data have arisen. The Emission Line Project is a collaborative effort, to improve the models, with Phase I being the comparison of models with observed spectra of Capella, Procyon, and HR 1099. Goals of these comparisons are (1) to determine and verify accurate and robust diagnostics and (2) to identify and prioritize issues in fundamental spectroscopy which will require further theoretical and/or laboratory work. A critical issue in exploiting the coronal data for these purposes is to understand the extent, to which common simplifying assumptions (coronal equilibrium, negligible optical depth) apply. We will discuss recent, advances in our understanding of stellar coronae, in this context.

THE CORONAL ABUNDANCE ANOMALIES OF M DWARFS

Energy Technology Data Exchange (ETDEWEB)

Wood, Brian E.; Laming, J. Martin [Naval Research Laboratory, Space Science Division, Washington, DC 20375 (United States); Karovska, Margarita, E-mail: brian.wood@nrl.navy.mil [Smithsonian Astrophysical Observatory, 60 Garden St., Cambridge, MA 02138 (United States)

2012-07-01

We analyze Chandra X-ray spectra of the M0 V+M0 V binary GJ 338. As quantified by X-ray surface flux, these are the most inactive M dwarfs ever observed with X-ray grating spectroscopy. We focus on measuring coronal abundances, in particular searching for evidence of abundance anomalies related to first ionization potential (FIP). In the solar corona and wind, low-FIP elements are overabundant, which is the so-called FIP effect. For other stars, particularly very active ones, an 'inverse FIP effect' is often observed, with low-FIP elements being underabundant. For both members of the GJ 338 binary, we find evidence for a modest inverse FIP effect, consistent with expectations from a previously reported correlation between spectral type and FIP bias. This amounts to strong evidence that all M dwarfs should exhibit the inverse FIP effect phenomenon, not just the active ones. We take the first step toward modeling the inverse FIP phenomenon in M dwarfs, building on past work that has demonstrated that MHD waves coursing through coronal loops can lead to a ponderomotive force that fractionates elements in a manner consistent with the FIP effect. We demonstrate that in certain circumstances this model can also lead to an inverse FIP effect, pointing the way to more detailed modeling of M dwarf coronal abundances in the future.

The Coronal Abundance Anomalies of M Dwarfs

Science.gov (United States)

Wood, Brian E.; Laming, J. Martin; Karovska, Margarita

2012-07-01

We analyze Chandra X-ray spectra of the M0 V+M0 V binary GJ 338. As quantified by X-ray surface flux, these are the most inactive M dwarfs ever observed with X-ray grating spectroscopy. We focus on measuring coronal abundances, in particular searching for evidence of abundance anomalies related to first ionization potential (FIP). In the solar corona and wind, low-FIP elements are overabundant, which is the so-called FIP effect. For other stars, particularly very active ones, an "inverse FIP effect" is often observed, with low-FIP elements being underabundant. For both members of the GJ 338 binary, we find evidence for a modest inverse FIP effect, consistent with expectations from a previously reported correlation between spectral type and FIP bias. This amounts to strong evidence that all M dwarfs should exhibit the inverse FIP effect phenomenon, not just the active ones. We take the first step toward modeling the inverse FIP phenomenon in M dwarfs, building on past work that has demonstrated that MHD waves coursing through coronal loops can lead to a ponderomotive force that fractionates elements in a manner consistent with the FIP effect. We demonstrate that in certain circumstances this model can also lead to an inverse FIP effect, pointing the way to more detailed modeling of M dwarf coronal abundances in the future.

THE CORONAL ABUNDANCE ANOMALIES OF M DWARFS

International Nuclear Information System (INIS)

Wood, Brian E.; Laming, J. Martin; Karovska, Margarita

2012-01-01

We analyze Chandra X-ray spectra of the M0 V+M0 V binary GJ 338. As quantified by X-ray surface flux, these are the most inactive M dwarfs ever observed with X-ray grating spectroscopy. We focus on measuring coronal abundances, in particular searching for evidence of abundance anomalies related to first ionization potential (FIP). In the solar corona and wind, low-FIP elements are overabundant, which is the so-called FIP effect. For other stars, particularly very active ones, an 'inverse FIP effect' is often observed, with low-FIP elements being underabundant. For both members of the GJ 338 binary, we find evidence for a modest inverse FIP effect, consistent with expectations from a previously reported correlation between spectral type and FIP bias. This amounts to strong evidence that all M dwarfs should exhibit the inverse FIP effect phenomenon, not just the active ones. We take the first step toward modeling the inverse FIP phenomenon in M dwarfs, building on past work that has demonstrated that MHD waves coursing through coronal loops can lead to a ponderomotive force that fractionates elements in a manner consistent with the FIP effect. We demonstrate that in certain circumstances this model can also lead to an inverse FIP effect, pointing the way to more detailed modeling of M dwarf coronal abundances in the future.

Automated Identification of Coronal Holes from Synoptic EUV Maps

Science.gov (United States)

Hamada, Amr; Asikainen, Timo; Virtanen, Ilpo; Mursula, Kalevi

2018-04-01

Coronal holes (CHs) are regions of open magnetic field lines in the solar corona and the source of the fast solar wind. Understanding the evolution of coronal holes is critical for solar magnetism as well as for accurate space weather forecasts. We study the extreme ultraviolet (EUV) synoptic maps at three wavelengths (195 Å/193 Å, 171 Å and 304 Å) measured by the Solar and Heliospheric Observatory/Extreme Ultraviolet Imaging Telescope (SOHO/EIT) and the Solar Dynamics Observatory/Atmospheric Imaging Assembly (SDO/AIA) instruments. The two datasets are first homogenized by scaling the SDO/AIA data to the SOHO/EIT level by means of histogram equalization. We then develop a novel automated method to identify CHs from these homogenized maps by determining the intensity threshold of CH regions separately for each synoptic map. This is done by identifying the best location and size of an image segment, which optimally contains portions of coronal holes and the surrounding quiet Sun allowing us to detect the momentary intensity threshold. Our method is thus able to adjust itself to the changing scale size of coronal holes and to temporally varying intensities. To make full use of the information in the three wavelengths we construct a composite CH distribution, which is more robust than distributions based on one wavelength. Using the composite CH dataset we discuss the temporal evolution of CHs during the Solar Cycles 23 and 24.

[Our current approach in the treatment of sigmoid colon volvulus].

Science.gov (United States)

Taviloğlu, Korhan; Aydin, Erol; Ertekin, Cemalettin; Güloğlu, Recep; Kurtoğlu, Mehmet

2002-04-01

Our aim was to emphasize the role of endoscopic detorsion in the treatment of sigmoid colon volvulus, which we currently apply in the majority of our cases. The data of 37 patients were analyzed in a retrospective manner, during a 86-month period, between May 1994 and July 2001. The patients were classified into three groups. The first group consisted of 9 patients with resection and anastomosis, the second group consisted of 20 patients with Hartmann's procedure, and the third group consisted of 8 patients with endoscopic detorsion. Complications were encountered in 7 patients (19%), and 3 patients (8%) died following treatment. We favor colonic resection following endoscopic treatment. Resection should be preferred, if endoscopic detorsion is not successful or in the presence of a complication.

Sigmoid stricture associated with diverticular disease should be an indication for elective surgery with lymph node clearance.

Science.gov (United States)

Venara, A; Toqué, L; Barbieux, J; Cesbron, E; Ridereau-Zins, C; Lermite, E; Hamy, A

2015-09-01

The literature concerning stricture secondary to diverticulitis is poor. Stricture in this setting should be an indication for surgery because (a) of the potential risk of cancer and (b) morbidity is not increased compared to other indications for colectomy. The goal of this report is to study the post-surgical morbidity and the quality of life in patients after sigmoidectomy for sigmoid stricture associated with diverticular disease. This is a monocenter retrospective observational study including patients with a preoperative diagnosis of sigmoid stricture associated with diverticular disease undergoing operation between Jan 1, 2007 and Dec 31, 2013. The GastroIntestinal Quality of Life Index was used to assess patient satisfaction. Sixteen patients were included of which nine were female. Median age was 69.5 (46-84) and the median body mass index was 23.55kg/m(2) (17.2-28.4). Elective sigmoidectomy was performed in all 16 patients. Overall, complications occurred in five patients (31.2%) (4 minor complications and 1 major complication according to the Dindo and Clavien Classification); none resulted in death. Pathology identified two adenocarcinomas (12.5%). The mean GastroIntestinal Quality of Life Index was 122 (67-144) and 10/11 patients were satisfied with their surgical intervention. Sigmoid stricture prevents endoscopic exploration of the entire colon and thus it may prove difficult to rule out a malignancy. Surgery does not impair the quality of life since morbidity is similar to other indications for sigmoidectomy. For these reasons, we recommend that stricture associated with diverticular disease should be an indication for sigmoidectomy including lymph node clearance. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Vaginal reconstruction with sigmoid colon in patients with congenital absence of vagina and menses retention: a report of treatment experience in 22 young women.

Science.gov (United States)

Yang, Bin; Wang, Ning; Zhang, Shulan; Wang, Mingqian

2013-01-01

We evaluated the surgical feasibility, sexual satisfaction and complications of vaginal reconstruction with sigmoid colon in patients with congenital absence of vagina and menses retention. Retrospective analysis of surgical techniques and long-term postoperative follow-up was performed for 22 patients who underwent vaginal reconstruction with sigmoid colon at a single hospital between 1977 and 2011 to treat congenital absence of vagina with menses retention. All patients achieved satisfactory sexual function after marriage. No patients experienced enterospastic abdominal pain during sexual intercourse. The neovaginas accommodated two or more fingers and had depths >10 cm. The mucous membranes were soft and flexible, and secretions of the sigmoid mucosa provided adequate and acceptable lubrication. No patient required vaginal stents, and none developed vaginal stenosis or reported pain with vaginal expansion. Fifteen of the 22 patients underwent hysterectomies due to cervical agenesis; seven retained their uterus and had onset of normal menses postoperatively. Two patients became pregnant 1 year after marriage; one achieved 38-week gestation, underwent cesarean section due to premature rupture of membranes, and delivered a healthy boy. The other experienced natural incomplete abortion and underwent curettage at her local hospital. This study confirms that sigmoid colon vaginal reconstruction is a good choice for treating congenital absence of vagina and menses retention and results in the closest approximation to the physical function of a normal female vagina. Reproductive ability can be retained in many cases for patients with a well-developed uterus and cervix.

A SURVEY OF CORONAL CAVITY DENSITY PROFILES

International Nuclear Information System (INIS)

Fuller, J.; Gibson, S. E.

2009-01-01

Coronal cavities are common features of the solar corona that appear as darkened regions at the base of coronal helmet streamers in coronagraph images. Their darkened appearance indicates that they are regions of lowered density embedded within the comparatively higher density helmet streamer. Despite interfering projection effects of the surrounding helmet streamer (which we refer to as the cavity rim), Fuller et al. have shown that under certain conditions it is possible to use a Van de Hulst inversion of white-light polarized brightness (pB) data to calculate the electron density of both the cavity and cavity rim plasma. In this article, we apply minor modifications to the methods of Fuller et al. in order to improve the accuracy and versatility of the inversion process, and use the new methods to calculate density profiles for both the cavity and cavity rim in 24 cavity systems. We also examine trends in cavity morphology and how departures from the model geometry affect our density calculations. The density calculations reveal that in all 24 cases the cavity plasma has a flatter density profile than the plasma of the cavity rim, meaning that the cavity has a larger density depletion at low altitudes than it does at high altitudes. We find that the mean cavity density is over four times greater than that of a coronal hole at an altitude of 1.2 R sun and that every cavity in the sample is over twice as dense as a coronal hole at this altitude. Furthermore, we find that different cavity systems near solar maximum span a greater range in density at 1.2 R sun than do cavity systems near solar minimum, with a slight trend toward higher densities for systems nearer to solar maximum. Finally, we found no significant correlation of cavity density properties with cavity height-indeed, cavities show remarkably similar density depletions-except for the two smallest cavities that show significantly greater depletion.

MHD aspects of coronal transients

International Nuclear Information System (INIS)

Anzer, U.

1979-10-01

If one defines coronal transients as events which occur in the solar corona on rapid time scales (< approx. several hours) then one would have to include a large variety of solar phenomena: flares, sprays, erupting prominences, X-ray transients, white light transients, etc. Here we shall focus our attention on the latter two phenomena. (orig.) 891 WL/orig. 892 RDG

Colonic obstruction secondary to sigmoid fecaloma endoscopically resolved with Coca-Cola®.

Science.gov (United States)

Ontanilla Clavijo, Guillermo; León Montañés, Rafael; Sánchez Torrijos, Yolanda; López Ruiz, Teófilo; Bozada García, Juan Manuel

2017-04-01

Colonic obstruction is a relatively common condition in emergency care, with a mortality rate of up to 20%. In 90% of cases it results from colonic or rectal adenocarcinoma, volvulus, or stenosis secondary to diverticular disease. When fecal impaction is the underlying cause, the condition is usually managed conservatively, but may on occasion become complicated and even require surgical intervention. Based on the proven efficacy of Coca-Cola® to dissolve gastric phytobezoars, we report a case of colonic obstruction secondary to sigmoid fecaloma. A 58 years old woman arrived at the Emergency Room (ER) with persistent constipation for the last six days. An abdominal CT scan showed a large fecal mass at the sigmoid colon with retrograde dilated colonic loops. Cleansing enemas and oral lactulose were administered, which failed to resolve the clinical presentation, so we then proceeded to inject Coca-Cola® within the fecaloma using a sclerosing needle, and then washed the fecaloma surface also with Coca-Cola®. After a few minutes we started to fragment the fecalith, the consistency of which had been notably decreased. The use of Coca-Cola® for gastric washes in the management of phytobezoars is well established. Since fecaliths are partly composed of these same substances than phytobezoars, the use of Coca-Cola® might well be warranted against them as in our patient, without surgery. Our case report is the second one published in the literature, in which Coca-Cola® helped solve colonic obstruction secondary to fecaloma.

Colonic obstruction secondary to sigmoid fecaloma endoscopically resolved with Coca-Cola®

Directory of Open Access Journals (Sweden)

Guillermo Ontanilla-Clavijo

Full Text Available Background: Colonic obstruction is a relatively common condition in emergency care, with a mortality rate of up to 20%. In 90% of cases it results from colonic or rectal adenocarcinoma, volvulus, or stenosis secondary to diverticular disease. When fecal impaction is the underlying cause, the condition is usually managed conservatively, but may on occasion become complicated and even require surgical intervention. Based on the proven efficacy of Coca-Cola® to dissolve gastric phytobezoars, we report a case of colonic obstruction secondary to sigmoid fecaloma. Case report: A 58 years old woman arrived at the Emergency Room (ER with persistent constipation for the last six days. An abdominal CT scan showed a large fecal mass at the sigmoid colon with retrograde dilated colonic loops. Cleansing enemas and oral lactulose were administered, which failed to resolve the clinical presentation, so we then proceeded to inject Coca-Cola® within the fecaloma using a sclerosing needle, and then washed the fecaloma surface also with Coca-Cola®. After a few minutes we started to fragment the fecalith, the consistency of which had been notably decreased. Discussion: The use of Coca-Cola® for gastric washes in the management of phytobezoars is well established. Since fecaliths are partly composed of these same substances than phytobezoars, the use of Coca-Cola® might well be warranted against them as in our patient, without surgery. Our case report is the second one published in the literature, in which Coca-Cola® helped solve colonic obstruction secondary to fecaloma.

Why fast solar wind originates from slowly expanding coronal flux tubes

International Nuclear Information System (INIS)

Wang, Y.M.; Sheeley, N.R. Jr.

1991-01-01

Empirical studies indicate that the solar wind speed at earth is inversely correlated with the divergence rate of the coronal magnetic field. It is shown that this result is consistent with simple wind acceleration models involving Alfven waves, provided that the wave energy flux at the coronal base is taken to be roughly constant within open field regions. 9 refs

Relationship between coronal holes and high speed streams at L1: arrival times, durations, and intensities

Science.gov (United States)

Luo, B.; Bu, X.; Liu, S.; Gong, J.

2017-12-01

Coronal holes are sources of high-speed steams (HSS) of solar wind. When coronal holes appear at mid/low latitudes on the Sun, consequential HSSs may impact Earth and cause recurrent geospace environment disturbances, such as geomagnetic storms, relativistic electron enhancements at the geosynchronous orbit, and thermosphere density enhancements. Thus, it is of interests for space weather forecasters to predict when (arrival times), how long (time durations), and how severe (intensities) HSSs may impact Earth when they notice coronal holes on the sun and are anticipating their geoeffectiveness. In this study, relationship between coronal holes and high speed streams will be statistically investigated. Several coronal hole parameters, including passage times of solar central meridian, coronal hole longitudinal widths, intensities reflected by mean brightness, are derived using Solar Dynamics Observatory (SDO)/Atmospheric Imaging Assembly (AIA) images for years 2011 to 2016. These parameters will be correlated with in-situ solar wind measurements measured at the L1 point by the ACE spacecraft, which can give some results that are useful for space weather forecaster in predicting the arrival times, durations, and intensities of coronal hole high-speed streams in about 3 days advance.

Influence of coronal holes on CMEs in causing SEP events

International Nuclear Information System (INIS)

Shen Chenglong; Yao Jia; Wang Yuming; Ye Pinzhong; Wang Shui; Zhao Xuepu

2010-01-01

The issue of the influence of coronal holes (CHs) on coronal mass ejections (CMEs) in causing solar energetic particle (SEP) events is revisited. It is a continuation and extension of our previous work, in which no evident effects of CHs on CMEs in generating SEPs were found by statistically investigating 56 CME events. This result is consistent with the conclusion obtained by Kahler in 2004. We extrapolate the coronal magnetic field, define CHs as the regions consisting of only open magnetic field lines and perform a similar analysis on this issue for 76 events in total by extending the study interval to the end of 2008. Three key parameters, CH proximity, CH area and CH relative position, are involved in the analysis. The new result confirms the previous conclusion that CHs did not show any evident effect on CMEs in causing SEP events. (research papers)

The Medical Examiner/Coroner's Guide for Contaminated Deceased Body Management.

Science.gov (United States)

Hanzlick, Randy; Nolte, Kurt; deJong, Joyce

2009-12-01

In the past few years, a number of publications and other resources have appeared concerning the management of mass fatality incidents. Some are geared toward the general management of incidents while others cover more specific topics such as decontamination procedures. Still others cover selected agents, including chemical, biologic, or radiologic ones. Few publications have been written specifically for medical examiners and coroners. The Medical Examiner and Coroner's Guide for Contaminated Deceased Body Management is written specifically for the medical examiner or coroner who will be in charge of investigations of fatalities that result from terrorism or other events that result in contaminated remains. In some such cases, agents may be used that will require mitigation of environmental hazards and decontamination of human bodies. To that end, this Guide provides information and suggestions that may be useful in understanding the principles involved in decontamination procedures, recognizing that it may not be the medical examiner or coroner staff who actually conducts decontamination procedures. The suggestions in this guide may differ slightly from those in other publications. However, those who have contributed to this guide believe that the recommendations are practical, workable, have a scientific basis, and do not differ much in substance when compared with other relevant publications. The contents of this Guide may be reproduced for practical use but the Guide may not be sold and it may not be cited for advertisement purposes. Reference to specific commercial products is for informational purposes only and does not constitute endorsement of the product or company which produces the product. The recommendations contained in this Guide are not mandated nor are they required by federal, state, or local law. Rather, the recommendations are intended to assist medical examiners and coroners for the purposes of planning and providing a set of reasonable

Assessment of T2-Weighted Coronal Magnetic Resonance Images in the Investigation of Pituitary Lesions

International Nuclear Information System (INIS)

Yuksekkaya, Ruken; Aggunlu, Levent; Oner, Yusuf; Celik, Halil; Akpek, Sergin; Celikyay, Fatih

2014-01-01

Magnetic resonance imaging is the most important diagnostic method in the investigation of the pituitary lesions. Our aim is to determine whether T2-weighted coronal images may be helpful in the evaluation of the pituitary gland with suspected pituitary adenomas. One hundred and sixty-seven patients were examined prospectively with T2-weighted coronal and T1-weighted coronal images enhanced with intravenous contrast material. The images were evaluated for the presence, the size, the location, and the ancillary signs including sellar floor erosion or ballooning, infindibulary deviation, convexity of the superior border of the gland, diffuse enlargement of the gland, and the invasion of the cavenous sinuses on both images. In forty-six (28%) patients lesions were revealed on both sequences. In twenty-one (12%) patients the lesions that were revealed on the T1-weighted images were not detected on the T2-weighted images. Positive predictive value, negative predictive value, sensitivity, specificity, and diagnostic accuracy rates of T2-weighted coronal images on the detection of the presence of lesions were 100%, 17.4%, 68.7%, 100%, and 87.4%, respectively. Both T2-weighted coronal and T1-weighted coronal images enhanced with intravenous gadolinium-based contrast material are important in the diagnosis of pituitary adenomas. T2-weighted coronal images could be used as a screening tool for the primary evaluation of the pituitary gland

Detublarized Sigmoid Colon for Total Urinary Bladder Replacement: Clinical Outcome in 51 Patients

International Nuclear Information System (INIS)

Bassiouny, M.; El-Sherbiny, M. M.

2003-01-01

The technique and results of a detublarized sigmoid neo bladder for total urinary bladder substitution after radical cystectomy is described. Methods: Fifty one patients (44 men and 7 women) having a mean age of 46 (range, 32-61 years). Radical cysto prostatectomy was performed for the male patients and anterior pelvic exenteration for the female patients. This was followed by total replacement of the bladder with a detubularized sigmoid colon. They were selected to have invasive bladder cancer away from the bladder neck. The mean follow-up period was 38.8 months (range 8-96). Blood chemistry was analyzed periodically every month during the follow-up period. Early and late complications, continence and voiding pattern were recorded. Urodynamic studies were performed every 6 months. Early postoperative complications included, urinary leakage in 7 patients (14%); wound infection in II patients (22%), deep venous thrombosis of the lower extremities in one patient (2%). Late complications included stenosis of the ureterointestinal anastomosis in one patient (2%), stenosis of urethral anastomosis in one patient (2%). A reservoir stone occurred in one patient (2%). No metabolic acidosis nor vitamin B 12 deficiency was reported. The upper urinary tract function was either improved or stable in 96% of cases. However, deterioration occurred in only 4% of cases. All patients could void voluntery without catheterization. Patient satisfaction for continence, by daytime and nighttime (nocturnal continence), was 86% and 72%, respectively. The mean neo bladder capacity and mean residual urine volume was 463.8 ml (range, 275-603) and 93.7 ml (range 50-189), respectively. Pressure flow analysis showed that the mean basal pressure was 5.1 cm H 2 O (range, 1-18) and the mean pressure at maximal capacity was 37.4 cm H 2 O (range, 1-73). The mean maximal flow rate was 17.8 ml/sec (range 3.1-24.5), the mean average flow rate was 11.4 ml/sec. (range 1.9-14.6). The mean first sensation

Delayed presentation of a sigmoid colon injury following blunt abdominal trauma: a case report

OpenAIRE

Ertugrul, Gokhan; Coskun, Murat; Sevinc, Mahsuni; Ertugrul, Fisun; Toydemir, Toygar

2012-01-01

Abstract Introduction The low incidence of colon injury due to blunt abdominal trauma and the lack of a definitive diagnostic method for the same can lead to delays in diagnosis and treatment, subsequently resulting in high morbidity and mortality. Case presentation A 66-year-old woman with sigmoid colon injury was admitted to our emergency department after sustaining blunt abdominal trauma. Her physical examination findings and laboratory results led to a decision to perform a laparotomy; ex...

Interactive and scale invariant segmentation of the rectum/sigmoid via user-defined templates

Science.gov (United States)

Lüddemann, Tobias; Egger, Jan

2016-03-01

Among all types of cancer, gynecological malignancies belong to the 4th most frequent type of cancer among women. Besides chemotherapy and external beam radiation, brachytherapy is the standard procedure for the treatment of these malignancies. In the progress of treatment planning, localization of the tumor as the target volume and adjacent organs of risks by segmentation is crucial to accomplish an optimal radiation distribution to the tumor while simultaneously preserving healthy tissue. Segmentation is performed manually and represents a time-consuming task in clinical daily routine. This study focuses on the segmentation of the rectum/sigmoid colon as an Organ-At-Risk in gynecological brachytherapy. The proposed segmentation method uses an interactive, graph-based segmentation scheme with a user-defined template. The scheme creates a directed two dimensional graph, followed by the minimal cost closed set computation on the graph, resulting in an outlining of the rectum. The graphs outline is dynamically adapted to the last calculated cut. Evaluation was performed by comparing manual segmentations of the rectum/sigmoid colon to results achieved with the proposed method. The comparison of the algorithmic to manual results yielded to a Dice Similarity Coefficient value of 83.85+/-4.08%, in comparison to 83.97+/-8.08% for the comparison of two manual segmentations of the same physician. Utilizing the proposed methodology resulted in a median time of 128 seconds per dataset, compared to 300 seconds needed for pure manual segmentation.

Diphallus with Imperforate Anus and Complete Duplication of Recto-Sigmoid Colon and Lower Urinary Tract

OpenAIRE

Mirshemirani, Alireza; Roshanzamir, Fatollah; Shayeghi, Shahnaz; Mohajerzadeh, Leily; Hasas-yeganeh, Shaghayegh

2010-01-01

Background:Diphallus is a rare anomaly and accompanying anomalies vary from bifid scrotum, bladder exstrophy, imperforate anus and colo-rectal anomaly such as duplication, and other associated anomalies. Case Presentation:A 2-day old infant is reported with imperforate anus and complete duplication of recto-sigmoid colon, rectal pouch, doubling of the genitalia with completely formed penis (diphallus), double bladder, urethra and hypospadias. No family history of abnormalities was noted. The ...

Numerically modelling the large scale coronal magnetic field

Science.gov (United States)

Panja, Mayukh; Nandi, Dibyendu

2016-07-01

The solar corona spews out vast amounts of magnetized plasma into the heliosphere which has a direct impact on the Earth's magnetosphere. Thus it is important that we develop an understanding of the dynamics of the solar corona. With our present technology it has not been possible to generate 3D magnetic maps of the solar corona; this warrants the use of numerical simulations to study the coronal magnetic field. A very popular method of doing this, is to extrapolate the photospheric magnetic field using NLFF or PFSS codes. However the extrapolations at different time intervals are completely independent of each other and do not capture the temporal evolution of magnetic fields. On the other hand full MHD simulations of the global coronal field, apart from being computationally very expensive would be physically less transparent, owing to the large number of free parameters that are typically used in such codes. This brings us to the Magneto-frictional model which is relatively simpler and computationally more economic. We have developed a Magnetofrictional Model, in 3D spherical polar co-ordinates to study the large scale global coronal field. Here we present studies of changing connectivities between active regions, in response to photospheric motions.

Laparoscopic promontofixation for the treatment of recurrent sigmoid neovaginal prolapse: case report and systematic review of the literature.

Science.gov (United States)

Kondo, William; Ribeiro, Reitan; Tsumanuma, Fernanda Keiko; Zomer, Monica Tessmann

2012-01-01

Prolapse of a sigmoid neovagina, created in patients with congenital vaginal aplasia, is rare. In correcting this condition, preservation of coital function and restoration of the vaginal axis should be of primary interest. A 34-year-old woman with vaginal agenesis underwent vaginoplasty using sigmoid colon. Almost 6 years after the initial operation, she started complaining of a bearing-down sensation and an increase in vaginal discharge. She underwent 2 open surgeries and one vaginal surgery to treat the prolapse with no success. She came to our service and at vaginal examination the neovagina protruded approximately 5 cm beyond the hymen. The prolapse was treated successfully using a laparoscopic approach to suspend the neovagina to the sacral promontory (laparoscopic promontofixation). Prolapse of an artificially created vagina is a rare occurrence, without a standard treatment. Laparoscopy may be an alternative approach to restore the neovagina without compromising its function. Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.

Collet-Sicard Syndrome from Thrombosis of the Sigmoid-Jugular Complex: A Case Report and Review of the Literature

Directory of Open Access Journals (Sweden)

Tom P. B. Handley

2010-01-01

Full Text Available Purpose. Collet-Sicard syndrome is a very rare condition characterised by unilateral palsy of the IX–XII cranial nerves. It is distinguished from Villaret syndrome by lack of presence of sympathetic involvement. Current literature contains only two cases of Collet-Sicard syndrome due to idiopathic internal jugular vein thrombosis. Method and Results. We report the case of Collet-Sicard syndrome in a 30-year-old man who presented with delayed development of XIth nerve dysfunction, due to internal jugular vein-sigmoid sinus thrombosis. A multidisciplinary team approach was employed in the management of this patient. At three-month followup, he had significantly improved swallowing, and repeat computed tomography neck scan showed partial recanalisation of the right internal jugular vein. Conclusion. In suspected Collet-Sicard syndrome, a focal primary lesion or metastasis to the temporal bone must be excluded, and sigmoid-jugular complex thrombosis should be considered in the differential diagnosis. Early recognition and treatment may result in significant functional recovery.

Collet-Sicard Syndrome from Thrombosis of the Sigmoid-Jugular Complex: A Case Report and Review of the Literature

Science.gov (United States)

Handley, Tom P. B.; Miah, Mohammed S.; Majumdar, Samit; Hussain, S. S. Musheer

2010-01-01

Purpose. Collet-Sicard syndrome is a very rare condition characterised by unilateral palsy of the IX–XII cranial nerves. It is distinguished from Villaret syndrome by lack of presence of sympathetic involvement. Current literature contains only two cases of Collet-Sicard syndrome due to idiopathic internal jugular vein thrombosis. Method and Results. We report the case of Collet-Sicard syndrome in a 30-year-old man who presented with delayed development of XIth nerve dysfunction, due to internal jugular vein-sigmoid sinus thrombosis. A multidisciplinary team approach was employed in the management of this patient. At three-month followup, he had significantly improved swallowing, and repeat computed tomography neck scan showed partial recanalisation of the right internal jugular vein. Conclusion. In suspected Collet-Sicard syndrome, a focal primary lesion or metastasis to the temporal bone must be excluded, and sigmoid-jugular complex thrombosis should be considered in the differential diagnosis. Early recognition and treatment may result in significant functional recovery. PMID:20706543

Fracture morphology of AO/OTA 31-A trochanteric fractures: A 3D CT study with an emphasis on coronal fragments.

Science.gov (United States)

Cho, Jae-Woo; Kent, William T; Yoon, Yong-Cheol; Kim, Youngwoo; Kim, Hyungon; Jha, Ashutosh; Durai, Senthil Kumar; Oh, Jong-Keon

2017-02-01

This study was designed to assess the incidence and morphology of coronal plane fragments in AO/OTA 31-A trochanteric fractures. 156 cases of AO/OTA 31-A trochanteric fractures were retrospectively evaluated. Lateral radiographs were analyzed for the presence of coronal plane fragments followed by analysis of 3D CT reconstructions in these fractures. The incidence of coronal fragments identified on the lateral radiograph and 3D CT reconstructions were both calculated. Coronal fragment morphology was described based upon the origin and exit points of fracture lines and the number of fragments. On plain radiographs, a coronal plane fracture was identified in 59 cases, an incidence of 37.8% (59/156). In comparison, 3D CT reconstructions identified coronal plane fractures in 138 cases for an incidence of 88.4% (138/156). 3D CT reconstructions identified coronal fracture fragments in 81.9% (50/61) of AO/OTA 31-A1 cases, 94.5% (69/73) of 31-A2 cases, and 86.3% (19/22) of 31-A3 cases. Incidence of coronal fractures identified on plain radiographs of 3 AO/OTA 31-A1,A2,A3 groups was lower when compared to the incidence of coronal fractures identified on 3D CT. Of the 138 cases that had coronal plane fracture, 82 cases (59.4%) had a single coronal fragment (GT fragment 35 cases, GLT fragment 19 cases, GLPC fragment 28 cases). The remaining 56 cases (40.5%) had two coronal fragments. There is a high incidence of coronal fragments in intertrochanteric femur fractures when analyzed with 3D CT reconstructions. Our study suggests that these coronal fragments are difficult to identify on plain radiographs. Knowledge of the incidence and morphology of coronal fragments helps to avoid potential intraoperative pitfalls. Copyright © 2016 Elsevier Ltd. All rights reserved.

Radiation therapy of recurrences of carcinoma of the rectum and sigmoid after surgery

Energy Technology Data Exchange (ETDEWEB)

Ciatto, S; Pacini, P [Florence Univ. (Italy). Ist. di Radiologia

1982-01-01

Loco-regional recurrences are the most common type of postsurgical relapse of rectal and sigmoid carcinoma. The authors report on 108 consecutively treated patients: site, clinical features and symptoms of the recurrences are considered together with treatment results. A symptomatic effect was generally achieved with 35 to 45 Gy, while higher doses did not improve the response. Due to the high frequency of simultaneous involvement of perineum and true pelvis the authors recommend irradiation of both regions. Palliation is the sole aim in most cases. However, curative treatment can be attempted in single perineal recurrences.

The transvaginal hybrid NOTES versus conventionally assisted laparoscopic sigmoid resection for diverticular disease (TRANSVERSAL) trial: study protocol for a randomized controlled trial.

Science.gov (United States)

Senft, Jonas D; Warschkow, Rene; Diener, Markus K; Tarantino, Ignazio; Steinemann, Daniel C; Lamm, Sebastian; Simon, Thomas; Zerz, Andreas; Müller-Stich, Beat P; Linke, Georg R

2014-11-20

Natural orifice transluminal endoscopic surgery (NOTES) is the consequence of further development of minimally invasive surgery to reduce abdominal incisions and surgical trauma. The potential benefits are expected to be less postoperative pain, faster convalescence, and reduced risk for incisional hernias and wound infections compared to conventional methods. Recent clinical studies have demonstrated the feasibility and safety of transvaginal NOTES, and transvaginal access is currently the most frequent clinically applied route for NOTES procedures. However, despite increasing clinical application, no firm clinical evidence is available for objective assessment of the potential benefits and risks of transvaginal NOTES compared to the current surgical standard. The TRANSVERSAL trial is designed as a randomized controlled trial to compare transvaginal hybrid NOTES and laparoscopic-assisted sigmoid resection. Female patients referred to elective sigmoid resection due to complicated or reoccurring diverticulitis of the sigmoid colon are considered eligible. The primary endpoint will be pain intensity during mobilization 24 hours postoperatively as measured by the blinded patient and blinded assessor on a visual analogue scale (VAS). Secondary outcomes include daily pain intensity and analgesic use, patient mobility, intraoperative complications, morbidity, length of stay, quality of life, and sexual function. Follow-up visits are scheduled 3, 12, and 36 months after surgery. A total sample size of 58 patients was determined for the analysis of the primary endpoint. The confirmatory analysis will be performed based on the intention-to-treat (ITT) principle. The TRANSVERSAL trial is the first study to compare transvaginal hybrid NOTES and conventionally assisted laparoscopic surgery for colonic resection in a randomized controlled setting. The results of the TRANSVERSAL trial will allow objective assessment of the potential benefits and risks of NOTES compared to the

77 FR 24537 - Draft Standards and Best Practices for Interaction Between Medical Examiner/Coroner and Organ and...

Science.gov (United States)

2012-04-24

... Best Practices for Interaction Between Medical Examiner/Coroner and Organ and Tissue Procurement... Committee Standards and Best Practices for Interaction Between Medical Examiner/Coroner Offices and Organ... coroner/medical examiner office representatives, law enforcement agencies, organizations, and all other...

Modeling observations of solar coronal mass ejections with heliospheric imagers verified with the eliophysics System Observatory

Czech Academy of Sciences Publication Activity Database

Möstl, C.; Isavnin, A.; Boakes, P. D.; Kilpua, E. K. J.; Davies, J. A.; Harrison, R. A.; Barnes, D.; Krupař, Vratislav; Eastwood, J.; Good, S. W.; Forsyth, R. J.; Bothmer, V.; Reiss, M. A.; Amerstorfer, T.; Winslow, R. M.; Anderson, B.J.; Philpott, L. C.; Rodriguez, L.; Rouillard, A. P.; Gallagher, P.; Nieves-Chinchilla, T.; Zhang, T. L.

2017-01-01

Roč. 15, č. 7 (2017), s. 955-970 ISSN 1539-4956 R&D Projects: GA ČR(CZ) GJ17-06818Y Institutional support: RVO:68378289 Keywords : space weather * coronal mass ejections * STEREO * heliospheric imagers * Heliophysics System Observatory * heliophysics Subject RIV: BL - Plasma and Gas Discharge Physics OBOR OECD: Fluids and plasma physics (including surface physics) http://onlinelibrary.wiley.com/doi/10.1002/2017SW001614/full

An analysis of interplanetary solar radio emissions associated with a coronal mass ejection

Czech Academy of Sciences Publication Activity Database

Krupař, Vratislav; Eastwood, J. P.; Krupařová, Oksana; Santolík, Ondřej; Souček, Jan; Magdalenic, J.; Vourlidas, A.; Maksimovic, M.; Bonnin, X.; Bothmer, V.; Mrotzek, N.; Pluta, A.; Barnes, D.; Davies, J. A.; Oliveros, J.C.M.; Bale, S. D.

2016-01-01

Roč. 823, č. 1 (2016) ISSN 2041-8205 R&D Projects: GA ČR GJ16-16050Y; GA ČR(CZ) GAP209/12/2394; GA MŠk(CZ) LH15304 Grant - others:AV ČR(CZ) AP1401 Program:Akademická prémie - Praemium Academiae Institutional support: RVO:68378289 Keywords : solar -terrestrial relations * coronal mass ejections (CMEs) * radio radiation Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 5.522, year: 2016 http://iopscience.iop.org/article/10.3847/2041-8205/823/1/L5/meta

CORONAL DENSITY STRUCTURE AND ITS ROLE IN WAVE DAMPING IN LOOPS

Energy Technology Data Exchange (ETDEWEB)

Cargill, P. J. [Space and Atmospheric Physics, The Blackett Laboratory, Imperial College, London SW7 2BW (United Kingdom); De Moortel, I.; Kiddie, G., E-mail: p.cargill@imperial.ac.uk [School of Mathematics and Statistics, University of St Andrews, St Andrews, Scotland KY16 9SS (United Kingdom)

2016-05-20

It has long been established that gradients in the Alfvén speed, and in particular the plasma density, are an essential part of the damping of waves in the magnetically closed solar corona by mechanisms such as resonant absorption and phase mixing. While models of wave damping often assume a fixed density gradient, in this paper the self-consistency of such calculations is assessed by examining the temporal evolution of the coronal density. It is shown conceptually that for some coronal structures, density gradients can evolve in a way that the wave-damping processes are inhibited. For the case of phase mixing we argue that (a) wave heating cannot sustain the assumed density structure and (b) inclusion of feedback of the heating on the density gradient can lead to a highly structured density, although on long timescales. In addition, transport coefficients well in excess of classical are required to maintain the observed coronal density. Hence, the heating of closed coronal structures by global oscillations may face problems arising from the assumption of a fixed density gradient, and the rapid damping of oscillations may have to be accompanied by a separate (non-wave-based) heating mechanism to sustain the required density structuring.

ON THE CONNECTION BETWEEN PROPAGATING SOLAR CORONAL DISTURBANCES AND CHROMOSPHERIC FOOTPOINTS

Energy Technology Data Exchange (ETDEWEB)

Bryans, P.; McIntosh, S. W.; Moortel, I. De [High Altitude Observatory, National Center for Atmospheric Research, P.O. Box 3000, Boulder, CO 80307 (United States); Pontieu, B. De [Lockheed Martin Solar and Astrophysics Lab, Org. A021S, Bldg. 252, 3251 Hanover Street, Palo Alto, CA 94304 (United States)

2016-09-20

The Interface Region Imaging Spectrograph ( IRIS ) provides an unparalleled opportunity to explore the (thermal) interface between the chromosphere, transition region, and the coronal plasma observed by the Atmospheric Imaging Assembly (AIA) of the Solar Dynamics Observatory ( SDO ). The SDO /AIA observations of coronal loop footpoints show strong recurring upward propagating signals—“propagating coronal disturbances” (PCDs) with apparent speeds of the order of 100–120 km s{sup −1}. That signal has a clear signature in the slit-jaw images of IRIS in addition to identifiable spectral signatures and diagnostics in the Mg iih (2803 Å) line. In analyzing the Mg iih line, we are able to observe the presence of magnetoacoustic shock waves that are also present in the vicinity of the coronal loop footpoints. We see there is enough of a correspondence between the shock propagation in Mg iih, the evolution of the Si iv line profiles, and the PCD evolution to indicate that these waves are an important ingredient for PCDs. In addition, the strong flows in the jet-like features in the IRIS Si iv slit-jaw images are also associated with PCDs, such that waves and flows both appear to be contributing to the signals observed at the footpoints of PCDs.

Rotated sigmoid structures in managed uneven-aged northern hardwood stands: a look at the Burr Type III distribution

Science.gov (United States)

Jeffrey H. Gove; Mark J. Ducey; William B. Leak; Lianjun Zhang

2008-01-01

Stand structures from a combined density manipulation and even- to uneven-aged conversion experiment on the Bartlett Experimental Forest (New Hampshire, USA) were examined 25 years after initial treatment for rotated sigmoidal diameter distributions. A comparison was made on these stands between two probability density functions for fitting these residual structures:...

MHD modeling of coronal loops: the transition region throat

Science.gov (United States)

Guarrasi, M.; Reale, F.; Orlando, S.; Mignone, A.; Klimchuk, J. A.

2014-04-01

Context. The expansion of coronal loops in the transition region may considerably influence the diagnostics of the plasma emission measure. The cross-sectional area of the loops is expected to depend on the temperature and pressure, and might be sensitive to the heating rate. Aims: The approach here is to study the area response to slow changes in the coronal heating rate, and check the current interpretation in terms of steady heating models. Methods: We study the area response with a time-dependent 2D magnetohydrodynamic (MHD) loop model, including the description of the expanding magnetic field, coronal heating and losses by thermal conduction, and radiation from optically thin plasma. We run a simulation for a loop 50 Mm long and quasi-statically heated to about 4 MK. Results: We find that the area can change substantially with the quasi-steady heating rate, e.g., by ~40% at 0.5 MK as the loop temperature varies between 1 MK and 4 MK, and, therefore, affects the interpretation of the differential emission measure vs. temperature (DEM(T)) curves. The movie associated to Fig. 4 is available in electronic form at http://www.aanda.org

OBSERVATIONAL SIGNATURES OF THE CORONAL KINK INSTABILITY WITH THERMAL CONDUCTION

International Nuclear Information System (INIS)

Botha, G. J. J.; Arber, T. D.; Srivastava, Abhishek K.

2012-01-01

It is known from numerical simulations that thermal conduction along magnetic field lines plays an important role in the evolution of the kink instability in coronal loops. This study presents the observational signatures of the kink instability in long coronal loops when parallel thermal conduction is included. The three-dimensional nonlinear magnetohydrodynamic equations are solved numerically to simulate the evolution of a coronal loop that is initially in an unstable equilibrium. The loop has length 80 Mm, width 8 Mm, and an initial maximum twist of Φ = 11.5π, where Φ is a function of the radius. The initial loop parameters are obtained from a highly twisted loop observed in the Transition Region and Coronal Explorer (TRACE) 171 Å wave band. Synthetic observables are generated from the data. These observables include spatial and temporal averaging to account for the resolution and exposure times of TRACE images. Parallel thermal conduction reduces the maximum local temperature by up to an order of magnitude. This means that different spectral lines are formed and different internal loop structures are visible with or without the inclusion of thermal conduction. However, the response functions sample a broad range of temperatures. The result is that the inclusion of parallel thermal conductivity does not have as large an impact on observational signatures as the order of magnitude reduction in the maximum temperature would suggest; the net effect is a blurring of internal features of the loop structure.

Fault lines in forensic medical toxicology in Ireland exposed through replies of pathologists and coroners to anonymous questionnaires.

Science.gov (United States)

Tormey, William P; Borovickova, Ingrid; Moore, Tara M

2014-01-01

The attitudes and experiences of pathologists and coroners to the provision of biochemical forensic toxicology in the Republic of Ireland were determined using separate questionnaires to each group anonymously. Replies were received from 36/88 (41%) of pathologists and 19/71 (27%) of coroners. 37% of coroners considered that histopathologists give an adequate opinion in forensic toxicology yet 58% of pathologists reported that they did not have adequate access to expert medical interpretative toxicological opinion. For drug-drug interactions and metabolic diseases, 69% of pathologists were unhappy with the processes and 68% of coroner replies did not know if vitreous samples were used appropriately. There is a clear requirement for retraining of coroners and for the appointment of medical toxicology expertise to improve the quality of service for coroners.

Shear-induced inflation of coronal magnetic fields

International Nuclear Information System (INIS)

Klimchuk, J.A.

1990-01-01

Using numerical models of force-free magnetic fields, the shearing of footprints in arcade geometries leading to an inflation of the coronal magnetic field was examined. For each of the shear profiles considered, all of the field lines become elevated compared with the potential field. This includes cases where the shear is concentrated well away from the arcade axis, such that B(sub z), the component of field parallel to the axis, increases outward to produce an inward B(sub z) squared/8 pi magnetic pressure gradient force. These results contrast with an earlier claim, shown to be incorrect, that field lines can sometimes become depressed as a result of shear. It is conjectured that an inflation of the entire field will always result from the shearing of simple arcade configurations. These results have implications for prominence formation, the interplanetary magnetic flux, and possibly also coronal holes. 38 refs

Thermal instabilities in magnetically confined plasmas: Solar coronal loops

International Nuclear Information System (INIS)

Habbal, S.R.; Rosner, R.

1979-01-01

The thermal stability of confined solar coronal structures (''loops'') is investigated, following both normal mode and a new, global instability analysis. We demonstrate that: (a) normal mode analysis shows modes with size scales comparable to that of loops to be unstable, but to be strongly affected by the loop boundary conditions; (b) a global analysis, based upon variation of the total loop energy losses and gains, yields loop stability conditions for global modes dependent upon the coronal loop heating process, with magnetically coupled heating processes giving marginal stability. The connection between the present analysis and the minimum flux corona of Hearn is also discussed

Characteristics of Low-latitude Coronal Holes near the Maximum of Solar Cycle 24

DEFF Research Database (Denmark)

Hofmeister, Stefan J.; Veronig, Astrid; Reiss, Martin A.

2017-01-01

We investigate the statistics of 288 low-latitude coronal holes extracted from SDO/AIA-193 filtergrams over the time range of 2011 January 01–2013 December 31. We analyze the distribution of characteristic coronal hole properties, such as the areas, mean AIA-193 intensities, and mean magnetic fie...

Assessment of Coronal Radiographic Parameters of the Spine in the Treatment of Adolescent Idiopathic Scoliosis

Directory of Open Access Journals (Sweden)

Mohsen Karami

2016-10-01

Preoperative coronal balance is very important to make a balanced spine after surgery. Other parameters like Lenke classification or main thoracic overcorrection did not affect postoperative coronal decompensation.

Solar Tutorial and Annotation Resource (STAR)

Science.gov (United States)

Showalter, C.; Rex, R.; Hurlburt, N. E.; Zita, E. J.

2009-12-01

We have written a software suite designed to facilitate solar data analysis by scientists, students, and the public, anticipating enormous datasets from future instruments. Our “STAR" suite includes an interactive learning section explaining 15 classes of solar events. Users learn software tools that exploit humans’ superior ability (over computers) to identify many events. Annotation tools include time slice generation to quantify loop oscillations, the interpolation of event shapes using natural cubic splines (for loops, sigmoids, and filaments) and closed cubic splines (for coronal holes). Learning these tools in an environment where examples are provided prepares new users to comfortably utilize annotation software with new data. Upon completion of our tutorial, users are presented with media of various solar events and asked to identify and annotate the images, to test their mastery of the system. Goals of the project include public input into the data analysis of very large datasets from future solar satellites, and increased public interest and knowledge about the Sun. In 2010, the Solar Dynamics Observatory (SDO) will be launched into orbit. SDO’s advancements in solar telescope technology will generate a terabyte per day of high-quality data, requiring innovation in data management. While major projects develop automated feature recognition software, so that computers can complete much of the initial event tagging and analysis, still, that software cannot annotate features such as sigmoids, coronal magnetic loops, coronal dimming, etc., due to large amounts of data concentrated in relatively small areas. Previously, solar physicists manually annotated these features, but with the imminent influx of data it is unrealistic to expect specialized researchers to examine every image that computers cannot fully process. A new approach is needed to efficiently process these data. Providing analysis tools and data access to students and the public have proven

Smoothing tautologies, hidden dynamics, and sigmoid asymptotics for piecewise smooth systems

Science.gov (United States)

Jeffrey, Mike R.

2015-10-01

Switches in real systems take many forms, such as impacts, electronic relays, mitosis, and the implementation of decisions or control strategies. To understand what is lost, and what can be retained, when we model a switch as an instantaneous event, requires a consideration of so-called hidden terms. These are asymptotically vanishing outside the switch, but can be encoded in the form of nonlinear switching terms. A general expression for the switch can be developed in the form of a series of sigmoid functions. We review the key steps in extending Filippov's method of sliding modes to such systems. We show how even slight nonlinear effects can hugely alter the behaviour of an electronic control circuit, and lead to "hidden" attractors inside the switching surface.

MINI-FILAMENT ERUPTION AS THE INITIATION OF A JET ALONG CORONAL LOOPS

International Nuclear Information System (INIS)

Hong, Junchao; Jiang, Yunchun; Yang, Jiayan; Yang, Bo; Xu, Zhe; Xiang, Yongyuan

2016-01-01

Minifilament eruptions (MFEs) and coronal jets are different types of solar small-scale explosive events. We report an MFE observed at the New Vacuum Solar Telescope (NVST). As seen in the NVST H α images, during the rising phase, the minifilament erupts outward orthogonally to its length, accompanied with a flare-like brightening at the bottom. Afterward, dark materials are found to possibly extend along the axis of the expanded filament body. The MFE is analogous to large filament eruptions. However, a simultaneous observation of the Solar Dynamics Observatory shows that a jet is initiated and flows out along nearby coronal loops during the rising phase of the MFE. Meanwhile, small hot loops, which connect the original eruptive site of the minifilament to the footpoints of the coronal loops, are formed successively. A differential emission measure analysis demonstrates that, on the top of the new small loops, a hot cusp structure exists. We conjecture that the magnetic fields of the MFE interact with magnetic fields of the coronal loops. This interaction is interpreted as magnetic reconnection that produces the jet and the small hot loops.

MINI-FILAMENT ERUPTION AS THE INITIATION OF A JET ALONG CORONAL LOOPS

Energy Technology Data Exchange (ETDEWEB)

Hong, Junchao; Jiang, Yunchun; Yang, Jiayan; Yang, Bo; Xu, Zhe; Xiang, Yongyuan, E-mail: hjcsolar@ynao.ac.cn [Yunnan Observatories, Chinese Academy of Sciences, Kunming 650011 (China)

2016-10-20

Minifilament eruptions (MFEs) and coronal jets are different types of solar small-scale explosive events. We report an MFE observed at the New Vacuum Solar Telescope (NVST). As seen in the NVST H α images, during the rising phase, the minifilament erupts outward orthogonally to its length, accompanied with a flare-like brightening at the bottom. Afterward, dark materials are found to possibly extend along the axis of the expanded filament body. The MFE is analogous to large filament eruptions. However, a simultaneous observation of the Solar Dynamics Observatory shows that a jet is initiated and flows out along nearby coronal loops during the rising phase of the MFE. Meanwhile, small hot loops, which connect the original eruptive site of the minifilament to the footpoints of the coronal loops, are formed successively. A differential emission measure analysis demonstrates that, on the top of the new small loops, a hot cusp structure exists. We conjecture that the magnetic fields of the MFE interact with magnetic fields of the coronal loops. This interaction is interpreted as magnetic reconnection that produces the jet and the small hot loops.

Single incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study.

Science.gov (United States)

Kwag, Seung-Jin; Kim, Jun-Gi; Oh, Seong-Taek; Kang, Won-Kyung

2013-09-01

The purpose of the study was to evaluate the safety and effects of single-incision laparoscopic anterior resection (SILAR) for sigmoid colon cancer by comparing it with conventional laparoscopic anterior resection (CLAR). Twenty-four patients who underwent SILAR between April 2010 and July 2011 were case matched 1:2 with patients who underwent CLAR, with respect to age, sex, body mass index, tumor location, and history of abdominal surgery. Two patients in the SILAR group and 1 patient in the CLAR group experienced anastomotic leakage. The operative time was longer in the SILAR group than in the CLAR group (251 ± 50 vs 237 ± 49 minutes; P = .253). The number of harvested lymph nodes (19.6 ± 10.7 vs 20.8 ± 7.7; P = .630) was not different. The postoperative hospital stay was shorter in the SILAR group (7.1 ± 3.4 days) than in the CLAR group (8.1 ± 3.5 days) (P = .234). On the basis of the early outcomes, we conclude that SILAR is feasible and safe. Moreover, the adequate lymph node harvest and free margins support the use of this procedure. Copyright © 2013 Elsevier Inc. All rights reserved.

Coronal Structures as Tracers of Sub-Surface Processes

Indian Academy of Sciences (India)

tribpo

dramatic differences in appearance and physical processes, all these structures share a common ... mena that indicate a close relationship between coronal and sub-photo- spheric processes. .... 8) maintaining the same chirality. Large scale ...

Infrared Dual-Line Hanle Diagnostic of the Coronal Vector Magnetic Field

Energy Technology Data Exchange (ETDEWEB)

Dima, Gabriel I.; Kuhn, Jeffrey R. [Institute for Astronomy, University of Hawaii, Pukalani, HI (United States); Berdyugina, Svetlana V., E-mail: gdima@hawaii.edu [Institute for Astronomy, University of Hawaii, Pukalani, HI (United States); Kiepenheuer Institut fuer Sonnenphysik, Freiburg (Germany); Predictive Science Inc., San Diego, CA (United States)

2016-04-20

Measuring the coronal vector magnetic field is still a major challenge in solar physics. This is due to the intrinsic weakness of the field (e.g., ~4G at a height of 0.1R⊙ above an active region) and the large thermal broadening of coronal emission lines. We propose using concurrent linear polarization measurements of near-infrared forbidden and permitted lines together with Hanle effect models to calculate the coronal vector magnetic field. In the unsaturated Hanle regime both the direction and strength of the magnetic field affect the linear polarization, while in the saturated regime the polarization is insensitive to the strength of the field. The relatively long radiative lifetimes of coronal forbidden atomic transitions implies that the emission lines are formed in the saturated Hanle regime and the linear polarization is insensitive to the strength of the field. By combining measurements of both forbidden and permitted lines, the direction and strength of the field can be obtained. For example, the SiX 1.4301 μm line shows strong linear polarization and has been observed in emission over a large field-of-view (out to elongations of 0.5 R⊙). Here we describe an algorithm that combines linear polarization measurements of the SiX 1.4301 μm forbidden line with linear polarization observations of the HeI 1.0830 μm permitted coronal line to obtain the vector magnetic field. To illustrate the concept we assume that the emitting gas for both atomic transitions is located in the plane of the sky. The further development of this method and associated tools will be a critical step toward interpreting the high spectral, spatial and temporal infrared spectro-polarimetric measurements that will be possible when the Daniel K. Inouye Solar Telescope (DKIST) is completed in 2019.

Simultaneous Primary Hodgkin's Lymphoma of the Sigmoid Colon and Papillary Thyroid Carcinoma in an HIV-Positive Patient.

Science.gov (United States)

Liszewski, Walter; Sittig, Mark; Kandil, Emad; Van Sickels, Nicholas; Safah, Hana

2015-01-01

Primary Hodgkin's lymphoma of the colon is a rare phenomenon previously only reported in patients with chronic diverticulitis or inflammatory bowel disease. Herein we report a case of primary Hodgkin's lymphoma of the sigmoid colon in an HIV-positive patient without a history of inflammatory bowel disease or chronic diverticulitis that was later complicated by the discovery of concurrent papillary thyroid carcinoma.

The Three-part Structure of a Filament-unrelated Solar Coronal Mass Ejection

Energy Technology Data Exchange (ETDEWEB)

Song, H. Q.; Chen, Y.; Wang, B.; Li, B. [Shandong Provincial Key Laboratory of Optical Astronomy and Solar-Terrestrial Environment, and Institute of Space Sciences, Shandong University, Weihai, Shandong 264209 (China); Cheng, X. [School of Astronomy and Space Science, Nanjing University, Nanjing, Jiangsu 210093 (China); Zhang, J. [Department of Physics and Astronomy, George Mason University, Fairfax, VA 22030 (United States); Li, L. P. [Key Laboratory of Solar Activity, National Astronomical Observatories, Chinese Academy of Sciences, Beijing 100012 (China); Hu, Q.; Li, G., E-mail: hqsong@sdu.edu.cn [Department of Space Science and CSPAR, University of Alabama in Huntsville, AL 35899 (United States)

2017-10-10

Coronal mass ejections (CMEs) often exhibit the typical three-part structure in the corona when observed with white-light coronagraphs, i.e., the bright leading front, dark cavity, and bright core, corresponding to a high-low-high density sequence. As CMEs result from eruptions of magnetic flux ropes (MFRs), which can possess either lower (e.g., coronal-cavity MFRs) or higher (e.g., hot-channel MFRs) density compared to their surroundings in the corona, the traditional opinion regards the three-part structure as the manifestations of coronal plasma pileup (high density), coronal-cavity MFR (low density), and filament (high density) contained in the trailing part of MFR, respectively. In this paper, we demonstrate that filament-unrelated CMEs can also exhibit the classical three-part structure. The observations were made from different perspectives through an event that occurred on 2011 October 4. The CME cavity corresponds to the low-density zone between the leading front and the high-density core, and it is obvious in the low corona and gradually becomes fuzzy when propagating outward. The bright core corresponds to a high-density structure that is suggested to be an erupting MFR. The MFR is recorded from both edge-on and face-on perspectives, exhibiting different morphologies that are due to projection effects. We stress that the zone (MFR) with lower (higher) density in comparison to the surroundings can appear as the dark cavity (bright core) when observed through white-light coronagraphs, which is not necessarily the coronal-cavity MFR (erupted filament).

OBSERVATIONAL SIGNATURES OF CORONAL LOOP HEATING AND COOLING DRIVEN BY FOOTPOINT SHUFFLING

Energy Technology Data Exchange (ETDEWEB)

Dahlburg, R. B.; Taylor, B. D. [LCP and FD, Naval Research Laboratory, Washington, DC 20375 (United States); Einaudi, G. [Berkeley Research Associates, Inc., Beltsville, MD 20705 (United States); Ugarte-Urra, I. [College of Science, George Mason University, Fairfax, VA 22030 (United States); Warren, H. P. [Space Science Division, Naval Research Laboratory, Washington, DC 20375 (United States); Rappazzo, A. F. [Advanced Heliophysics, Pasadena, CA 91106 (United States); Velli, M., E-mail: rdahlbur@lcp.nrl.navy.mil [EPSS, UCLA, Los Angeles, CA 90095 (United States)

2016-01-20

The evolution of a coronal loop is studied by means of numerical simulations of the fully compressible three-dimensional magnetohydrodynamic equations using the HYPERION code. The footpoints of the loop magnetic field are advected by random motions. As a consequence, the magnetic field in the loop is energized and develops turbulent nonlinear dynamics characterized by the continuous formation and dissipation of field-aligned current sheets: energy is deposited at small scales where heating occurs. Dissipation is nonuniformly distributed so that only a fraction of the coronal mass and volume gets heated at any time. Temperature and density are highly structured at scales that, in the solar corona, remain observationally unresolved: the plasma of our simulated loop is multithermal, where highly dynamical hotter and cooler plasma strands are scattered throughout the loop at sub-observational scales. Numerical simulations of coronal loops of 50,000 km length and axial magnetic field intensities ranging from 0.01 to 0.04 T are presented. To connect these simulations to observations, we use the computed number densities and temperatures to synthesize the intensities expected in emission lines typically observed with the Extreme Ultraviolet Imaging Spectrometer on Hinode. These intensities are used to compute differential emission measure distributions using the Monte Carlo Markov Chain code, which are very similar to those derived from observations of solar active regions. We conclude that coronal heating is found to be strongly intermittent in space and time, with only small portions of the coronal loop being heated: in fact, at any given time, most of the corona is cooling down.

The Three-part Structure of a Filament-unrelated Solar Coronal Mass Ejection

International Nuclear Information System (INIS)

Song, H. Q.; Chen, Y.; Wang, B.; Li, B.; Cheng, X.; Zhang, J.; Li, L. P.; Hu, Q.; Li, G.

2017-01-01

Coronal mass ejections (CMEs) often exhibit the typical three-part structure in the corona when observed with white-light coronagraphs, i.e., the bright leading front, dark cavity, and bright core, corresponding to a high-low-high density sequence. As CMEs result from eruptions of magnetic flux ropes (MFRs), which can possess either lower (e.g., coronal-cavity MFRs) or higher (e.g., hot-channel MFRs) density compared to their surroundings in the corona, the traditional opinion regards the three-part structure as the manifestations of coronal plasma pileup (high density), coronal-cavity MFR (low density), and filament (high density) contained in the trailing part of MFR, respectively. In this paper, we demonstrate that filament-unrelated CMEs can also exhibit the classical three-part structure. The observations were made from different perspectives through an event that occurred on 2011 October 4. The CME cavity corresponds to the low-density zone between the leading front and the high-density core, and it is obvious in the low corona and gradually becomes fuzzy when propagating outward. The bright core corresponds to a high-density structure that is suggested to be an erupting MFR. The MFR is recorded from both edge-on and face-on perspectives, exhibiting different morphologies that are due to projection effects. We stress that the zone (MFR) with lower (higher) density in comparison to the surroundings can appear as the dark cavity (bright core) when observed through white-light coronagraphs, which is not necessarily the coronal-cavity MFR (erupted filament).

The Three-part Structure of a Filament-unrelated Solar Coronal Mass Ejection

Science.gov (United States)

Song, H. Q.; Cheng, X.; Chen, Y.; Zhang, J.; Wang, B.; Li, L. P.; Li, B.; Hu, Q.; Li, G.

2017-10-01

Coronal mass ejections (CMEs) often exhibit the typical three-part structure in the corona when observed with white-light coronagraphs, I.e., the bright leading front, dark cavity, and bright core, corresponding to a high-low-high density sequence. As CMEs result from eruptions of magnetic flux ropes (MFRs), which can possess either lower (e.g., coronal-cavity MFRs) or higher (e.g., hot-channel MFRs) density compared to their surroundings in the corona, the traditional opinion regards the three-part structure as the manifestations of coronal plasma pileup (high density), coronal-cavity MFR (low density), and filament (high density) contained in the trailing part of MFR, respectively. In this paper, we demonstrate that filament-unrelated CMEs can also exhibit the classical three-part structure. The observations were made from different perspectives through an event that occurred on 2011 October 4. The CME cavity corresponds to the low-density zone between the leading front and the high-density core, and it is obvious in the low corona and gradually becomes fuzzy when propagating outward. The bright core corresponds to a high-density structure that is suggested to be an erupting MFR. The MFR is recorded from both edge-on and face-on perspectives, exhibiting different morphologies that are due to projection effects. We stress that the zone (MFR) with lower (higher) density in comparison to the surroundings can appear as the dark cavity (bright core) when observed through white-light coronagraphs, which is not necessarily the coronal-cavity MFR (erupted filament).

OBSERVATIONS OF MAGNETIC FLUX-ROPE OSCILLATION DURING THE PRECURSOR PHASE OF A SOLAR ERUPTION

International Nuclear Information System (INIS)

Zhou, G. P.; Wang, J. X.; Zhang, J.

2016-01-01

Based on combined observations from the Interface Region Imaging Spectrograph (IRIS) spectrometer with the coronal emission line of Fe xxi at 1354.08 Å and SDO /AIA images in multiple passbands, we report the finding of the precursor activity manifested as the transverse oscillation of a sigmoid, which is likely a pre-existing magnetic flux rope (MFR), that led to the onset of an X class flare and a fast halo coronal mass ejection (CME) on 2014 September 10. The IRIS slit is situated at a fixed position that is almost vertical to the main axis of the sigmoid structure that has a length of about 1.8 × 10"5 km. This precursor oscillation lasts for about 13 minutes in the MFR and has velocities in the range of [−9, 11] km s"−"1 and a period of ∼280 s. Our analysis, which is based on the temperature, density, length, and magnetic field strength of the observed sigmoid, indicates that the nature of the oscillation is a standing wave of fast magnetoacoustic kink mode. We further find that the precursor oscillation is excited by the energy released through an external magnetic reconnection between the unstable MFR and the ambient magnetic field. It is proposed that this precursor activity leads to the dynamic formation of a current sheet underneath the MFR that subsequently reconnects to trigger the onset of the main phase of the flare and the CME.

Comparison between two models of energy balance in coronal loops

Science.gov (United States)

Mac Cormack, C.; López Fuentes, M.; Vásquez, A. M.; Nuevo, F. A.; Frazin, R. A.; Landi, E.

2017-10-01

In this work we compare two models to analyze the energy balance along coronal magnetic loops. For the first stationary model we deduce an expression of the energy balance along the loops expressed in terms of quantities provided by the combination of differential emission measure tomography (DEMT) applied to EUV images time series and potential extrapolations of the coronal magnetic field. The second applied model is a 0D hydrodynamic model that provides the evolution of the average properties of the coronal plasma along the loops, using as input parameters the loop length and the heating rate obtained with the first model. We compare the models for two Carrington rotations (CR) corresponding to different periods of activity: CR 2081, corresponding to a period of minimum activity observed with the Extreme Ultraviolet Imager (EUVI) on board of the Solar Terrestrial Relations Observatory (STEREO), and CR 2099, corresponding to a period of activity increase observed with the Atmospheric Imaging Assembly (AIA) on board the Solar Dynamics Observatory (SDO). The results of the models are consistent for both rotations.

Evolving Coronal Holes and Interplanetary Erupting Stream ...

Indian Academy of Sciences (India)

2016-01-27

Jan 27, 2016 ... Coronal holes and interplanetary disturbances are important aspects of the physics of the Sun and heliosphere. Interplanetary disturbances are identified as an increase in the density turbulence compared with the ambient solar wind. Erupting stream disturbances are transient large-scale structures of ...

GUIDING NONLINEAR FORCE-FREE MODELING USING CORONAL OBSERVATIONS: FIRST RESULTS USING A QUASI-GRAD-RUBIN SCHEME

Energy Technology Data Exchange (ETDEWEB)

Malanushenko, A. [Department of Physics, Montana State University, Bozeman, MT (United States); Schrijver, C. J.; DeRosa, M. L. [Lockheed Martin Advanced Technology Center, Palo Alto, CA (United States); Wheatland, M. S.; Gilchrist, S. A. [Sydney Institute for Astronomy, School of Physics, University of Sydney (Australia)

2012-09-10

At present, many models of the coronal magnetic field rely on photospheric vector magnetograms, but these data have been shown to be problematic as the sole boundary information for nonlinear force-free field extrapolations. Magnetic fields in the corona manifest themselves in high-energy images (X-rays and EUV) in the shapes of coronal loops, providing an additional constraint that is not at present used as constraints in the computational domain, directly influencing the evolution of the model. This is in part due to the mathematical complications of incorporating such input into numerical models. Projection effects, confusion due to overlapping loops (the coronal plasma is optically thin), and the limited number of usable loops further complicate the use of information from coronal images. We develop and test a new algorithm to use images of coronal loops in the modeling of the solar coronal magnetic field. We first fit projected field lines with those of constant-{alpha} force-free fields to approximate the three-dimensional distribution of currents in the corona along a sparse set of trajectories. We then apply a Grad-Rubin-like iterative technique, which uses these trajectories as volume constraints on the values of {alpha}, to obtain a volume-filling nonlinear force-free model of the magnetic field, modifying a code and method presented by Wheatland. We thoroughly test the technique on known analytical and solar-like model magnetic fields previously used for comparing different extrapolation techniques and compare the results with those obtained by currently available methods relying only on the photospheric data. We conclude that we have developed a functioning method of modeling the coronal magnetic field by combining the line-of-sight component of the photospheric magnetic field with information from coronal images. Whereas we focus on the use of coronal loop information in combination with line-of-sight magnetograms, the method is readily extended to

GUIDING NONLINEAR FORCE-FREE MODELING USING CORONAL OBSERVATIONS: FIRST RESULTS USING A QUASI-GRAD-RUBIN SCHEME

International Nuclear Information System (INIS)

Malanushenko, A.; Schrijver, C. J.; DeRosa, M. L.; Wheatland, M. S.; Gilchrist, S. A.

2012-01-01

At present, many models of the coronal magnetic field rely on photospheric vector magnetograms, but these data have been shown to be problematic as the sole boundary information for nonlinear force-free field extrapolations. Magnetic fields in the corona manifest themselves in high-energy images (X-rays and EUV) in the shapes of coronal loops, providing an additional constraint that is not at present used as constraints in the computational domain, directly influencing the evolution of the model. This is in part due to the mathematical complications of incorporating such input into numerical models. Projection effects, confusion due to overlapping loops (the coronal plasma is optically thin), and the limited number of usable loops further complicate the use of information from coronal images. We develop and test a new algorithm to use images of coronal loops in the modeling of the solar coronal magnetic field. We first fit projected field lines with those of constant-α force-free fields to approximate the three-dimensional distribution of currents in the corona along a sparse set of trajectories. We then apply a Grad-Rubin-like iterative technique, which uses these trajectories as volume constraints on the values of α, to obtain a volume-filling nonlinear force-free model of the magnetic field, modifying a code and method presented by Wheatland. We thoroughly test the technique on known analytical and solar-like model magnetic fields previously used for comparing different extrapolation techniques and compare the results with those obtained by currently available methods relying only on the photospheric data. We conclude that we have developed a functioning method of modeling the coronal magnetic field by combining the line-of-sight component of the photospheric magnetic field with information from coronal images. Whereas we focus on the use of coronal loop information in combination with line-of-sight magnetograms, the method is readily extended to incorporate

Interplanetary Coronal Mass Ejections detected by HAWC

Science.gov (United States)

Lara, Alejandro

The High Altitude Water Cherenkov (HAWC) observatory is being constructed at the volcano Sierra Negra (4100 m a.s.l.) in Mexico. HAWC’s primary purpose is the study of both: galactic and extra-galactic sources of high energy gamma rays. HAWC will consist of 300 large water Cherenkov detectors (WCD), instrumented with 1200 photo-multipliers. The Data taking has already started while construction continues, with the completion projected for late 2014. The HAWC counting rate will be sensitive to cosmic rays with energies above the geomagnetic cutoff of the site (˜ 8 GV). In particular, HAWC will detect solar energetic particles known as Ground Level Enhancements (GLEs), and the effects of Coronal Mass Ejections on the galactic cosmic ray flux, known as Forbush Decreases. In this paper, we present a description of the instrument and its response to interplanetary coronal mass ejections, and other solar wind large scale structures, observed during the August-December 2013 period.

Solar Coronal Jets: Observations, Theory, and Modeling

Science.gov (United States)

Raouafi, N. E.; Patsourakos, S.; Pariat, E.; Young, P. R.; Sterling, A.; Savcheva, A.; Shimojo, M.; Moreno-Insertis, F.; Devore, C. R.; Archontis, V.;

Sinonasal polyposis: investigation by direct coronal CT

International Nuclear Information System (INIS)

Drutman, J.; Harnsberger, H.R.; Babbel, R.W.; Sonkens, J.W.; Braby, D.

1994-01-01

To demonstrate the typical clinical and CT features of sinonasal polyposis, we reviewed the clinical records and preoperative direct coronal CT scans of 35 patients with surgically proven disease. Symptoms included progressive nasal stuffiness (100 %), rhinorrhea (69 %), facial pain (60 %), headache (43 %) and anosmia (17 %). We found associations with rhinitis (46 %), asthma (29 %) and aspirin sensitivity (9 %). Coronal CT features included polypoid masses in the nasal cavity (91 %), partial or complete pansinus opacification (90 %), enlargement of infundibula (89 %), bony attenuation of the ethmoid trabeculae (63 %) and nasal septum (37 %), opacified ethmoid sinuses with convex lateral walls (51 %) and air-fluid levels (43 %). The latter feature correlated with symptoms and signs of acute sinusitis in only 40 % of patients. Recognition of sinonasal polyposis is important to the endoscopic surgeon since it can be the most troubling sinonasal inflammatory disease to manage due to its aggressive nature and tendency to recur despite appropriate treatment. (orig.)

Percutaneous endoscopic sigmoid colostomy for irrigation in the management of bowel dysfunction of adults with central neurologic disease.

Science.gov (United States)

Ramwell, A; Rice-Oxley, M; Bond, A; Simson, J N L

2011-10-01

Bowel dysfunction results in a major lifestyle disruption for many patients with severe central neurologic disease. Percutaneous endoscopic sigmoid colostomy for irrigation (PESCI) allows antegrade irrigation of the distal large bowel for the management of both incontinence and constipation. This study prospectively assessed the safety and efficacy of PESCI. A PESCI tube was placed endoscopically in the sigmoid colon of 25 patients to allow antegrade irrigation. Control of constipation and fecal incontinence was improved for 21 (84%) of the 25 patients. These patients were followed up for 6-83 months (mean, 43 months), with long-term success for 19 (90%) of the patients. No PESCI had to be removed for technical reasons or for PESCI complications. Late removal of the PESCI was necessary for 2 of the 21 patients. A modified St. Marks Fecal Incontinence Score to assess bowel function before and after PESCI showed a highly significant improvement (P irrigation in the management bowel dysfunction for selected patients with central neurologic disease. A successful PESCI is very likely to continue functioning satisfactorily for a long time without technical problems or local complications.

PROJECTION EFFECTS IN CORONAL DIMMINGS AND ASSOCIATED EUV WAVE EVENT

Energy Technology Data Exchange (ETDEWEB)

Dissauer, K.; Temmer, M.; Veronig, A. M.; Vanninathan, K. [IGAM/Institute of Physics, University of Graz, Universitätsplatz 5/II, A-8010 Graz (Austria); Magdalenić, J., E-mail: karin.dissauer@uni-graz.at [Solar-Terrestrial Center of Excellence-SIDC, Royal Observatory of Belgium, Av. Circulaire 3, B-1180 Brussels (Belgium)

2016-10-20

We investigate the high-speed ( v > 1000 km s{sup −1}) extreme-ultraviolet (EUV) wave associated with an X1.2 flare and coronal mass ejection (CME) from NOAA active region 11283 on 2011 September 6 (SOL2011-09-06T22:12). This EUV wave features peculiar on-disk signatures; in particular, we observe an intermittent “disappearance” of the front for 120 s in Solar Dynamics Observatory ( SDO )/AIA 171, 193, 211 Å data, whereas the 335 Å filter, sensitive to hotter plasmas ( T ∼ 2.5 MK), shows a continuous evolution of the wave front. The eruption was also accompanied by localized coronal dimming regions. We exploit the multi-point quadrature position of SDO and STEREO-A , to make a thorough analysis of the EUV wave evolution, with respect to its kinematics and amplitude evolution and reconstruct the SDO line-of-sight (LOS) direction of the identified coronal dimming regions in STEREO-A . We show that the observed intensities of the dimming regions in SDO /AIA depend on the structures that are lying along their LOS and are the combination of their individual intensities, e.g., the expanding CME body, the enhanced EUV wave, and the CME front. In this context, we conclude that the intermittent disappearance of the EUV wave in the AIA 171, 193, and 211 Å filters, which are channels sensitive to plasma with temperatures below ∼2 MK is also caused by such LOS integration effects. These observations clearly demonstrate that single-view image data provide us with limited insight to correctly interpret coronal features.

[A case of sigmoid colon cancer invading urinary bladder treated with preoperative mFOLFOX6 and urinary bladder conserving surgery].

Science.gov (United States)

Nishino, Takeshi; Katayama, Kazuhisa; Takahashi, Yuji; Tanaka, Takashi

2012-02-01

A 69-year-old man visited our hospital because of melena and anemia. Colonoscopy revealed a type 3 tumor at sigmoid colon, and by abdominal CT, we detected a sigmoid colon cancer invading the urinary bladder with a single liver metastasis. The patient required sigmoidectomy with partial hepatectomy and total urinary bladder resection. Preoperative chemotherapy with mFOLFOX6 was initiated as a part of multidisciplinary therapy. After the 6th course was completed, CT revealed a reduction in the primary tumor's size and the disappearance of liver metastasis. After the 8th course was completed, we performed urinary bladder conserving sigmoidectomy. The pathological diagnosis of the surgical specimen was tub1, pSS, ly0, v0, pN0, and pStage II. Down-sizing chemotherapy might improve the quality of life(QOL)of colon cancer patients with extensive invasion of the urinary bladder.

Reconstructed frontal and coronal cuts in computed tomography of the trunk

International Nuclear Information System (INIS)

Fochem, K.; Klumair, J.

1982-01-01

A comparison between the original coronally cuts and the reconstructed coronal cuts yielded basic information on the loss of quality by computed reconstruction of images. As for the trunk, only comparisons between the conventional linear tomography and computed frontal of trunk cuts are possible. A few examples will demonstrate that despite a considerable loss of quality, computed frontal cuts will supply additional information in certain cases. It is also shown that the reconstructed frontal cuts cannot replace conventional tomography. (orig.) [de

Expressão de mediadores neurotróficos e pró-inflamatórios na endometriose de reto e sigmoide Expression of neurotrophic and inflammatory mediators in rectosigmoid endometriosis

Directory of Open Access Journals (Sweden)

Fábio Sakae Kuteken

2012-12-01

Full Text Available OBJETIVO: Avaliar a expressão de mediadores neurotróficos (NGF, NPY E VIP e pró-inflamatórios (TNF-α em fragmentos de reto e sigmoide comprometidos por endometriose. MÉTODOS: Foram selecionadas 24 pacientes submetidas ao tratamento cirúrgico de endometriose de reto e sigmoide com técnica de ressecção segmentar, seguido de anastomose mecânica término-terminal, com grampeador circular, no período de janeiro de 2005 a dezembro de 2007. Neste estudo incluímos mulheres no menacme que se submeteram a tratamento cirúrgico por endometriose profunda infiltrativa com acometimento do reto e sigmoide, atingindo o nível da camada muscular, submucosa ou mucosa. Para o grupo de estudo foram utilizados 24 fragmentos de reto e sigmoide com endometriose confirmada histologicamente, sendo um fragmento de cada uma das 24 pacientes selecionadas. Para o grupo controle, utilizou-se um fragmento da margem distal da ressecção, denominado anel de anastomose, de cada uma das 24 pacientes selecionadas e incluídas no estudo. As amostras foram agrupadas em blocos de Tissue Micro Array (TMA e submetidas à reação imunoistoquímica para avaliar a expressão do fator de necrose tumoral alfa (TNF-α, do fator de crescimento neural (NGF, do neuropeptídeo Y (NPY e do peptídeo intestinal vasoativo P (VIP, e posterior análise semiquantitativa da imunomarcação por meio da leitura da densidade ótica relativa (DO. RESULTADOS: Observou-se maior densidade ótica relativa da imunomarcação para TNF-α e NGF no grupo de estudo (amostras com endometriose intestinal, DO= 0,01, respectivamente, para as duas proteínas (pPURPOSE: To evaluate the expression of neurotrophic (NGF, NPY and VIP and pro-inflammatory (TNF-α mediators in the rectum and sigmoid fragments compromised by endometriosis. METHODS: Twenty-four patients were selected to undergo surgical treatment of endometriosis of the rectum and sigmoid colon with a segmental resection technique, followed by end

Non-adversarial justice and the coroner's court: a proposed therapeutic, restorative, problem-solving model.

Science.gov (United States)

King, Michael S

2008-12-01

Increasingly courts are using new approaches that promote a more comprehensive resolution of legal problems, minimise any negative effects that legal processes have on participant wellbeing and/or that use legal processes to promote participant wellbeing. Therapeutic jurisprudence, restorative justice, mediation and problem-solving courts are examples. This article suggests a model for the use of these processes in the coroner's court to minimise negative effects of coroner's court processes on the bereaved and to promote a more comprehensive resolution of matters at issue, including the determination of the cause of death and the public health and safety promotion role of the coroner.

Coroner Autopsy Findings Among Children and Adolescents of ...

African Journals Online (AJOL)

year retrospective study of coroner autopsies carried out on children I adolescents aged between 0-19 years, evaluated the pattern, causes and demographic features of childhood deaths in Rivers state, Nigeria. Methods A retrospective remew of ...

Observable Signatures of Energy Release in Braided Coronal Loops

Energy Technology Data Exchange (ETDEWEB)

Pontin, D. I. [University of Dundee, Nethergate, Dundee, DD1 4HN (United Kingdom); Janvier, M. [Institut d’Astrophysique Spatiale, CNRS, Univ. Paris-Sud, Université Paris-Saclay, Bât. 121, F-91405, Orsay Cedex (France); Tiwari, S. K.; Winebarger, A. R.; Cirtain, J. W. [NASA Marshall Space Flight Center, ZP 13, Huntsville, AL 35812 (United States); Galsgaard, K. [Niels Bohr Institute, Geological Museum Østervoldgade 5-7, DK-1350, Copenhagen K (Denmark)

2017-03-10

We examine the turbulent relaxation of solar coronal loops containing non-trivial field line braiding. Such field line tangling in the corona has long been postulated in the context of coronal heating models. We focus on the observational signatures of energy release in such braided magnetic structures using MHD simulations and forward modeling tools. The aim is to answer the following question: if energy release occurs in a coronal loop containing braided magnetic flux, should we expect a clearly observable signature in emissions? We demonstrate that the presence of braided magnetic field lines does not guarantee a braided appearance to the observed intensities. Observed intensities may—but need not necessarily—reveal the underlying braided nature of the magnetic field, depending on the degree and pattern of the field line tangling within the loop. However, in all cases considered, the evolution of the braided loop is accompanied by localized heating regions as the loop relaxes. Factors that may influence the observational signatures are discussed. Recent high-resolution observations from Hi-C have claimed the first direct evidence of braided magnetic fields in the corona. Here we show that both the Hi-C data and some of our simulations give the appearance of braiding at a range of scales.

Density Fluctuations in a Polar Coronal Hole

Science.gov (United States)

Hahn, Michael; D’Huys, Elke; Savin, Daniel Wolf

2018-06-01

We have measured the root-mean-square (rms) amplitude of intensity fluctuations, ΔI, in plume and interplume regions of a polar coronal hole. These intensity fluctuations correspond to density fluctuations. Using data from the Sun Watcher using the Active Pixel System detector and Image Processing on the Project for Onboard Autonomy (Proba2), our results extend up to a height of about 1.35 R ⊙. One advantage of the rms analysis is that it does not rely on a detailed evaluation of the power spectrum, which is limited by noise levels to low heights in the corona. The rms approach can be performed up to larger heights where the noise level is greater, provided that the noise itself can be quantified. At low heights, both the absolute ΔI, and the amplitude relative to the mean intensity, ΔI/I, decrease with height. However, starting at about 1.2 R ⊙, ΔI/I increases, reaching 20%–40% by 1.35 R ⊙. This corresponds to density fluctuations of Δn e/n e ≈ 10%–20%. The increasing relative amplitude implies that the density fluctuations are generated in the corona itself. One possibility is that the density fluctuations are generated by an instability of Alfvén waves. This generation mechanism is consistent with some theoretical models and with observations of Alfvén wave amplitudes in coronal holes. Although we find that the energy of the observed density fluctuations is small, these fluctuations are likely to play an important indirect role in coronal heating by promoting the reflection of Alfvén waves and driving turbulence.

THE NATURE OF CME-FLARE-ASSOCIATED CORONAL DIMMING

Energy Technology Data Exchange (ETDEWEB)

Cheng, J. X. [Key Laboratory of Planetary Sciences, Shanghai Astronomical Observatory, Shanghai 200030 (China); Qiu, J., E-mail: chengjx@shao.ac.cn [Department of Physics, Montana State University, Bozeman MT 59717-3840 (United States)

2016-07-01

Coronal mass ejections (CMEs) are often accompanied by coronal dimming that is evident in extreme ultraviolet (EUV) and soft X-ray observations. The locations of dimming are sometimes considered to map footpoints of the erupting flux rope. As the emitting material expands in the corona, the decreased plasma density leads to reduced emission observed in spectral and irradiance measurements. Therefore, signatures of dimming may reflect the properties of CMEs in the early phase of their eruption. In this study, we analyze the event of flare, CME, and coronal dimming on 2011 December 26. We use the data from the Atmospheric Imaging Assembly on the Solar Dynamics Observatory for disk observations of the dimming, and analyze images taken by EUVI, COR1, and COR2 on board the Solar Terrestrial Relations Observatory to obtain the height and velocity of the associated CMEs observed at the limb. We also measure the magnetic reconnection rate from flare observations. Dimming occurs in a few locations next to the flare ribbons, and it is observed in multiple EUV passbands. Rapid dimming starts after the onset of fast reconnection and CME acceleration, and its evolution tracks the CME height and flare reconnection. The spatial distribution of dimming exhibits cores of deep dimming with a rapid growth, and their light curves are approximately linearly scaled with the CME height profile. From the dimming analysis we infer the process of the CME expansion, and estimate properties of the CME.

THE NATURE OF CME-FLARE-ASSOCIATED CORONAL DIMMING

International Nuclear Information System (INIS)

Cheng, J. X.; Qiu, J.

2016-01-01

Coronal mass ejections (CMEs) are often accompanied by coronal dimming that is evident in extreme ultraviolet (EUV) and soft X-ray observations. The locations of dimming are sometimes considered to map footpoints of the erupting flux rope. As the emitting material expands in the corona, the decreased plasma density leads to reduced emission observed in spectral and irradiance measurements. Therefore, signatures of dimming may reflect the properties of CMEs in the early phase of their eruption. In this study, we analyze the event of flare, CME, and coronal dimming on 2011 December 26. We use the data from the Atmospheric Imaging Assembly on the Solar Dynamics Observatory for disk observations of the dimming, and analyze images taken by EUVI, COR1, and COR2 on board the Solar Terrestrial Relations Observatory to obtain the height and velocity of the associated CMEs observed at the limb. We also measure the magnetic reconnection rate from flare observations. Dimming occurs in a few locations next to the flare ribbons, and it is observed in multiple EUV passbands. Rapid dimming starts after the onset of fast reconnection and CME acceleration, and its evolution tracks the CME height and flare reconnection. The spatial distribution of dimming exhibits cores of deep dimming with a rapid growth, and their light curves are approximately linearly scaled with the CME height profile. From the dimming analysis we infer the process of the CME expansion, and estimate properties of the CME.

Coronal 2D MR cholangiography overestimates the length of the right hepatic duct in liver transplantation donors

International Nuclear Information System (INIS)

Kim, Bohyun; Kim, Kyoung Won; Kim, So Yeon; Park, So Hyun; Lee, Jeongjin; Song, Gi Won; Jung, Dong-Hwan; Ha, Tae-Yong; Lee, Sung Gyu

2017-01-01

To compare the length of the right hepatic duct (RHD) measured on rotatory coronal 2D MR cholangiography (MRC), rotatory axial 2D MRC, and reconstructed 3D MRC. Sixty-seven donors underwent coronal and axial 2D projection MRC and 3D MRC. RHD length was measured and categorized as ultrashort (≤1 mm), short (>1-14 mm), and long (>14 mm). The measured length, frequency of overestimation, and the degree of underestimation between two 2D MRC sets were compared to 3D MRC. The length of the RHD from 3D MRC, coronal 2D MRC, and axial 2D MRC showed significant difference (p < 0.05). RHD was frequently overestimated on the coronal than on axial 2D MRC (61.2 % vs. 9 %; p <.0001). On coronal 2D MRC, four (6 %) with short RHD and one (1.5 %) with ultrashort RHD were over-categorized as long RHD. On axial 2D MRC, overestimation was mostly <1 mm (83.3 %), none exceeding 3 mm or over-categorized. The degree of underestimation between the two projection planes was comparable. Coronal 2D MRC overestimates the RHD in liver donors. We suggest adding axial 2D MRC to conventional coronal 2D MRC in the preoperative workup protocol for living liver donors to avoid unexpected confrontation with multiple ductal openings when harvesting the graft. (orig.)

Coronal 2D MR cholangiography overestimates the length of the right hepatic duct in liver transplantation donors

Energy Technology Data Exchange (ETDEWEB)

Kim, Bohyun [University of Ulsan College of Medicine, Department of Radiology, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul (Korea, Republic of); Ajou University School of Medicine, Department of Radiology, Ajou University Medical Center, Suwon (Korea, Republic of); Kim, Kyoung Won; Kim, So Yeon; Park, So Hyun [University of Ulsan College of Medicine, Department of Radiology, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul (Korea, Republic of); Lee, Jeongjin [Soongsil University, School of Computer Science and Engineering, Seoul (Korea, Republic of); Song, Gi Won; Jung, Dong-Hwan; Ha, Tae-Yong; Lee, Sung Gyu [University of Ulsan College of Medicine, Department of Surgery, Division of Hepatobiliary and Liver Transplantation Surgery, Asan Medical Center, Seoul (Korea, Republic of)

2017-05-15

To compare the length of the right hepatic duct (RHD) measured on rotatory coronal 2D MR cholangiography (MRC), rotatory axial 2D MRC, and reconstructed 3D MRC. Sixty-seven donors underwent coronal and axial 2D projection MRC and 3D MRC. RHD length was measured and categorized as ultrashort (≤1 mm), short (>1-14 mm), and long (>14 mm). The measured length, frequency of overestimation, and the degree of underestimation between two 2D MRC sets were compared to 3D MRC. The length of the RHD from 3D MRC, coronal 2D MRC, and axial 2D MRC showed significant difference (p < 0.05). RHD was frequently overestimated on the coronal than on axial 2D MRC (61.2 % vs. 9 %; p <.0001). On coronal 2D MRC, four (6 %) with short RHD and one (1.5 %) with ultrashort RHD were over-categorized as long RHD. On axial 2D MRC, overestimation was mostly <1 mm (83.3 %), none exceeding 3 mm or over-categorized. The degree of underestimation between the two projection planes was comparable. Coronal 2D MRC overestimates the RHD in liver donors. We suggest adding axial 2D MRC to conventional coronal 2D MRC in the preoperative workup protocol for living liver donors to avoid unexpected confrontation with multiple ductal openings when harvesting the graft. (orig.)

MRI findings of a remote and isolated vaginal metastasis revealing an adenocarcinoma of the mid-sigmoid colon

International Nuclear Information System (INIS)

D’Arco, Felice; Pizzuti, Laura Micol; Romano, Federica; Natella, Valentina; Laccetti, Ettore; Storto, Giovanni; Maurea, Simone; Mainenti, Pier Paolo

2014-01-01

A remote vaginal metastasis from a colo-rectal carcinoma is extremely rare. Only few cases have been described in the literature. The radiological appearances of a vaginal metastasis from colon-rectal cancer have not been extensively investigated. We report the MRI findings with clinical and pathological correlations of a remote and isolated vaginal metastasis revealing a mid-sigmoid adenocarcinoma in a 67 years old woman

Submucosal lipoma of the sigmoid colon as a rare cause of mucoid diarrhea: a case report

OpenAIRE

Dassanayake, S. U. B.; Dinamithra, N. P.; Nawarathne, N. M. M.

2016-01-01

Background Symptomatic presentations of colonic lipomas are very rare in clinical practice, and may mimic colonic malignancy. The likelihood of presenting symptoms has been shown to depend on the size of the lesion. Case presentation We describe the case of a 72-year-old Sinhalese man presenting with worsening mucoid diarrhea who was subsequently diagnosed to have a lipoma of the sigmoid colon. His disease was successfully managed with endoscopic resection. Conclusion Confidently establishing...

Smoothing tautologies, hidden dynamics, and sigmoid asymptotics for piecewise smooth systems

Energy Technology Data Exchange (ETDEWEB)

Jeffrey, Mike R., E-mail: mike.jeffrey@bristol.ac.uk [Engineering Mathematics, University of Bristol, Merchant Venturer' s Building, Bristol BS8 1UB (United Kingdom)

2015-10-15

Switches in real systems take many forms, such as impacts, electronic relays, mitosis, and the implementation of decisions or control strategies. To understand what is lost, and what can be retained, when we model a switch as an instantaneous event, requires a consideration of so-called hidden terms. These are asymptotically vanishing outside the switch, but can be encoded in the form of nonlinear switching terms. A general expression for the switch can be developed in the form of a series of sigmoid functions. We review the key steps in extending Filippov's method of sliding modes to such systems. We show how even slight nonlinear effects can hugely alter the behaviour of an electronic control circuit, and lead to “hidden” attractors inside the switching surface.

Coronal reconstruction of unenhanced abdominal CT for correct ureteral stone size classification

Energy Technology Data Exchange (ETDEWEB)

Berkovitz, Nadav; Simanovsky, Natalia; Hiller, Nurith [Hadassah Mount Scopus - Hebrew University Medical Center, Department of Radiology, Jerusalem (Israel); Katz, Ran [Hadassah Mount Scopus - Hebrew University Medical Center, Department of Urology, Jerusalem (Israel); Salama, Shaden [Hadassah Mount Scopus - Hebrew University Medical Center, Department of Emergency Medicine, Jerusalem (Israel)

2010-05-15

To determine whether size measurement of a urinary calculus in coronal reconstruction of computed tomography (CT) differs from stone size measured in the axial plane, and whether the difference alters clinical decision making. We retrospectively reviewed unenhanced CT examinations of 150 patients admitted to the emergency room (ER) with acute renal colic. Maximal ureteral calculus size was measured on axial slices and coronal reconstructions. Clinical significance was defined as an upgrading or downgrading of stone size according to accepted thresholds of treatment: {<=}5 mm, 6-9 mm and {>=}10 mm. There were 151 stones in 150 patients (male:female 115:34, mean age 41 years). Transverse stone diameters ranged from 1 to 11 mm (mean 4 mm). On coronal images, 56 (37%) stones were upgraded in severity; 46 (30%) from below 5 mm to 6 mm or more, and ten (7%) from 6-9 mm to 10 mm or more. Transverse measurement on the axial slices enabled correct categorization of 95 stones (63%). Transverse calculus measurement on axial slices often underestimates stone size and provides incorrect clinical classification of the true maximal stone diameter. Coronal reconstruction provides additional information in patients with renal colic that may alter treatment strategy. (orig.)

Coronal reconstruction of unenhanced abdominal CT for correct ureteral stone size classification

International Nuclear Information System (INIS)

Berkovitz, Nadav; Simanovsky, Natalia; Hiller, Nurith; Katz, Ran; Salama, Shaden

2010-01-01

To determine whether size measurement of a urinary calculus in coronal reconstruction of computed tomography (CT) differs from stone size measured in the axial plane, and whether the difference alters clinical decision making. We retrospectively reviewed unenhanced CT examinations of 150 patients admitted to the emergency room (ER) with acute renal colic. Maximal ureteral calculus size was measured on axial slices and coronal reconstructions. Clinical significance was defined as an upgrading or downgrading of stone size according to accepted thresholds of treatment: ≤5 mm, 6-9 mm and ≥10 mm. There were 151 stones in 150 patients (male:female 115:34, mean age 41 years). Transverse stone diameters ranged from 1 to 11 mm (mean 4 mm). On coronal images, 56 (37%) stones were upgraded in severity; 46 (30%) from below 5 mm to 6 mm or more, and ten (7%) from 6-9 mm to 10 mm or more. Transverse measurement on the axial slices enabled correct categorization of 95 stones (63%). Transverse calculus measurement on axial slices often underestimates stone size and provides incorrect clinical classification of the true maximal stone diameter. Coronal reconstruction provides additional information in patients with renal colic that may alter treatment strategy. (orig.)

Association of 3He-rich solar energetic particles with large-scale coronal waves

Science.gov (United States)

Bucik, Radoslav; Innes, Davina; Guo, Lijia; Mason, Glenn M.; Wiedenbeck, Mark

2016-07-01

Impulsive or 3He-rich solar energetic particle (SEP) events have been typically associated with jets or small EUV brightenings. We identify 30 impulsive SEP events from ACE at L1 during the solar minimum period 2007-2010 and examine their solar sources with high resolution STEREO-A EUV images. At beginning of 2007, STEREO-A was near the Earth while at the end of the investigated period, when there were more events, STEREO-A was leading the Earth by 90°. Thus STEREO-A provided a better (more direct) view on 3He-rich flares generally located on the western Sun's hemisphere. Surprisingly, we find that about half of the events are associated with large-scale EUV coronal waves. This finding provides new insights on acceleration and transport of 3He-rich SEPs in solar corona. It is believed that elemental and isotopic fractionation in impulsive SEP events is caused by more localized processes operating in the flare sites. The EUV waves have been reported in gradual SEP events in association with fast coronal mass ejections. To examine their role on 3He-rich SEPs production the energy spectra and relative abundances are discussed. R. Bucik is supported by the Deutsche Forschungsgemeinschaft under grant BU 3115/2-1.

Root canal adhesive filling in dogs' teeth with or without coronal restoration: a histopathological evaluation.

Science.gov (United States)

Leonardo, Mario Roberto; Barnett, Frederick; Debelian, Gilberto J; de Pontes Lima, Regina Karla; Bezerra da Silva, Léa Assed

2007-11-01

The purpose of this study was to evaluate in vivo the response of the periradicular tissues after endodontic treatment and root filling with Epiphany/Resilon (Penntron Clinical Technologies, LLC, Wallingford, CT) or gutta percha and new Sealapex (SybronEndo, Glendora, CA) in dogs' teeth with or without coronal restoration. Teeth without coronal restorations were used to assess the influence of continuous exposure to the oral environment on the periradicular tissues. Sixty root canals with vital pulps in three dogs were instrumented and obturated in a single session and randomly assigned to one of four groups as follows. group 1: root canal filling with Epiphany/Resilon with coronal restoration, group 2: root canal filling with Sealapex sealer and gutta percha with restoration, group 3: root canal filling with Epiphany/Resilon without restoration, and group 4: root canal filling with Sealapex sealer and gutta percha without coronal restoration. After 90 days, the animals were euthanized, and the maxillas and mandibles were removed and submitted for histologic processing. Longitudinal sections were obtained and stained with hematoxylin and eosin, Mallory's trichrome, and Brown and Brenn stains and examined under light microscopy. There were significant differences found between the four groups (p < 0.05). The results showed that roots canals filled with Epiphany/Resilon, with coronal restoration, had significantly less periradicular inflammation than roots canals filled with gutta percha and Sealapex, with coronal restoration (p = 0.021). No significant difference was observed in the intensity of inflammation between roots canals filled with Epiphany/Resilon with no restoration and roots filled with gutta percha and Sealapex with restoration (p = 0.269). Roots canals filled with gutta percha and Sealapex sealer without coronal restoration showed the greatest degree of periradicular inflammation.

ON THE RELATIONSHIP BETWEEN THE CORONAL MAGNETIC DECAY INDEX AND CORONAL MASS EJECTION SPEED

Energy Technology Data Exchange (ETDEWEB)

Xu Yan; Liu Chang; Jing Ju; Wang Haimin, E-mail: yx2@njit.edu [Space Weather Research Lab, Center for Solar-Terrestrial Research, New Jersey Institute of Technology, 323 Martin Luther King Boulevard, Newark, NJ 07102-1982 (United States)

2012-12-10

Numerical simulations suggest that kink and torus instabilities are two potential contributors to the initiation and prorogation of eruptive events. A magnetic parameter called the decay index (i.e., the coronal magnetic gradient of the overlying fields above the eruptive flux ropes) could play an important role in controlling the kinematics of eruptions. Previous studies have identified a threshold range of the decay index that distinguishes between eruptive and confined configurations. Here we advance the study by investigating if there is a clear correlation between the decay index and coronal mass ejection (CME) speed. Thirty-eight CMEs associated with filament eruptions and/or two-ribbon flares are selected using the H{alpha} data from the Global H{alpha} Network. The filaments and flare ribbons observed in H{alpha} associated with the CMEs help to locate the magnetic polarity inversion line, along which the decay index is calculated based on the potential field extrapolation using Michelson Doppler Imager magnetograms as boundary conditions. The speeds of CMEs are obtained from the LASCO C2 CME catalog available online. We find that the mean decay index increases with CME speed for those CMEs with a speed below 1000 km s{sup -1} and stays flat around 2.2 for the CMEs with higher speeds. In addition, we present a case study of a partial filament eruption, in which the decay indices show different values above the erupted/non-erupted part.

CORONAL AND CHROMOSPHERIC SIGNATURES OF LARGE-SCALE DISTURBANCES ASSOCIATED WITH A MAJOR SOLAR ERUPTION

International Nuclear Information System (INIS)

Zong, Weiguo; Dai, Yu

2015-01-01

We present both coronal and chromospheric observations of large-scale disturbances associated with a major solar eruption on 2005 September 7. In the Geostationary Operational Environmental Satellites/Solar X-ray Imager (SXI), arclike coronal brightenings are recorded propagating in the southern hemisphere. The SXI front shows an initially constant speed of 730 km s −1 and decelerates later on, and its center is near the central position angle of the associated coronal mass ejection (CME) but away from the flare site. Chromospheric signatures of the disturbances are observed in both Mauna Loa Solar Observatory (MLSO)/Polarimeter for Inner Coronal Studies Hα and MLSO/Chromospheric Helium I Imaging Photometer He i λ10830 and can be divided into two parts. The southern signatures occur in regions where the SXI front sweeps over, with the Hα bright front coincident with the SXI front, while the He i dark front lags the SXI front but shows a similar kinematics. Ahead of the path of the southern signatures, oscillations of a filament are observed. The northern signatures occur near the equator, with the Hα and He i fronts coincident with each other. They first propagate westward and then deflect to the north at the boundary of an equatorial coronal hole. Based on these observational facts, we suggest that the global disturbances are associated with the CME lift-off and show a hybrid nature: a mainly non-wave CME flank nature for the SXI signatures and the corresponding southern chromospheric signatures, and a shocked fast-mode coronal MHD wave nature for the northern chromospheric signatures

CORONAL AND CHROMOSPHERIC SIGNATURES OF LARGE-SCALE DISTURBANCES ASSOCIATED WITH A MAJOR SOLAR ERUPTION

Energy Technology Data Exchange (ETDEWEB)

Zong, Weiguo [Key Laboratory of Space Weather, National Center for Space Weather, China Meteorological Administration, Beijing 100081 (China); Dai, Yu, E-mail: ydai@nju.edu.cn [Key Laboratory of Modern Astronomy and Astrophysics (Nanjing University), Ministry of Education, Nanjing 210023 (China)

2015-08-20

We present both coronal and chromospheric observations of large-scale disturbances associated with a major solar eruption on 2005 September 7. In the Geostationary Operational Environmental Satellites/Solar X-ray Imager (SXI), arclike coronal brightenings are recorded propagating in the southern hemisphere. The SXI front shows an initially constant speed of 730 km s{sup −1} and decelerates later on, and its center is near the central position angle of the associated coronal mass ejection (CME) but away from the flare site. Chromospheric signatures of the disturbances are observed in both Mauna Loa Solar Observatory (MLSO)/Polarimeter for Inner Coronal Studies Hα and MLSO/Chromospheric Helium I Imaging Photometer He i λ10830 and can be divided into two parts. The southern signatures occur in regions where the SXI front sweeps over, with the Hα bright front coincident with the SXI front, while the He i dark front lags the SXI front but shows a similar kinematics. Ahead of the path of the southern signatures, oscillations of a filament are observed. The northern signatures occur near the equator, with the Hα and He i fronts coincident with each other. They first propagate westward and then deflect to the north at the boundary of an equatorial coronal hole. Based on these observational facts, we suggest that the global disturbances are associated with the CME lift-off and show a hybrid nature: a mainly non-wave CME flank nature for the SXI signatures and the corresponding southern chromospheric signatures, and a shocked fast-mode coronal MHD wave nature for the northern chromospheric signatures.

The angle of inclination of the native ACL in the coronal and sagittal planes.

Science.gov (United States)

Reid, Jonathan C; Yonke, Bret; Tompkins, Marc

2017-04-01

The purpose of this cross-sectional study was to evaluate the angle of inclination of the native anterior cruciate ligament (ACL) in both the sagittal and coronal planes and to evaluate these findings based on sex, height, BMI, and skeletal maturity. Inclusion criteria for the study included patients undergoing routine magnetic resonance imaging (MRI) of the knee at a single outpatient orthopedic center who had an intact ACL on MRI. Measurements of the angle of inclination were made on MRIs in both the sagittal and coronal planes. Patients were compared based on sex, height, BMI, and skeletal maturity. One-hundred and eighty-eight patients were included (36 skeletally immature/152 skeletally mature; 98 male/90 female). The overall angle of inclination was 74.3° ± 4.8° in the coronal plane and 46.9° ± 4.9° in the sagittal plane. Skeletally immature patients (coronal: 71.8° ± 6.1°; sagittal: 44.7° ± 5.5°) were significantly different in both coronal and sagittal planes (P = 0.04 and 0.01, respectively) from skeletally mature patients (coronal: 75.3° ± 4.7°; sagittal: 47.4° ± 4.7°). There were no differences based on sex, height, or BMI. There are differences between the angle of inclination findings in this study and other studies, which could be due to MRI and measurement techniques. Clinically, skeletal maturity may be important to account for when using the ACL angle of inclination to evaluate anatomic ACL reconstruction. Prognostic retrospective study, Level of evidence III.

Tooth coronal index: Key for age estimation on digital panoramic radiographs

Directory of Open Access Journals (Sweden)

Ravleen Nagi

2018-01-01

Full Text Available Background: Assessment of age through teeth is one of the most reliable and simple method than skeletal remains, to calculate age of an individual. Objectives: The study was carried out with an aim to evaluate reliability of dental age assessment through tooth coronal index (TCI method. Materials and Methods: The digital panoramic radiographs of 100 subjects of Chhattisgarh aged 20–70 years were selected for the study. The measurements were performed on the JPEG images of selected panoramic radiographs by using Adobe Acrobat 7.0 professional software. The height of the crown, i.e., coronal height, and the height of the coronal pulp cavity, i.e., coronal pulp cavity height, of mandibular second premolars and first molars were measured in millimeter (mm and then TCI was calculated for each tooth. Actual age of a subject was compared with TCI of tooth and the acquired data were subjected to Pearson's correlation and unpaired t-tests. Results: Negative correlation was observed between the real age and TCI of mandibular first molar (r = −0.092, P = 0.365 and second premolar (r = −0.168, P = 0.096. Statistically significant difference was observed between real age and TCI for mandibular second premolar and first molar (P = 0.000 by unpaired t-test. Conclusion: TCI has the potential to estimate age of an individual on dental radiographs. It is simple, cost effective than histological methods and can be applied to both living and unknown dead.

Role of Magnetic Carpet in Coronal Heating

Indian Academy of Sciences (India)

2016-01-27

Jan 27, 2016 ... One of the fundamental questions in solar physics is how the solar corona maintains its high temperature of several million Kelvin above photosphere with a temperature of 6000 K. Observations show that solar coronal heating problem is highly complex with many different facts. It is likely that different ...

Mechanisms of Coronal Heating S. R. Verma

Indian Academy of Sciences (India)

Abstract. The Sun is a mysterious star. The high temperature of the chromosphere and corona present one of the most puzzling problems of solar physics. Observations show that the solar coronal heating problem is highly complex with many different facts. It is likely that different heating mechanisms are at work in solar ...

Required Critical Conversations Between Medical Examiners/Coroners and Forensic Nurses.

Science.gov (United States)

Infanti Mraz, Megan A

2016-01-01

Forensic teams work with the deceased and their families on a daily basis. The forensic team fulfills an important role during the death process and serves as a medium between the medical community and investigative community. The medical examiner, or coroner, depending on jurisdiction, plays a critical role in the death investigation, whose assessments and findings are a key element in care for the deceased in relation to the investigation. Communication regarding care for the deceased is critical to the completion of the investigation. Nine key discussion points are addressed as a means to launch communications between the forensic team and the medical examiner/coroner's office.

Excitation and damping of transversal oscillation in coronal loops by wake phenomena

Directory of Open Access Journals (Sweden)

A abedini

2018-02-01

Full Text Available Transversal oscillation of coronal loops that are interpreted as signatures of magneto hydrodynamics (MHD waves are observed frequently in active region corona loops. The amplitude of this oscillation has been found to be strongly attenuated. The damping of transverse oscillation may be produced by the dissipation mechanism and the wake of the traveling disturbance. The damping of transversal loop oscillations with wake phenomena is not related to any dissipation mechanism. Also, these kinds of coronal loop oscillations are not related to the kink mode, although this mode can be occurred after the attenuation process by the energy of the wave packet deposited in the loop.  In this paper the excitation and damping of transversal coronal loop oscillations with wake of traveling wave packet is discussed in detail, both theoretically and observationally. Here, the transversal coronal loop oscillations is modeled with a one dimensional simple line-tied. The dynamics of the loop and the coronal is governed by the Klein–Gordon differential equation. A localized disturbance that can be generated by nearby flare produces a perturbation that undergoes dispersion as it propagates toward the loop. As a consequence, the amplitudes of oscillates decay with time roughly t-1/2 at the external cutoff frequency. These observed data on 2016-Dec-4 by Atmospheric Imaging Assembly (AIA onboard Solar Dynamic Observatory (SDO observations data, consisting of 560 images with an interval of 24 seconds in the 171 A0 pass band is analyzed for evidence of excitation and damping of transverse oscillations of coronal loop that is situated near a flare. In this analyzed signatures of transverse oscillations that are damped rapidly were found, with periods in the range of P=18.5-23.85 minutes. Furthermore, oscillation of loop segments attenuate with time roughly as t-α that average values of α for 4 different loops change form 0.65-0.80. The magnitude values of α are in

Radio and white-light observations of coronal transients

International Nuclear Information System (INIS)

Dulk, G.A.

1980-01-01

Optical, radio and X-ray evidence of violent mass motions in the corona has existed for some years but only recently have the form, nature, frequency and implication of the transients become obvious. The author reviews the observed properties of coronal transients, concentrating on the white-light and radio manifestations. The classification according to speeds seems to be meaningful, with the slow transients having thermal emissions at radio wavelengths and the fast ones non-thermal. The possible mechanisms involved in the radio bursts are discussed and the estimates of various forms of energy are reviewed. It appears that the magnetic energy transported from the Sun by the transient exceeds that of any other form, and that magnetic forces dominate in the dynamics of the motions. The conversion of magnetic energy into mechanical energy, by expansion of the fields, provides a possible driving force for the coronal and interplanetary shock waves. (Auth.)

Prediction of coronal structure of the solar eclipse of October 23, 1976

International Nuclear Information System (INIS)

Schatten, K.H.

1976-01-01

Earlier work on the prediction of solar eclipse coronal structures is briefly summarised. A computer drawn plot made on October 18 1976 showed the field time structure predicted for the time of the solar eclipse on October 23. A very dipolar coronal field was indicated, and a very large equatorial streamer was predicted for both the east and west limbs of the Sun, due to the lack of very strong active regions near either limb. Nested coronal arches were seen within this equatorial streamer, and many small arches were also seen on both limbs. The main feature, however, is the prediction of the two large bright streamers marking the solar equator, with polar plumes in a characteristic dipole fashion. At the time of the eclipse it is hoped that a high resolution photograph will allow much of the structure to be discovered. (U.K.)

Coronal mass ejections, interplanetary shocks in relation with forbush decreases associated with intense geomagnetic storms

International Nuclear Information System (INIS)

Verma, P L; Patel, Nand Kumar; Prajapati, Mateswari

2014-01-01

Coronal mass ejections (CMEs} are the most energetic solar events in which large amount of solar plasma materials are ejected from the sun into heliosphere, causing major disturbances in solar wind plasma, Interplanetary shocks, Forbush decrease(Fds) in cosmic ray intensity and geomagnetic storms. We have studied Forbush decreases associated with intense geomagnetic storms observed at Oulu super neutron monitor, during the period of May 1998-Dec 2006 with coronal mass ejections (CMEs), X-ray solar flares and interplanetary shocks. We have found that all the (100%) Forbush decreases associated with intense geomagnetic storms are associated with halo and partial halo coronal mass ejections (CMEs). The association rate between halo and partial halo coronal mass ejections are found 96.00%and 04.00% respectively. Most of the Forbush decreases associated with intense geomagnetic storms (96.29%) are associated with X-ray solar flares of different categories . The association rates for X-Class, M-Class, and C- Class X -ray solar flares are found 34.62%, 50.00% and 15.38% respectively .Further we have concluded that majority of the Forbush decrease associated with intense geomagnetic storms are related to interplanetary shocks (92.30 %) and the related shocks are forward shocks. We have found positive co-relation with co-relation co-efficient .7025 between magnitudes of Forbush decreases associated with intense geomagnetic storms and speed of associated coronal mass ejections. Positive co-relation with co-relation co-efficient 0.48 has also been found between magnitudes of intense geomagnetic storms and speed of associated coronal mass ejections.

Acute diverticulitis of the sigmoid colon: value of ultrasound as an initial diagnostic test; Diverticulitis aguad de sigma: valor de la ecografia como test diagnostico inicial

Energy Technology Data Exchange (ETDEWEB)

Garcia-Aguayo, F J; Gil, P M [Hospital de Sagunto. Valencia (Spain)

2002-07-01

To assess the value of ultrasound as an initial diagnostic method in cases of acute diverticulitis. Ultrasound was carried out in 76 patients with a clinical diagnosis of acute sigmoid diverticulitis. The final diagnosis was based on the clinical course in every case, as well as on computed tomography (CT; n=46), histopathological examination (n=10), colonoscopy (n=4) and barium enema (n=2). The diagnostic criteria established for ultrasound was a thickening of the sigmoid colon wall of >4 mm and the presence of a least one of the following features: diverticular, phlegmon or abscess. The CT diagnosis was based on two indispensable findings: thickening of the sigmoid colon of>4 mm and inflammation of pericolonic fat. The final diagnosis was acute diverticulitis in 52 patients, some other disease in 18 and undetermined in 6. The sensitivities of ultrasound and CT were 81% and 94%, respectively, and their specificities were 79% and 83%, respectively. Of the 10 false negatives on ultrasound, seven corresponded to cases of simple diverticulitis and three to cases of complicated diverticulitis (two in patients with abscess and one in a patient with pneumoperitoneum). CT provided the correct diagnosis in eight of these cases, and resulted in false negatives in two cases of mild diverticulitis. Ultrasound is a valid test in the initial diagnosis of acute diverticulitis of the sigmoid colon. CT should be performed when ultrasound fails to provide a diagnosis or in cases of negative results when there is a strong clinical suspicion of diverticulitis, as well as when the possibility of complicated diverticulitis exists. (Author) 14 refs.

The COronal Solar Magnetism Observatory (COSMO) Large Aperture Coronagraph

Science.gov (United States)

Tomczyk, Steve; Gallagher, Dennis; Wu, Zhen; Zhang, Haiying; Nelson, Pete; Burkepile, Joan; Kolinksi, Don; Sutherland, Lee

2013-04-01

The COSMO is a facility dedicated to observing coronal and chromospheric magnetic fields. It will be located on a mountaintop in the Hawaiian Islands and will replace the current Mauna Loa Solar Observatory (MLSO). COSMO will provide unique observations of the global coronal magnetic fields and its environment to enhance the value of data collected by other observatories on the ground (e.g. SOLIS, BBO NST, Gregor, ATST, EST, Chinese Giant Solar Telescope, NLST, FASR) and in space (e.g. SDO, Hinode, SOHO, GOES, STEREO, Solar-C, Solar Probe+, Solar Orbiter). COSMO will employ a fleet of instruments to cover many aspects of measuring magnetic fields in the solar atmosphere. The dynamics and energy flow in the corona are dominated by magnetic fields. To understand the formation of CMEs, their relation to other forms of solar activity, and their progression out into the solar wind requires measurements of coronal magnetic fields. The large aperture coronagraph, the Chromospheric and Prominence Magnetometer and the K-Coronagraph form the COSMO instrument suite to measure magnetic fields and the polarization brightness of the low corona used to infer electron density. The large aperture coronagraph will employ a 1.5 meter fuse silica singlet lens, birefringent filters, and a spectropolarimeter to cover fields of view of up to 1 degree. It will observe the corona over a wide range of emission lines from 530.3 nm through 1083.0 nm allowing for magnetic field measurements over a wide range of coronal temperatures (e.g. FeXIV at 530.3 nm, Fe X at 637.4 nm, Fe XIII at 1074.7 and 1079.8 nm. These lines are faint and require the very large aperture. NCAR and NSF have provided funding to bring the large aperture coronagraph to a preliminary design review state by the end of 2013. As with all data from Mauna Loa, the data products from COSMO will be available to the community via the Mauna Loa website: http://mlso.hao.ucar.edu

Preoperative CT staging of colon carcinoma (excluding the recto-sigmoid region)

International Nuclear Information System (INIS)

Acunas, B.; Rozanes, I.; Acunas, G.; Sayi, I.; Gokmen, E.; Celik, L.

1990-01-01

28 Patients with colon carcinoma (excluding the recto-sigmoid region) underwent preoperative staging with computed tomography (CT). The CT had a sensitivity of 60 and 67 per cent for detection of extramural invasion, 75 per cent sensitivity and specificity for lymph node metastases and a sensitivity of 87 per cent and specificity of 95 per cent for liver metastases. Compared with the modified Dukes classification, CT correctly staged 50 per cent of the patients with Dukes A lesions; 40 per cent with Dukes B, 75 per cent with Dukes C and 85 per cent with Dukes D lesions. The data presented in this study showed that CT has limitations in the sensitivity and accuracy of staging local colonic carcinoma. However, the authors recommend its use for patients who are clinically suspected of having extensive disease. (author). 10 refs.; 4 figs.; 2 tabs

BAYESIAN MAGNETOHYDRODYNAMIC SEISMOLOGY OF CORONAL LOOPS

International Nuclear Information System (INIS)

Arregui, I.; Asensio Ramos, A.

2011-01-01

We perform a Bayesian parameter inference in the context of resonantly damped transverse coronal loop oscillations. The forward problem is solved in terms of parametric results for kink waves in one-dimensional flux tubes in the thin tube and thin boundary approximations. For the inverse problem, we adopt a Bayesian approach to infer the most probable values of the relevant parameters, for given observed periods and damping times, and to extract their confidence levels. The posterior probability distribution functions are obtained by means of Markov Chain Monte Carlo simulations, incorporating observed uncertainties in a consistent manner. We find well-localized solutions in the posterior probability distribution functions for two of the three parameters of interest, namely the Alfven travel time and the transverse inhomogeneity length scale. The obtained estimates for the Alfven travel time are consistent with previous inversion results, but the method enables us to additionally constrain the transverse inhomogeneity length scale and to estimate real error bars for each parameter. When observational estimates for the density contrast are used, the method enables us to fully constrain the three parameters of interest. These results can serve to improve our current estimates of unknown physical parameters in coronal loops and to test the assumed theoretical model.

A model for radio emission from solar coronal shocks

Energy Technology Data Exchange (ETDEWEB)

Zhao, G. Q.; Chen, L.; Wu, D. J., E-mail: djwu@pmo.ac.cn [Purple Mountain Observatory, CAS, Nanjing 210008 (China)

2014-05-01

Solar coronal shocks are very common phenomena in the solar atmosphere and are believed to be the drivers of solar type II radio bursts. However, the microphysical nature of these emissions is still an open question. This paper proposes that electron cyclotron maser (ECM) emission is responsible for the generation of radiation from the coronal shocks. In the present model, an energetic ion beam accelerated by the shock first excites the Alfvén wave (AW), then the excited AW leads to the formation of a density-depleted duct along the foreshock boundary of the shock. In this density-depleted duct, the energetic electron beam produced via the shock acceleration can effectively excite radio emission by ECM instability. Our results show that this model may potentially be applied to solar type II radio bursts.

A model for radio emission from solar coronal shocks

International Nuclear Information System (INIS)

Zhao, G. Q.; Chen, L.; Wu, D. J.

2014-01-01

Solar coronal shocks are very common phenomena in the solar atmosphere and are believed to be the drivers of solar type II radio bursts. However, the microphysical nature of these emissions is still an open question. This paper proposes that electron cyclotron maser (ECM) emission is responsible for the generation of radiation from the coronal shocks. In the present model, an energetic ion beam accelerated by the shock first excites the Alfvén wave (AW), then the excited AW leads to the formation of a density-depleted duct along the foreshock boundary of the shock. In this density-depleted duct, the energetic electron beam produced via the shock acceleration can effectively excite radio emission by ECM instability. Our results show that this model may potentially be applied to solar type II radio bursts.

Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region.

Science.gov (United States)

Strong, Julie W; Woodmansey, Karl F; Khademi, John A; Hatton, John F

2017-05-01

The influence of the radiographic appearances of the coronal and intraradicular areas on periapical radiographic interpretation has been minimally evaluated in dentistry and endodontics. The purpose of this study was to evaluate the effects that the coronal and intraradicular radiographic appearance has on endodontists' radiographic interpretations of periapical areas. In a split-group study design using an online survey format, 2 pairs of digital periapical radiographic images were evaluated by 2 groups (A and B) of endodontist readers for the presence of a periapical finding. The images in each pair were identical except that 1 image of each image pairs had coronal restorations and/or root canal fillings altered using Adobe Photoshop software (Adobe Systems, San Jose, CA). The periapical areas were not altered. Using a 5-point Likert scale, the endodontist readers were asked to "Please evaluate the periapical area(s)." A Mann-Whitney U test was used to statistically evaluate the difference between the groups. Significance was set at P < .01. There were 417 readers in group A and 442 readers in group B. The Mann-Whitney U test showed a significant difference in the responses between the groups for both image pairs (P < .01). Because the periapical areas of the image pairs were unaltered, the differing coronal and intraradicular areas of the radiographs appear to have influenced endodontists' interpretations of the periapical areas. This finding has implications for all radiographic outcome assessments. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

COUPLING OF CORONAL AND HELIOSPHERIC MAGNETOHYDRODYNAMIC MODELS: SOLUTION COMPARISONS AND VERIFICATION

Energy Technology Data Exchange (ETDEWEB)

Merkin, V. G. [The Johns Hopkins University Applied Physics Laboratory, Laurel, MD 20723 (United States); Lionello, R.; Linker, J.; Török, T.; Downs, C. [Predictive Science, Inc., San Diego, CA 92121 (United States); Lyon, J. G., E-mail: slava.merkin@jhuapl.edu [Department of Physics and Astronomy, Dartmouth College, Hanover, NH 03755 (United States)

2016-11-01

Two well-established magnetohydrodynamic (MHD) codes are coupled to model the solar corona and the inner heliosphere. The corona is simulated using the MHD algorithm outside a sphere (MAS) model. The Lyon–Fedder–Mobarry (LFM) model is used in the heliosphere. The interface between the models is placed in a spherical shell above the critical point and allows both models to work in either a rotating or an inertial frame. Numerical tests are presented examining the coupled model solutions from 20 to 50 solar radii. The heliospheric simulations are run with both LFM and the MAS extension into the heliosphere, and use the same polytropic coronal MAS solutions as the inner boundary condition. The coronal simulations are performed for idealized magnetic configurations, with an out-of-equilibrium flux rope inserted into an axisymmetric background, with and without including the solar rotation. The temporal evolution at the inner boundary of the LFM and MAS solutions is shown to be nearly identical, as are the steady-state background solutions, prior to the insertion of the flux rope. However, after the coronal mass ejection has propagated through the significant portion of the simulation domain, the heliospheric solutions diverge. Additional simulations with different resolution are then performed and show that the MAS heliospheric solutions approach those of LFM when run with progressively higher resolution. Following these detailed tests, a more realistic simulation driven by the thermodynamic coronal MAS is presented, which includes solar rotation and an azimuthally asymmetric background and extends to the Earth’s orbit.

RADIOLOGICAL TIPS Coronal views of the paediatric mandibular ...

African Journals Online (AJOL)

imaging. None of the cases subsequently revealed any evidence of traumatic brain injury on CTB but they all demonstrated mandibular condyle fractures best appreciated on coronal views. Axial (Fig. 1) ... T Peedikayil, MB ChB. Department of Radiology, Red Cross War Memorial Children's Hospital, Cape Town.

Right radial nerve dysfunction following laparoscopic sigmoid colectomy

Directory of Open Access Journals (Sweden)

Yoshikazu Takinami

2014-10-01

Full Text Available Here, we report a case of right radial nerve dysfunction following laparoscopic sigmoid colectomy under general anesthesia. A 75-year-old man was intubated without excessive retroflexion, and his upper body was held in place by lateral body positioners with protective cushions over the chest and acromioclavicular joints. The patient’s head was maintained at the center and held on the operation table with a memory-foam pillow to prevent hyperextension of the neck. The arms, abducted 80° with the forearms supinated, were held in place on the armrests with protective cushions. The surgical position was a 20° head-down lithotomy position with the right side of the body lowered by 15°. Surgery was completed successfully with no complications, and anesthesia time was 7 h and 37 min. After surgery, however, the patient complained of numbness and hypoesthesia on the radial and ulnar side, respectively, of the right arm from the elbow to the fingertips, with the boundary running between fingers 3 and 4. Dysesthesia was observed in the right fingertips of fingers 1–3. After 3 months of silver spike point low-frequency electrotherapy, hypoesthesia improved, while dysesthesia partially improved, in the dorsal area between right fingers 1 and 2.

“Dandelion” Filament Eruption and Coronal Waves Associated with a Solar Flare on 2011 February 16

International Nuclear Information System (INIS)

Cabezas, Denis P.; Ishitsuka, Mutsumi; Ishitsuka, José K.; Martínez, Lurdes M.; Buleje, Yovanny J.; Morita, Satoshi; Asai, Ayumi; UeNo, Satoru; Ishii, Takako T.; Kitai, Reizaburo; Takasao, Shinsuke; Yoshinaga, Yusuke; Otsuji, Kenichi; Shibata, Kazunari

2017-01-01

Coronal disturbances associated with solar flares, such as H α Moreton waves, X-ray waves, and extreme ultraviolet (EUV) coronal waves, are discussed herein in relation to magnetohydrodynamic fast-mode waves or shocks in the corona. To understand the mechanism of coronal disturbances, full-disk solar observations with high spatial and temporal resolution over multiple wavelengths are of crucial importance. We observed a filament eruption, whose shape is like a “dandelion,” associated with the M1.6 flare that occurred on 2011 February 16 in H α images taken by the Flare Monitoring Telescope at Ica University, Peru. We derive the three-dimensional velocity field of the erupting filament. We also identify winking filaments that are located far from the flare site in the H α images, whereas no Moreton wave is observed. By comparing the temporal evolution of the winking filaments with those of the coronal wave seen in the EUV images data taken by the Atmospheric Imaging Assembly on board the Solar Dynamics Observatory and by the Extreme Ultraviolet Imager on board the Solar Terrestrial Relations Observatory-Ahead , we confirm that the winking filaments were activated by the EUV coronal wave.

“Dandelion” Filament Eruption and Coronal Waves Associated with a Solar Flare on 2011 February 16

Energy Technology Data Exchange (ETDEWEB)

Cabezas, Denis P.; Ishitsuka, Mutsumi; Ishitsuka, José K. [Geophysical Institute of Peru, Calle Badajoz 169, Mayorazgo IV Etapa, Ate Vitarte, Lima (Peru); Martínez, Lurdes M.; Buleje, Yovanny J. [Centro de Investigación del Estudio de la Actividad Solar y sus Efectos Sobre la Tierra, Facultad de Ciencias, Universidad Nacional San Luis Gonzaga de Ica, Av. Los Maestros S/N, Ica (Peru); Morita, Satoshi [National Astronomical Observatory of Japan, Osawa, Mitaka, Tokyo, 181-8588 (Japan); Asai, Ayumi [Unit of Synergetic Studies for Space, Kyoto University, Sakyo, Kyoto, 606-8502 (Japan); UeNo, Satoru; Ishii, Takako T.; Kitai, Reizaburo; Takasao, Shinsuke; Yoshinaga, Yusuke; Otsuji, Kenichi; Shibata, Kazunari, E-mail: denis@kwasan.kyoto-u.ac.jp [Kwasan and Hida Observatories, Kyoto University, Yamashina, Kyoto, 607-8471 (Japan)

2017-02-10

Coronal disturbances associated with solar flares, such as H α Moreton waves, X-ray waves, and extreme ultraviolet (EUV) coronal waves, are discussed herein in relation to magnetohydrodynamic fast-mode waves or shocks in the corona. To understand the mechanism of coronal disturbances, full-disk solar observations with high spatial and temporal resolution over multiple wavelengths are of crucial importance. We observed a filament eruption, whose shape is like a “dandelion,” associated with the M1.6 flare that occurred on 2011 February 16 in H α images taken by the Flare Monitoring Telescope at Ica University, Peru. We derive the three-dimensional velocity field of the erupting filament. We also identify winking filaments that are located far from the flare site in the H α images, whereas no Moreton wave is observed. By comparing the temporal evolution of the winking filaments with those of the coronal wave seen in the EUV images data taken by the Atmospheric Imaging Assembly on board the Solar Dynamics Observatory and by the Extreme Ultraviolet Imager on board the Solar Terrestrial Relations Observatory-Ahead , we confirm that the winking filaments were activated by the EUV coronal wave.

Radio and white-light observations of coronal transients

Science.gov (United States)

Dulk, G. A.

1980-01-01

Optical, radio and X-ray evidence of violent mass motions in the corona has existed for some years but only recently have the form, nature, frequency and implication of the transients become obvious. In this paper the observed properties of coronal transients are reviewed, with concentration on the white-light and radio manifestations. The classification according to speeds seems to be meaningful, with the slow transients having thermal emissions at radio wavelengths and the fast ones nonthermal. The possible mechanisms involved in the radio bursts are then discussed and estimates of various forms of energy are reviewed. It appears that the magnetic energy transported from the sun by the transient exceeds that of any other form, and that magnetic forces dominate in the dynamics of the motions. The conversion of magnetic energy into mechanical energy, by expansion of the field, provides a possible driving force for the coronal and interplanetary shock waves.

Usefulness of the dynamic gadolinium-enhanced magnetic resonance imaging with simultaneous acquisition of coronal and sagittal planes for detection of pituitary microadenomas.

Science.gov (United States)

Lee, Han Bee; Kim, Sung Tae; Kim, Hyung-Jin; Kim, Keon Ha; Jeon, Pyoung; Byun, Hong Sik; Choi, Jin Wook

2012-03-01

Does dynamic gadolinium-enhanced imaging with simultaneous acquisition of coronal and sagittal planes improve diagnostic accuracy of pituitary microadenomas compared with coronal images alone? Fifty-six patients underwent 3-T sella MRI including dynamic simultaneous acquisition of coronal and sagittal planes after gadolinium injection. According to conspicuity, lesions were divided into four scores (0, no; 1, possible; 2, probable; 3, definite delayed enhancing lesion). Additional information on supplementary sagittal images compared with coronal ones was evaluated with a 4-point score (0, no; 1, possible; 2, probable; 3, definite additional information). Accuracy of tumour detection was calculated. Average scores for lesion detection of a combination of two planes, coronal, and sagittal images were 2.59, 2.32, and 2.18. 6/10 lesions negative on coronal images were detected on sagittal ones. Accuracy of a combination of two planes, of coronal and of sagittal images was 92.86%, 82.14% and 75%. Six patients had probable or definite additional information on supplementary sagittal images compared with coronal ones alone (10.71%). Dynamic MRI with combined coronal and sagittal planes was more accurate for detection of pituitary microadenomas than routinely used coronal images. Simultaneous dynamic enhanced acquisition can make study time fast and costs low. We present a new dynamic MRI technique for evaluating pituitary microadenomas • This technique provides simultaneous acquisition of contrast enhanced coronal and sagittal images. • This technique makes the diagnosis more accurate and reduces the examination time. • Such MR imaging only requires one single bolus of contrast agent.

Cyclical Variation of the Quiet Corona and Coronal Holes

Indian Academy of Sciences (India)

tribpo

Key words. Coronagraphs—solar activity cycle—solar corona—total ... can be divided into the quiet sun (including coronal holes) and active regions. The ... regions has attracted attention and is termed as 'the extended solar cycle'. Here the.

Hot prominence detected in the core of a coronal mass ejection II. Analysis of the C III line detected by SOHO/UVCS

Czech Academy of Sciences Publication Activity Database

Jejčič, S.; Susino, R.; Heinzel, Petr; Dzifčáková, Elena; Bemporad, A.; Anzer, U.

2017-01-01

Roč. 607, November (2017), A80/1-A80/10 E-ISSN 1432-0746 R&D Projects: GA ČR(CZ) GA16-18495S Institutional support: RVO:67985815 Keywords : line formation * radiative transfer * coronal mass ejections Subject RIV: BN - Astronomy , Celestial Mechanics, Astrophysics OBOR OECD: Astronomy (including astrophysics,space science) Impact factor: 5.014, year: 2016

Impulsively Generated Wave Trains in Coronal Structures. II. Effects of Transverse Structuring on Sausage Waves in Pressurelesss Slabs

Science.gov (United States)

Li, Bo; Guo, Ming-Zhe; Yu, Hui; Chen, Shao-Xia

2018-03-01

Impulsively generated sausage wave trains in coronal structures are important for interpreting a substantial number of observations of quasi-periodic signals with quasi-periods of order seconds. We have previously shown that the Morlet spectra of these wave trains in coronal tubes depend crucially on the dispersive properties of trapped sausage waves, the existence of cutoff axial wavenumbers, and the monotonicity of the dependence of the axial group speed on the axial wavenumber in particular. This study examines the difference a slab geometry may introduce, for which purpose we conduct a comprehensive eigenmode analysis, both analytically and numerically, on trapped sausage modes in coronal slabs with a considerable number of density profiles. For the profile descriptions examined, coronal slabs can trap sausage waves with longer axial wavelengths, and the group speed approaches the internal Alfvén speed more rapidly at large wavenumbers in the cylindrical case. However, common to both geometries, cutoff wavenumbers exist only when the density profile falls sufficiently rapidly at distances far from coronal structures. Likewise, the monotonicity of the group speed curves depends critically on the profile steepness right at the structure axis. Furthermore, the Morlet spectra of the wave trains are shaped by the group speed curves for coronal slabs and tubes alike. Consequently, we conclude that these spectra have the potential for inferring the subresolution density structuring inside coronal structures, although their detection requires an instrumental cadence of better than ∼1 s.

MULTIFRACTAL SOLAR EUV INTENSITY FLUCTUATIONS AND THEIR IMPLICATIONS FOR CORONAL HEATING MODELS

Energy Technology Data Exchange (ETDEWEB)

Cadavid, A. C.; Lawrence, J. K.; Christian, D. J. [Department of Physics and Astronomy, California State University Northridge, 18111 Nordhoff Street, Northridge, CA 91330 (United States); Rivera, Y. J. [Department of Climate and Space Sciences, University of Michigan, Ann Arbor, Michigan 48109-2143 (United States); Jennings, P. J. [5174 S. Slauson Avenue, Culver City, CA 90230 (United States); Rappazzo, A. F., E-mail: ana.cadavid@csun.edu [Department of Earth, Planetary and Space Sciences, University of California Los Angeles, Los Angeles, CA 90095 (United States)

2016-11-10

We investigate the scaling properties of the long-range temporal evolution and intermittency of Atmospheric Imaging Assembly/ Solar Dynamics Observatory intensity observations in four solar environments: an active region core, a weak emission region, and two core loops. We use two approaches: the probability distribution function (PDF) of time series increments and multifractal detrended fluctuation analysis (MF-DFA). Noise taints the results, so we focus on the 171 Å waveband, which has the highest signal-to-noise ratio. The lags between pairs of wavebands distinguish between coronal versus transition region (TR) emission. In all physical regions studied, scaling in the range of 15–45 minutes is multifractal, and the time series are anti-persistent on average. The degree of anti-correlation in the TR time series is greater than that for coronal emission. The multifractality stems from long-term correlations in the data rather than the wide distribution of intensities. Observations in the 335 Å waveband can be described in terms of a multifractal with added noise. The multiscaling of the extreme-ultraviolet data agrees qualitatively with the radiance from a phenomenological model of impulsive bursts plus noise, and also from ohmic dissipation in a reduced magnetohydrodynamic model for coronal loop heating. The parameter space must be further explored to seek quantitative agreement. Thus, the observational “signatures” obtained by the combined tests of the PDF of increments and the MF-DFA offer strong constraints that can systematically discriminate among models for coronal heating.

Role of coronal high-resolution diffusion-weighted imaging in acute optic neuritis: a comparison with axial orientation

Energy Technology Data Exchange (ETDEWEB)

Lu, Ping [Zhongshan Hospital, Fudan University, Shanghai Institution of Medical Imaging, Shanghai (China); Eye and ENT Hospital of Fudan University, Department of Radiology, Shanghai (China); Sha, Yan; Wan, Hailin; Wang, Feng [Eye and ENT Hospital of Fudan University, Department of Radiology, Shanghai (China); Tian, Guohong [Eye and ENT Hospital of Fudan University, Department of Ophthalmology, Shanghai (China)

2017-08-15

Through a comparison with the axial orientation, we aimed to evaluate the role of coronal high-resolution diffusion-weighted imaging (DWI) in acute optic neuritis based on diagnostic accuracy and the reproducibility of apparent diffusion coefficient (ADC) measurements. Orbital DWI, using readout-segmented, parallel imaging, and 2D navigator-based reacquisition (RESOLVE-DWI), was performed on 49 patients with acute vision loss. The coronal (thickness = 3 mm) and axial (thickness = 2 mm) diffusion images were evaluated by two neuroradiologists retrospectively. The sensitivity, specificity, and accuracy were calculated through diagnostic test; the inter- and intra-observer reliabilities were assessed with a weighted Cohen's kappa test. In addition, the agreement of ADC measurement among observers was evaluated by the intra-class correlation coefficient (ICC), coefficient of variation (CV), and Bland-Altman plots. Comparison of ADC values was also performed by unpaired t test. Among the 49 patients, 47 clinically positive optic nerves and 51 clinically negative optic nerves were found. The sensitivity, specificity, and accuracy were 85.1/87.2%, 90.2/94.12%, and 87.8/90.8%, respectively, for coronal RESOLVE-DWI and 83.0/85.1%, 66.7/76.5%, and 75.5/79.6%, respectively, for axial RESOLVE-DWI. The inter-observer kappa values were 0.710 and 0.806 for axial and coronal RESOLVE-DWI, respectively, and the intra-observer kappa values were 0.822 and 0.909, respectively (each P < 0.0001). Regarding the reproducibility of ADC measurements on axial and coronal RESOLVE-DWI, the ICCs among observers were 0.846 and 0.941, respectively, and the CV values were 7.046 and 4.810%, respectively. Bland-Altman plots revealed smaller inter-observer variability on coronal RESOLVE-DWI. ADC values were significantly lower in positive group (each P < 0.0001). Higher specificity and better reproducibility of ADC measurements were found for coronal RESOLVE-DWI, which demonstrated the

Investigating Alfvénic wave propagation in coronal open-field regions

Science.gov (United States)

Morton, R. J.; Tomczyk, S.; Pinto, R.

2015-01-01

The physical mechanisms behind accelerating solar and stellar winds are a long-standing astrophysical mystery, although recent breakthroughs have come from models invoking the turbulent dissipation of Alfvén waves. The existence of Alfvén waves far from the Sun has been known since the 1970s, and recently the presence of ubiquitous Alfvénic waves throughout the solar atmosphere has been confirmed. However, the presence of atmospheric Alfvénic waves does not, alone, provide sufficient support for wave-based models; the existence of counter-propagating Alfvénic waves is crucial for the development of turbulence. Here, we demonstrate that counter-propagating Alfvénic waves exist in open coronal magnetic fields and reveal key observational insights into the details of their generation, reflection in the upper atmosphere and outward propagation into the solar wind. The results enhance our knowledge of Alfvénic wave propagation in the solar atmosphere, providing support and constraints for some of the recent Alfvén wave turbulence models. PMID:26213234

Plasma Evolution within an Erupting Coronal Cavity

Science.gov (United States)

Long, David M.; Harra, Louise K.; Matthews, Sarah A.; Warren, Harry P.; Lee, Kyoung-Sun; Doschek, George A.; Hara, Hirohisa; Jenkins, Jack M.

2018-03-01

Coronal cavities have previously been observed to be associated with long-lived quiescent filaments and are thought to correspond to the associated magnetic flux rope. Although the standard flare model predicts a coronal cavity corresponding to the erupting flux rope, these have only been observed using broadband imaging data, restricting an analysis to the plane-of-sky. We present a unique set of spectroscopic observations of an active region filament seen erupting at the solar limb in the extreme ultraviolet. The cavity erupted and expanded rapidly, with the change in rise phase contemporaneous with an increase in nonthermal electron energy flux of the associated flare. Hot and cool filamentary material was observed to rise with the erupting flux rope, disappearing suddenly as the cavity appeared. Although strongly blueshifted plasma continued to be observed flowing from the apex of the erupting flux rope, this outflow soon ceased. These results indicate that the sudden injection of energy from the flare beneath forced the rapid eruption and expansion of the flux rope, driving strong plasma flows, which resulted in the eruption of an under-dense filamentary flux rope.

ROAM: A Radial-Basis-Function Optimization Approximation Method for Diagnosing the Three-Dimensional Coronal Magnetic Field

International Nuclear Information System (INIS)

Dalmasse, Kevin; Nychka, Douglas W.; Gibson, Sarah E.; Fan, Yuhong; Flyer, Natasha

2016-01-01

The Coronal Multichannel Polarimeter (CoMP) routinely performs coronal polarimetric measurements using the Fe XIII 10747 and 10798 lines, which are sensitive to the coronal magnetic field. However, inverting such polarimetric measurements into magnetic field data is a difficult task because the corona is optically thin at these wavelengths and the observed signal is therefore the integrated emission of all the plasma along the line of sight. To overcome this difficulty, we take on a new approach that combines a parameterized 3D magnetic field model with forward modeling of the polarization signal. For that purpose, we develop a new, fast and efficient, optimization method for model-data fitting: the Radial-basis-functions Optimization Approximation Method (ROAM). Model-data fitting is achieved by optimizing a user-specified log-likelihood function that quantifies the differences between the observed polarization signal and its synthetic/predicted analog. Speed and efficiency are obtained by combining sparse evaluation of the magnetic model with radial-basis-function (RBF) decomposition of the log-likelihood function. The RBF decomposition provides an analytical expression for the log-likelihood function that is used to inexpensively estimate the set of parameter values optimizing it. We test and validate ROAM on a synthetic test bed of a coronal magnetic flux rope and show that it performs well with a significantly sparse sample of the parameter space. We conclude that our optimization method is well-suited for fast and efficient model-data fitting and can be exploited for converting coronal polarimetric measurements, such as the ones provided by CoMP, into coronal magnetic field data.

The energy balance in coronal holes and average quiet-sun regions

Science.gov (United States)

Raymond, J. C.; Doyle, J. G.

1981-01-01

Emission measure curves are presented for average coronal hole and quiet-sun spectra taken during the Skylab mission by Vernazza and Reeves (1978), and the curves are used to discuss the energy balance in each region. Close-coupling calculations are used for the Be sequence, assuming a 10 level ion; for B sequence ions mainly distorted wave calculations in an 11 level ion are used, but close-coupling cross sections are used for some ions; for C and Mg sequence ions, distorted wave calculations are used with 15 and 10 level ions, respectively, and close-coupling results are used for Li-like ions with two levels. Results are presented and include the following: the coronal hole spectrum shows a smaller slope in the emission measure distribution, consistent with the expected outflow effects. It is concluded that the simple constant pressure models of static coronal loops of constant cross section are basically able to match the observed emission measure distribution of the average quiet sun between 1,000,000 and 10,000,000 K. However, the cell center and network distributions are respectively steeper and shallower than predicted by the detailed cooling curve.

Diagnostics of high-speed streams and coronal holes using geomagnetic pulsations

International Nuclear Information System (INIS)

Bol'shakova, O.V.; Troitskaya, V.A.

1980-01-01

In order to study the relations of high-speed solar wind streams and coronal holes analyzed are the parameters of geomagnetic pulsations of the Rs3 type and of high-speed streams at the decrease branch and in the minimum of solar activity. On the basis of the analysis of exciting pulsation regime determined are the differences in characteristics of high-speed stream properties. Presented are the graphical distributions of a number of occurrances of high-speed streams, coronal holes and pure regimes of Rs3R pulsations in several sections of 1973 in the Sun rotations of N1903-1919 and of the change of solar wind velocity while passing through the high-speed streams. It is found that Rs3R occurrance can serve an indicator of the high-speed flux connection with the large equatorial coronal hole. On the basis of the analysis of exciting pulsation properties determined are the differences in the stream characteristics. However the preliminary estimates permit to adopt neither the first nor the second of the existing hypotheses on the sourse of formation of high-speed streams

Inflows in the Inner White-light Corona: The Closing-down of Flux after Coronal Mass Ejections

Science.gov (United States)

Hess, P.; Wang, Y.-M.

2017-11-01

During times of high solar activity, the Solar and Heliospheric Observatory/Large Angle and Spectrometric Coronagraph C2 coronagraph has recorded multitudes of small features moving inward through its 2{--}6 {R}⊙ field of view. These outer-coronal inflows, which are concentrated around the heliospheric current sheet, tend to be poorly correlated with individual coronal mass ejection (CME) events. Using running-difference movies constructed from Solar Terrestrial Relations Observatory/COR1 coronagraph images taken during 2008-2014, we have identified large numbers of inward-moving features at heliocentric distances below 2 {R}⊙ , with the rate increasing with sunspot and CME activity. Most of these inner-coronal inflows are closely associated with CMEs, being observed during and in the days immediately following the eruptions. Here, we describe several examples of the pinching-off of tapered streamer structures in the wake of CMEs. This type of inflow event is characterized by a separation of the flow into incoming and outgoing components connected by a thin spike, which is interpreted as a continually elongating current sheet viewed edge-on; by the prior convergence of narrow rays toward the current sheet; and by a succession of collapsing loops that form a cusp-shaped structure at the base of the current sheet. The re-forming streamer overlies a growing post-eruption arcade that is visible in EUV images. These observations provide support for standard reconnection models for the formation/evolution of flux ropes during solar eruptive events. We suggest that inflow streams that occur over a relatively wide range of position angles result from the pinching-off of loop arcades whose axes are oriented parallel rather than perpendicular to the sky plane.

Microflares as Possible Sources for Coronal Heating Meera Gupta ...

Indian Academy of Sciences (India)

around 6.7 keV, which is an indicator of the presence of coronal plasma tem- perature ≥ 9 MK. On the other ... Key words. Solar flares: ... Details of SOXS mission, in-flight performance, calibration, instrumental response and background are ...

[The coroner's autopsies in the Great Britain: the problems related to the quality of the studies, standardization, auditing, financial support and the approaches to their solution].

Science.gov (United States)

Makarov, I Yu; Kuprina, T A; Fetisov, V A; Minaeva, P V

2018-01-01

This article continues the series of previous publications of the authors based on the analysis of the detailed report of the experts of the National Confidential Enquiry into Patient Outcome and Death program (NCEPOD) designed to evaluate the quality of autopsies carried out by the coroners in the Great Britain. It was shown that only in 13 to 55% of the 1,691 case the operators had an opportunity to refer the necropsy materials for the pathological study. The problems encountered in association with histological and toxicological analysis arose from the misunderstanding between the coroners and the pathologists as regard the organizational aspects of autopsy studies as swell as the financial and economic considerations. The Coroner Rules that had been adopted in 1984 and remained in force in the country until 2005 needed to be radically revised, corrected, and amended to facilitate the solution of a number of problems and eliminate the formal organizational and technical contradictions that hampered the further improvement of the quality of autopsies that must be performed by the corners at the national rather than the local level. The maximum number of the unacceptable results were revealed in the protocols of autopsires carried out by the forensic medical experts. All pathologists in the Great Britain are recommended to pay special attention to all cases of sudden death of the adult subjects and the deceased epileptic patients. The detailed investigations are mandatory in all cases of death following medical manipulations, such as surgical interventions, and complications.

How can we ensure that the coroner's autopsy is not an invasion of human rights?

Science.gov (United States)

Leadbeatter, Stephen; James, Ryk

2018-01-01

Despite public inquiries, and some changes to legislation following high-profile multiple homicides that were not detected by autopsy, coroners continue to rely largely on the autopsy. Regardless of the extent of quality failings and excess deaths at some hospitals, not detected through the coroner system, the autopsy is scarcely used by hospitals to monitor standards and educate. To explore when a compulsory medicolegal autopsy should, and should not, be used. Two hundred and thirty-six cases referred to a senior coroner were evaluated by pathologists with long experience of forensic, coronial and hospital autopsies, using detailed antecedent medical and circumstantial information: after their advice, the senior coroner decided what kind of autopsy provided sufficient information for his purposes. In nearly 40% (n=88) of deaths where the senior coroner accepted jurisdiction, issues raised could be resolved through analysis of medical records and antecedent information, supplemented only by detailed external examination of the body. Timely provision of sufficient information allows informed decisions about the requirement for, and nature and extent of, medical investigations into a death: unnecessary post mortem dissection is avoided, protecting the rights, under Articles 8 and 9 of the Human Rights Act 1998, of the bereaved to privacy, family life and religious practice. Although improvements in healthcare can undoubtedly result from detailed coroners' inquiries, those deaths where the matters investigated relate only to the accuracy of a natural cause of death or sit with a healthcare provider's internal quality assurance, should be investigated by the healthcare system in collaboration with the bereaved. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Magnetic Untwisting in Jets that Go into the Outer Solar Corona in Polar Coronal Holes

Science.gov (United States)

Moore, Ronald L.; Sterling, Alphonse C.; Falconer, David

2014-06-01

We present results from a study of 14 jets that were observed in SDO/AIA EUV movies to erupt in the Sun’s polar coronal holes. These jets were similar to the many other jets that erupt in coronal holes, but reached higher than the vast majority, high enough to be observed in the outer corona beyond 2 solar radii from Sun center by the SOHO/LASCO/C2 coronagraph. We illustrate the characteristic structure and motion of these high-reaching jets by showing observations of two representative jets. We find that (1) the speed of the jet front from the base of the corona out to 2-3 solar radii is typically several times the sound speed in jets in coronal holes, (2) each high-reaching jet displays unusually large rotation about its axis (spin) as it erupts, and (3) in the outer corona, many jets display lateral swaying and bending of the jet axis with an amplitude of a few degrees and a period of order 1 hour. From these observations we infer that these jets are magnetically driven, propose that the driver is a magnetic-untwisting wave that is basically a large-amplitude (non-linear) torsional Alfven wave that is put into the open magnetic field in the jet by interchange reconnection as the jet erupts, and estimate that the magnetic-untwisting wave loses most of its energy before reaching the outer corona. These observations of high-reaching coronal jets suggest that the torsional magnetic waves observed in Type-II spicules can similarly dissipate in the corona and thereby power much of the coronal heating in coronal holes and quiet regions. This work is funded by the NASA/SMD Heliophysics Division’s Living With a Star Targeted Research & Technology Program.

ON THE ANTI-CORRELATION BETWEEN SPECTRAL LINE BROADENING AND INTENSITY IN CORONAL STRUCTURES OBSERVED WITH EIS

International Nuclear Information System (INIS)

Scott, J. T.; Martens, P. C. H.

2011-01-01

The advance in spectral resolution of the Extreme Ultraviolet Imaging (EIS) spectrometer on board Hinode has allowed for more detailed analysis of coronal spectral lines. Large line broadening and blueshifted velocities have been found in the periphery of active region (AR) cores and near the footpoints of coronal loops. This line broadening is yet to be understood. We study the correlation of intensity and line width for entire ARs and sub-regions selected to include coronal features. The results show that although a slight positive correlation can be found when considering whole images, many sub-regions have a negative correlation between intensity and line width. Sections of a coronal loop display some of the largest anti-correlations found for this study with the increased line broadening occurring directly adjacent to the footpoint section of the loop structure, not at the footpoint itself. The broadened lines may be due to a second Doppler-shifted component that is separate from the main emitting feature such as a coronal loop, but related in their excitation. The small size of these features forces the considerations of investigator and instrumental effects. Preliminary analyses are shown that indicate the possibility of a point-spread function that is not azimuthally symmetric and may affect velocity and line profile measurements.

The transition region and coronal explorer (TRACE)

Science.gov (United States)

Title, Alan; Bruner, M.; Jurcevich, B.; Lemen, J.; Strong, K.; Tarbell, Ted; Wolfson, C. Jacob; Golub, L.; Bookbinder, J.; Fisher, R.

1995-01-01

The transition region and coronal explorer (TRACE) NASA small explorer mission and instrument are presented. The TRACE scientific investigation explores the relationships between fine-scale magnetic fields and the associated solar plasma structures. The instrument collects images of solar plasmas at temperatures from 10(exp 4) to 10(exp 7) K with one arcsec spatial resolution. The design specifications of the trace instrument are presented.

A multi-channel coronal spectrophotometer.

Science.gov (United States)

Landman, D. A.; Orrall, F. Q.; Zane, R.

1973-01-01

We describe a new multi-channel coronal spectrophotometer system, presently being installed at Mees Solar Observatory, Mount Haleakala, Maui. The apparatus is designed to record and interpret intensities from many sections of the visible and near-visible spectral regions simultaneously, with relatively high spatial and temporal resolution. The detector, a thermoelectrically cooled silicon vidicon camera tube, has its central target area divided into a rectangular array of about 100,000 pixels and is read out in a slow-scan (about 2 sec/frame) mode. Instrument functioning is entirely under PDP 11/45 computer control, and interfacing is via the CAMAC system.

Aortic embolization of an Edwards SAPIEN prosthesis due to sigmoid left ventricular hypertrophy: Case report.

Science.gov (United States)

Yuksel, Isa Öner; Koklu, Erkan; Arslan, Sakir; Cagirci, Goksel; Kucukseymen, Selcuk

2016-06-01

Transcatheter aortic valve implantation (TAVI) is considered an alternative therapy in high-risk patients with severe aortic stenosis. Although a minimally invasive procedure, it is not free from complications, one of which is valve embolization at the time of TAVI. We present a case of embolization of a balloon-expandable aortic valve due to sigmoid left ventricular hypertrophy and managed with a second valve without surgery. The embolized valve was repositioned in the aortic arch between the left common carotid artery and the brachiocephalic trunk. Copyright © 2016 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

Fracture mechanism of coronal teenage dentin

Science.gov (United States)

Panfilov, P. E.; Kabanova, A. V.; Borodin, I. N.; Guo, J.; Zang, Z.

2017-10-01

The structure of coronal teenage dentin and the development of cracks in it are studied on microand nanolevels. The material is found to fail according to a ductile mechanism on a microlelvel and according to a ductile-brittle mechanism on a nanoscale. This behavior is similar to the failure of a polyethylene film and rubber, when significant elastic and irreversible deformation precedes crack growth. The viscoelastic behavior can be considered as the reaction of dentin to an applied mechanical load.

Standing Slow MHD Waves in Radiatively Cooling Coronal Loops ...

Indian Academy of Sciences (India)

The standing slow magneto-acoustic oscillations in cooling coronal loops ... turbation and, eventually, reduces the MHD equations to a 1D system modelling ..... where the function Q is expanded in power series with respect to ǫ, i.e.,. Q = Q0 + ...

Identification of Low Coronal Sources of “Stealth” Coronal Mass Ejections Using New Image Processing Techniques

Energy Technology Data Exchange (ETDEWEB)

Alzate, Nathalia; Morgan, Huw, E-mail: naa19@aber.ac.uk [Institute of Mathematics, Physics and Computer Science Prifysgol Aberystwyth Ceredigion, Cymru SY23 3BZ (United Kingdom)

2017-05-10

Coronal mass ejections (CMEs) are generally associated with low coronal signatures (LCSs), such as flares, filament eruptions, extreme ultraviolet (EUV) waves, or jets. A number of recent studies have reported the existence of stealth CMEs as events without LCSs, possibly due to observational limitations. Our study focuses on a set of 40 stealth CMEs identified from a study by D’Huys et al. New image processing techniques are applied to high-cadence, multi-instrument sets of images spanning the onset and propagation time of each of these CMEs to search for possible LCSs. Twenty-three of these events are identified as small, low-mass, unstructured blobs or puffs, often occurring in the aftermath of a large CME, but associated with LCSs such as small flares, jets, or filament eruptions. Of the larger CMEs, seven are associated with jets and eight with filament eruptions. Several of these filament eruptions are different from the standard model of an erupting filament/flux tube in that they are eruptions of large, faint flux tubes that seem to exist at large heights for a long time prior to their slow eruption. For two of these events, we see an eruption in Large Angle Spectrometric Coronagraph C2 images and the consequent changes at the bottom edge of the eruption in EUV images. All 40 events in our study are associated with some form of LCS. We conclude that stealth CMEs arise from observational and processing limitations.

The severity of late rectal and recto-sigmoid complications related to fraction size in irradiation treatment of carcinoma cervix stage III B

International Nuclear Information System (INIS)

Deore, S.M.; Shrivastava, S.K.; Viswanathan, P.S.; Dinshaw, K.A.; Tata Memorial Hospital, Bombay

1991-01-01

A retrospective analysis of late rectal and recto-sigmoid complications was carried out of the 203 patients with stage III B carcinoma of uterine cervix, treated using radiation therapy alone during January 1979 to December 1983. The patients were treated with a combination of external irradiation and single intracavitary insertion. External irradiation was randomised to one of the four different fractionation regimes having dose per fraction of 2 Gy, 3 Gy, 4 Gy and 5.4 Gy, delivering with five fractions/week, three fractions/week, two fractions/week and one fraction/week, respectively. The total doses in four different regimens were adjusted using the TDF model. There were 39 cases of late radiation induced rectal and recto-sigmoid complications. The complication rate was correlated with the dose per fraction and TDFs delivered in each regimen. The complication rate of 8.2% for 2 Gy per fraction was increased to 33.33% for 5.4 Gy per fraction. It was found that there is strong correlation (P [de

Maximally Informative Stimuli and Tuning Curves for Sigmoidal Rate-Coding Neurons and Populations

Science.gov (United States)

McDonnell, Mark D.; Stocks, Nigel G.

2008-08-01

A general method for deriving maximally informative sigmoidal tuning curves for neural systems with small normalized variability is presented. The optimal tuning curve is a nonlinear function of the cumulative distribution function of the stimulus and depends on the mean-variance relationship of the neural system. The derivation is based on a known relationship between Shannon’s mutual information and Fisher information, and the optimality of Jeffrey’s prior. It relies on the existence of closed-form solutions to the converse problem of optimizing the stimulus distribution for a given tuning curve. It is shown that maximum mutual information corresponds to constant Fisher information only if the stimulus is uniformly distributed. As an example, the case of sub-Poisson binomial firing statistics is analyzed in detail.

Spontaneous correction of coronal imbalance after selective thoracolumbar-lumbar fusion in patients with Lenke-5C adolescent idiopathic scoliosis.

Science.gov (United States)

Hwang, Chang Ju; Lee, Choon Sung; Kim, Hyojune; Lee, Dong-Ho; Cho, Jae Hwan

2018-03-22

Coronal imbalance is a complication of corrective surgeries in adolescent idiopathic scoliosis (AIS). However, few studies about immediate coronal decompensation in Lenke-5C curves have reported its incidence, prognosis, and related factors. To evaluate the development of coronal imbalance after selective thoracolumbar-lumbar (TL/L) fusion (SLF) in Lenke-5C AIS, and to reveal related factors. Retrospective comparative study. This study included 50 consecutive patients with Lenke-5C AIS who underwent SLF at a single center. Whole-spine anteroposterior and lateral radiographs were used to measure radiological parameters. Patients were divided into two groups according to the presence or absence of coronal imbalance (distance between C7 plumb line and central sacral vertical line >2 cm) in the early (1 month) postoperative period. Various radiological parameters were statistically compared between groups. Of the patients, 28% (14 of 50) showed coronal imbalance in the early postoperative period; however, most of them (13 of 14) showed spontaneous correction during follow-up. The development of coronal imbalance was related to less flexibility of the TL/L curve (51.3% vs. 52.6%, p=.040), greater T10-L2 kyphosis (11.7° vs. 6.4°, p=.034), and greater distal junctional angle (6.0° vs. 3.7°, p=.025) in preoperative radiographs. Lowermost instrumented vertebra (LIV) tilt was greater in the decompensation [+] group in the early postoperative period (8.8° vs. 4.4°, p=.009). However, this difference disappeared in final follow-up with the decrease of LIV tilt in the decompensation [+] group. Less flexibility of the TL/L curve, greater TL kyphosis, and greater distal junctional angle preoperatively were predictive factors for immediate coronal imbalance in Lenke-5C curves. Although coronal imbalance was frequently detected in the early postoperative period after SLF, it was mostly corrected spontaneously with a decrease of LIV tilt. Thus, SLF for Lenke-5C curves can be

Evidence of non-coincidence of normalized sigmoidal curves of two different structural properties for two-state protein folding/unfolding

International Nuclear Information System (INIS)

Rahaman, Hamidur; Khan, Md. Khurshid Alam; Hassan, Md. Imtaiyaz; Islam, Asimul; Moosavi-Movahedi, Ali Akbar; Ahmad, Faizan

2013-01-01

Highlights: ► Non-coincidence of normalized sigmoidal curves of two different structural properties is consistence with the two-state protein folding/unfolding. ► DSC measurements of denaturation show a two-state behavior of g-cyt-c at pH 6.0. ► Urea-induced denaturation of g-cyt-c is a variable two- state process at pH 6.0. ► GdmCl-induced denaturation of g-cyt-c is a fixed two- state process at pH 6.0. -- Abstract: In practice, the observation of non-coincidence of normalized sigmoidal transition curves measured by two different structural properties constitutes a proof of existence of thermodynamically stable intermediate(s) on the folding ↔ unfolding pathway of a protein. Here we give first experimental evidence that this non-coincidence is also observed for a two-state protein denaturation. Proof of this evidence comes from our studies of denaturation of goat cytochrome-c (g-cyt-c) at pH 6.0. These studies involve differential scanning calorimetry (DSC) measurements in the absence of urea and measurements of urea-induced denaturation curves monitored by observing changes in absorbance at 405, 530, and 695 nm and circular dichroism (CD) at 222, 405, and 416 nm. DSC measurements showed that denaturation of the protein is a two-state process, for calorimetric and van’t Hoff enthalpy changes are, within experimental errors, identical. Normalization of urea-induced denaturation curves monitored by optical properties leads to noncoincident sigmoidal curves. Heat-induced transition of g-cyt-c in the presence of different urea concentrations was monitored by CD at 222 nm and absorption at 405 nm. It was observed that these two different structural probes gave not only identical values of T m (transition temperature), ΔH m (change in enthalpy at T m ) and ΔC p (constant-pressure heat capacity change), but these thermodynamic parameters in the absence of urea are also in agreement with those obtained from DSC measurements

Magnetic Source Regions of Coronal Mass Ejections Brigitte ...

Indian Academy of Sciences (India)

2003) or two rows of opposite polarity field extending to ... sional Alfvén waves which bring up helicity from the sub-photospheric part of the flux tube ... Figure 1. Loss of equilibrium model: sketches of coronal field lines showing ... lines of the quadrupolar reconnection before the flare, (bottom left): TRACE observations of the.