WorldWideScience

Sample records for cours dune angioplastie

  1. Profil épidémiologique de l'infection à VIH au cours d'une campagne ...

    African Journals Online (AJOL)

    Introduction: L'objectif de ce travail était de déterminer le profil épidémiologique de l'infection à VIH/SIDA au cours d'une campagne de sensibilisation à Yaoundé au Cameroun. Méthodes: Après avoir obtenu le consentement éclairé des participants, le dépistage de l'infection par le VIH a été effectué selon l'algorithme de ...

  2. Myélome multiple survenant au cours d'une Fièvre Méditerranéenne Familiale

    Science.gov (United States)

    Salem, Bouomrani; Afef, Farah; Nadia, Bouassida; Nabil, Ayadi; Zouhir, Bahloul; Maher, Béji

    2013-01-01

    L'objectif de ce travail est de rapporter une observation particulière de myélome multiple survenant au cours d'une maladie périodique. Il s'agit d'un patient tunisien de 53 ans suivi depuis le jeune âge pour maladie périodique dont le diagnostic était confirmé par l’étude génétique montrant l'homozygotie pour la mutation M694V du gène MEFV, fut admis pour exploration d'une douleur avec tuméfaction fessière droite récente. Les explorations biologiques et radiologiques ont permis de retenir le diagnostic d'un myélome multiple de type IgA à chaînes légères kappa stade III B, associé à une volumineuse localisation plasmocytaire très agressive de l'aile iliaque droite envahissant les structures musculaires avoisinantes. Notre observation, qui à notre connaissance est la deuxième signalant une telle association, se distingue par sa survenue brutale, sa progression rapide et le caractère très agressif de l'hémopathie. PMID:24255729

  3. Profil épidémiologique de l'infection à VIH au cours d'une campagne de sensibilisation à Yaoundé au Cameroun

    Science.gov (United States)

    Mbopi-Keou, Francois-Xavier; Nguefack-Tsague, Georges; Kalla, Ginette Claude Mireille; Viche, Lade; Noubom, Michel

    2013-01-01

    Introduction L'objectif de ce travail était de déterminer le profil épidémiologique de l'infection à VIH/SIDA au cours d'une campagne de sensibilisation à Yaoundé au Cameroun. Méthodes Après avoir obtenu le consentement éclairé des participants, le dépistage de l'infection par le VIH a été effectué selon l'algorithme de dépistage en série de l'Organisation Mondiale de la Santé (OMS). En outre, un questionnaire socio-comportemental a été proposé à chaque participant. Résultats Au total, 911 personnes ont été dépistées. La prévalence de l'infection par le VIH était de 2.6%. Elle était 3 fois plus élevée parmi les femmes (RC = 3.22, IC (1.26 - 8.18). Les prévalences les plus élevées ont été observées chez les personnes de plus de 45 ans (p = 0.01), les personnes sans emploi (p VIH en ciblant davantage des groupes particuliers tels que les élèves, les personnes âgées et les veufs/veuves, tout en recherchant les facteurs pouvant favoriser la propagation de l'infection dans ces groupes. PMID:24255725

  4. REPRISE DES COURS - Yoga

    CERN Multimedia

    Club de Yoga

    2015-01-01

    REPRISE DES COURS – Venez nombreux ! Yoga, Sophrologie, Tai Chi La liste des cours pour le semestre allant du 1er septembre 2015 au 31 janvier 2016 est disponible sur notre site web : http://club-yoga.web.cern.ch Lieu Les cours ont lieu dans la salle des clubs, à l’entresol du restaurant No 2, Bât. 504 (dans la salle no 3 pour la Sophrologie). Prix des cours Le prix pour le semestre (environ 18 leçons) est fixé à 220 CHF plus 10 CHF d’adhésion annuelle au Club. Couple : 200 CHF par personne. 2 cours par semaine : 400 CHF. Inscriptions Les inscriptions aux cours seront prises directement auprès du professeur, lors de la 1ère séance. Avant de s’inscrire pour le semestre, il est possible d’essayer une séance gratuitement. Informations : http://club-yoga.web.cern.ch ----------------------------------------- cern.ch/club-yoga/

  5. Angioplasty and stent - heart - discharge

    Science.gov (United States)

    Drug-eluting stents - discharge; PCI - discharge; Percutaneous coronary intervention - discharge; Balloon angioplasty - discharge; Coronary angioplasty - discharge; Coronary artery angioplasty - discharge; Cardiac ...

  6. Functional Angioplasty

    Directory of Open Access Journals (Sweden)

    Rohit Tewari

    2013-01-01

    Full Text Available Coronary angiography underestimates or overestimates lesion severity, but still remains the cornerstone in the decision making for revascularization for an overwhelming majority of interventional cardiologists. Guidelines recommend and endorse non invasive functional evaluation ought to precede revascularization. In real world practice, this is adopted in less than 50% of patients who go on to have some form of revascularization. Fractional flow reserve (FFR is the ratio of maximal blood flow in a stenotic coronary relative to maximal flow in the same vessel, were it normal. Being independent of changes in heart rate, BP or prior infarction; and take into account the contribution of collateral blood flow. It is a majorly specific index with a reasonably high sensitivity (88%, specificity (100%, positive predictive value (100%, and overall accuracy (93%. Whilst FFR provides objective determination of ischemia and helps select appropriate candidates for revascularization (for both CABG and PCI in to cath lab itself before intervention, whereas intravascular ultrasound/optical coherence tomography guidance in PCI can secure the procedure by optimizing stent expansion. Functional angioplasty simply is incorporating both intravascular ultrasound and FFR into our daily Intervention practices.

  7. Carotid Angioplasty and Stenting

    Science.gov (United States)

    Carotid angioplasty and stenting Overview Carotid angioplasty (kuh-ROT-id AN-jee-o-plas-tee) and stenting ... to better see and examine the blood vessels. Food and medications You'll receive instructions on what ...

  8. Good practices in developing “on line” lessons: Indispensable elements for a systematized design Bonnes pratiques du développement de cours en ligne : les éléments indispensables d'une conception systématisée Buenas prácticas para desarrollar clases en línea: elementos indispensables para un diseño sistemático

    Directory of Open Access Journals (Sweden)

    Giancarlo De Agostini

    2011-12-01

    Full Text Available This article describes the construction of a lesson or course for the internet, emphasizing the characteristics in viable activities that need to be implemented for the course to be effective and complete: the Beginning stage, the Development stage and finally the End stage. We also consider different pedagogical techniques and their implications in preparing a course that will be delivered online, exclusively through the internet. At the beginning of the article, we discuss some successfull regional projects.Cet article décrit la construction d'un cours ou d'une formation destiné(e à être diffusé sur Internet, en mettant l'accent sur les caractéristiques des activités viables qui doivent être mises en place pour que la formation soit efficace et complète : la phase initiale, la phase de développement et enfin la phase finale. Nous étudions également différentes techniques pédagogiques et leurs implications sur la préparation d'un cours qui sera dispensé en ligne, exclusivement sur Internet. Au début de l'article, nous présentons quelques projets régionaux aboutis.este artículo describe la construcción de una clase o un curso para Internet, enfatizando las características mediante actividades viables que se deben implementar para que el curso sea eficaz y completo: la etapa de comienzo, la etapa de desarrollo, y por último la etapa final. También consideramos las distintas técnicas pedagógicas y sus implicaciones para la preparación de un curso que se dictará en línea, exclusivamente a través de Internet. Al comienzo del artículo, referimos algunos proyectos regionales exitosos.

  9. COURS DE VBA FINANCE EDC 2007

    OpenAIRE

    Peltier , Claire

    2007-01-01

    Cours 1 : INITiATION VBA 1- PRESENTATION 2- VISUAL BASIC EDITOR 3- Les variables 4- Boucles et conditions. A-Les conditions B- Les boucles C- Les boucles conditionnelles 5- Les tableaux (vecteur, matrice) A- Déclaration : B -Initialisation : C- Courbe des taux, Cours 2 1- Appel des Fonctions Préprogrammées 2- Black-Scholes Généralisé 3- Obligation TF,TV sans risque de défaut Cours 3 4- Simulation Monte Carlo : Option Call Put sur Action (Boyle 1977) Cours 4 5- Modèle Binomial : Cox Ross Rubin...

  10. Modeling aeolian dune and dune field evolution

    Science.gov (United States)

    Diniega, Serina

    Aeolian sand dune morphologies and sizes are strongly connected to the environmental context and physical processes active since dune formation. As such, the patterns and measurable features found within dunes and dune fields can be interpreted as records of environmental conditions. Using mathematical models of dune and dune field evolution, it should be possible to quantitatively predict dune field dynamics from current conditions or to determine past field conditions based on present-day observations. In this dissertation, we focus on the construction and quantitative analysis of a continuum dune evolution model. We then apply this model towards interpretation of the formative history of terrestrial and martian dunes and dune fields. Our first aim is to identify the controls for the characteristic lengthscales seen in patterned dune fields. Variations in sand flux, binary dune interactions, and topography are evaluated with respect to evolution of individual dunes. Through the use of both quantitative and qualitative multiscale models, these results are then extended to determine the role such processes may play in (de)stabilization of the dune field. We find that sand flux variations and topography generally destabilize dune fields, while dune collisions can yield more similarly-sized dunes. We construct and apply a phenomenological macroscale dune evolution model to then quantitatively demonstrate how dune collisions cause a dune field to evolve into a set of uniformly-sized dunes. Our second goal is to investigate the influence of reversing winds and polar processes in relation to dune slope and morphology. Using numerical experiments, we investigate possible causes of distinctive morphologies seen in Antarctic and martian polar dunes. Finally, we discuss possible model extensions and needed observations that will enable the inclusion of more realistic physical environments in the dune and dune field evolution models. By elucidating the qualitative and

  11. Angioplasty and stent placement - carotid artery

    Science.gov (United States)

    ... medlineplus.gov/ency/article/002953.htm Angioplasty and stent placement - carotid artery To use the sharing features ... to remove plaque buildup ( endarterectomy ) Carotid angioplasty with stent placement Description Carotid angioplasty and stenting (CAS) is ...

  12. Transluminal laser angioplasty

    Science.gov (United States)

    Otto, Wlodzimierz

    1996-03-01

    Twenty seven patients with femoral artery occlusion were treated by transluminal Nd:YAG laser angioplasty, in 16 patients the procedure was combined with intraarterial infusion of rTPA (actilyse-Boehringer Ing). In 5 out of 11 patients from the initial group recanalization was not successful. In 16 patients from the rTPA group satisfactory immediate results were achieved in all cases. In long time observations ranging from 9 to 24 months all patients remained free from symptoms, although in 4 of them angiography and Doppler ultrasound examination reveal no flow in the femoral artery. In the remaining 12 patients (75%), the previously occluded artery is patent. No complications of laser angioplasty nor intraarterial infusion of rTPA were noted in this series.

  13. Aorto-iliac angioplasty

    International Nuclear Information System (INIS)

    Kotb, M.; Bennett, J.; Kadir, S.

    1990-01-01

    This paper reports on the results and complications of aortoiliac balloon percutaneous transluminal angioplasty (PTA) and Simpson atherectomy that are compared to determine the role of the latter procedure in the management of aortoiliac disease. In 1984--1988, 92 patients underwent 126 angioplasties of the aortoiliac region. In 1986--1989, 21 patients underwent iliac artery atherectomy. Both groups had similar symptoms, risk factors, and age ranges. The overall technical success rate was 97.6or PTA and 100% for atherectomy. The initial clinical success was 92.8% for PTA and 100% for atherectomy. The 2-year clinical patency rate was 60% for PTA and 64% for artherectomy. Complications requiring surgery occurred in four of 126 (3%) PTA patients and one of 21 (5%) atherectomy patients. Groin hematomas were observed in 16% of PTA patients and 19% of atherectomy patients

  14. Tuberculose hépatique nodulaire: complication inhabituelle au cours de la maladie de Wilson

    Science.gov (United States)

    Zinebi, Ali; Rkiouak, Adil; Akhouad, Youssef; Reggad, Ahmed; Kasmy, Zohor; Boudlal, Mostapha; Rabhi, Monsef; Ennibi, Khalid; Chaari, Jilali

    2014-01-01

    La tuberculose hépatique nodulaire est rare. Nous rapportons une forme pseudo-tumorale dont le tableau clinico-biologique et radiologique initial était aspécifique. Il s'agit d'un jeune marocain suivi pour maladie de Wilson et présentant une fièvre au long cours. L'imagerie met en évidence une lésion nodulaire hépatique non spécifique. L'examen anatomo-pathologique au cours d'une biopsie écho guidée du nodule hépatique permit de porter le diagnostic. L’évolution clinique est favorable sous traitement spécifique. PMID:24932333

  15. L'atteinte vésicale au cours de la neurofibromatose de Von Recklinghausen

    Science.gov (United States)

    Benazzouz, Mohamed Hicham; Hajjad, Tilila; Essatara, Younes; El Sayegh, Hachem; Iken, Ali; Benslimane, Lounis; Nouini, Yassine

    2014-01-01

    La neurofibromatose de type 1 ou maladie de Von Recklinghausen est une maladie génétique autosomique dominante en rapport avec des mutations dans le gène suppresseur de tumeur NF1. L'atteinte uro-génitale au cours de cette maladie est rare et moins de 80 cas ont été rapportés à ce jour dans la littérature mondiale. Les auteurs rapportent un nouveau cas d'atteinte vésicale découverte fortuitement au cours du suivi d'une patiente atteinte de la maladie de Von Recklinghausen. A travers cette observation et une revue de la littérature les auteurs discutent également les difficultés diagnostiques, thérapeutiques ainsi que les modalités de suivi dans cette maladie. PMID:25328590

  16. La ville et la cour

    Directory of Open Access Journals (Sweden)

    Jean-Pierre BARRAQUÉ

    2009-07-01

    Full Text Available Saragosse, capitale affirmée de l’Aragon, souffre au XVe siècle de l’absence de ses rois. Aussi les rares séjours des souverains constituent-ils de véritables événements, d’autant qu’ils s’accompagnent de réunions des cortes. La ville offre de nombreuses possibilités d’hébergement ; pour le roi l’Aljafería, restructurée en véritable palais par les rois catholiques, pour les nobles, des palais disséminés dans la ville, dont le type mudéjar se définit alors, pour les plus humbles, les locations chez l’habitant. Ses couvents et sa cathédrale abritent les plus grandes réunions.Pour la venue du roi, la ville organise les entrées les plus somptueuses et manifeste bruyamment sa joie. Mais la venue du roi et de sa cour contraint les autorités à redoubler de vigilance pour éviter les conflits et violences politiques et pour faire face aux perturbations économiques, surtout la hausse des prix.Zaragoza, capital reconocida de Aragón, padece en el siglo XV de la ausencia de sus reyes. Las escasas estancias de sus soberanos representan verdaderos acontecimientos, tanto más cuanto que van acompañadas de reuniones de las Cortes. La ciudad ofrece numerosas posibilidades de alojamiento: para el Rey, la Aljafería, restructurada por los Reyes Católicos en palacio; para los nobles, los palacios diseminados por la ciudad, cuyo estilo mudéjar se define por entonces; para los humildes, alquileres en casas particulares. Sus conventos y su catedral albergan de las reuniones más importantes. Para recibir al Rey, la ciudad organiza las entradas suntuosas y manifiesta ruidosamente su alegría. Pero la llegada del Rey y de su corte obliga a las autoridades a redoblar la vigilancia para evitar los conflictos y las violencias y para hacer frente a las perturbaciones económicas (alza de los precios.

  17. Cours sécurité

    CERN Multimedia

    2011-01-01

    « Sécurité de travail avec laser » Session le 13 mai 2011, de 14h. à 18h. (en français) À qui s’adresse ce cours ? Ce cours s’adresse aux personnes travaillant avec des produits laser de classe 3B ou 4. Ce cours est recommandé aux personnes travaillant avec des produits laser de classe 3R, ou des lasers à faisceau divergent ou collimaté de classe 1M ou 2M. Quel est le contenu du cours ? Après un rappel des principales caractéristiques des différents types de lasers, l'accent sera mis sur les conditions de travail et les précautions à prendre : Risques associés aux faisceaux laser : Danger de la lumière cohérente - Risques pour les yeux - Exposition maximale permise pour l'œil - Risque thermique pour les tissus biologiques - Autres effets du faisceau laser sur le milieu biologique ...

  18. 2011 "Cour des Contes" storytelling festival

    CERN Multimedia

    2011-01-01

    The "Cour des Contes" storytelling festival will take place in Plan-les-Ouates (Geneva) from 6 to 15 May 2011. This year, for the first time, stories will be told in English at 11 a.m. on Sunday, 15 May, at the "La Julienne" arts and culture centre.   More information  

  19. Percutaneous transluminal coronary angioplasty

    International Nuclear Information System (INIS)

    Przybojewski, J.Z.; Weich, H.F.H.

    1984-01-01

    The purpose of this article is to review PTCA, percutaneous transluminal coronary angioplasty, which can be considered to be a truly revolutionary and fairly simple invasive form of intervention to atherosclerotic obstruction. The 'epidemic' of IHD, ischaemic heart disease, in the Republic of South Africa calls for the employment of this technique, which has already been carried out in a few teaching hospitals in this country. Very recently, modified balloon dilatation catheters have been used percutaneously in the non-operative transluminal correction of congenital coarctation of the aorta in infants and children, congenital pulmonary value stenosis, and hypoplasia and stenosis of the pulmonary arteries. It has also been employed for PTCA and for the simultaneous occlusion of coronary-bronchial artery anastomosis using a detachable balloon. The isotopes thallium 201 and technetium 99 were also used in scintiscanning

  20. Le cours de physique de Feynman

    CERN Document Server

    Feynman, Richard; Sands, Matthew

    L’ampleur du succès qu’a rencontré le « Cours de physique de Feynman » dès sa parution s’explique par son caractère fondamentalement novateur. Richard Feynman, qui fut professeur d’université dès l’âge de vingt-quatre ans, a exprimé dans ce cours, avant d’obtenir le prix Nobel de Physique, une vision expérimentale et extrêmement personnelle de l’enseignement de la physique. Cette vision a, depuis, remporté l’adhésion des physiciens du monde entier, faisant de cet ouvrage un grand classique. Ce cours en cinq volumes (Électromagnétisme 1 et 2, Mécanique 1 et 2, Mécanique quantique) s’adresse aux étudiants de tous niveaux qui y trouveront aussi bien les notions de base débarrassées de tout appareil mathématique inutile, que les avancées les plus modernes de cette science passionnante qu’est la physique. Cette nouvelle édition corrigée bénéficie d’une mise en page plus aérée pour un meilleur confort de lecture.

  1. Cours d’anglais – French Course

    CERN Multimedia

    HR Department

    2008-01-01

    Cours d’anglais général et professionnel La prochaine session se déroulera: de début octobre 2008 à début février 2009 (interruption de 3 semaines à Noël). Ces cours s’adressent à toute personne travaillant au CERN ainsi qu’à leur conjoint. Pour vous inscrire et voir tout le détail des cours proposés, consultez nos pages Web: http://cern.ch/Training Vous pouvez aussi contacter Tessa Osborne, Tél : 72957. General and Professional English Courses The next session will take place: from beginning of October 2008 to beginning of February 2009 (3 weeks break at Christmas). These courses are open to all persons working on the CERN site and to their spouses. For registration and further information on the courses, please consult our Web pages: http://cern.ch/Training or contact Tessa Osborne, tel.72957. Oral Expression The next session will take place from beginning of October 2008 to beginning of February 2009 (3 weeks break at Christmas). This course is intended for people with a good ...

  2. Dune erosion above revetments

    NARCIS (Netherlands)

    Van Thiel de Vries, J.S.M.

    2012-01-01

    In a situation with a narrow dune, the dune base can be protected with a revetment to reduce dune erosion during extreme events. To quantify the effects of a revetment on storm impact, the functionality of the numerical storm impact model XBeach (Roelvink et al., 2009) is extended to account for the

  3. Angioplasty: MedlinePlus Health Topic

    Science.gov (United States)

    ... segment (Medical Encyclopedia) Also in Spanish Directional coronary atherectomy (DCA) (Medical Encyclopedia) Also in Spanish Percutaneous transluminal ... segment Coronary artery balloon angioplasty - slideshow Directional coronary atherectomy ... transluminal coronary angioplasty (PTCA) Stent Related ...

  4. Coastal dunes of South Africa

    CSIR Research Space (South Africa)

    Tinley, KL

    1985-01-01

    Full Text Available . The descriptive section is divided into geographic setting, physical features, ecological features and dune dynamics. Emphasis is placed on the factors affecting dune formation and erosion and the biogeography and dynamics of dune vegetation. Current use...

  5. Cours de relativité générale.

    OpenAIRE

    Baulieu , Laurent

    2006-01-01

    1 - Relativité galiléenne et relativité restreinte2 - Le problème de la gravitation en relativité restreinte3 - Conséquences physiques du principe d'équivalence4 - Evidence d'une structure non euclidienne5 - Introduction au cadre mathématique de la relativité générale6 - Invariance par reparamétrisation et relativité générale7 - Conclusion; Ce document présente les notions de base de la relativité générale. Il est tiré des notes de cours donnés par l'auteur en enseignement de majeure à l'Ecol...

  6. Inside ProtoDune

    CERN Multimedia

    Brice, Maximilien

    2017-01-01

    The protoDUNE experimental program is designed to test and validate the technologies and design that will be applied to the construction of the DUNE Far Detector at the Sanford Underground Research Facility (SURF). The protoDUNE detectors will be run in a dedicated beam line at the CERN SPS accelerator complex. The rate and volume of data produced by these detectors will be substantial and will require extensive system design and integration effort. As of Fall 2015, "protoDUNE" is the official name for the two apparatuses to be used in CERN beam test: single-phase and dual-phase LArTPC detectors. Each received a formal CERN experiment designation: NP02 for the dual-phase detector. NP04 for single-phase detector.

  7. Booming Sand Dunes

    Science.gov (United States)

    Vriend, Nathalie

    "Booming" sand dunes are able to produce low-frequency sound that resembles a pure note from a music instrument. The sound has a dominant audible frequency (70-105 Hz) and several higher harmonics and may be heard from far distances away. A natural or induced avalanche from a slip face of the booming dune triggers the emission that may last for several minutes. There are various references in travel literature to the phenomenon, but to date no scientific explanation covered all field observations. This thesis introduces a new physical model that describes the phenomenon of booming dunes. The waveguide model explains the selection of the booming frequency and the amplification of the sound in terms of constructive interference in a confined geometry. The frequency of the booming is a direct function of the dimensions and velocities in the waveguide. The higher harmonics are related to the higher modes of propagation in the waveguide. The experimental validation includes quantitative field research at the booming dunes of the Mojave Desert and Death Valley National Park. Microphone and geophone recordings of the acoustic and seismic emission show a variation of booming frequency in space and time. The analysis of the sensor data quantifies wave propagation characteristics such as speed, dispersion, and nonlinear effects and allows the distinction between the source mechanism of the booming and the booming itself. The migration of sand dunes results from a complicated interplay between dune building, wind regime, and precipitation. The morphological and morphodynamical characteristics of two field locations are analyzed with various geophysical techniques. Ground-penetrating radar images the subsurface structure of the dunes and reveal a natural, internal layering that is directly related to the history of dune migration. The seismic velocity increases abruptly with depth and gradually increases with downhill position due to compaction. Sand sampling shows local

  8. Frost on Dunes

    Science.gov (United States)

    2005-01-01

    18 March 2005 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows dark dunes on a crater floor during the southern spring. Some of the dunes have frost on their south-facing slopes. Location near: 52.3oS, 326.7oW Image width: 3 km (1.9 mi) Illumination from: upper left Season: Southern Spring

  9. Dunes with Frost

    Science.gov (United States)

    2004-01-01

    31 May 2004 Springtime for the martian northern hemisphere brings defrosting spots and patterns to the north polar dune fields. This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows an example located near 76.7oN, 250.4oW. In summer, these dunes would be darker than their surroundings. However, while they are still covered by frost, they are not any darker than the substrate across which the sand is slowly traveling. Dune movement in this case is dominated by winds that blow from the southwest (lower left) toward the northeast (upper right). The picure covers an area about 3 km (1.9 mi) across and is illuminated by sunlight from the lower left.

  10. Sand Dunes with Frost

    Science.gov (United States)

    2004-01-01

    9 May 2004 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a suite of frost-covered sand dunes in the north polar region of Mars in early spring, 2004. The dunes indicate wind transport of sand from left to right (west to east). These landforms are located near 78.1oN, 220.8oW. This picture is illuminated by sunlight from the lower left and covers an area about 3 km (1.9 mi) across.

  11. Percutaneous transluminal angioplasty in arteriosclerosis

    International Nuclear Information System (INIS)

    Chung, Soo Young; Cha, In Ho

    1984-01-01

    Percutaneous transluminal angioplasty (PTA) is a non-operative therapeutic procedure to the dilation of stenosis or to the recanalization of occlusion in atherosclerotic arteries using of dilatation catheters. PTA was performed 37 times in 34 patients with arteriosclerotic for 1 year and 4 months from March, 1982 to June, 1983 at department of radiology, Klinikum Barmen/west Germany. The results were as follows; 1. The male to female ratio was 2 : 1 and peak age range was from 61 to 70. 2. The most common indication was clinical stage II b with 19 cases (51.3%). 3. PTA was performed most commonly in superficial femora artery in 25 cases (67.5%). 4. Acute major complication occurred in 2 cases (5.4%). PTA is a alternative or complementary therapeutic procedure to vascular surgery.

  12. Angioplasty and stent placement - carotid artery - discharge

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000235.htm Angioplasty and stent placement - carotid artery - discharge To use the sharing ... the hospital. You may have also had a stent (a tiny wire mesh tube) placed in the ...

  13. Angioplasty and stent placement - peripheral arteries - discharge

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000234.htm Angioplasty and stent placement - peripheral arteries - discharge To use the sharing ... peripheral artery). You may have also had a stent placed. To perform the procedure: Your doctor inserted ...

  14. Angioplasty and stent placement - peripheral arteries

    Science.gov (United States)

    ... medlineplus.gov/ency/article/007393.htm Angioplasty and stent placement - peripheral arteries To use the sharing features ... inside the arteries and block blood flow. A stent is a small, metal mesh tube that keeps ...

  15. Percutaneous transluminal angioplasty of the carotid artery

    International Nuclear Information System (INIS)

    Numaguchi, Y.; Tulane Univ., New Orleans, LA; Puyau, F.A.; Provenza, L.J.; Richardson, D.E.

    1984-01-01

    The successful dilatation of postsurgical concentric stenosis of an internal carotid artery using percutaneous transluminal angioplasty (PTA) is reported here. Only one such case has been previously documented. Review of the literature disclosed 16 patients who received transluminal angioplasty for stenosis of carotid arteries by percutaneous or open arteriotomy techniques. The authors feel that PTA may be the treatment of choice for postoperative concentric stenosis of a short segment of the carotid artery as opposed to surgical repair. (orig.)

  16. Frost-covered dunes

    Science.gov (United States)

    1999-01-01

    MOC image of dunes in Chasma Boreale, a giant trough in the north polar cap. This September 1998 view shows dark sand emergent from beneath a veneer of bright frost left over from the northern winter that ended in July 1998.

  17. Singing Sand Dunes

    Indian Academy of Sciences (India)

    ble low-frequency (s. 75–105 Hz), that can some- times be heard up to 10 km away. Scientific in- vestigations suggest that the sustained low fre- quency sound of sand dunes that resembles a pure note from a musical instrument, is due to the synchronized motion of well-sorted dry sand grains when they spontaneously ...

  18. Leonard Bloomfield and the "Cours de Linguistique Generale."

    Science.gov (United States)

    Koerner, Konrad

    A discussion of the development of Leonard Bloomfield's theory of linguistics focuses on the influence of Ferdinand de Saussure's "Cours de linguistique generale" on Bloomfield's thinking. The discussion begins with a characterization of Bloomfield's early position with regard to general linguistics, especially as found in his 1914 book…

  19. Frost-free Dunes

    Science.gov (United States)

    2006-01-01

    [figure removed for brevity, see original site] Context image for PIA03291 Frost-free Dunes These dark dunes are frost covered for most of the year. As southern summer draws to a close, the dunes have been completely defrosted. Image information: VIS instrument. Latitude -66.6N, Longitude 37.0E. 34 meter/pixel resolution. Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time. NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  20. Cerebral intolerance during flow arrested carotid angioplasty.

    Science.gov (United States)

    St Louis, Myron; Park, Brian D; Dahn, Michael; Bozeman, Patricia

    2012-01-01

    The use of flow arrest as a means of providing cerebral protection during carotid angioplasty offers the advantages of improved efficiency of debris removal and the ability to provide protection under unfavorable (tortuous) anatomic circumstances. However, in contrast to the filtration methods of cerebral protection, this modality requires complete interruption of antegrade carotid artery flow during balloon angioplasty and stent deployment. We report our experience with 9 patients undergoing carotid angioplasty with the Mo.Ma device, which utilizes common and external carotid artery balloon occlusion during the angioplasty procedure. We assessed the clinical outcomes and intraprocedural hemodynamic data. The average duration of carotid occlusion was 8.3 minutes. Of the 9 patients, 2 patients (22%) experienced cerebral intolerance. No stroke occurred in this patient cohort. There appeared to be a poor relationship between procedure intolerance and the presence of significant contralateral stenosis or low carotid back pressure. Furthermore, the incidence of postangioplasty hypotension was not clearly related to cerebral intolerance. Carotid angioplasty with stenting can be safely conducted with flow arrest as an alternative to filter-type cerebral protection devices. However, because cerebral intolerance is not an infrequent occurrence with this approach, clinicians must be cognizant of management strategies for transient cerebral intolerance.

  1. Angiographic assessment of initial balloon angioplasty results.

    Science.gov (United States)

    Gardiner, Geoffrey A; Sullivan, Kevin L; Halpern, Ethan J; Parker, Laurence; Beck, Margaret; Bonn, Joseph; Levin, David C

    2004-10-01

    To determine the influence of three factors involved in the angiographic assessment of balloon angioplasty-interobserver variability, operator bias, and the definition used to determine success-on the primary (technical) results of angioplasty in the peripheral arteries. Percent stenosis in 107 lesions in lower-extremity arteries was graded by three independent, experienced vascular radiologists ("observers") before and after balloon angioplasty and their estimates were compared with the initial interpretations reported by the physician performing the procedure ("operator") and an automated quantitative computer analysis. Observer variability was measured with use of intraclass correlation coefficients and SD. Differences among the operator, observers, and the computer were analyzed with use of the Wilcoxon signed-rank test and analysis of variance. For each evaluator, the results in this series of lesions were interpreted with three different definitions of success. Estimation of residual stenosis varied by an average range of 22.76% with an average SD of 8.99. The intraclass correlation coefficients averaged 0.59 for residual stenosis after angioplasty for the three observers but decreased to 0.36 when the operator was included as the fourth evaluator. There was good to very good agreement among the three independent observers and the computer, but poor correlation with the operator (P definition of success was used. Significant differences among the operator, the three observers, and the computer were not present when the definition of success was based on less than 50% residual stenosis. Observer variability and bias in the subjective evaluation of peripheral angioplasty can have a significant influence on the reported initial success rates. This effect can be largely eliminated with the use of residual stenosis of less than 50% to define success. Otherwise, meaningful evaluation of angioplasty results will require independent panels of evaluators or

  2. Stent-assisted angioplasty for intracranial atherosclerosis

    International Nuclear Information System (INIS)

    Nakahara, Toshinori; Sakamoto, Shigeyuki; Hamasaki, Osamu; Sakoda, Katsuaki

    2002-01-01

    We report on two patients with intracranial atherosclerosis of the carotid artery or vertebral artery treated with stent-assisted angioplasty. Both patients have severe intracranial atherosclerosis (>70%) with refractory symptoms despite optimal medical treatment. In both patients, a coronary balloon-expandable stent was successfully placed using a protective balloon technique without procedural complications. The patients were asymptomatic and neurologically intact at a mean clinical follow-up of 13 months. Follow-up angiograms did not show restenosis 3 or 4 months after procedure, respectively. Stent-assisted angioplasty for intracranial atherosclerosis in the elective patient has proven effective, with an acceptable low rate of morbidity and mortality. (orig.)

  3. Stability of isolated Barchan dunes

    Science.gov (United States)

    Fourrière, Antoine; Charru, François

    2010-11-01

    When sand grains are entrained by an air flow over a non-erodible ground, or with limited sediment supply from the bed, they form isolated dunes showing a remarkable crescentic shape with horns pointing downstream. These dunes, known as Barchan dunes, are commonly observed in deserts, with height of a few meters and velocity of a few meters per year (Bagnold 1941). These dunes also exist under water, at a much smaller, centimetric size (Franklin & Charru 2010). Their striking stability properties are not well understood yet. Two phenomena are likely to be involved in this stability: (i) relaxation effects of the sand flux which increases from the dune foot up to the crest, related to grain inertia or deposition, and (ii) a small transverse sand flux due to slope effects and the divergence of the streamlines of the fluid flow. We reproduced aqueous Barchan dunes in a channel, and studied their geometrical and dynamic properties (in particular their shape, velocity, minimum size, and rate of erosion). Using coloured glass beads (see the figure), we were then able to measure the particle flux over the whole dune surface. We will discuss the stability of these dunes in the light of our measurements.

  4. Percutaneous angioplasty of carotid artery stenoses

    Energy Technology Data Exchange (ETDEWEB)

    Freitag, G.; Freitag, J.; Koch, R.D.; Wagemann, W.

    1986-03-01

    Percutaneous transluminal angioplasty (PTA) is a well-established method to remedy stenoses and short occlusions in the femoro-popliteal region and has also proved worthwhile in dilating stenoses of pelvic, renal and coronary arteries. Following successful experiments in animals, Mathias et al. employed angioplasty to treat carotid artery stenoses in the same way. To date, successful treatment of carotid artery stenoses has been described only in isolated recent reports. For fear of embolism, angioplasty has not yet become standard practice in this region. Because of the limited number of carotid artery stenoses treated so far, the risk involved cannot be reliably assessed. It is remarkable that no embolism has been reported for the greater number of dilated stenoses of the subclavian artery. Moreover, the report by Mathias et al. indicated that for 350 angioplasties of pelvifemoral arteries 1.1% embolisms occured after artery occlusions only, while no embolism was observed after stenoses. Having gained experience of applying PTA to the treatment of vascular obstructions of extremities, we have adopted this technique in the carotid area as well.

  5. Angioplasty for Non-arteriosclerotic Renal Artery Stenosis: The Efficacy of Cutting Balloon Angioplasty Versus Conventional Angioplasty

    International Nuclear Information System (INIS)

    Tanaka, Ryoichi; Higashi, Masahiro; Naito, Hiroaki

    2007-01-01

    Purpose. We examined the efficacy of conventional balloon angioplasty and cutting balloon angioplasty (CBA) for the treatment of non-arteriosclerotic renal artery stenosis (RAS). Materials and Methods. From 1993 to 2005, 20 patients underwent 27 percutaneous transluminal renalangioplasty (PTRA) for non-arteriosclerotic RAS (men: 8, women: 12, 25.5 +/- 2 years old; 16 fibromuscular dysplasia (FMD), 4 Takayasu disease). We evaluated the efficacy of CBA by comparing the rate of initial technical success and surgical conversion. Results. Before the clinical authorization of CBA, three of twelve patients (25 %) underwent surgical bypass due to the failure of PTRA due to the hardness of the lesion. After the approval of cutting balloon, we performed CBA in four cases (2 FMD,2 Takayasu disease) to dilate hard lesions, within which a properly sized balloon could not dilate due to their hardness, or to reduce the risk of local dissection. Initial successes were obtained in all patients (8/8, 100%) and none of the patients underwent surgical conversion. Despite of the good initial result, restenosis was observed in three cases within 6 month (3/4, 75 %). Additional interventions were performed in all patients, then, the severity of the restenotic lesion was found not to be exceeded comparing with the initial lesion. Conclusion. The cutting balloon angioplasty may be safe and useful procedure for hard lesions of RAS caused by non-arteriosclerotic disease? especially fibromuscular dysplasia. The cutting balloon may provide the initial success, but the effect on long-term patency is still controversial

  6. Cerebral hyperperfusion syndrome after carotid angioplasty

    International Nuclear Information System (INIS)

    Milosevic, Z.; Surlan, M.; Zvan, B.; Zaletel, M.

    2002-01-01

    Background. Cerebral hyperperfusion syndrome after carotid endarterectomy is an uncommon but well-defined entity. There are only few reports of ''hyperperfusion injury'' following carotid angioplasty. Case report. We report an unstable arterial hypertension and high-grade carotid stenosis in a 58-year-old, right-handed woman. After a stroke in the territory of middle cerebral artery carotid angioplasty was performed in the patient. Among risk factors, the long lasting arterial hypertension was the most pronounced. Immediately after the procedure, the patient was stable without any additional neurologic deficit. The second day, the patient had an epileptic seizure and CT revealed a small haemorrhage in the left frontal lobe. Conclusions. The combination of a high-grade carotid stenosis and unstable arterial pressure is probably an important prognostic factor in the pathogenesis of hyperperfusion syndrome. (author)

  7. Design Issues for Therapeutic Ultrasound Angioplasty Waveguides

    OpenAIRE

    Noone, Declan; Gavin, Graham; McGuinness, Garrett

    2008-01-01

    Therapeutic ultrasound angioplasty is a new minimally invasive cardiovascular procedure for disrupting atherosclerotic lesions. Mechanical energy is transmitted in the form of ultrasound waves via long, flexible wire waveguides navigated to the lesion site through the vascular system. The underpinning principle of this technology is that plaque may be disrupted through a combination of direct contact ablation, pressure waves, cavitation and acoustic streaming, which all depend on the amplitud...

  8. Cours de sécurité - French version only

    CERN Multimedia

    2003-01-01

    Risque lié au bruit 1/2 journée de sensibilisation sur les risques concernant les postes de travail exposés à des forts niveaux sonores et les moyens pour s'en protéger. Prochaines sessions le mercredi 18 juin 2003 - 1 session le matin de 9 h à 12 h30 - 1 session l'après-midi de 14 h à 17h30 Les cours, en français seront gratuits et animés par Jacques Coillard/Bureau Véritas. L'inscription est obligatoire. Le programme détaillé de ce cours, plus d'information et possibilité d'inscription par EDH sont accessibles depuis la page SAFETY/SECURITE: http://humanresources.web.cern.ch/humanresources/external/training/safe/sa_main.asp. Si vous désirez participer à l'une des sessions, veuillez en discuter avec votre superviseur ou votre DTO et vous inscrire. Organisateur : Ana-Paula Bernardes/TIS-GS (71385) Ana-paula.bernardes@cern.ch

  9. Modélisation d'une turbine hydroélectrique adaptée à un cours d ...

    African Journals Online (AJOL)

    user

    formé par la turbine. Des lois d'interdépendance entre les grandeurs caractéristiques de la turbine sont obtenues, ce qui permet de mieux exploiter les résultats de ce travail. Mots-clés : vague, modélisation, turbine, conversion, énergie électrique, alternateur. Abstract. Study of a mechanic system to transform the kinetic ...

  10. Coronary stenting as an adjunct to balloon angioplasty

    NARCIS (Netherlands)

    B.H. Strauss (Bradley)

    1991-01-01

    textabstractAndreas Gruentzig initiated the era of interventional cardiology in 19n with the introduction of percutaneous transluminal coronary angioplasty (PTCA) (1). The acceptance of coronary angioplasty is obvious by the widespread use of the procedure (>300,000 cases in the United States in

  11. OCT evaluation of directional atherectomy compared to balloon angioplasty

    International Nuclear Information System (INIS)

    Marmagkiolis, Konstantinos; Lendel, Vasili; Cilingiroglu, Mehmet

    2015-01-01

    Directional atherectomy (DA) is one of the most commonly used modalities for the treatment of obstructive femoropopliteal peripheral arterial disease (PAD), especially in patients with large and calcified atherosclerotic plaques. The effect of directional atherectomy to the vascular wall compared to balloon angioplasty by optical coherence tomography (OCT) has not been previously described. We present the first case of OCT after directional atherectomy with SilverHawk followed by angiosculpt balloon angioplasty. - Highlights: • Directional atherectomy avoids the vascular mechanical damage caused by angioplasty balloons and the exposure of stent struts or the potential of stent fracture with stents. • OCT can accurately assess the effect of endovacular interventions to the vessel wall. • Although angiographic results after directional atherectomy are acceptable, OCT use demonstrated suboptimal improvement of the MLA requiring additional balloon angioplasty. • Longer studies are needed to define whether the improved OCT results with angioplasty compared to DA may offer better clinical outcomes.

  12. OCT evaluation of directional atherectomy compared to balloon angioplasty

    Energy Technology Data Exchange (ETDEWEB)

    Marmagkiolis, Konstantinos [Citizens Memorial Hospital Heart and Vascular Institute, Bolivar, MO (United States); Lendel, Vasili [Arkansas Heart Hospital, Peripheral Vascular Institute, Little Rock, AR (United States); Cilingiroglu, Mehmet, E-mail: mcilingiroglu@yahoo.com [Arkansas Heart Hospital, Peripheral Vascular Institute, Little Rock, AR (United States); Koc University, School of Medicine, Istanbul (Turkey)

    2015-09-15

    Directional atherectomy (DA) is one of the most commonly used modalities for the treatment of obstructive femoropopliteal peripheral arterial disease (PAD), especially in patients with large and calcified atherosclerotic plaques. The effect of directional atherectomy to the vascular wall compared to balloon angioplasty by optical coherence tomography (OCT) has not been previously described. We present the first case of OCT after directional atherectomy with SilverHawk followed by angiosculpt balloon angioplasty. - Highlights: • Directional atherectomy avoids the vascular mechanical damage caused by angioplasty balloons and the exposure of stent struts or the potential of stent fracture with stents. • OCT can accurately assess the effect of endovacular interventions to the vessel wall. • Although angiographic results after directional atherectomy are acceptable, OCT use demonstrated suboptimal improvement of the MLA requiring additional balloon angioplasty. • Longer studies are needed to define whether the improved OCT results with angioplasty compared to DA may offer better clinical outcomes.

  13. Coronary angioplasty with second generation Monorail catheters.

    Science.gov (United States)

    Pande, A K; Meier, B; Urban, P; Villavicencio, R; de la Serna, F; Moles, V

    1991-07-01

    The Monorail system (Schneider) consists of a balloon catheter in which the guidewire passes through the balloon itself, exits the catheter proximal to the balloon, and runs alongside its small shaft (3 French) through the length of the guiding catheter. It offers distinct advantages over conventional systems of coronary angioplasty. It facilitates contrast injections and permits rapid balloon exchanges. This system was used for coronary angioplasty in 273 unselected consecutive patients (age 59 +/- 10, mean 35 to 73 years). There were 216 patients (84%) undergoing single-vessel and 57 patients (16%) with multi-vessel coronary angioplasty. A total of 335 coronary stenoses were dilated, which included 35 total occlusions. The size of balloon used ranged from 2.0 to 4.25 mm (3.0 +/- 0.5 mm) and the severity of stenosis was 85 +/- 11%. Technical success was defined as a residual stenosis of less than 50% as determined angiographically. Clinical success was defined as technical success, and absence of a major inhospital complication defined as absence of myocardial infarction, lack of need for coronary arterial bypass surgery, and survival. The Monorail system was technically successful in 294/300 stenotic lesions (98%). It was clinically successful for 281 lesions (94%). Of the 35 total occlusions, technical success was obtained in 25 (71%). The residual stenosis of successful cases was 26 +/- 21%. The Monorail system was also successful in 5 patients with stenosis of more than 90% in whom conventional systems failed. The complications included acute occlusion causing acute myocardial infarction in 13 cases (5%), emergency coronary arterial bypass surgery in 1 patient (0.4%), and death in 4 patients (1.5%).(ABSTRACT TRUNCATED AT 250 WORDS)

  14. Carotid angioplasty and stenting in the elderly

    International Nuclear Information System (INIS)

    Kadkhodayan, Yasha; Cross, DeWitte T.; Moran, Christopher J.; Derdeyn, Colin P.

    2007-01-01

    To investigate the technical success rate as well as the procedural and mid-term complication rates of carotid angioplasty and stenting in elderly patients, a group excluded from large randomized endarterectomy trials given their perceived high surgical risk. Of 200 consecutive carotid angioplasty and/or stenting procedures performed between March 1996 and March 2005, 21 procedures were performed without cerebral protection devices in 20 patients over the age of 79 years (mean age: 83 years, 12 men, eight women). These patients' medical records were retrospectively reviewed for vascular imaging reports and available clinical follow-up. Procedural and mid-term complication rates were calculated and compared to a previously published cohort of 133 consecutive patients ≤79 years of age who also underwent endovascular treatment at our institution. Carotid stenosis was reduced from a mean of 82% to no significant stenosis in all procedures. The procedural stroke rate was zero of 21 procedures. The procedural transient ischemic attack rate (TIA) was one of 21 procedures (4.8%). Mean follow-up was 24.6 months (range: 1.0-79.5 months) with at least a 30-day follow-up for 20 of the 21 procedures (95.2%). There were no new strokes. There was one recurrent ipsilateral TIA at 1.9 months. In five cases with follow-up carotid ultrasonography, no hemodynamically significant restenosis had occurred. There were three myocardial infarctions (MI) occurring at 0.5, 2.1, and 15.2 months, of which the last MI was fatal. The composite 30-day stroke and death rate was zero of 21 procedures (95% confidence interval: 0-14%). No significant difference was found in the 30-day rate of stroke, TIA, MI, or death between the elderly and younger patients. Carotid angioplasty and stenting in elderly patients can be performed successfully with acceptable procedural and mid-term complication rates comparable to younger patients. (orig.)

  15. Arthropathie destructrice des epaules au cours d�une acromegalie

    Directory of Open Access Journals (Sweden)

    Nessrine Akasbi

    2011-10-01

    Full Text Available L�acromegalie est une maladie endocrinienne rare, en rapport avec une hypersecretion d�hormone de croissance. Elle a des consequences rhumatologiques: l�arthropathie peripherique, l�atteinte rachidienne et les syndromes canalaires. L�atteinte articulaire accompagne une acromegalie active, sa survenue apres un traitement radical et une remission complete est rare. Nous presentons le cas d�une patiente de 70 ans ayant un antecedent d�acromegalie sur adenome hypophysaire il y a 25 ans, traitee chirurgicalement et declaree en remission complete, a developpe une arthropathie destructrice des deux epaules. Le but de notre observation est de mettre le point sur la possibilite d�une atteinte articulaire au cours de l�acromegalie et de son retentissement fonctionnelle.

  16. Primary coronary angioplasty in a nonagenarian

    Directory of Open Access Journals (Sweden)

    Baracioli Luciano M.

    2002-01-01

    Full Text Available A woman aged 98 years entered the tertiary hospital service with a picture of acute myocardial infarction of the extensive anterior wall, which began 4 hours earlier. Due to the large myocardial risk area suggested by the electrocardiogram, the patient was taken to the hemodynamics laboratory for the performance of emergency coronary arteriography, which revealed occlusion in the proximal third of the anterior descending artery. Primary angioplasty followed by stent grafting was successfully performed. The patient had a satisfactory evolution (Killip I and was discharged from the hospital on the seventh postinfarction day. We discuss here aspects of thrombolysis and coronary percutaneous interventions in the aged.

  17. Treatment of renovascular hypertension by transluminal angioplasty

    DEFF Research Database (Denmark)

    Øvrehus, Kristian A; Andersen, Poul E; Jacobsen, Ib A

    2007-01-01

    : with improved control of blood pressure; group III: unchanged blood pressure control. Grouping was performed immediately after treatment, at 1 month, 6 months and at the latest follow-up. One hundred-and-twenty-two patients (124 atherosclerotic and 12 fibromuscular lesions) were treated during 13 years......OBJECTIVE: The study is a follow-up on treatment of renovascular hypertension (RVH) with percutaneous transluminal renal angioplasty (PTRA). METHODS: Patients were screened on the basis of clinical criteria of increased probability of RVH with renography and in selected cases with renal vein renin...

  18. Thalamic hemorrhage following carotid angioplasty and stenting

    International Nuclear Information System (INIS)

    Friedman, Jonathan A.; Kallmes, David F.; Wijdicks, Eelco F.M.

    2004-01-01

    Carotid angioplasty and stenting (CAS) has emerged as an alternative treatment of carotid stenosis for patients poorly suited for endarterectomy. Intracerebral hemorrhage following carotid revascularization is rare and thought to be related to hyperperfusion injury in most cases. Early experience suggests an increased incidence of hemorrhage following CAS as compared to endarterectomy. We describe a patient who suffered a thalamic hemorrhage following CAS. Because this hemorrhage occurred in a vascular territory unlikely to have been supplied by the treated artery, this case suggests that the mechanism of intracerebral hemorrhage following CAS may in some cases be different from the hyperperfusion hemorrhage classically described following endarterectomy. (orig.)

  19. Percutaneous transluminal angioplasty (PTA) after kidney transplantation

    International Nuclear Information System (INIS)

    Fava, C.; Grosso, M.; Sandrone, M.; Malfi, B.; Segoloni, G.P.; Colla, L.

    1988-01-01

    Renal artery stenosis is a frequent complication of kidney transplantation (10%). Percutaneous transluminal angioplasty (PTA) has recently been proposed as a potential therapeutic procedure. Twelve transplant patients with arterial stenosis underwent PTA. The procedure was successful in 10 cases (83.3%). Restenosis occurred in 2 patients (16.7%); both of them underwent PTA successfully. No complications occurred. A considerable improvement in glomerular filtration rate and a reduction in high blood pressure were observed in all patients after successful PTA. The authors belive PTA to be the therapy of choice in the treatment of arterial stenoses in kidney transplant patients

  20. Future DUNE constraints on EFT

    Science.gov (United States)

    Falkowski, Adam; Grilli di Cortona, Giovanni; Tabrizi, Zahra

    2018-04-01

    In the near future, fundamental interactions at high-energy scales may be most efficiently studied via precision measurements at low energies. A universal language to assemble and interpret precision measurements is the so-called SMEFT, which is an effective field theory (EFT) where the Standard Model (SM) Lagrangian is extended by higher-dimensional operators. In this paper we investigate the possible impact of the DUNE neutrino experiment on constraining the SMEFT. The unprecedented neutrino flux offers an opportunity to greatly improve the current limits via precision measurements of the trident production and neutrino scattering off electrons and nuclei in the DUNE near detector. We quantify the DUNE sensitivity to dimension-6 operators in the SMEFT Lagrangian, and find that in some cases operators suppressed by an O(30) TeV scale can be probed. We also compare the DUNE reach to that of future experiments involving atomic parity violation and polarization asymmetry in electron scattering, which are sensitive to an overlapping set of SMEFT parameters.

  1. Percutaneous transluminal angioplasty of infrarenal arteries in intermittent claudication

    DEFF Research Database (Denmark)

    Henriksen, L O; Jørgensen, B; Holstein, P E

    1988-01-01

    Percutaneous transluminal angioplasty was performed on 55 iliac and 31 femoropopliteal arteries in 71 patients with intermittent claudication (23 women, 48 men). The two-year patency rate was 80% after iliac and 41% after femoropopliteal angioplasty. In 17 femoropopliteal cases with lesions greater...... than or equal to 5 cm the 2-year patency rate was only 32%, but the corresponding figure for shorter lesions was 53%. Complicating haematoma appeared in 10% of the cases and the arterial state deteriorated in one patient. There was no distal embolization. Percutaneous transluminal angioplasty...

  2. Experiment Simulation Configurations Used in DUNE CDR

    Energy Technology Data Exchange (ETDEWEB)

    Alion, T. [Univ. of South Carolina, Columbia, SC (United States); Black, J. J. [Univ. of Warwick, Coventry (United Kingdom); Bashyal, A. [Oregon State Univ., Corvallis, OR (United States); Bass, M. [Univ. of Oxford (United Kingdom); Bishai, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Cherdack, D. [Colorado State Univ., Fort Collins, CO (United States); Diwan, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Djurcic, Z. [Argonne National Lab. (ANL), Argonne, IL (United States); Evans, J. [Univ. of Manchester (United Kingdom); Fernandez-Martinez, E. [Madrid Autonama Univ. (Spain); Fields, L. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Fleming, B. [Yale Univ., New Haven, CT (United States); Gran, R. [Univ. of Minnesota, Duluth, MN (United States); Guenette, R. [Univ. of Oxford (United Kingdom); Hewes, J. [Univ. of Manchester (United Kingdom); Hogan, M. [Colorado State Univ., Fort Collins, CO (United States); Hylen, J. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Junk, T. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Kohn, S. [Univ. of California, Berkeley, CA (United States); LeBrun, P. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Lundberg, B. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Marchionni, A. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Morris, C. [Univ. of California, Berkeley, CA (United States); Papadimitriou, V. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Rameika, R. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Rucinski, R. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Soldner-Rembold, S. [Univ. of Manchester (United Kingdom); Sorel, M. [Spanish National Research Council (CSIC), Valencia (Spain). Univ. of Valencia (UV), Inst. de Fisica Corpuscular; Urheim, J. [Indiana Univ., Bloomington, IN (United States); Viren, B. [Brookhaven National Lab. (BNL), Upton, NY (United States); Whitehead, L. [Univ. of Houston, TX (United States); Wilson, R. [Colorado State Univ., Fort Collins, CO (United States); Worcester, E. [Brookhaven National Lab. (BNL), Upton, NY (United States); Zeller, G. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States)

    2016-06-30

    The LBNF/DUNE CDR describes the proposed physics program and experimental design at the conceptual design phase. Volume 2, entitled The Physics Program for DUNE at LBNF, outlines the scientific objectives and describes the physics studies that the DUNE collaboration will perform to address these objectives. The long-baseline physics sensitivity calculations presented in the DUNE CDR rely upon simulation of the neutrino beam line, simulation of neutrino interactions in the far detector, and a parameterized analysis of detector performance and systematic uncertainty. The purpose of this posting is to provide the results of these simulations to the community to facilitate phenomenological studies of long-baseline oscillation at LBNF/DUNE. Additionally, this posting includes GDML of the DUNE single-phase far detector for use in simulations. DUNE welcomes those interested in performing this work as members of the collaboration, but also recognizes the benefit of making these configurations readily available to the wider community.

  3. Renal artery stent angioplasty for renovascular hypertension

    International Nuclear Information System (INIS)

    Li Gang; Li Haiqing; Wang Lin

    2005-01-01

    Objective: To evaluate the therapeutic results of expandable stent for treatment of atherosclerotic renovascular obstructive disease. Methods: 15 patients (10 men and 5 women, 41-75 years old; mean age, 52 years) with renal arterial hypertension underwent renal stent angioplasty including renal arterial stenosis 89%(n=13) and fully obstruction without function in 2, of which 2 patients had bilateral involvement. The stenotic range of all arterial segments showed 60% to 90% width of the normal arterial diameter. 16 stents were implanted under the guidance of fluoroscopy. The most of stents implanted were Palmaz (n=12, 75%) with regular clinical and angiographic follow up. Results: Technical success (residual stenosis <30%) was achieved in all patients without serious complication. During the follow-up (6-15 months; mean, 8 ± 4 months), hypertension was improved in 9 patients and cured in 4 patients with a total benefit of 86% and no efficacy in 2(13%). The average systolic blood pressure decreased from 27.12 ± 3.09 kPa to 18.62 ± 3.12 kPa and the average diastolic blood pressure decreased from 17.73 ± 1.92 kPa to 11.12 ± 2.43 kPa after stent treatment (P<0.05). Serum creatinine remained stable in 60% (n=9) patients with improvement in 33% (n=5) and worsened in 6% (n=1) patients. Follow-up angiography was performed in all patients with 1 case of a restenosis. 6 months after expanding through stent by using balloon, the two follow up angiographies showed a stable restenosis about 20%. Conclusions: Percutaneous transluminal stent placement is highly beneficial for patients who had renal arterial obstructive disease. The success of stent angioplasty of complete obstructive renal arteries reveals wide prospects for interventional method. (authors)

  4. OCT evaluation of directional atherectomy compared to balloon angioplasty.

    Science.gov (United States)

    Marmagkiolis, Konstantinos; Lendel, Vasili; Cilingiroglu, Mehmet

    2015-09-01

    Directional atherectomy (DA) is one of the most commonly used modalities for the treatment of obstructive femoropopliteal peripheral arterial disease (PAD), especially in patients with large and calcified atherosclerotic plaques. The effect of directional atherectomy to the vascular wall compared to balloon angioplasty by optical coherence tomography (OCT) has not been previously described. We present the first case of OCT after directional atherectomy with SilverHawk followed by angiosculpt balloon angioplasty. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. False coronary dissection with the new Monorail angioplasty balloon catheter.

    Science.gov (United States)

    Esplugas, E; Cequier, A R; Sabaté, X; Jara, F

    1990-01-01

    During percutaneous transluminal coronary angioplasty, the appearance of persistent staining in the vessel by contrast media suggests coronary dissection. We report seven patients in whom a false image of severe coronary dissection was observed during angioplasty performed with the new Monorail balloon catheter. This image emerges at the moment of balloon inflation, is distally located to the balloon, and disappears with balloon catheter deflation. No complications were associated with the appearance of this image.

  6. Transluminal angioplasty of a stenotic surgical splenorenal shunt

    International Nuclear Information System (INIS)

    Beers, B. van; Roche, A.; Cauquil, P.

    1988-01-01

    A stenosis of a side-to-side splenorenal shunt was treated by percutaneous angioplasty two years after the performance of the shunt. After dilatation, there was a fall of the splenorenal pressure gradient from 28 to 17 cm H 2 O and good transanastomotic flow was re-estabilshed. As in other arterial and venous territories, angioplasty may be an interesting alternative to surgery. (orig.)

  7. Dunes across the Solar System

    Science.gov (United States)

    Hayes, Alexander G.

    2018-06-01

    Before NASA's New Horizons mission, the surface of Pluto was shrouded in mystery. No one knew what to expect from its surface and most scientists shied away from detailed speculation, except to say that the one thing we should expect is to be surprised (1). On page 992 of this issue, Telfer et al. (2) present such a surprise by describing features interpreted as dunes on Pluto's surface.

  8. Modeling Megacusps and Dune Erosion

    Science.gov (United States)

    Orzech, M.; Reniers, A. J.; Thornton, E. B.

    2009-12-01

    Megacusps are large, concave, erosional features of beaches, of O(200m) alongshore wavelength, which sometimes occur when rip channel bathymetry is present. It is commonly hypothesized that erosion of the dune and back beach will be greater at the alongshore locations of the megacusp embayments, principally because the beach width is narrower there and larger waves can more easily reach the dune toe (e.g., Short, J. Geol., 1979, Thornton, et al., Mar. Geol., 2007). At present, available field data in southern Monterey Bay provide some support for this hypothesis, but not enough to fully confirm or refute it. This analysis utilizes XBeach, a 2DH nearshore sediment transport model, to test the above hypothesis under a range of wave conditions over several idealized rip-megacusp bathymetries backed by dunes. Model results suggest that while specific wave conditions may result in erosional hot spots at megacusp embayments, other factors such as tides, wave direction, and surf zone bathymetry can often play an equal or stronger role.

  9. Vegetated dune morphodynamics during recent stabilization of the Mu Us dune field, north-central China

    Science.gov (United States)

    Xu, Zhiwei; Mason, Joseph A.; Lu, Huayu

    2015-01-01

    The response of dune fields to changing environmental conditions can be better understood by investigating how changing vegetation cover affects dune morphodynamics. Significant increases in vegetation and widespread dune stabilization over the years 2000-2012 are evident in high-resolution satellite imagery of the Mu Us dune field in north-central China, possibly a lagged response to changing wind strength and temperature since the 1970s. These trends provide an opportunity to study how dune morphology changes with increasing vegetation stabilization. Vegetation expansion occurs mainly by expansion of pre-existing patches in interdunes. As vegetation spreads from interdunes onto surrounding dunes, it modifies their shapes in competition with wind-driven sand movement, primarily in three ways: 1) vegetation anchoring horns of barchans transforms them to parabolic dunes; 2) vegetation colonizes stoss faces of barchan and transverse dunes, resulting in lower dune height and an elongated stoss face, with shortening of barchan horns; and 3) on transverse dunes, the lee face is fixed by plants that survive sand burial. Along each of these pathways of stabilization, dune morphology tends to change from more barchanoid to more parabolic forms, but that transformation is not always completed before full stabilization. Artificial stabilization leads to an extreme case of "frozen" barchans or transverse dunes with original shapes preserved by rapid establishment of vegetation. Observations in the Mu Us dune field emphasize the point that vegetation growth and aeolian sand transport not only respond to external factors such as climate but also interact with each other. For example, some barchans lose sand mass during vegetation fixation, and actually migrate faster as they become smaller, and vegetation growth on a barchan's lower stoss face may alter sand transport over the dune in a way that favors more rapid stabilization. Conceptual models were generalized for the

  10. Size distribution and structure of Barchan dune fields

    Directory of Open Access Journals (Sweden)

    O. Durán

    2011-07-01

    Full Text Available Barchans are isolated mobile dunes often organized in large dune fields. Dune fields seem to present a characteristic dune size and spacing, which suggests a cooperative behavior based on dune interaction. In Duran et al. (2009, we propose that the redistribution of sand by collisions between dunes is a key element for the stability and size selection of barchan dune fields. This approach was based on a mean-field model ignoring the spatial distribution of dune fields. Here, we present a simplified dune field model that includes the spatial evolution of individual dunes as well as their interaction through sand exchange and binary collisions. As a result, the dune field evolves towards a steady state that depends on the boundary conditions. Comparing our results with measurements of Moroccan dune fields, we find that the simulated fields have the same dune size distribution as in real fields but fail to reproduce their homogeneity along the wind direction.

  11. Dune growth under multidirectional wind regimes

    Science.gov (United States)

    Gadal, C.; Rozier, O.; Claudin, P.; Courrech Du Pont, S.; Narteau, C.

    2017-12-01

    Under unidirectional wind regimes, flat sand beds become unstable to produce periodic linear dunes, commonly called transverse dunes because their main ridges are oriented perpendicular to the air flow. In areas of low sediment availability, the same interactions between flow, transport and topography produce barchan dunes, isolated sand-pile migrating over long distances with a characteristic crescentic shape. For the last fifteen years, barchan dunes and the instability at the origin of transverse dunes have been the subject of numerous studies that have identified a set of characteristic length and time scales with respect to the physical properties of both grains and fluid. This is not the case for dunes developing under multidirectional wind regimes. Under these conditions, dune orientation is measured with respect to the direction of the resultant sand flux. Depending on the wind regime, dunes do not always line up perpendicularly to the resultant sand flux, but can also be at an oblique angle or even parallel to it. These oblique and longitudinal dunes are ubiquitous in all deserts on Earth and planetary bodies because of the seasonal variability of wind orientation. They are however poorly constrained by observations and there is still no complete theoretical framework providing a description of their orientation and initial wavelength. Here, we extend the linear stability analysis of a flat sand of bed done in two dimensions for a unidirectional flow to three dimensions and multidirectional flow regimes. We are able to recover transitions from transverse to oblique or longitudinal dune patterns according to changes in wind regimes. We besides give a prediction for the initial dune wavelength. Our results compare well to previous theory of dune orientation and to field, experimental and numerical data.

  12. Reporting standards for angioplasty and stent-assisted angioplasty for intracranial atherosclerosis.

    Science.gov (United States)

    Schumacher, H Christian; Meyers, Philip M; Higashida, Randall T; Derdeyn, Colin P; Lavine, Sean D; Nesbit, Gary M; Sacks, David; Rasmussen, Peter; Wechsler, Lawrence R

    2010-12-01

    Intracranial cerebral atherosclerosis causes ischemic stroke in a significant number of patients. Technological advances over the past 10 years have enabled endovascular treatment of intracranial atherosclerotic stenosis. The number of patients treated with angioplasty or stent-assisted angioplasty for this condition is increasing. Given the lack of universally accepted definitions, the goal of this document is to provide consensus recommendations for reporting standards, terminology, and written definitions when reporting clinical and radiological evaluation, technique, and outcome of endovascular treatment using angioplasty or stent-assisted angioplasty for stenotic and occlusive intracranial atherosclerosis. This article was written under the auspices of Joint Writing Group of the Technology Assessment Committee, Society of Neurolnterventional Surgery, Society of Interventional Radiology; Joint Section on Cerebro-vascular Neurosurgery of the American Association of Neurological Surgeons and Congress of Neurological Surgeons; and the Section of Stroke and Interventional Neurology of the American Academy of Neurology. A computerized search of the National Library of Medicine database of literature (PubMed) from January 1997 to December 2007 was conducted with the goal to identify published endovascular cerebrovascular interventional data in stenotic intracranial atherosclerosis that could be used as benchmarks for quality assessment. We sought to identify those risk adjustment variables that affect the likelihood of success and complications. This document offers the rationale for different clinical and technical considerations that may be important during the design of clinical trials for endovascular treatment of intracranial stenotic and occlusive atherosclerosis. Included in this guidance document are suggestions for uniform reporting standards for such trials. These definitions and standards are primarily intended for research purposes; however, they should

  13. Modeling river dune development and dune transition to upper stage plane bed

    NARCIS (Netherlands)

    Naqshband, Suleyman; van Duin, Olav; Ribberink, Jan S.; Hulscher, Suzanne J.M.H.

    2016-01-01

    Large asymmetric bedforms known as dunes commonly dominate the bed of sand rivers. Due to the turbulence generation over their stoss and lee sides, dunes are of central importance in predicting hydraulic roughness and water levels. During floods in steep alluvial rivers, dunes are observed to grow

  14. protoDUNE-Single Phase and protDUNE-DualPhase

    CERN Multimedia

    Brice, Maximilien

    2016-01-01

    At the EHN1 two big 8m x 8m x8m detector prototypes (protoDUNE-Single Phase and protDUNE-DualPhase) are being constructed. The aim is to test technologies and detector performances for DUNE, a new generation of LBN neutr

  15. Understanding river dune splitting through flume experiments and analysis of a dune evolution model

    NARCIS (Netherlands)

    Warmink, Jord Jurriaan; Dohmen-Janssen, Catarine M.; Lansink, Jord; Naqshband, Suleyman; van Duin, Olav; Paarlberg, Andries; Termes, A.P.P.; Hulscher, Suzanne J.M.H.

    2014-01-01

    Forecasts of water level during river floods require accurate predictions of the evolution of river dune dimensions, because the hydraulic roughness of the main channel is largely determined by the bed morphology. River dune dimensions are controlled by processes like merging and splitting of dunes.

  16. A case study on dune response to infragravity waves

    Science.gov (United States)

    Li, Wenshan; Wang, Hui; Li, Huan; Wu, Shuangquan; Li, Cheng

    2017-08-01

    A series of numerical simulations were conducted using the process-based model XBeach to investigate dune response under normal and getting rid of infragravity wave conditions with different slopes. Erosion volume upside the dune toe and dune top recession are set as indicators for dune vulnerability as well as defence capacity for its front-beach. Results show that both dune erosion volume and dune top recession decrease with gentler dune slopes. Of all the simulation cases, dune with a face slope of 1/1 lost most sand and supplied most sand for lower-bed. The presence of infragravity waves is validated to be crucial to dune vulnerability. The dune erosion volume is shown to decrease by 44.5%∼61.5% and the dune top recession decreased by 0%∼45.5% correspondingly, in the case that infragravity motion is not taken into account during simulation for different dune slopes.

  17. Thermodynamique statistique résumés de cours et problèmes résolus

    CERN Document Server

    Chahine, C

    1976-01-01

    Le présent ouvrage est conçu pour une initiation à la thermodynamique statistique en présentant un très grand nombre d'applications sous forme de problèmes résolus, et en donnant des résumés de cours constitués de l'essentiel des résultats théoriques nécessaires pour traiter les applications chaque fois qu'est abordé un nouveau domaine. Partant d'un niveau élémentaire et rédigé de façon très progressive, ce livre qui se suffit à lui-même, permet de saisir l'aspect physique des phénomènes, et de faire le lien entre les statistiques élémentaires et les statistiques de Gibbs. Le lecteur pourra, soit résoudre effectivement les problèmes sans avoir recours à la solution et tirer alors tout le bénéfice d'une recherche personnelle, soit lire l'ensemble de l'énoncé et de la solution qui sont très détaillés, et forment ainsi un exposé très clair. L'ouvrage, qui développe principalement l'aspect physique des phénomènes, intéresse les étudiants en physique dès la 1ère année ...

  18. Endovascular brachytherapy to prevent restenosis after angioplasty

    International Nuclear Information System (INIS)

    Wohlgemuth, W.A.; Bohndorf, K.

    2003-01-01

    Endovascular radiotherapy is the first effective prophylaxis of restenosis after percutaneous transluminal angioplasty (PTA) and stenting. The FDA recently approved two devices for the delivery of intracoronary radiation following coronary artery stenting. Published multicenter, double-blind, randomized trials of intracoronary radiation therapy report good results for preventing in-stent restenosis, while the data for the peripheral circulation are still inconclusive. Beta-emitters are easier applicable and probably also safer, whereas gamma-emitters have been more extensively evaluated clinically so far. Primary indication for endovascular brachytherapy are patients at high risk for restenosis, such as previous restenoses, in-stent hyperplasia, long stented segment, long PTA lesion, narrow residual vascular lumen and diabetes. Data from coronary circulation suggest a safety margin of at least 4 to 10 mm at both ends of the angioplastic segment to avoid edge restenosis. To prevent late thrombosis of the treated coronary segment, antiplatelet therapy with clopidogrel and aspirin are recommended for at least 6 months after PTA and for 12 months after a newly implanted stent. An established medication regimen after radiotherapy of peripheral arteries is still lacking. (orig.) [de

  19. A perspective of percutaneous transluminal angioplasty.

    Science.gov (United States)

    Stanson, A W

    1983-01-01

    PTA is a relatively new procedure which is still evolving. More technical improvements are needed. Stiffer balloon plastics and devices to measure arterial wall compliance during balloon inflation are predicted to lead to better long-term success rates. Increasing case numbers provide greater expertise and subsequent refinements in performance and case selection. These factors will lead to improved statistics. Other features of overall patient care must be considered also. The procedure is easy for patients to tolerate, and they can return to activities and work in three or four days. The overall cost is much cheaper than surgery, even at a conservative success rate of 65 percent. There is minimal risk and morbidity, and virtually no mortality. PTA can be repeated if the lesion recurs. Severe complications are rare and almost always surgically treatable. If PTA fails to achieve success, a traditional surgical procedure can be performed. Percutaneous transluminal angioplasty is an important therapeutic alternative to traditional medical and surgical treatment for occlusive arterial disease. It can save legs, veins, time, and money. We need to refine and accurately record the use of this procedure. Total cooperation among clinicians, surgeons, and radiologists is essential for proper utilization of PTA.

  20. What is a Dune: Developing AN Automated Approach to Extracting Dunes from Digital Elevation Models

    Science.gov (United States)

    Taylor, H.; DeCuir, C.; Wernette, P. A.; Taube, C.; Eyler, R.; Thopson, S.

    2016-12-01

    Coastal dunes can absorb storm surge and mitigate inland erosion caused by elevated water levels during a storm. In order to understand how a dune responds to and recovers from a storm, it is important that we can first identify and differentiate the beach and dune from the rest of the landscape. Current literature does not provide a consistent definition of what the dune features (e.g. dune toe, dune crest) are or how they can be extracted. The purpose of this research is to develop enhanced approaches to extracting dunes from a digital elevation model (DEM). Manual delineation, convergence index, least-cost path, relative relief, and vegetation abundance were compared and contrasted on a small area of Padre Island National Seashore (PAIS), Preliminary results indicate that the method used to extract the dune greatly affects our interpretation of how the dune changes. The manual delineation method was time intensive and subjective, while the convergence index approach was useful to easily identify the dune crest through maximum and minimum values. The least-cost path method proved to be time intensive due to data clipping; however, this approach resulted in continuous geomorphic landscape features (e.g. dune toe, dune crest). While the relative relief approach shows the most features in multi resolution, it is difficult to assess the accuracy of the extracted features because extracted features appear as points that can vary widely in their location from one meter to the next. The vegetation approach was greatly impacted by the seasonal and annual fluctuations of growth but is advantageous in historical change studies because it can be used to extract consistent dune formation from historical aerial imagery. Improving our ability to more accurately assess dune response and recovery to a storm will enable coastal managers to more accurately predict how dunes may respond to future climate change scenarios.

  1. Composition And Geometry Of Titan'S Dunes

    Science.gov (United States)

    Le Gall, Alice; Janssen, M. A.; Wye, L. C.; Lorenz, R. D.; Radebaugh, J.; Cassini RADAR Team

    2009-09-01

    Fields of linear dunes cover a large portion of Titan's equatorial regions. As the Cassini mission continues, more of them are unveiled and examined by the microwave Titan RADAR Mapper both in the active and passive modes of operation of the instrument and with an increasing variety of observational geometries. In this presentation, we will show that the joint analysis of the SAR (Synthetic Aperture Radar) and radiometry observations of the dunes at closest approach supports the idea of different composition between the dunes and the interdunes. It suggests that the icy bedrock of Titan may be exposed, or partially exposed, in the interdunes. We also see regional differences among dune fields. Dunes are highly directional features; their visibility is controlled by the look direction and the incidence angle. We have developed a backscatter and emissivity model that takes into account the topography of the dunes relative to the geometry of observation as well as the composition of the dunes and interdunes. Compared to observations and, in particular, to multiple observations of areas at the overlap of several swaths, we argue the need for a diffuse scattering mechanism. The presence of ripples in the dunes and/or interdunes might account for the recorded backscatter. In this presentation we will also report the results of the T61 experiment. The T61 HiSAR sequence (on August 25, 2009) was designed to examine a small region of the Shangri-La dune field with a substantial sampling of incidence angles around the direction perpendicular to the dunes long axis. The spot in question was already observed during the T55 SAR swath and the T61 experiment should allow us to determine the slope of the dunes.

  2. Exploring the contributions of vegetation and dune size to early dune development using unmanned aerial vehicle (UAV) imaging

    Science.gov (United States)

    van Puijenbroek, Marinka E. B.; Nolet, Corjan; de Groot, Alma V.; Suomalainen, Juha M.; Riksen, Michel J. P. M.; Berendse, Frank; Limpens, Juul

    2017-12-01

    Dune development along highly dynamic land-sea boundaries is the result of interaction between vegetation and dune size with sedimentation and erosion processes. Disentangling the contribution of vegetation characteristics from that of dune size would improve predictions of nebkha dune development under a changing climate, but has proven difficult due to the scarcity of spatially continuous monitoring data. This study explored the contributions of vegetation and dune size to dune development for locations differing in shelter from the sea. We monitored a natural nebkha dune field of 8 ha, along the coast of the island Texel, the Netherlands, for 1 year using an unmanned aerial vehicle (UAV) with camera. After constructing a digital surface model and orthomosaic we derived for each dune (1) vegetation characteristics (species composition, vegetation density, and maximum vegetation height), (2) dune size (dune volume, area, and maximum height), (3) degree of shelter (proximity to other nebkha dunes and the sheltering by the foredune). Changes in dune volume over summer and winter were related to vegetation, dune size and degree of shelter. We found that a positive change in dune volume (dune growth) was linearly related to initial dune volume over summer but not over winter. Big dunes accumulated more sand than small dunes due to their larger surface area. Exposed dunes increased more in volume (0.81 % per dune per week) than sheltered dunes (0.2 % per dune per week) over summer, while the opposite occurred over winter. Vegetation characteristics did not significantly affect dune growth in summer, but did significantly affect dune growth in winter. Over winter, dunes dominated by Ammophila arenaria, a grass species with high vegetation density throughout the year, increased more in volume than dunes dominated by Elytrigia juncea, a grass species with lower vegetation density (0.43 vs. 0.42 (m3 m-3) week-1). The effect of species was irrespective of dune size or

  3. Ecogeomorphology of Sand Dunes Shaped by Vegetation

    Science.gov (United States)

    Tsoar, H.

    2014-12-01

    Two dune types associated with vegetation are known: Parabolic and Vegetated Linear Dunes (VLDs), the latters are the dominant dune type in the world deserts. Parabolic dunes are formed in humid, sub-humid and semi-arid environments (rather than arid) where vegetation is nearby. VLDs are known today in semiarid and arid lands where the average yearly rainfall is ≥100 mm, enough to support sparse cover of vegetation. These two dune types are formed by unidirectional winds although they demonstrate a different form and have a distinct dynamics. Conceptual and mathematical models of dunes mobility and stability, based on three control parameters: wind power (DP), average annual precipitation (p), and the human impact parameter (μ) show that where human impact is negligible the effect of wind power (DP) on vegetative cover is substantial. The average yearly rainfall of 60-80 mm is the threshold of annual average rainfall for vegetation growth on dune sand. The model is shown to follow a hysteresis path, which explains the bistability of active and stabilized dunes under the same climatic conditions with respect to wind power. We have discerned formation of parabolic dunes from barchans and transverse dunes in the coastal plain of Israel where a decrease in human activity during the second half of the 20th century caused establishment of vegetation on the crest of the dunes, a process that changed the dynamics of these barchans and transverse dunes and led to a change in the shape of the windward slope from convex to concave. These dunes gradually became parabolic. It seems that VLDs in Australia or the Kalahari have always been vegetated to some degree, though the shrubs were sparser in colder periods when the aeolian erosion was sizeable. Those ancient conditions are characterized by higher wind power and lower rainfall that can reduce, but not completely destroy, the vegetation cover, leading to the formation of lee (shadow) dunes behind each shrub. Formation of

  4. Evolution de certains composés volatils du bois de chêne au cours de son séchage premiers résultats

    Directory of Open Access Journals (Sweden)

    Pascal Chatonnet

    1994-12-01

    Full Text Available Pendant le séchage des merrains sur parc à l'air libre, on assiste à une profonde modification de la composition chimique et du profil aromatique du bois de chêne. La teneur en eugénol, en aldéhydes phénols et en Β-méthyl-y-octalactone augmente régulièrement pendant le vieillissement du bois. Principalement sous forme trans au début du séchage, la Β-méthyl-y-octalactone s'accumule finalement sous la forme cis plus aromatique. Dans le même temps, on observe également une accumulation importante du précurseur inodore de Β-méthyl-y-octalactone. L'intervention des micro-organismes fréquemment isolés sur le bois en cours de séchage naturel sur la formation de composés aromatiques a été étudiée. La culture de diverses moisissures isolées de bois en cours de séchage naturel sur extraits de bois et directement sur sciure de chêne aboutit dans tous les cas à une forte diminution des teneurs en aldéhydes phénols, notamment de la vanilline. En effet, tous les micro-organismes étudiés (Penicilium sp., Trichoderma sp., Aureobasidium sp. sont incapables de dégrader la lignine car ils ne possèdent pas d'activité ligninase. En revanche, ces champignons possèdent une forte activité oxydo-réductase capable de réduire la vanilline en alcool vanillique inodore. En conséquence, les aldéhydes phénols apparaissant au cours du séchage naturel du merrain ne dérivent pas d'une attaque enzymatique mais plus vraisemblablementde l'acidolyse et de l'oxydation chimique de la lignine du bois. Le stockage du bois à l'air libre en présence d'eau et d'oxygène doit permettre une évolution favorable de son potentiel aromatique tant que la vanilline et la cis Β-méthyly-octalactone s'accumulent.

  5. Balloon angioplasty in acute and chronic coronary artery disease

    International Nuclear Information System (INIS)

    Holmes, D.R. Jr.; Vlietstra, R.E.

    1989-01-01

    Percutaneous transluminal coronary angioplasty has grown exponentially since its introduction. Currently, selection criteria include single-vessel and multivessel disease, stable and unstable angina, and acute infarction. The outcome depends on specific patient and antiographic characteristics. In ideal lesions, success rates should be greater than 90%, with low morbidity and mortality. With more severe and diffuse multivessel disease, success rates are lower and complication rates are higher. In these cases, percutaneous transluminal coronary angioplasty still offers a reasonable option, provided complete revascularization can be achieved or the angina-producing lesion dilated. Numerous issues remain unresolved, including (1) the role of percutaneous transluminal coronary angioplasty vs coronary surgery (currently being tested), (2) restenosis, which occurs in approximately 30% of treated lesions, and (3) organizational adjustments such as training and certification to maintain high standards of care

  6. State of the art of CO laser angioplasty system

    Science.gov (United States)

    Arai, Tsunenori; Mizuno, Kyoichi; Miyamoto, Akira; Sakurada, Masami; Kikuchi, Makoto; Kurita, Akira; Nakamura, Haruo; Takaoka, Hidetsugu; Utsumi, Atsushi; Takeuchi, Kiyoshi

    1994-07-01

    A unique percutaneous transluminal coronary angioplasty system new IR therapy laser with IR glass fiber delivery under novel angioscope guidance was described. Carbon monoxide (CO) laser emission of 5 mm in wavelength was employed as therapy laser to achieve precise ablation of atheromatous plaque with a flexible As-S IR glass fiber for laser delivery. We developed the first medical CO laser as well as As-S IR glass fiber cable. We also developed 5.5 Fr. thin angioscope catheter with complete directional manipulatability at its tip. The system control unit could manage to prevent failure irradiations and fiber damages. This novel angioplasty system was evaluated by a stenosis model of mongrel dogs. We demonstrated the usefulness of our system to overcome current issues on laser angioplasty using multifiber catheter with over-the-guidewire system.

  7. Angioplasty or Stenting of Extra- and Intracranial Vertebral Artery Stenoses

    International Nuclear Information System (INIS)

    Hauth, Elke A.M.; Gissler, H. Martin; Drescher, Robert; Jansen, Christian; Jaeger, Horst J.; Mathias, Klaus D.

    2004-01-01

    Purpose: To determine the feasibility and safety of angioplasty or angioplasty and stenting of extra- and intracranial vertebral artery (VA) stenosis. Methods: In 16 consecutive patients (9 men, 7 women; mean age 61 years, range 49-74 years) 16 stenotic VAs were treated with angioplasty orangioplasty and stenting. Eleven stenoses were localized in V1 segment,1 stenosis in V2 segment and 4 stenoses in V4 segment of VA. Fourteen VA stenoses were symptomatic, 2 asymptomatic. The etiology of the stenoses was atherosclerotic in all cases. Results:Angioplasty was performed in 8 of 11 V1 and 2 of 4 V4 segments of the VA. In 3 of 11 V1 segments and 2 of 4 V4 segments of the VA we combined angioplasty with stenting. The procedures were successfully performed in 14 of 16 VAs (87%). Complications were asymptomatic vessel dissection resulting in vessel occlusion in 1 of 11 V1 segments and asymptomatic vessel dissection in 2 of 4 V4 segments of the VA. One patient died in the 24-hr period after the procedure because of subarachnoid hemorrhage as a complication following vessel perforation of the treated V4 segment. Conclusion: Angioplasty orangioplasty and stenting of extracranial VA stenoses can be performed with a high technical success rate and a low complication rate. In intracranial VA stenosis the procedure is technically feasible but complications can be life-threatening. The durability and procedural complication rates of primary stenting without using predilation in extra- and intracranial VA stenosis should be defined in the future

  8. Blood pressure normalization post-jugular venous balloon angioplasty.

    Science.gov (United States)

    Sternberg, Zohara; Grewal, Prabhjot; Cen, Steven; DeBarge-Igoe, Frances; Yu, Jinhee; Arata, Michael

    2015-05-01

    This study is the first in a series investigating the relationship between autonomic nervous system dysfunction and chronic cerebrospinal venous insufficiency in multiple sclerosis patients. We screened patients for the combined presence of the narrowing of the internal jugular veins and symptoms of autonomic nervous system dysfunction (fatigue, cognitive dysfunction, sleeping disorders, headache, thermal intolerance, bowel/bladder dysfunction) and determined systolic and diastolic blood pressure responses to balloon angioplasty. The criteria for eligibility for balloon angioplasty intervention included ≥ 50% narrowing in one or both internal jugular veins, as determined by the magnetic resonance venography, and ≥ 3 clinical symptoms of autonomic nervous system dysfunction. Blood pressure was measured at baseline and post-balloon angioplasty. Among patients who were screened, 91% were identified as having internal jugular veins narrowing (with obstructing lesions) combined with the presence of three or more symptoms of autonomic nervous system dysfunction. Balloon angioplasty reduced the average systolic and diastolic blood pressure. However, blood pressure categorization showed a biphasic response to balloon angioplasty. The procedure increased blood pressure in multiple sclerosis patients who presented with baseline blood pressure within lower limits of normal ranges (systolic ≤ 105 mmHg, diastolic ≤ 70 mmHg) but decreased blood pressure in patients with baseline blood pressure above normal ranges (systolic ≥ 130 mmHg, diastolic ≥ 80 mmHg). In addition, gender differences in baseline blood pressure subcategories were observed. The coexistence of internal jugular veins narrowing and symptoms of autonomic nervous system dysfunction suggests that the two phenomena may be related. Balloon angioplasty corrects blood pressure deviation in multiple sclerosis patients undergoing internal jugular vein dilation. Further studies should investigate the

  9. Subclavian steal syndrome: treatment by percutaneous transluminal angioplasty

    International Nuclear Information System (INIS)

    Abath, Carlos Gustavo Coutinho; Silva, Marcos Antonio Barbosa da; Brito, Norma Maria Tenorio; Marques, Silvio Romero; Santa Cruz, Rodolfo

    1995-01-01

    The subclavian steal syndrome is a rare vascular disease that can be managed by interventional radiology. It is presented the experience with three cases of this syndrome that underwent percutaneous transluminal angioplasty, and a brief literature review is done. Two patients remained asymptomatic 23 and 30 months, respectively, after the procedure. One patient presented with recurrent symptoms 12 months after the dilatation. Considering the low morbidity and good clinical and technical results, percutaneous transluminal angioplasty is the first choice in the subclavian steal syndrome treatment. (author). 9 refs., 3 figs

  10. Sand dune tracking from satellite laser altimetry

    Science.gov (United States)

    Dabboor, Mohammed

    Substantial problems arise from sand movement in arid and semi-arid countries. Sand poses a threat to infrastructure, agricultural and urban areas. These issues are caused by the encroachment of sand on roads and railway tracks, farmland, towns and villages, and airports, to name a few. Sand movement highly depends on geomorphology including vegetation cover, shape and height of the terrain, and grain size of the sand. However, wind direction and speed are the most important factors that affect efficient sand movement. The direction of the movement depends on the main direction of the wind, but it has been shown that a minimum wind speed is required, e.g. wind gusts, to initiate sand transport. This fact prevents a simple calculation of sand transport from conventional wind data as wind records rarely contain sub-minute intervals masking out any wind gusts. An alternative of predicting sand transport is the direct observation of sand advance by in situ measurements or via satellite. Until recently, satellite imagery was the only means to compare dune shape and position for predicting dune migration over several years. In 2003, the NASA laser altimetry mission ICESat became operational and monitors elevations over all surface types including sand dunes with an accuracy of about 10-20 cm. In this study, ICESat observations from repeat tracks (tracks overlapping eachother within 50 m) are used to derive sand dune advance and direction. The method employs a correlation of the elevation profiles over several dunes and was sucessfully validated with synthetic data. The accuracy of this method is 5 meters of dune advance. One of the most active areas exhibiting sand and dune movement is the area of the Arabian Peninsula. Approximately one-third of the Arabian Peninsula is covered by sand dunes. Different wind regimes (Shamal, Kaus) cause sand dune movement in the selected study area in the eastern part of the Arabian Peninsula between 20-25 degrees North and 45-55 degrees

  11. Aspirin inhibition of platelet deposition at angioplasty sites: demonstration by platelet scintigraphy

    International Nuclear Information System (INIS)

    Cuningham, D.A.; Kumar, B.; Siegel, B.A.; Gilula, L.A.; Totty, W.G.; Welch, M.J.

    1984-01-01

    In-111 platelet scintigraphy was used to evaluate the effects of prior aspirin administration on the accumulation of In-111-labeled autologous platelets at sites of arterial injury resulting from iliac, femoral, or popliteal transluminal angioplasty in a nonrandomized study of 17 men. The degree of platelet localization at angioplasty sites was significantly less in nine men who had received aspirin in varying doses within the 4 days before angioplasty than in eight men who had not received aspirin for at least two weeks. The results suggest that aspirin treatment before angioplasty limits the early platelet deposition at the angioplasty site in men

  12. Looking Back at 'Purgatory Dune'

    Science.gov (United States)

    2005-01-01

    The wheels of NASA's Mars Exploration Rover Opportunity dug more than 10 centimeters (4 inches) deep into the soft, sandy material of a wind-shaped ripple in Mars' Meridiani Planum region during the rover's 446th martian day, or sol (April 26, 2005). Getting the rover out of the ripple, dubbed 'Purgatory Dune,' required more than five weeks of planning, testing, and carefully monitored driving. Opportunity used its navigation camera to capture this look back at the ripple during sol 491 (June 11, 2005), a week after the rover drove safely onto firmer ground. The ripple that became a sand trap is about one-third meter (one foot) tall and 2.5 meters (8 feet) wide.

  13. Mars Global Digital Dune Database; MC-1

    Science.gov (United States)

    Hayward, R.K.; Fenton, L.K.; Tanaka, K.L.; Titus, T.N.; Colaprete, A.; Christensen, P.R.

    2010-01-01

    The Mars Global Digital Dune Database presents data and describes the methodology used in creating the global database of moderate- to large-size dune fields on Mars. The database is being released in a series of U.S. Geological Survey (USGS) Open-File Reports. The first release (Hayward and others, 2007) included dune fields from 65 degrees N to 65 degrees S (http://pubs.usgs.gov/of/2007/1158/). The current release encompasses ~ 845,000 km2 of mapped dune fields from 65 degrees N to 90 degrees N latitude. Dune fields between 65 degrees S and 90 degrees S will be released in a future USGS Open-File Report. Although we have attempted to include all dune fields, some have likely been excluded for two reasons: (1) incomplete THEMIS IR (daytime) coverage may have caused us to exclude some moderate- to large-size dune fields or (2) resolution of THEMIS IR coverage (100m/pixel) certainly caused us to exclude smaller dune fields. The smallest dune fields in the database are ~ 1 km2 in area. While the moderate to large dune fields are likely to constitute the largest compilation of sediment on the planet, smaller stores of sediment of dunes are likely to be found elsewhere via higher resolution data. Thus, it should be noted that our database excludes all small dune fields and some moderate to large dune fields as well. Therefore, the absence of mapped dune fields does not mean that such dune fields do not exist and is not intended to imply a lack of saltating sand in other areas. Where availability and quality of THEMIS visible (VIS), Mars Orbiter Camera narrow angle (MOC NA), or Mars Reconnaissance Orbiter (MRO) Context Camera (CTX) images allowed, we classified dunes and included some dune slipface measurements, which were derived from gross dune morphology and represent the prevailing wind direction at the last time of significant dune modification. It was beyond the scope of this report to look at the detail needed to discern subtle dune modification. It was also

  14. Minimal size of a barchan dune

    Science.gov (United States)

    Parteli, E. J. R.; Durán, O.; Herrmann, H. J.

    2007-01-01

    Barchans are dunes of high mobility which have a crescent shape and propagate under conditions of unidirectional wind. However, sand dunes only appear above a critical size, which scales with the saturation distance of the sand flux [P. Hersen, S. Douady, and B. Andreotti, Phys. Rev. Lett. 89, 264301 (2002); B. Andreotti, P. Claudin, and S. Douady, Eur. Phys. J. B 28, 321 (2002); G. Sauermann, K. Kroy, and H. J. Herrmann, Phys. Rev. E 64, 31305 (2001)]. It has been suggested by P. Hersen, S. Douady, and B. Andreotti, Phys. Rev. Lett. 89, 264301 (2002)] that this flux fetch distance is itself constant. Indeed, this could not explain the protosize of barchan dunes, which often occur in coastal areas of high litoral drift, and the scale of dunes on Mars. In the present work, we show from three-dimensional calculations of sand transport that the size and the shape of the minimal barchan dune depend on the wind friction speed and the sand flux on the area between dunes in a field. Our results explain the common appearance of barchans a few tens of centimeter high which are observed along coasts. Furthermore, we find that the rate at which grains enter saltation on Mars is one order of magnitude higher than on Earth, and is relevant to correctly obtain the minimal dune size on Mars.

  15. Microbial Characterization of Qatari Barchan Sand Dunes.

    Directory of Open Access Journals (Sweden)

    Sara Abdul Majid

    Full Text Available This study represents the first characterization of sand microbiota in migrating barchan sand dunes. Bacterial communities were studied through direct counts and cultivation, as well as 16S rRNA gene and metagenomic sequence analysis to gain an understanding of microbial abundance, diversity, and potential metabolic capabilities. Direct on-grain cell counts gave an average of 5.3 ± 0.4 x 105 cells g-1 of sand. Cultured isolates (N = 64 selected for 16S rRNA gene sequencing belonged to the phyla Actinobacteria (58%, Firmicutes (27% and Proteobacteria (15%. Deep-sequencing of 16S rRNA gene amplicons from 18 dunes demonstrated a high relative abundance of Proteobacteria, particularly enteric bacteria, and a dune-specific-pattern of bacterial community composition that correlated with dune size. Shotgun metagenome sequences of two representative dunes were analyzed and found to have similar relative bacterial abundance, though the relative abundances of eukaryotic, viral and enterobacterial sequences were greater in sand from the dune closer to a camel-pen. Functional analysis revealed patterns similar to those observed in desert soils; however, the increased relative abundance of genes encoding sporulation and dormancy are consistent with the dune microbiome being well-adapted to the exceptionally hyper-arid Qatari desert.

  16. [Coronary transluminal angioplasty and determination of the intracoronary gradient with a new monorail system].

    Science.gov (United States)

    Freitas, A D; Medina, A; Bethencourt, A; Coello, I; Hernández, E; Peraza, C; Melian, F; Jiménez, F; Laraudogoitia, E; Goicolea, J

    1989-10-01

    To evaluate the results obtained in coronary angioplasty using the new very low profile monorail catheter. A retrospective study to define the causes and frequency of successful and unsuccessful coronary angioplasty on proximal and distal lesions located in the three coronary vessels. Patients referred to the Hemodynamic Unit for coronary angioplasty. Coronary angioplasty was performed in 106 patients with cardiac ischemic disease (stable angina, unstable angina and myocardial infarction after thrombolytic therapy). To perform coronary angioplasty using a monorail system, including dilatation of vessels (angioplasty) and to measure the intracoronary gradient. A high success rate was achieved (92%) independent of vessel dilated or of the position of the stenosis. There was a lower success rate in complex lesions. In this study, this newly modified system for coronary angioplasty with balloon catheter and monorail pressure catheter gave a very high performance.

  17. Subintimal angioplasty: predictors of long-term success.

    LENUS (Irish Health Repository)

    Keeling, Aoife N

    2009-08-01

    To determine the clinical outcomes and success rates after percutaneous subintimal angioplasty (SIA) in patients with lower-limb occlusive lesions causing intermittent claudication (IC) or critical limb ischemia (CLI) at midterm to long-term follow-up. The secondary aim was to elicit factors predictive of a successful outcome.

  18. Distal coronary hemoperfusion during percutaneous transluminal coronary angioplasty

    NARCIS (Netherlands)

    Muinck, Ebo Derk de

    1994-01-01

    In this thesis several aspects of passive and active coronary perfusion during coronary angioplasty are investigated. The autoperfusion balloon catheters that were evaluated are the Stack® and the RX-60® catheters (Advanced Cardiovascular Systems, inc., Santa Clara, California, U.S.A). The coronary

  19. Direct venous thrombolysis and venous angioplasty in the upper extremity

    International Nuclear Information System (INIS)

    Hollmann, J.P.; Guenther, R.W.

    1987-01-01

    Venous thromboses of stenoses in the upper extremity are often the result of a compression syndrome of the shoulder girdle, the Paget-von Schroetter syndrome, vascular surgery, space-occupying lesions in the mediastinum or the result of catheterisation. Direct venous thrombolysis and venous angioplasty were performed successfully in six patients. (orig.) [de

  20. Segmentally enclosed thrombolysis in percutaneous transluminal angioplasty for femoropopliteal occlusions

    DEFF Research Database (Denmark)

    Jørgensen, B; Tønnesen, K H; Nielsen, J D

    1991-01-01

    Segmentally enclosed thrombolysis (SET) was performed immediately following 34 percutaneous transluminal angioplasties (PTAs) for femoropopliteal occlusions. The dilated segment was sealed off with a double balloon catheter, and recombinant tissue plasminogen activator (rt-PA) 1 mg/ml and heparin...

  1. A propos de l'EQB macrophytes en cours d'eau dans les DOM : Note

    OpenAIRE

    Chauvin, C.

    2015-01-01

    / Cette note présente les éléments essentiels ressortis de la mission "macrophytes" 2012-2013menée dans les DOM, en ce qui concerne la pertinence et la faisabilité d'un indicateur d'état écologique en cours d'eau basé sur les macrophytes.

  2. Etude comparative de la flore aux abords des cours d'eau dans les ...

    African Journals Online (AJOL)

    Etude comparative de la flore aux abords des cours d'eau dans les zones hypo et hyper endémiques d'ulcère de Buruli en Côte d'Ivoire. C. Cisse Boni, E. Ehouman, D. Soro, M.W. Kone, A. Bakayoko, F. Dembele, K. Bauthire, M Dosso ...

  3. Zooming in on neutrino oscillations with DUNE

    Science.gov (United States)

    Srivastava, Rahul; Ternes, Christoph A.; Tórtola, Mariam; Valle, José W. F.

    2018-05-01

    We examine the capabilities of the DUNE experiment as a probe of the neutrino mixing paradigm. Taking the current status of neutrino oscillations and the design specifications of DUNE, we determine the experiment's potential to probe the structure of neutrino mixing and C P violation. We focus on the poorly determined parameters θ23 and δC P and consider both two and seven years of run. We take various benchmarks as our true values, such as the current preferred values of θ23 and δC P, as well as several theory-motivated choices. We determine quantitatively DUNE's potential to perform a precision measurement of θ23, as well as to test the C P violation hypothesis in a model-independent way. We find that, after running for seven years, DUNE will make a substantial step in the precise determination of these parameters, bringing to quantitative test the predictions of various theories of neutrino mixing.

  4. Matter Density Profile Shape Effects at DUNE

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, Kevin J. [Northwestern U.; Parke, Stephen J. [Fermilab

    2018-02-19

    Quantum mechanical interactions between neutrinos and matter along the path of propagation, the Wolfenstein matter effect, are of particular importance for the upcoming long-baseline neutrino oscillation experiments, specifically the Deep Underground Neutrino Experiment (DUNE). Here, we explore specifically what about the matter density profile can be measured by DUNE, considering both the shape and normalization of the profile between the neutrinos' origin and detection. Additionally, we explore the capability of a perturbative method for calculating neutrino oscillation probabilities and whether this method is suitable for DUNE. We also briefly quantitatively explore the ability of DUNE to measure the Earth's matter density, and the impact of performing this measurement on measuring standard neutrino oscillation parameters.

  5. Applying the Case Management CourTools: Finding from an Urban Trial Court

    Directory of Open Access Journals (Sweden)

    Collins E. Ijoma

    2012-06-01

    Full Text Available The National Center for State Courts (NCSC recently promulgated 10 trial court performance measures, referred to as CourTools. Measures 2, 3, 4, and 5 provide a methodology by which court managers can examine their management and processing of cases. The measures include clearance rate (measure 2, time to disposition (measure 3, age of active pending caseload (measure 4, and trial date certainty (measure 5. The objective of this research was threefold. The first aim was to assess the viability of using the case management measures to examine case processing trends in a New Jersey (NJ urban trial court. Each measure was reviewed to determine the tool’s applicability to the criminal division of the court. The second objective (pursued as a parallel to the first was to present the findings in the same context as the CourTools’ framework to determine its practicality. The final goal was to serve as a platform for other courts on the national and international level that do not yet use performance measures. These courts, diverse as they are, may use the methodologies and findings of this case study as a reference and guide to develop their own program to measure the court’s productivity and efficiency. To that end, this case study sought to answer the following questions in determining the applicability of the CourTools to the selected court and by extension, its potential for more universal application to other court systems. First, what is the relevance of measurements to the courts and why is it important, if at all? Second, what are the CourTools? Third, can the measurement model be applied to an actual court and if so, how is it executed and illustrated in practice? Finally, what are the implications of the findings for the court in question, as well as, other courts that seek to incorporate the CourTools to measure performance?

  6. Invasive plants on disturbed Korean sand dunes

    Science.gov (United States)

    Kim, Kee Dae

    2005-01-01

    The sand dunes in coastal regions of South Korea are important ecosystems because of their small size, the rare species found in this habitat, and the beautiful landscapes they create. This study investigated the current vegetative status of sand dunes on three representative coasts of the Korean peninsula, and on the coasts of Cheju Island, and assessed the conditions caused by invasive plants. The relationships between the degree of invasion and 14 environmental variables were studied. Plots of sand dunes along line transects perpendicular to the coastal lines were established to estimate vegetative species coverage. TWINSPAN (Two-Way Indicator Species Analysis), CCA (Canonical Correspondence Analysis), and DCCA (Detrended Canonical Correspondence Analysis) were performed to classify communities on sand dunes and assess species composition variation. Carex kobomugi, Elymus mollis, and Vitex rotundifolia were found to be the dominant species plotted on the east, the west, and the peripheral coasts of Cheju Island, respectively. Vegetation on the south coast was totally extinct. The 19 communities, including representative C. kobomugi, C. kobomugi- Ixeris repens, C. kobomugi- Oenothera biennis, E. mollis, Lolium multiflorum- Calystegia soldanella, and V. rotundifolia- C. kobomugi, were all classified according to TWINSPAN. Oenothera biennis and L. multiflorum were exotics observed within these native communities. CCA showed that invasive native and exotic species distribution was segregated significantly, according to disturbance level, exotic species number, gravel, sand and silt contents, as well as vegetation size. It further revealed that human disturbance can strongly favor the settlement of invasive and exotic species. Restoration options to reduce exotic plants in the South Korean sand dune areas were found to be the introduction of native plant species from one sand dune into other sand dune areas, prohibition of building and the introduction of exotic

  7. Dune field pattern formation and recent transporting winds in the Olympia Undae Dune Field, north polar region of Mars

    OpenAIRE

    Ewing, Ryan C.; Peyret, Aymeric-Pierre B.; Kocurek, Gary; Bourke, Mary

    2010-01-01

    High-Resolution Imaging Science Experiment (HiRISE) imagery of the central Olympia Undae Dune Field in the north polar region of Mars shows a reticulate dune pattern consisting of two sets of nearly orthogonal dune crestlines, with apparent slipfaces on the primary crests, ubiquitous wind ripples, areas of coarse-grained wind ripples, and deflated interdune areas. Geomorphic evidence and dune field pattern analysis of dune crest length, spacing, defect density, and orientation indicates that ...

  8. Mars Global Digital Dune Database (MGD3): Global dune distribution and wind pattern observations

    Science.gov (United States)

    Hayward, Rosalyn K.; Fenton, Lori; Titus, Timothy N.

    2014-01-01

    The Mars Global Digital Dune Database (MGD3) is complete and now extends from 90°N to 90°S latitude. The recently released south pole (SP) portion (MC-30) of MGD3 adds ∼60,000 km2 of medium to large-size dark dune fields and ∼15,000 km2 of sand deposits and smaller dune fields to the previously released equatorial (EQ, ∼70,000 km2), and north pole (NP, ∼845,000 km2) portions of the database, bringing the global total to ∼975,000 km2. Nearly all NP dunes are part of large sand seas, while the majority of EQ and SP dune fields are individual dune fields located in craters. Despite the differences between Mars and Earth, their dune and dune field morphologies are strikingly similar. Bullseye dune fields, named for their concentric ring pattern, are the exception, possibly owing their distinctive appearance to winds that are unique to the crater environment. Ground-based wind directions are derived from slipface (SF) orientation and dune centroid azimuth (DCA), a measure of the relative location of a dune field inside a crater. SF and DCA often preserve evidence of different wind directions, suggesting the importance of local, topographically influenced winds. In general however, ground-based wind directions are broadly consistent with expected global patterns, such as polar easterlies. Intriguingly, between 40°S and 80°S latitude both SF and DCA preserve their strongest, though different, dominant wind direction, with transport toward the west and east for SF-derived winds and toward the north and west for DCA-derived winds.

  9. Grain-size variations on a longitudinal dune and a barchan dune

    Science.gov (United States)

    Watson, Andrew

    1986-01-01

    The grain-size characteristics of the sand upon two dunes—a 40 m high longitudinal dune in the central Namib Desert and a 6.0 m high barchan in the Jafurah sand sea of Saudi Arabia—vary with position on the dunes. On the longitudinal dune, median grain size decreases, sorting improves and the grain-size distributions are less skewed and more normalized toward the crest. Though sand at the windward toe is distinct, elsewhere on the dune the changes in grain-size characteristics are gradual. An abrupt change in grain size and sorting near the crest—as described by Bagnold (1941, pp. 226-229)—is not well represented on this dune. Coarse grains remain as a lag on concave slope units and small particles are winnowed from the sand on the steepest windward slopes near the crest. Avalanching down slipfaces at the crest acts only as a supplementary grading mechanism. On the barchan dune median grain size also decreases near the crest, but sorting becomes poorer, though the grain-size distributions are more symmetric and more normalized. The dune profile is a Gaussian curve with a broad convex zone at the apex upon which topset beds had accreted prior to sampling. Grain size increases and sorting improves down the dune's slipface. However, this grading mechanism does not influence sand on the whole dune because variations in wind regime bring about different modes of dune accretion. On both dunes, height and morphology appear to influence significantly the grain-size characteristics.

  10. Dosimetry of beta emitting radionuclides for use in balloon angioplasty

    International Nuclear Information System (INIS)

    Fox, R.A.

    1997-01-01

    The dose at varying distances from the surface of an infinite cylinder containing 90 Y, 32 P and 188 Re respectively is calculated using published scaled point dose kernels for these three radionuclides. It is shown that all are suitable radionuclides for use in the irradiation of arteries subsequent to balloon angioplasty. All three may be used as a radioactive liquid in the angioplasty balloon, thereby simplifying the procedure and enabling a uniform radiation dose to be given to the arterial wall. It is however shown that there is a rapid reduction in dose with distance from the arterial wall which demands careful specification of the prescribed radiation dose. A similar rapid reduction with distance is also found with a central radioactive wire or with a radioactive stent containing the same radionuclides. (author)

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

    Directory of Open Access Journals (Sweden)

    Praveen Vemula

    2014-01-01

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

  12. L'apprentissage du quechua à l'INALCO : Cours de quechua avec Lydia CORNEJO ENDARA

    OpenAIRE

    Cornejo Endara , Lydia; De Pablo , Elisabeth; STOCKINGER , Peter; Legrand , Valérie

    2008-01-01

    Cette vidéo présente un cours de quechua à l'INALCO. Après nous avoir expliqué sa méthode personnelle d'apprentissage de la langue quechua, Lydia Cornejo Endara nous propose de la mettre en application lors d'un cours où les étudiants s'exercent à pratiquer la langue en chantant, en racontant des histoires ou en recréant des situations de la vie courante.La série "Enseigner et apprendre à parler le quechua" que nous vous proposons ici, n'est pas un séminaire à proprement parler, mais une séri...

  13. Dunes Around Khnifiss Lagoon (Tarfaya, SW of Morocco): Composition, Itinerary In Dune Fields, Effects on Dunes' Colours and Morphodynamic

    Science.gov (United States)

    Adnani, M.; Azzaoui, M. A.; Elbelrhiti, H.; Ahmamou, M.; Masmoudi, L.

    2015-12-01

    Dunes around Khnifiss lagoon (28° 3'N, 12°13'W) show different colors ranging from black at the beach, whitish yellow in transverse dunes near the beach to reddish at the mega barchans situated few kilometers in the SW. The scientific question is about the abundance of different dunes in the same environmental conditions. The present work aims to investigate the factors that influence dunes color change, and then at which degree these factors could control dunes stability. To highlight the difference in color observed at the dune fields then to characterize dunes mineralogy, Landsat TM images were used in addition to mineralogical analysis that was carried out for the black grains samples originated from megabarchans. Optic Microscope and SEM- EDS data was adopted, in addition to physico-chemical analysis provided by Electronic Microprobe. Grain size and shape analysis were conducted to characterize the different types of grains of sand. 3/1 Landsat image band ratio allowed iron oxide distinction, the results revealed the importance of iron oxide concentration. Furthermore, mineralogical and physico-chemical analysis revealed (i) a high grade of oxides (Rutile, Ilmenite, Magnetite, Ulvöspinel) in samples, (ii) silicates (Quartz, Clinopyroxene, feldspar, Zircon), (iii) phosphate (apatite) and (iv) carbonate (calcite). The grain size analysis of the sand originated from the megabarchans reveals that there are three populations of sand. Black grains with a diameter less than 100μm and dominated by the magnetite, red ones composed mainly by the quartz with diameter between 100 and 180 μm and grains with diameter more than 180 μm are white and composed by carbonates. The threshold of motion of these different grains was calculated. It shows that these different grains have the same threshold of motion, which means that the grain size compensates the density. This explains the abundance of different populations of sand in the same environment. The dominance of iron

  14. Affections cutaneo-muqueuses au cours de l'Infection a VIH /SIDA ...

    African Journals Online (AJOL)

    Les affections dermatologiques sont fréquentes au cours de l'infection par le virus de l'Immunodéficience Humaine (VIH). Nous avons réalisé une étude prospective de janvier à décembre 2003 au service de l'hôpital du jour de Hôpital Central de Yaoundé, afin de répertorier les affections cutanes et muqueuses associées ...

  15. Transluminal coronary angioplasty in the treatment of silent ischemia

    International Nuclear Information System (INIS)

    Bergin, P.; Myler, R.K.; Shaw, R.E.; Stertzer, S.H.; Clark, D.A.; Ryan, C.; Murphy, M.C.

    1988-01-01

    Fifty-four asymptomatic patients with positive thallium exercise tests underwent coronary angiography followed by coronary angioplasty (PTCA), as the primary therapy for silent ischemia. The procedure was technically successful in 89% of these patients. Emergency bypass graft surgery was necessary in 2 (3.6%) and q-wave myocardial infarction occurred in 1 (1.8%) of these. All fifty-four patients have been followed for a mean of 35 months since angioplasty. Of the 48 patients with initially successful PTCA, 12 had either clinical restenosis (9/14 or 19%) or a new lesion (3/48 or 6%) during follow-up, which required a repeat PTCA. At the longest follow-up, 46 (85%) had been successfully treated with on or more PTCA procedures. Two patients (3.6%) had sustained late q-wave myocardial infarction and two additional patients reported angina pectoris. There were no deaths. Angioplasty as a primary therapy for silent ischemia appears efficacious, with success and restenosis rates comparable to those in the symptomatic population. Event-free survival is improved, compared with natural history data for patients with silent ischemia from other studies. Prudent risk/benefit analysis may help to define subgroups most likely to benefit from this intervention

  16. [Surgical angioplasty of the left main coronary artery].

    Science.gov (United States)

    Vranes, Mile; Velinović, Milos; Kocica, Mladen; Mikić, Aleksandar; Velimirović, Dusan; Djukić, Petar

    2010-01-01

    The conventional treatment for isolated stenosis of the left main coronary artery is bypass surgery (myocardial revascularization). However, the process of atherosclerosis is not arrested by myocardial revascularization and it will lead to the occlusion of the left main coronary artery. Revascularization will establish retrograde perfusion for 50-70% of the myocardium of the left ventricle. Direct surgical angioplasty of the left main coronary artery enables normal physiological perfusion of the whole myocardium and better myocardial function. The aim of our study is to point out a new surgical approach of treating left main coronary artery stenosis. Between October 2002 and October 2003, direct surgical angioplasty of the main left coronary artery was performed on three patients with isolated stenosis of the left main coronary artery using the anterior approach and the pericardium as a patch. The procedure was performed under total endotracheal anaesthesia and standard cardiopulmonary circulation, moderate hypothermia, anterograde St. Tomas cardioplegia and local cooling. Patients were followed clinically, echocardiographically and by load-tests. All three patients were without complications. In postoperative follow-up (54-68 months) neither angina pectoris nor electrocardiographically registered ischaemic changes were found. Load-tests performed every six months on all three patients were negative. Surgical angioplasty of isolated stenosis of the left main coronary artery is a preferred method for treating this type of coronary disease. Contraindications for this type of treatment are stenosis of the left main coronary artery with bifurcation and advanced calcification of the left main coronary artery.

  17. CO laser angioplasty system: efficacy of manipulatable laser angioscope catheter

    Science.gov (United States)

    Arai, Tsunenori; Kikuchi, Makoto; Mizuno, Kyoichi; Sakurada, Masami; Miyamoto, Akira; Arakawa, Koh; Kurita, Akira; Nakamura, Haruo; Takeuchi, Kiyoshi; Utsumi, Atsushi; Akai, Yoshiro

    1992-08-01

    A percutaneous transluminal coronary angioplasty system using a unique combination of CO laser (5 micrometers ) and As-S infrared glass fiber under the guidance of a manipulatable laser angioscope catheter is described. The ablation and guidance functions of this system are evaluated. The angioplasty treatment procedure under angioscope guidance was studied by in vitro model experiment and in vivo animal experiment. The whole angioplasty system is newly developed. That is, a transportable compact medical CO laser device which can emit up to 10 W, a 5 F manipulatable laser angioscope catheter, a thin CO laser cable of which the diameter is 0.6 mm, an angioscope imaging system for laser ablation guidance, and a system controller were developed. Anesthetized adult mongrel dogs (n equals 5) with an artificial complete occlusion in the femoral artery and an artificial human vessel model including occluded or stenotic coronary artery were used. The manipulatability of the catheter was drastically improved (both rotation and bending), therefore, precise control of ablation to expand stenosis was obtained. A 90% artificial stenosis made of human yellow plaque in 4.0 mm diameter in the vessel was expanded to 70% stenosis by repetitive CO laser ablations of which total energy was 220 J. All procedures were performed and controlled under angioscope visualization.

  18. Below knee angioplasty in elderly patients: Predictors of major adverse clinical outcomes.

    LENUS (Irish Health Repository)

    Keeling, Aoife N

    2011-03-01

    To determine predictors of clinical outcome following percutaneous transluminal angioplasty (PTA) in elderly patients with below knee atherosclerotic lesions causing intermittent claudication (IC) or critical limb ischaemia (CLI).

  19. Usefulness of cutting balloon angioplasty for the treatment of congenital heart defects.

    Science.gov (United States)

    Kusa, Jacek; Mazurak, Magdalena; Skierska, Agnieszka; Szydlowski, Leslaw; Czesniewicz, Pawel; Manka, Lukasz

    2018-01-01

    Patients with complex congenital heart defects may have different hemodynamic prob-lems which require a variety of interventional procedures including angioplasty which involves using high-pressure balloons. After failure of conventional balloon angioplasty, cutting balloon angioplasty is the next treatment option available. The purpose of this study was to evaluate the safety and efficacy of cutting balloon angioplasty in children with different types of congenital heart defects. Cutting balloon angioplasty was performed in 28 children with different congenital heart defects. The indication for cutting balloon angioplasty was: pulmonary artery stenosis in 17 patients, creating or dilatation of interatrial communication in 10 patients, and stenosis of left subclavian artery in 1 patient. In the pulmonary arteries group there was a significant decrease in systolic blood pressure (SBP) in the proximal part of the artery from the average 74.33 ± 20.4 mm Hg to 55 ± 16.7 mm Hg (p cutting balloon angioplasty was performed after an unsuccessful classic Rashkind procedure. After cutting balloon angioplasty there was a significant widening of the interatrial communication. Cutting balloon angioplasty is a feasible and effective treatment option in different con-genital heart defects.

  20. Dynamics of a cliff top dune

    Science.gov (United States)

    Rasmussen, K. R.

    2012-12-01

    Morphological changes during more than 100 years have been investigated for a cliff-top dune complex at Rubjerg at the Danish North Sea coast. Here the lower 50 m of the cliff front is composed of Pleistocene steeply inclined floes of silt and clay with coarse sand in between which gives it a saw-tooth appearance. On top of this the dunes are found for several kilometres along the coastline. Due to erosion by the North Sea the cliff has retreated about 120 m between approximately 1880 and 1970 as indicated from two national surveys, and recent GPS-surveys indicate that erosion is continuing at a similar rate. Nevertheless the cliff top dune complex has survived, but its morphology has undergone some changed. The old maps indicate that around 1880 the dune complex was composed of several up to about 20 m high dunes streamlined in the East-West direction which is parallel to the prevailing wind direction. When protective planting started during the first half of the 20th Century the cliff top dunes gradually merged together forming a narrow, tall ridge parallel to the shore line with the highest part reaching about 90 m near 1970. In 1993 the highest points along the ridge was almost 95 m high, but then the protective planting was considerably reduced and recent annual GPS-surveys indicate that the dunes respond quickly to this by changing their morphology towards the original appearance. It is remarkable that despite the mass wasting caused by the constant erosion of the cliff front the dunes have remained more or less intact. Theoretical studies of hill flow indicate given the proper geometry of the cliff then suspension of even coarse grains can be a very effective agent for carrying sand from the exposed parts of the cliff front to and beyond the cliff-top. Mostly the sand grains are deposited within some hundred meters downwind of the cliff dune while silt is often carried more than 10 km inland. Field observations indicate that where the dislodged floes and

  1. Linking restoration ecology with coastal dune restoration

    Science.gov (United States)

    Lithgow, D.; Martínez, M. L.; Gallego-Fernández, J. B.; Hesp, P. A.; Flores, P.; Gachuz, S.; Rodríguez-Revelo, N.; Jiménez-Orocio, O.; Mendoza-González, G.; Álvarez-Molina, L. L.

    2013-10-01

    Restoration and preservation of coastal dunes is urgently needed because of the increasingly rapid loss and degradation of these ecosystems because of many human activities. These activities alter natural processes and coastal dynamics, eliminate topographic variability, fragment, degrade or eliminate habitats, reduce diversity and threaten endemic species. The actions of coastal dune restoration that are already taking place span contrasting activities that range from revegetating and stabilizing the mobile substrate, to removing plant cover and increasing substrate mobility. Our goal was to review how the relative progress of the actions of coastal dune restoration has been assessed, according to the ecosystem attributes outlined by the Society of Ecological Restoration: namely, integrity, health and sustainability and that are derived from the ecological theory of succession. We reviewed the peer reviewed literature published since 1988 that is listed in the ISI Web of Science journals as well as additional references, such as key books. We exclusively focused on large coastal dune systems (such as transgressive and parabolic dunefields) located on natural or seminatural coasts. We found 150 articles that included "coastal dune", "restoration" and "revegetation" in areas such as title, keywords and abstract. From these, 67 dealt specifically with coastal dune restoration. Most of the studies were performed in the USA, The Netherlands and South Africa, during the last two decades. Restoration success has been assessed directly and indirectly by measuring one or a few ecosystem variables. Some ecosystem attributes have been monitored more frequently (ecosystem integrity) than others (ecosystem health and sustainability). Finally, it is important to consider that ecological succession is a desirable approach in restoration actions. Natural dynamics and disturbances should be considered as part of the restored system, to improve ecosystem integrity, health and

  2. Dune management challenges on developed coasts

    Science.gov (United States)

    Elko, Nicole A.; Brodie, Kate; Stockdon, Hilary F.; Nordstrom, Karl F.; Houser, Chris; McKenna, Kim; Moore, Laura; Rosati, Julie D.; Ruggiero, Peter; Thuman, Roberta; Walker, Ian J.

    2015-01-01

    From October 26-28, 2015, nearly 100 members of the coastal management and research communities met in Kitty Hawk, NC, USA to bridge the apparent gap between the coastal dune research of scientists and engineers and the needs of coastal management practitioners. The workshop aimed to identify the challenges involved in building and managing dunes on developed coasts, assess the extent to which scientific knowledge can be applied to the management community, and identify approaches to provide means to bridge the gap between needs and potential solutions.

  3. Optical Dating of Holocene Dune Sands in the Ferris Dune Field, Wyoming

    Science.gov (United States)

    Stokes, Stephen; Gaylord, David R.

    1993-05-01

    Optical dating of late Quaternary quartz dune sands from the Clear Creek portion of Ferris dune field, Wyoming, demonstrates the considerable potential of the technique as a chronostratigraphic tool. A sequence of radiocarbon-dated Holocene interdune strata permit optical dating of the intercalated dune sand to be tested; the concordance is good. The optical dates for the aeolian deposits not datable by radiocarbon suggest that aeolian sedimentation at Clear Creek peaked during two relatively short phases at ca. 8500 and 4000 yr B.P. The dates indicate that aeolian accumulation maxima (at least in the Clear Creek area) may not be synchronous with previously defined phases of marked aridity.

  4. Sand dune movement in the Victoria Valley, Antarctica

    Science.gov (United States)

    Bourke, Mary C.; Ewing, Ryan C.; Finnegan, David; McGowan, Hamish A.

    2009-08-01

    We use vertical aerial photographs and LiDAR topographic survey data to estimate dune migration rates in the Victoria Valley dunefield, Antarctica, between 1961 and 2001. Results confirm that the dunes migrated an average of 1.5 m/year. These values are consistent with other estimates of dune migration from cold climate deserts and are significantly lower than estimates from warm deserts. Dune migration rates are retarded by the presence of entrained ice, soil moisture and a reversing wind regime. Dune absorption, merging and limb extension are apparent from the time-series images and account for significant changes in dune form and the field-scale dune pattern. Dune-field pattern analysis shows an overall increase in dune-field organization with an increase in mean dune spacing and a reduction in total crest length and defect density. These data suggest that dunes in other cold desert environments on Earth, Mars or Titan, that may also have inter-bedded frozen laminae, still have the potential to migrate and organize, albeit at lower rates than dunes in warm deserts.

  5. Exploring inner structure of Titan's dunes from Cassini Radar observations

    Science.gov (United States)

    Sharma, P.; Heggy, E.; Farr, T. G.

    2013-12-01

    Linear dunes discovered in the equatorial regions of Titan by the Cassini-Huygens mission are morphologically very similar to many terrestrial linear dune fields. These features have been compared with terrestrial longitudinal dune fields like the ones in Namib desert in western Africa. This comparison is based on the overall parallel orientation of Titan's dunes to the predominant wind direction on Titan, their superposition on other geomorphological features and the way they wrap around topographic obstacles. Studying the internal layering of dunes has strong implications in understanding the hypothesis for their origin and evolution. In Titan's case, although the morphology of the dunes has been studied from Cassini Synthetic Aperture Radar (SAR) images, it has not been possible to investigate their internal structure in detail as of yet. Since no radar sounding data is available for studying Titan's subsurface yet, we have developed another technique to examine the inner layering of the dunes. In this study, we utilize multiple complementary radar datasets, including radar imaging data for Titan's and Earth's dunes and Ground Penetrating Radar (GPR)/radar sounding data for terrestrial dunes. Based on dielectric mixing models, we suggest that the Cassini Ku-band microwaves should be able to penetrate up to ~ 3 m through Titan's dunes, indicating that the returned radar backscatter signal would include contributions from both surface and shallow subsurface echoes. This implies that the shallow subsurface properties can be retrieved from the observed radar backscatter (σ0). In our analysis, the variation of the radar backscatter as a function of dune height is used to provide an insight into the layering in Titan's dunes. We compare the variation of radar backscatter with elevation over individual dunes on Titan and analogous terrestrial dunes in three sites (Great Sand Sea, Siwa dunes and Qattaniya dunes) in the Egyptian Sahara. We observe a strong, positive

  6. Groundwater variables and vegetation in dune slacks

    NARCIS (Netherlands)

    Lammerts, E.J.; Maas, C.; Grootjans, A.P.

    Basiphilous pioneer plant communities, influenced by phreatic groundwater, are endangered in The Netherlands. In dune slacks of the Dutch Wadden Sea islands, their area has also declined, though they still occur fairly frequently. For purposes of nature conservancy it is important to know how to

  7. Wet dune slacks : decline and new opportunities

    NARCIS (Netherlands)

    Dijk, H.W.J. van; Grootjans, A.P.

    1993-01-01

    For a number of infiltrated coastal dune areas it is discussed to what extent artificial infiltration for the public water supply affects the quality of soil, groundwater and vegetation around pools and ponds, and what its effect is on the vegetation. Further, the results of investigations into the

  8. Development of spatially diverse and complex dune-field patterns: Gran Desierto Dune Field, Sonora, Mexico

    Science.gov (United States)

    Beveridge, C.; Kocurek, G.; Ewing, R.C.; Lancaster, N.; Morthekai, P.; Singhvi, A.K.; Mahan, S.A.

    2006-01-01

    The pattern of dunes within the Gran Desierto of Sonora, Mexico, is both spatially diverse and complex. Identification of the pattern components from remote-sensing images, combined with statistical analysis of their measured parameters demonstrate that the composite pattern consists of separate populations of simple dune patterns. Age-bracketing by optically stimulated luminescence (OSL) indicates that the simple patterns represent relatively short-lived aeolian constructional events since ???25 ka. The simple dune patterns consist of: (i) late Pleistocene relict linear dunes; (ii) degraded crescentic dunes formed at ???12 ka; (iii) early Holocene western crescentic dunes; (iv) eastern crescentic dunes emplaced at ???7 ka; and (v) star dunes formed during the last 3 ka. Recognition of the simple patterns and their ages allows for the geomorphic backstripping of the composite pattern. Palaeowind reconstructions, based upon the rule of gross bedform-normal transport, are largely in agreement with regional proxy data. The sediment state over time for the Gran Desierto is one in which the sediment supply for aeolian constructional events is derived from previously stored sediment (Ancestral Colorado River sediment), and contemporaneous influx from the lower Colorado River valley and coastal influx from the Bahia del Adair inlet. Aeolian constructional events are triggered by climatic shifts to greater aridity, changes in the wind regime, and the development of a sediment supply. The rate of geomorphic change within the Gran Desierto is significantly greater than the rate of subsidence and burial of the accumulation surface upon which it rests. ?? 2006 The Authors. Journal compilation 2006 International Association of Sedimentologists.

  9. Percutaneous transluminal angioplasty of iliac and femoral arteries in severe lower-limb ischaemia

    DEFF Research Database (Denmark)

    Jørgensen, B; Henriksen, L O; Karle, A

    1988-01-01

    angioplasty) or persistent greater than or equal to 0.15 rise in arm/ankle blood pressure index (femoropopliteal angioplasty). The respective technical success rates were 82% and 64%. The complication rate was 10.9%, including 5.4% distal embolization. Patency rates were higher in iliac than...

  10. Impact of Diabetes on Long-Term Outcome After Primary Angioplasty

    DEFF Research Database (Denmark)

    De Luca, Giuseppe; Dirksen, Maurits T; Spaulding, Christian

    2012-01-01

    Diabetes has been shown to be associated with worse survival and repeat target vessel revascularization (TVR) after primary angioplasty. The aim of the current study was to evaluate the impact of diabetes on long-term outcome in patients undergoing primary angioplasty treated with bare metal sten...

  11. Percutaneous transluminal angioplasty of the superficial femoral artery by retrograde catheterization via the popliteal artery

    DEFF Research Database (Denmark)

    Tønnesen, K H; Sager, P; Karle, A

    1988-01-01

    We report the results of 50 angioplasty procedures via the popliteal artery. A 3-year follow-up including control of blood pressures at ankle and toe levels show results comparable to reports in the literature. This new approach for angioplasty of the superficial femoral artery and eventually of ...

  12. Contribution a l'etude et a la conception d'une machine synchrone a flux transverse destinee au degivrage d'aeronefs en cours de vol

    Science.gov (United States)

    Boussetoua, Mohammed

    During winter, the climate in the northern region is known for its icing and freezing conditions. However, emergency services often use helicopters to reach isolated locations. The difficult situations, generally experiences in the North particularly in Quebec, may prevent rescuers to intervene. The main reason preventing such operations is the lack of a de-icing system in the small helicopter blades. The overall objective of the project is research, development, design and manufacture of a system composed of an on-board rotating low speed generator and heating elements. It consumes a part of the power supplied by the turbine through the axis of the main rotor of the small aircraft and converts it to electrical power to be used by the heating elements. This innovation will allow to fly safely everywhere throughout the year protect the lives of the users even in the worst weather conditions. Firstly, the research focuses on the identification of problems related to the use of protection systems against the hoarfrost on main rotor blades of different aircrafts during flight. In this phase, we specifically focused on the difficulties encountered by the aircraft companies using the existing and operational systems for protection against hoarfrost. Main rotor blades are difficult to protect on helicopters. Several systems were considered by the helicopter manufacturers, such as electrothermal systems, pneumatic systems or using anti-icing fluids. In the current state of technological knowledge, all helicopters that have been certified to fly in icing conditions use electrothermal systems for protection against hoarfrost on their main rotor Small helicopters addressed by this work, are forbidden to fly in icing conditions due to lack of energy source to operate these systems. The electrothermal system has been considered for this thesis work to protect the main rotor blades of small aircraft in-flight. The second part of this thesis is based on the source of power feeding the hearting system. In recent years, numerous research studies have started on the development of electromechanical system converters for various applications, such as transport by road, rail or aviation. The development of new low-speed, low-weight electric machines and their very high degree of compactness has become a very promising alternative. This project strongly interests many industries in the field of air transport. The transverse flux machine is considered as a compact structure having better mass power compared to other electrical machines. The design of transverse flux machine was the subject of an electromagnetic study. Also, the analytical study helped to determine the overall dimensions of the machine. The study was followed by a validation phase of the analytical model using numerical simulations. These two studies were intended to determine changes in the characteristics of the transverse flux machine according to the different geometric dimensions of its active parts. From the calculations made using analytical and numerical models, a prototype of the transverse flux machine (600 W, 320 RPM) was designed and manufactured in the AMIL laboratory at the Universite du Quebec a Chicoutimi (UQAC). A bench test was conducted to compare the theoretical and experimental results. The measurements obtained on this prototype were compared with the theoretical results. This phase of the study demonstrates with satisfaction, the reliability of the theoretical models developed. Finally, a new configuration of this machine has been proposed. Numerical simulation results of this structure are particularly encouraging and require further investigations. For logistical and financial reasons, the prototype of this configuration has not been manufactured. (Abstract shortened by UMI.)

  13. The Single-Phase ProtoDUNE Technical Design Report

    Energy Technology Data Exchange (ETDEWEB)

    Abi, B. [Univ. of Padova (Italy); et al.

    2017-06-21

    ProtoDUNE-SP is the single-phase DUNE Far Detector prototype that is under construction and will be operated at the CERN Neutrino Platform (NP) starting in 2018. ProtoDUNE-SP, a crucial part of the DUNE effort towards the construction of the first DUNE 10-kt fiducial mass far detector module (17 kt total LAr mass), is a significant experiment in its own right. With a total liquid argon (LAr) mass of 0.77 kt, it represents the largest monolithic single-phase LArTPC detector to be built to date. It's technical design is given in this report.

  14. Rip Currents, Mega-Cusps, and Eroding Dunes

    OpenAIRE

    Thornton, E.B.; MacMahan, J.; Sallenger, A.H.

    2006-01-01

    Submitted to Marine Geology 1 November 2006 Dune erosion is shown to occur at the embayment of beach mega-cusps O(200m alongshore) that are associated with rip currents. The beach is the narrowest at the embayment of the mega-cusps allowing the swash of large storm waves coincident with high tides to reach the toe of the dune, to undercut the dune and to cause dune erosion. Field measurements of dune, beach, and rip current morphology are acquired along an 18 km shoreline in southern Mont...

  15. Carotid angioplasty and stent placement for restenosis after endarterectomy

    International Nuclear Information System (INIS)

    Kadkhodayan, Yasha; Moran, Christopher J.; Cross, DeWitte T.; Derdeyn, Colin P.

    2007-01-01

    Recurrent carotid stenosis following endarterectomy is a common complication, and reoperation may be associated with increased morbidity. The goal of this study was to determine the procedural safety and long-term complication rates of carotid angioplasty and stenting for recurrent stenosis. Of 248 consecutive carotid angioplasty and/or stenting procedures performed at our institution between March 1996 and November 2005, 83 procedures for recurrent stenosis following endarterectomy were performed in 75 patients (mean age 68 years; 43 men, 32 women) without cerebral protection devices. The patients' medical records were retrospectively reviewed for vascular imaging reports and available clinical follow-up. Procedural and long-term complication rates were calculated. Recurrent stenosis was reduced from a mean of 80.6% to no significant stenosis in 82 of 83 procedures. The procedural stroke rate was 3 out of 83 procedures (3.6%). The procedural transient ischemic attack (TIA) rate was 2 out of 83 procedures (2.4%). Mean follow-up was 22.4 months (range 0.1 to 86.7 months) with at least 6 months follow-up for 54 of 83 procedures (65%). There were five TIAs and no strokes on follow-up (new TIAs at 25.5 and 43.4 months; recurrent TIAs at 1, 11.1, and 12 months, all with normal angiograms). The composite 30-day stroke, myocardial infarction, or death rate was 5 of 83 procedures (6.0%). In this series, angioplasty and stenting were effective in relieving stenosis secondary to recurrent carotid disease after endarterectomy, and have low rates of ischemic complications. (orig.)

  16. Primary balloon angioplasty for symptomatic, high-grade intracranial stenosis.

    Science.gov (United States)

    Tomycz, Luke; Bansal, Neil K; Lockney, Tim; Strothers, Megan; Connors, John J; Shay, Scott; Singer, Robert J

    2013-01-01

    In light of recent controversy about the safety and efficacy of intracranial stenting, we sought to evaluate our experience with primary balloon angioplasty for symptomatic, high-grade intracranial stenosis. All intracranial angioplasty cases performed at Vanderbilt University Medical Center from 2006 to 2011 were retrospectively reviewed for degree of stenosis pre- and post-procedure. Immediate peri-procedural complications were evaluated as well as one-month and long-term outcomes. A total of 26 patients were included in the study with a mean age of 63.0 years and a mean follow-up of 350.2 days. The average pre-procedure stenosis was 71.2%. The immediate, average post-procedure stenosis was 46.6%, and the average post-procedure stenosis at last angiographic follow-up was 44.5%. Retreatment was required in only 3.8% of patients. The primary end-point of major stroke or death at 30 days was observed in 11.5%, and the overall intra-procedural complication rate was 7.7%. The incidence of stroke or death at last follow-up was 15.4%, which is comparable to the one-year stroke or death rate in the medical arm of the SAMPRISS trial. In this retrospective series, primary balloon angioplasty was found to be effective as a treatment option for symptomatic intracranial stenosis with the risk of stroke or death at 30 days higher than the medical arm of SAMPRIS but lower than the stenting arm. The one-year risk of stroke was comparable to that reported for the one-year outcomes in the SAMPRISS medical arm.

  17. Coastal Dunes of the Baltic Sea Shores: A Review

    Directory of Open Access Journals (Sweden)

    Łabuz Tomasz Arkadiusz

    2018-03-01

    Full Text Available The article summarises results of studies conducted along the Baltic Sea sandy coasts by scientists involved in coastal dune research, and presents an attempt to describe the types and distribution of dune coasts. The Baltic Sea coasts feature lower and higher foredunes. The lowland behind the coastal dune belt is covered by wandering or stabilised inland dunes – transgressive forms, mainly parabolic or barchans. The source of sediment for dune development includes fluvioglacial sands from eroded coasts, river-discharged sand, and older eroded dunes. Due to the ongoing erosion and coastal retreat, many dunes have been eroded, and some are withdrawing onto the adjacent land. There are visible differences between the south-eastern, western, and northern parts of the Baltic Sea coast with respect to dune development. The entire southern and eastern coast abounds in sand, so the coastal dunes are large, formerly or currently wandering formations. The only shifting dunes are found at the Polish and the Russian–Lithuanian coasts on the Łebsko Lake Sandbar as well as on the Vistula and Curonian Spits. The very diverse shoreline of the south-western coast experiences a scarcity of larger sandy formations. Substantial parts of the Baltic Sea sandy coasts have been eroded or transformed by humans. The northern part of the Baltic Sea coast features mainly narrow and low sandy coasts (e.g. in Estonia. Further north, sandy dunes are virtually absent.

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

    DEFF Research Database (Denmark)

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

    2015-01-01

    Periodontitis is a chronic, bacterially-induced inflammatory disease of the tooth-supporting tissues, which may result in transient bacteremia and a systemic inflammatory response. Periodontitis is associated with coronary artery disease independently of established cardiovascular risk factors...... and purification steps, and demonstration of sensitivity levels of 25-125 colony forming units (CFU), we did not detect bacterial DNA from any of the coronary angioplasty balloons. A subsequent questionnaire indicated that the prevalence of periodontitis in the study cohort was at least 39.5%. Although coronary...

  19. Long-term results of brachiocephalic artery percutaneous transluminal angioplasty

    International Nuclear Information System (INIS)

    Mc Namara, T.O.; Gardner, K.

    1990-01-01

    This paper establishes the ling-term and angiographic sequelae of percutaneous transluminal angioplasty (PTA) of stenoses of the origins of the brachycephalic arteries. From November of the proximal segments of the brachycephalic arteries. Clinical follow-up after PTA was 45 months. Two patients had recurrence of vertigo, after 16 and 75 months. There was no evidence of restenosis in the patient whose recurrence was after 16 months, but considerable restenosis was noted in the patient whose symptoms recurred after 75 months. That patient underwent successful repeated PTA

  20. Endovascular stent-support angioplasty for cerebral venous sinus stenosis

    Directory of Open Access Journals (Sweden)

    Xin-feng LI

    2011-06-01

    Full Text Available Objective To investigate the pathophysiological features of cerebral venous sinus stenosis,and the modus and therapeutic effect of stent-support angioplasty.Methods The clinical data of 36 patients with cerebral venous sinus stenosis,admitted to Neurosurgical Department of General Hospital of PLA from Dec.2001 to Jun.2010,were retrospectively analyzed.Of the 36 cases,10 were males and 26 females,aged from 14 to 57 years with a mean of 37.8 years,and the disease course ranged from 4 days to 9 years.The main clinical manifestations included headache,vomiting,optical visual blurring,and limb weakness with anesthesia in some patients.The diagnosis of all patients was confirmed by digital subtraction angiography,and the results showed that the local stenosis located in right transverse-sigmoid sinus in 21 cases,left transverse-sigmoid sinus in 12 cases,and on both sides in 3 cases.All patients received thrombolytic therapy via carotid artery or a microcatheter inserted in the venous sinus,followed by stent angioplasty of venous sinus.Meanwhile,general anticoagulant and antiplatelet therapy were essential.Results All the 36 patients were successively treated with balloon dilatation and stent angioplasty of venous sinus with exception of 3 cases,who failed because of the circuitous jugular foramen preventing the insertion of the stent.The successful rate was 91.7%.The cerebrospinal fluid pressure of the patients was lowered from 374.7±82.9mmH2O before operation to 230.3±48.1mmH2O after operation.Thirty-three patients were followed-up for 1 month to 8 years by brain angiography and examinations in the outpatient clinic.Among them 32 showed persistent relief of clinical symptoms.The remaining patient presented severe headache and optical visual blurring 1 month after stent implantation,however the symptoms were alleviated obviously after thrombolytic therapy via the carotid artery with adequate anticoagulation.Conclusions Stent angioplasty of venous

  1. Risk assessment after coronary angioplasty with SPECT myocardial perfusion studies

    International Nuclear Information System (INIS)

    Camilletti, Jorge A.; Erriest, Juan; Mele, Anibal A.

    2007-01-01

    The chest pain can be use for stratifying the risk of the patients after coronary angioplasty. Nevertheless this strategy has shown to have a low accuracy in the detection of restenosis and myocardial ischemia. Aims: To establish the usefulness of the SPECT studies in the risk stratification after the coronary angioplasty. Evaluate the incidence of silent ischemia or symptomatic, and its impact on the prognosis. Method: There were included 107 patients (p) submitted to a gated SPECT between the year of the coronary angioplasty. The analysis of the images was performed according to different scores (SSS, SRS, SDS). These data was correlated with the symptoms of the patients. We define group 1 (G1) as the asymptomatic without ischemia (n 59p), group 2 (G2) as silent ischemia (n = 28p) and group 3 (G3) as symptomatic with ischemia (n = 20p). A clinical follow-up was done in search of events (target vessel revascularization, unstable angina, AMI and death). Results: Significant differences were not observed in the clinical variables between the different groups. The SSS was lower in the G1 compare with G2 and G3 (p 0.0001) and was similar between the last two, p = NS (SSS: G1: 2.2 ± 4.9; G2: 7.6 ± 5.9; G3: 9.5 ± 6.8). The SDS was greater in G3 vs. G1 and G2, p = 0.0001, and greater in G2 vs. G1, p = 0.0001 (SDS: G1: 0; G2: 4.8 ± 3.5; G3: 7.2 ± 6.5). No differences where observed in the SRS between the three groups. In the follow-up the total percentage of events was lesser when compare the G1 with the G2 and G3 (G1: 3.3%; G2 and G3: 18.7%; p 0.02). The percentage of annual events of the G3 symptomatic with ischemia (11.03%) and G2 silent ischemia (4.04%) did not present differences (p 0.7). When the events of the G2 (4.04%) were compared with the G1 (1.24%) we observed a trend to major frequency of events in the G2 (p = 0.6). Conclusions: The presence of myocardial ischemia after coronary angioplasty is a determinant of the prognosis. Nevertheless, the extension

  2. Subintimal angioplasty in femoropopliteal region-Mid-term results

    International Nuclear Information System (INIS)

    Koecher, Martin; Cerna, Marie; Utikal, Petr; Kozak, Jiri; Sisola, Ivan; Thomas, Rohit P.; Bachleda, Petr; Drac, Petr; Sekanina, Zdenek; Langova, Katerina

    2010-01-01

    Purpose: Subintimal angioplasty is becoming more frequently used treatment option for patients with long arterial occlusions or diffuse atherosclerotic changes as an alternative to surgical treatment in claudicants especially in patients with critical limb ischemia. The aim of our article is to retrospectively assess mid-term outcomes of subintimal angioplasty of chronic arterial occlusions in femoropopliteal region followed clinically and by Doppler ultrasonography. Materials and methods: From May 2002 to December 2007, 133 femoropopliteal artery occlusions in 123 patients were indicated for subintimal recanalisation. The indications for treatment were intermittent claudications in 84 patients (63.15%) and critical limb ischemia in 49 patients (36.85%). The median length of lesions was 11.4 cm, range 2-30 cm. Except doppler ultrasonographic examination done 24 h after the procedure and clinical examination before discharge, both clinical and ultrasonographic examinations were performed 6 and 12 months after the procedure and yearly thereafter. Statistical analysis of our cohort was performed by Kaplan-Meier analysis, log-rank test and Cox regression. Results: Technical success was achieved in 86.46%. Primary patency rate was 83.1% (SE: 3.9%), 67.5% (SE: 5%), 58% (SE: 5.9%) a 48.4% (SE: 7.1%) at 6, 12, 24 and 36 months respectively. No statistically significant difference of primary patency was found between the group of claudicants and the group of patient with critical limb ischemia. Statistically significant prediction factors for primary patency were only the quality of the run off and the length of the occlusion. Limb salvage rate in our group of patients with critical limb ischemia was 80.8% at 12 months. Conclusion: Subintimal recanalisation is a simple and safe procedure for treatment of chronic peripheral arterial occlusions with high primary technical success rate, acceptable primary patency rate, low percentage of complications and mortality is as low as

  3. Réception des cours magistraux avec support projeté en contexte universitaire

    Directory of Open Access Journals (Sweden)

    Dufour Sophie

    2012-07-01

    Full Text Available Les cours magistraux sont mixtes, utilisant à la fois l’oral et l’écrit. Comme dans d’autres formes d’enseignement universitaire, de nouveaux écrits y prennent une place de plus en plus importante. Ce sont des genres écrits spécifiques générés en particulier par les Tice et les logiciels de type PowerPoint. Ces supports ont une influence sur l’activité des étudiants exposés à ce double flux d’informations écrites et orales. Il s’agit d’une part de mieux observer le fonctionnement dynamique de ces combinaisons synchrones oralographiques, et, d’autre part, d’en observer les conséquences sur le travail de réception et de stabilisation, par les étudiants. Nous nous inscrivons ici dans la lignée des travaux menés depuis plusieurs années au sein de notre laboratoire sur l’analyse des cours magistraux, qui ont mis en évidence un certain nombre de phénomènes discursifs et contextuels susceptibles d’avoir un impact sur leur réception par les étudiants. L'enquête réalisée en entretiens semis-guidés auprès d’étudiants de cursus divers qui a fourni les données à la base du travail que nous proposons, permettra dans un premier temps d'approcher les comportements de réception des étudiants en CM. Nous aborderons ensuite la complémentarité discursive existant entre le discours oral de l’enseignant en CM et l’écrit public qu’il projette à son auditoire sous forme de PPT. Enfin nous évaluerons l’intérêt que les étudiants peuvent entrevoir dans la mise à disposition via des plateformes de cours de type BV soit avant, soit après le cours du PPT proposé par l’enseignant.

  4. La baisse de la densité osseuse au cours des maladies ...

    African Journals Online (AJOL)

    Introduction: La baisse de la densité minérale osseuse représente la principale manifestation osseuse décrite au cours des maladies inflammatoires chroniques de l'intestin. En Tunisie, très peu d'études ont rapportés sa prévalence et ses facteurs de risque. Le but de ce travail était de déterminer la prévalence de la perte ...

  5. A randomized trial comparing primary angioplasty versus stent placement for symptomatic intracranial stenosis

    Science.gov (United States)

    Qureshi, Adnan I; Chaudhry, Saqib A; Siddiq, Farhan; Majidi, Shahram; Rodriguez, Gustavo J; Suri, M Fareed K

    2013-01-01

    Background: Both primary angioplasty alone and angioplasty with a self-expanding stent have been compared in non-randomized concurrent clinical studies that suggest equivalent results. However, there is no randomized trial that has compared the two procedures in patients with symptomatic high grade intracranial stenosis. Objective: The primary aim of the randomized trial was to compare the clinical and angiographic efficacy of primary angioplasty and angioplasty followed by stent placement in preventing restenosis, stroke, requirement for second treatment, and death in patients with symptomatic intracranial stenosis. Methods: The study prospectively evaluated efficacy and safety of the two existing neurointerventional techniques for treatment of moderate intracranial stenosis (stenosis ≥ 50%) with documented failure of medical treatment or severe stenosis (≥70%) with or without failure of medical treatment. Results: A total of 18 patients were recruited in the study (mean age [±SD] was 64.7 ± 15.1 years); out of these, 12 were men. Of these 18, 10 were treated with primary angioplasty and 8 were treated with angioplasty followed by self-expanding stent. The technical success rates of intracranial angioplasty and stent placements defined as ability to achieve <30% residual stenosis when assessed by immediate post-procedure angiography was 5 of 10 and 5 of 8 patients, respectively. The total fluoroscopic time (mean [±SD]) was lower in patients undergoing primary angioplasty 37 [±11] min versus those undergoing angioplasty followed by self-expanding stent 42 [±15] min, P = 0.4321. The stroke and death rate within 1 month was very low in both patient groups (1 of 10 versus 0 of 8 patients). One patient randomized to stent placement continued to have recurrent ischemic symptoms requiring another angioplasty in the vertebral artery on post-procedure Day 2. Conclusions: The trial suggests that a randomized trial comparing primary angioplasty to angioplasty

  6. Early Results of Retrograde Transpopliteal Angioplasty of Iliofemoral Lesions

    International Nuclear Information System (INIS)

    Saha, Saumitra; Gibson, Matthew; Magee, Timothy R.; Galland, Robert B.; Torrie, E. Peter H.

    2001-01-01

    Purpose: To assess whether the retrograde transpopliteal approach is a safe, practical and effective alternative to femoral puncture for percutaneous transluminal angioplasty (PTA).Methods: Forty PTAs in 38 patients were evaluated. Intentional subintimal recanalization was performed in 13 limbs. Ultrasound evaluation of the popliteal fossa was carried out 30 min and 24 hr post procedurally in the first 10 patients to exclude local complications. All patients had a follow-up of at least 6 weeks.Results: The indication for PTA was critical ischemia in seven limbs and disabling claudication in the remainder.Stenoses (single or multiple) were present in 24 and occlusion in 15.The superficial femoral artery (SFA) was the commonest segment affected(36) followed by common femoral artery (CFA) in four and iliac artery in four. Technical success was achieved in 38 of 39 limbs where angioplasty was carried out. In one limb no lesion was found.Immediate complications were distal embolization in two and thrombosis in one. None of these required immediate surgery. There were no puncture site hematomas or popliteal arteriovenous fistulae.Symptomatic patency at 6 weeks was 85%. Further reconstructive surgery was required in three limbs and amputation in two.Conclusion: The transpopliteal approach has a high technical success rate and a low complication rate with a potential to develop into an outpatient procedure. It should be considered for flush SFA occulsions or iliac disease with tandem CFA/SFA disease where the contralateral femoral approach is often technically difficult

  7. Controls on desert dune activity - a geospatial approach

    Science.gov (United States)

    Lancaster, N.; Hesse, P. P.

    2017-12-01

    Desert and other inland dunes occur on a wide spectrum of activity (defined loosely as the proportion of the surface area subject to sand movement) from unvegetated to sparsely vegetated "active" dunes through discontinuously vegetated inactive dunes to completely vegetated and degraded dunes. Many of the latter are relicts of past climatic conditions. Although field studies and modeling of the interactions between winds, vegetation cover, and dune activity can provide valuable insights, the response of dune systems to climate change and variability past, present, and future has until now been hampered by the lack of pertinent observational data on geomorphic and climatic boundary conditions and dune activity status for most dune areas. We have developed GIS-based approach that permits analysis of boundary conditions and controls on dune activity at a range of spatial scales from dunefield to global. In this approach, the digital mapping of dune field and sand sea extent has been combined with systematic observations of dune activity at 0.2° intervals from high resolution satellite image data, resulting in four classes of activity. 1 km resolution global gridded datasets for the aridity index (AI); precipitation, satellite-derived percent vegetation cover; and estimates of sand transport potential (DP) were re-sampled for each 0.2° grid cell, and dune activity was compared to vegetation cover, sand transport potential, precipitation, and the aridity index. Results so far indicate that there are broad-scale relationships between dunefield mean activity, climate, and vegetation cover. However, the scatter in the data suggest that other local factors may be at work. Intra-dune field patterns are complex in many cases. Overall, much more work needs to be done to gain a full understanding of controls at different spatial and temporal scales, which can be faciliated by this spatial database.

  8. INLAND DUNE VEGETATION OF THE NETHERLANDS

    Directory of Open Access Journals (Sweden)

    R. HAVEMAN

    2003-01-01

    Full Text Available Drifting sands in the Netherlands are the result of human over-exploitation (sod-cutting, over-grazing of woodlands and heathlands. The most important association of inland sand dune areas is the Spergulo-Corynephoretum (Corynephorion canescentis, which is poor in vascular plants, but in it older stager rich in mosses and especially lichens. In the Netherlands, the area of drifting sand is reduced dramatically in the last 70 years. mainly by afforestation and spontaneous succession.

  9. Cours Sécurité : Sensibilisation aux gestes et postures de travail

    CERN Multimedia

    DGS Unit

    2010-01-01

    Prochaine session le 21 octobre 2010. 12 places disponibles. Ce cours concerne toutes les personnes appelées à réaliser des manutentions manuelles dans le cadre de leurs activités. Contenu du cours : Théorie - Présentation des objectifs du programme ; - L'accident du travail (définition, coûts) ; - Statistiques CNAM ; - Notion d'anatomie (mécanique humaine) ; - Les différentes pathologies (lumbago, sciatique, hernie discale) ; - Discussion sur les problèmes particuliers rencontrés dans la vie courante. Pratique - Les efforts mécaniques sur la colonne dus aux mauvaises postures ; - Les principes de base de l'utilisation de la mécanique humaine ; - Exercices pratiques d'application (sur objets divers standards) ; - Prises de vues au caméscope des positions de chacun. Pour vous inscrire : https://edh.cern.ch/Document/Personnel/TRN?new=YES&...

  10. Nouveaux cours de sécurité - French version only

    CERN Multimedia

    2003-01-01

    Ergonomie des postes de travail sur écran 1/2 journée de sensibilisation sur les risques engendrés par une mauvaise posture lors du travail sur écran (mal de dos, fatigue visuelle, douleurs des poignets...) et des bonnes pratiques pour y remédier. Prochaine session le jeudi 5 juin 2003 à 14 heures. Risques liés au bruit 1/2 journée de sensibilisation sur les risques concernant les postes de travail exposés à des forts niveaux sonores et les moyens pour s'en protéger. Prochaines sessions le mercredi 18 juin 2003 - 1 session le matin de 9 h à 12 h30 - 1 session l'après-midi de 14 h à 17h30 Les cours, en français seront gratuits et animés par Clemente Pilly et Ribordy Marion/ PM Postures pur l'ergonomie et par Jacques Coillard /Bureau Véritas pour le bruit. Les programmes détaillés de ces cours et les inscriptions sont accessibles aux adresses suivantes: http://humanresources.web.cern.ch/humanresources/external/training/tech/ENSTEC/P2003/Safety/ergonomie_f.asp http://humanresources.web.cern....

  11. Cours sur le module Snow Knowledge Base (KB) pour les personnes du support (en Francais / slides in English)

    CERN Multimedia

    CERN. Geneva

    2012-01-01

    Peut-être avez-vous entendu parler ou vous avez déjà utilisé le module Knowlege Base de ServiceNow. Ce cours expliquera en détail comment ce module fonctionne et pourquoi on a besoin d’un processus cohérent pour publier, gérer, réviser et archiver les articles d’une façon contrôlée. Le cours s’adresse surtout aux personnes qui vont ou qui ont déjà contribué à la création ou la révision d’articles destinés aux utilisateurs ou bien aux personnes chargées du support. (Note : le cours sera donné en français mais les diapositives PowerPoint seront en anglais).

  12. The influence of depression and anxiety in the development of heart failure after coronary angioplasty.

    Science.gov (United States)

    Gegenava, T; Gegenava, M; Kavtaradze, G

    2009-03-01

    The aim of our study was to investigate the association between history of depressive episode and anxiety and complications in patients after 6 months of coronary artery angioplasty. The research was conducted on 70 patients, the grade of coronary occlusion that would not respond to therapeutic treatment and need coronary angioplasty had been established. Complications were estimated in 60 patients after 6 months of coronary angioplasty. To evaluate depression we used Beck depression scale Anxiety was assessed by Spilberger State-trait anxiety scale. Statistic analysis of the data was made by means of the methods of variation statistics using Students' criterion and program of STATISTICA w 5.0. Complications were discovered in 36 (60%) patients; 24 (40%) patients had not complications. There was not revealed significant statistical differences in depression and anxiety degree in coronary angioplasty period and after 6 months of coronary angioplasty. There was not revealed significant statistical differences in depression and anxiety degree in coronary angioplasty period and after 6 months of coronary angioplasty. Our study demonstrated that complications were revealed in patients who had high degree of depression and anxiety.

  13. Percutaneous transluminal angioplasty (PTA) of supra-aortic arteries especially the internal carotid artery

    Energy Technology Data Exchange (ETDEWEB)

    Kachel, R.; Basche, S. (Medizinische Akademie, Erfurt (Germany, F.R.). Radiologische Klinik); Heerklotz, I.; Grossmann, K. (Medizinische Akademie, Erfurt (Germany, F.R.). Klinik fuer Innere Medizin); Endler, S. (Medizinische Akademie, Erfurt (Germany, F.R.). Klinik fuer Neurologie und Psychiatrie)

    1991-06-01

    We present our experience with 105 patients in whom percutaneous transluminal angioplasty was performed in 112 stenosed or occluded supra-aortic arteries. Symtoms of cerebrovascular and/or vertebrobasilar insufficiency were present in 104 of the 105 patients. The angioplasty was successful in 35 stenoses of the internal carotid artery, 2 stenoses of the common carotid artery, 1 stenosis of the external carotid artery, 15 stenoses of the vertebral artery, 3 stenoses of the innominate artery and 44 stenoses of the subclavian artery. There were only 4 minor-complications (2 haematomas, 1 transient ischemic attack, 1 small thrombus of the internal carotid artery which was detected by 111-indium platelet scintigraphy and treated by thrombendarterectomy before the appearance of neurological symptoms). All patients were symptom free after angioplasty. During the observations period of 3 to 109 months (average 58 months) there were only two cases with re-stenosis after subclavian angioplasty. The results of more than 700 personal and international published percutaneous transluminal angioplasties of supra-aortic arteries are presented. The results suggest that angioplasty of supra-aortic arteries is an effective method. On strict definition of the indications, the complication rate for angioplasty of the supra-aortic arteries is not likely to be higher than that for operative treatment. (orig.).

  14. Annual monsoon rains recorded by Jurassic dunes.

    Science.gov (United States)

    Loope, D B; Rowe, C M; Joeckel, R M

    2001-07-05

    Pangaea, the largest landmass in the Earth's history, was nearly bisected by the Equator during the late Palaeozoic and early Mesozoic eras. Modelling experiments and stratigraphic studies have suggested that the supercontinent generated a monsoonal atmospheric circulation that led to extreme seasonality, but direct evidence for annual rainfall periodicity has been lacking. In the Mesozoic era, about 190 million years ago, thick deposits of wind-blown sand accumulated in dunes of a vast, low-latitude desert at Pangaea's western margin. These deposits are now situated in the southwestern USA. Here we analyse slump masses in the annual depositional cycles within these deposits, which have been described for some outcrops of the Navajo Sandstone. Twenty-four slumps, which were generated by heavy rainfall, appear within one interval representing 36 years of dune migration. We interpret the positions of 20 of these masses to indicate slumping during summer monsoon rains, with the other four having been the result of winter storms. The slumped lee faces of these Jurassic dunes therefore represent a prehistoric record of yearly rain events.

  15. Endovascular Management of the Popliteal Artery: Comparison of Atherectomy and Angioplasty

    Science.gov (United States)

    Semaan, Elie; Hamburg, Naomi; Nasr, Wael; Shaw, Palma; Eberhardt, Robert; Woodson, Jonathan; Doros, Gheorghe; Rybin, Denis; Farber, Alik

    2013-01-01

    Purpose Symptomatic atherosclerotic disease of the popliteal artery presents challenges for endovascular therapy. We evaluated the technical success, complications and midterm outcomes of atherectomy and angioplasty involving the popliteal segment. Methods We conducted a retrospective review of outcomes of popliteal artery intervention using atherectomy or angioplasty performed between 2003 and 2008. Results A total of 56 patients (36% women, age 72.8±12.2 years, 77% critical limb ischemia) underwent popliteal atherectomy (n=18) or angioplasty (n=38). These patients had similar clinical characteristics, TASC/TASC II classification, mean lesion length, and run-off scores. We observed a trend toward higher rates of technical success defined as atherectomy compared to angioplasty (94% vs. 71%, p=0.08). While angioplasty was associated with a higher frequency of arterial dissection (23% vs. 0%, p=0.003), atherectomy was associated with a higher rate of thromboembolic events (22% vs 0%, p=0.01). Adjunctive stenting was used more frequently following angioplasty compared to atherectomy (45% vs. 6%, p=0.005). Thrombolysis was used to treat embolization in 4 patients in the atherectomy group. The improvement in the ankle-brachial index was similar between the two treatment groups. Primary patency of the popliteal artery at 3, 6, and 12 months was 94%, 88%, and 75% in the atherectomy group and 89%, 82%, and 73% in the angioplasty group (p=NS). There were no significant differences in limb salvage and freedom from reintervention at 1 year between the atherectomy and angioplasty groups. Conclusions Our experience with popliteal artery endovascular therapy indicates a distinct pattern of procedural complications with atherectomy compared to angioplasty but similar midterm patency, limb salvage and freedom from intervention. PMID:19942598

  16. Percutaneous balloon angioplasty for the treatment of iliofemoral arterial stenosis resulting from hyperhomocysteinemia in a child

    Energy Technology Data Exchange (ETDEWEB)

    Maynar, Manuel; Lopez-Benitez, Ruben [Diagnostic and Therapeutic Endoluminal Unit, Hospiten Rambla, Tenerife (Spain); Kirsch, David S.; Qian, Zhong [Department of Radiology, Louisiana State University Health Science Center, 1542 Tulane Avenue, LA 70112-2822, New Orleans (United States); Gomez-Sirvent, Jorge [Department of Pediatrics, Hospiten Rambla, Tenerife (Spain); Zerolo-Saez, Ignacio [Department of Surgery, Hospiten Rambla, Tenerife (Spain)

    2003-08-01

    Angioplasty has long been used in the treatment of peripheral arterial occlusive disease with variable long-term results. In this case report, we present a patient with marfanoid features and acute ischemia of the lower extremity. Angioplasty provided us with the means of emergently relieving the acute symptoms. The patient was subsequently found on further work-up to have hyperhomocysteinemia (HC) and appropriate medical therapy was initiated. We conclude that angioplasty should be considered in pediatric patients with acute occlusive limb ischemia, providing excellent immediate results to preserve the limb as well as the time to investigate the underlying causes. (orig.)

  17. Percutaneous balloon angioplasty for the treatment of iliofemoral arterial stenosis resulting from hyperhomocysteinemia in a child

    International Nuclear Information System (INIS)

    Maynar, Manuel; Lopez-Benitez, Ruben; Kirsch, David S.; Qian, Zhong; Gomez-Sirvent, Jorge; Zerolo-Saez, Ignacio

    2003-01-01

    Angioplasty has long been used in the treatment of peripheral arterial occlusive disease with variable long-term results. In this case report, we present a patient with marfanoid features and acute ischemia of the lower extremity. Angioplasty provided us with the means of emergently relieving the acute symptoms. The patient was subsequently found on further work-up to have hyperhomocysteinemia (HC) and appropriate medical therapy was initiated. We conclude that angioplasty should be considered in pediatric patients with acute occlusive limb ischemia, providing excellent immediate results to preserve the limb as well as the time to investigate the underlying causes. (orig.)

  18. DETECTION OF BARCHAN DUNES IN HIGH RESOLUTION SATELLITE IMAGES

    Directory of Open Access Journals (Sweden)

    M. A. Azzaoui

    2016-06-01

    Full Text Available Barchan dunes are the fastest moving sand dunes in the desert. We developed a process to detect barchans dunes on High resolution satellite images. It consisted of three steps, we first enhanced the image using histogram equalization and noise reduction filters. Then, the second step proceeds to eliminate the parts of the image having a texture different from that of the barchans dunes. Using supervised learning, we tested a coarse to fine textural analysis based on Kolomogorov Smirnov test and Youden’s J-statistic on co-occurrence matrix. As an output we obtained a mask that we used in the next step to reduce the search area. In the third step we used a gliding window on the mask and check SURF features with SVM to get barchans dunes candidates. Detected barchans dunes were considered as the fusion of overlapping candidates. The results of this approach were very satisfying in processing time and precision.

  19. Impact d'une modulation duale sur les performances d'une liaison ...

    African Journals Online (AJOL)

    Le présent document présente la technique de modulation duale Fréquence - Amplitude dans le cas d'une liaison optique du type IM-DD. Ce travail révèle que la modulation duale Fréquence - Amplitude permet de générer un signal à bande latérale unique. Les performances d'une liaison optique IM-DD basée sur cette ...

  20. Multi-spatial analysis of aeolian dune-field patterns

    Science.gov (United States)

    Ewing, Ryan C.; McDonald, George D.; Hayes, Alex G.

    2015-07-01

    Aeolian dune-fields are composed of different spatial scales of bedform patterns that respond to changes in environmental boundary conditions over a wide range of time scales. This study examines how variations in spatial scales of dune and ripple patterns found within dune fields are used in environmental reconstructions on Earth, Mars and Titan. Within a single bedform type, different spatial scales of bedforms emerge as a pattern evolves from an initial state into a well-organized pattern, such as with the transition from protodunes to dunes. Additionally, different types of bedforms, such as ripples, coarse-grained ripples and dunes, coexist at different spatial scales within a dune-field. Analysis of dune-field patterns at the intersection of different scales and types of bedforms at different stages of development provides a more comprehensive record of sediment supply and wind regime than analysis of a single scale and type of bedform. Interpretations of environmental conditions from any scale of bedform, however, are limited to environmental signals associated with the response time of that bedform. Large-scale dune-field patterns integrate signals over long-term climate cycles and reveal little about short-term variations in wind or sediment supply. Wind ripples respond instantly to changing conditions, but reveal little about longer-term variations in wind or sediment supply. Recognizing the response time scales across different spatial scales of bedforms maximizes environmental interpretations from dune-field patterns.

  1. Formation of aeolian dunes on Anholt, Denmark since AD 1560

    DEFF Research Database (Denmark)

    Clemmensen, Lars B; Bjørnsen, Mette; Murray, Andrew

    2007-01-01

    Sand dunes on the island of Anholt (Denmark) in the middle of Kattegat form a relatively barren, temperate climate Aeolian system, locally termed the "Desert". The dunes have developed on top of a raised beach ridge system under the influence of dominant winds from westerly directions. They are r......Sand dunes on the island of Anholt (Denmark) in the middle of Kattegat form a relatively barren, temperate climate Aeolian system, locally termed the "Desert". The dunes have developed on top of a raised beach ridge system under the influence of dominant winds from westerly directions....... They are relatively coarse-grained with an average mean grain size of 480 µm. The last phase of aeolian activity and dune formation on Anholt started after AD 1560, when the local pine forest was removed. Historical sources report intense sand mobilization in the 17th century, and new optically stimulated...... in the beginning of the 20th century probably records a temporary decrease in storminess. Ground-penetrating radar mapping of the internal structures in two dunes in the western part of the Desert (a parabolic dune and a linear dune) indicates the importance of north-westerly (storm) winds during dune formation...

  2. Origin of the late quaternary dune fields of northeastern Colorado

    Science.gov (United States)

    Muhs, D.R.; Stafford, T.W.; Cowherd, S.D.; Mahan, S.A.; Kihl, R.; Maat, P.B.; Bush, C.A.; Nehring, J.

    1996-01-01

    Stabilized eolian deposits, mostly parabolic dunes and sand sheets, cover much of the landscape of northeastern Colorado and adjacent parts of southwestern Nebraska in four geographically distinct dune fields. Stratigraphic and soil-geomorphic relations and accelerator radiocarbon dating indicate that at least three episodes of eolian sand movement occurred between 27 ka and 11 ka, possibly between 11 ka and 4 ka, and within the past 1.5 ka. Thus, eolian sand deposition took place under both glacial and interglacial climatic conditions. In the youngest episodes of eolian sand movement, Holocene parabolic dunes partially buried Pleistocene sand sheet deposits. Late Holocene sands in the Fort Morgan and Wray dune fields, to the south of the South Platte River, have trace element ratios that are indistinguishable from modern South Platte River sands, but different from Ogallala Formation bedrock, which has previously been cited as the main source of dune sand on the Great Plains. Sands in the Greeley dune field, to the north of the South Platte River, have trace element concentrations that indicate a probable Laramie Formation source. Measurements of parabolic dunes indicate paleowinds from the northwest in all dune fields, in good agreement with resultant drift directions calculated for nearby weather stations. Thus, paleowinds were probably not significantly different from present-day winds, and are consistent with a South Platte River source for the Fort Morgan and Wray dune fields, and a Laramie Formation source for the Greeley dune field. Sand accumulated downwind of the South Platte River to form the Fort Morgan dune field. In addition, sand was also transported farther downwind over the upland formed by the calcrete caprock of the Ogallala Formation, and deposited in die lee of the upland on the southeast side. Because of high wind energy, the upland itself served as a zone of sand transport, but little or no sand accumulation took place on this surface. These

  3. Corridors of barchan dunes: Stability and size selection

    DEFF Research Database (Denmark)

    Hersen, P.; Andersen, Ken Haste; Elbelrhiti, H.

    2004-01-01

    state. Second, the propagation speed of dunes decreases with the size of the dune: this leads, through the collision process, to a coarsening of barchan fields. We show that these phenomena are not specific to the model, but result from general and robust mechanisms. The length scales needed...... for these instabilities to develop are derived and discussed. They turn out to be much smaller than the dune field length. As a conclusion, there should exist further, yet unknown, mechanisms regulating and selecting the size of dunes....

  4. Transluminal coronary angioplasty (TCA) techniques, indications and results

    International Nuclear Information System (INIS)

    Kober, G.; Lang, H.; Vallbracht, C.; Bussmann, W.D.; Hopf, R.; Kunkel, B.; Kaltenbach, M.

    1985-01-01

    Transluminal coronary angioplasty (TCA) was introduced in 1977 for dilatation of coronary stenoses. From October 1977 to December 1984 1087 procedures have been performed in Frankfurt. The mean success rate was 77% with an increase from 58% to 84% since 1977. Recurrences were seen within the first year in 15% of the patients, which could be treated successfully in a high percentage with a second TCA. Emergency bypass operations were necessary in 5.2%. Four patients (fatality rate 0.37%) died as the consequence of the intervention. Within few years TCA has become an established procedure for myocardial revascularisation, with a high success rate. Major progress has been possible in the last few years due to technical developments, which are still going on. They may lead to further improvement of the results and enlargement of the indication for TCA. (orig.) [de

  5. Subintimal Angioplasty for Peripheral Arterial Occlusive Disease: A Systematic Review

    International Nuclear Information System (INIS)

    Met, Rosemarie; Lienden, Krijn P. Van; Koelemay, Mark J. W.; Bipat, Shandra; Legemate, Dink A.; Reekers, Jim A.

    2008-01-01

    The objective of this study was to summarize outcomes of subintimal angioplasty (SA) for peripheral arterial occlusive disease. The Cochrane Library, Medline and Embase databases were searched to perform a systematic review of the literature from 1966 through May 2007 on outcomes of SA for peripheral arterial occlusive disease of the infrainguinal vessels. The keywords 'percutaneous intentional extraluminal revascularization,' 'subintimal angioplasty,' 'peripheral arterial disease,' 'femoral artery,' 'popliteal artery,' and 'tibial artery' were used. Assessment of study quality was done using a form based on a checklist of the Dutch Cochrane Centre. The recorded outcomes were technical and clinical success, primary (assisted) patency, limb salvage, complications, and survival, in relation to the clinical grade of disease (intermittent claudication or critical limb ischemia [CLI] or mixed) and location of lesion (femoropopliteal, crural, or mixed). Twenty-three cohort studies including a total of 1549 patients (range, 27 to 148) were included in this review. Methodological and reporting quality were moderate, e.g., there was selection bias and reporting was not done according to the reporting standards. These and significant clinical heterogeneity obstructed a meta-analysis. Reports about length of the lesion and TASC classification were too various to summarize or were not mentioned at all. The technical success rates varied between 80% and 90%, with lower rates for crural lesions compared with femoral lesions. Complication rates ranged between 8% and 17% and most complications were minor. After 1 year, clinical success was between 50% and 70%, primary patency was around 50% and limb salvage varied from 80% to 90%. In conclusion, taking into account the methodological shortcomings of the included studies, SA can play an important role in the treatment of peripheral arterial disease, especially in the case of critical limb ischemia. Despite the moderate patency

  6. Short- and long-term functional effects of percutaneous transluminal angioplasty in hemodialysis vascular access

    NARCIS (Netherlands)

    J. van der Linden (Joke); J.H. Smits (Johannes); J.H. Assink (Jan Hendrik); D.W. Wolterbeek (Derk); J.J. Zijlstra (Jan); G.H.T. de Jong (Gijs); M.A. van den Dorpel (Marinus); P.J. Blankestijn (Peter)

    2002-01-01

    textabstractThe efficacy of percutaneous transluminal angioplasty (PTA) is usually expressed as the angiographic result. Access flow (Qa) measurements offer a means to quantify the functional effects. This study was performed to evaluate the short-term functional and

  7. Simple risk stratification at admission to identify patients with reduced mortality from primary angioplasty

    DEFF Research Database (Denmark)

    Thune, Jens Jakob; Hoefsten, Dan Eik; Lindholm, Matias Greve

    2005-01-01

    BACKGROUND: Randomized trials comparing fibrinolysis with primary angioplasty for acute ST-elevation myocardial infarction have demonstrated a beneficial effect of primary angioplasty on the combined end point of death, reinfarction, and disabling stroke but not on all-cause death. Identifying...... a patient group with reduced mortality from an invasive strategy would be important for early triage. The Thrombolysis in Myocardial Infarction (TIMI) risk score is a simple validated integer score that makes it possible to identify high-risk patients on admission to hospital. We hypothesized that a high...... as high risk. There was a significant interaction between risk status and effect of primary angioplasty (P=0.008). In the low-risk group, there was no difference in mortality (primary angioplasty, 8.0%; fibrinolysis, 5.6%; P=0.11); in the high-risk group, there was a significant reduction in mortality...

  8. Early detection of restenosis after successful percutaneous transluminal coronary angioplasty by exercise-redistribution Thallium scintigraphy

    NARCIS (Netherlands)

    W. Wijns (William); P.W.J.C. Serruys (Patrick); J.H.C. Reiber (Johan); P.J. de Feyter (Pim); M.J.B.M. van den Brand (Marcel); M.L. Simoons (Maarten); P.G. Hugenholtz (Paul)

    1985-01-01

    textabstractThe value of exercise testing and thallium scintigraphy in predicting recurrence of angina pectoris and restenosis after a primary successful transluminal coronary angioplasty (PTCA) was prospectively evaluated. In 89 patients, a symptom-limited exercise electrocardiogram (ECG) and

  9. Effects of a behavioural intervention on quality of life and related variables in angioplasty patients

    DEFF Research Database (Denmark)

    Appels, Ad; van Elderen, Therese; Bär, Frits

    2006-01-01

    The EXhaustion Intervention Trial investigated the effect of a behavioural intervention programme on exhaustion, health-related quality of life (HRQL), depression, anxiety, hostility, and anginal complaints in angioplasty patients who felt exhausted after percutaneous coronary intervention (PCI)....

  10. Transmural coil embolization—alternative technique for management of arterial perforation during subintimal angioplasty

    Directory of Open Access Journals (Sweden)

    Karthikeyan Damodharan

    2016-01-01

    Full Text Available Subintimal angioplasty of lower limb arterial occlusion carries a relatively higher risk of vessel perforation compared to transluminal angioplasty. Vessel perforation is a potentially life threatening complication which requires prompt recognition and management. They are usually managed by endovascular techniques such as low-pressure balloon tamponade, covered stents, and coil embolization of the ruptured artery. We describe a technique of treating vessel perforation following balloon angioplasty. Patient developed a large perforation of the proximal superficial femoral artery (SFA after balloon inflation during subintimal angioplasty of complete SFA occlusion. Following failure of balloon tamponade in sealing the perforation, we successfully treated it by deploying an embolization coil at the site of perforation through the vessel wall followed by balloon tamponade. Our technique could be a useful relatively inexpensive alternative treatment option in the management of vessel perforation compared to covered stents.

  11. Transcutaneous oximetry compared to ankle-brachial-index measurement in the evaluation of percutaneous transluminal angioplasty

    International Nuclear Information System (INIS)

    Wildgruber, Moritz; Wolf, Oliver; Weiss, Wolfgang; Berger, Hermann; Lutzenberger, Werner; Eckstein, Hans-Henning; Heider, Peter

    2007-01-01

    Objective: To investigate transcutaneous oximetry as parameter of the microcirculation is correlated to ankle-brachial-index as parameter of the macrocirculation after peripheral angioplasty procedures. Design: Prospective study. Materials and methods: 60 patients suffering from intermittent claudication were scheduled for angioplasty treatment. 45 patients were considered as eligible for angioplasty after angiographic evaluation, 15 patients underwent angiography only. Transcutaneous oximetry measurements were performed before the procedure, at the end of intervention, 24 h as well as 2 and 4 weeks after percutaneous transluminal angioplasty. Ankle-brachial-indices were obtained before intervention, 24 h as well as 2 and 4 weeks later. Results: Ankle-brachial-indices increased significantly at 24 h after angioplasty in patients being treated with angioplasty. Transcutaneous oximetry values dropped significantly at the end of the procedure and returned close to the baseline levels at 2 and 4 weeks after angioplasty. Ankle-brachial-indices and transcutaneous oximetry were positively correlated before (r = 0.3833, p = 0.009) as well as 4 weeks after angioplasty (r = 0.4596, p = 0.001). Immediately after radiological interventions, ankle-brachial-indices and transcutaneous oximetry are not positively correlated. In patients undergoing angiography only, transcutaneous oximetry levels drop significantly immediately after angiography and remain at decreased levels even at 4 weeks after intervention. Conclusion: Transcutaneous oximetry as parameter of the microcirculation is positively correlated with ankle-brachial-index as parameter of the macrocirculation before and at 4 weeks after angioplasty. Intraarterial angiography leads to a sudden decrease in skin microcirculation without affecting macrocirculation. As indicated by a lack of recovery in transcutaneous oximetry levels after 4 weeks, angiography alone results in a prolonged impaired microcirculation which may

  12. Dune field pattern formation and recent transporting winds in the Olympia Undae Dune Field, north polar region of Mars

    Science.gov (United States)

    Ewing, Ryan C.; Peyret, Aymeric-Pierre B.; Kocurek, Gary; Bourke, Mary

    2010-08-01

    High-Resolution Imaging Science Experiment (HiRISE) imagery of the central Olympia Undae Dune Field in the north polar region of Mars shows a reticulate dune pattern consisting of two sets of nearly orthogonal dune crestlines, with apparent slipfaces on the primary crests, ubiquitous wind ripples, areas of coarse-grained wind ripples, and deflated interdune areas. Geomorphic evidence and dune field pattern analysis of dune crest length, spacing, defect density, and orientation indicates that the pattern is complex, representing two constructional generations of dunes. The oldest and best-organized generation forms the primary crestlines and is transverse to circumpolar easterly winds. Gross bed form-normal analysis of the younger pattern of crestlines indicates that it emerged with both circumpolar easterly winds and NE winds and is reworking the older pattern. Mapping of secondary flow fields over the dunes indicates that the most recent transporting winds were from the NE. The younger pattern appears to represent an influx of sediment to the dune field associated with the development of the Olympia Cavi reentrant, with NE katabatic winds channeling through the reentrant. A model of the pattern reformation based upon the reconstructed primary winds and resulting secondary flow fields shows that the development of the secondary pattern is controlled by the boundary condition of the older dune topography.

  13. Cour du prince et vie religieuse à la fin du Moyen Âge

    Directory of Open Access Journals (Sweden)

    Vincent Tabbagh

    2004-12-01

    Full Text Available Il y a quelque paradoxe à vouloir unir ce que tout paraît opposer : la cour n’est-elle pas le lieu même d’une mondanité dont tout le cheminement de la vie religieuse consiste à s’éloigner ? Au XIIe siècle, Jean de Salisbury assimilait celle d’Henri II Plantagenêt à l’Enfer. Comment ce qui est d’abord une manifestation de la puissance seigneuriale et le foyer d’une culture courtoise pourrait-il porter une vie spirituelle spécifique et approfondie ? Cette interrogation animait la demie journée ...

  14. Sand Dunes in Steady Flow at Low Froude Numbers: Dune Height Evolution and Flow Resistance

    DEFF Research Database (Denmark)

    Niemann, S. L.; Fredsøe, Jørgen; Jacobsen, Niels Gjøl

    2011-01-01

    equilibrium shape. The flow modeling is based on a k-ω turbulence closure. The sediment transport is assumed to be bed-load only, with an avalanche-like movement on the steep dune front. The model is also found capable of predicting the growth in wavelength if the initially prescribed wavelength...

  15. Successful angioplasty of tripolar renal arteries in a single setting: a case report.

    Science.gov (United States)

    Sharma, Gyarsi Lal; Morice, Marie-Claude; Catineau, Patrick

    2002-08-01

    Renal artery stenosis (RAS) is one of the important causes of correctable hypertension. There are various modes of therapy for RAS, including percutaneous transluminal renal angioplasty (PTRA) and surgery. PTRA has emerged as the treatment of choice in cases of renal artery stenosis. PTRA combined with stenting is associated with good immediate and long-term results. This case report describes successful angioplasty of bilateral multiple renal arteries in a single setting with good immediate and follow-up results.

  16. Angioplasty of symptomatic high-grade internal carotid artery stenosis with intraluminal thrombus: therapeutic approach

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez, A.; Mayol, A. [Seccion de Neurorradiologia Intervencionista, Servicio de Radiologia, Hospital Universitario Virgen del Rocio, Avenida Manuel Siurot s/n, Avenida Manuel Siurot s/n, 41013, Sevilla (Spain); Gil-Peralta, A.; Gonzalez-Marcos, J.R. [Servicio de Neurologia, Hospital Universitario Virgen del Rocio, Avenida Manuel Siurot s/n, 41013, Sevilla (Spain); Boza, F. [Servicio de Neurofisiologia, Hospital Universitario Virgen del Rocio, Avenida Manuel Siurot s/n, 41013, Sevilla (Spain); Ruano, J. [Unidad de Cuidados Intensivos, Hospital Universitario Virgen del Rocio, Avenida Manuel Siurot s/n, 41013, Sevilla (Spain)

    2004-04-01

    Intraluminal thrombus in the internal carotid artery (ICA) is usually found in patients with severe atheromatous stenosis. Having reviewed 300 carotid angioplasties for symptomatic >70% ICA stenosis, we found three patients (1%) with intraluminal thrombus. Conservative treatment with anticoagulants and double antiplatelet coverage can result in lysis of the thrombus without severe risks. Percutaneous transluminal angioplasty and stenting, preferably with distal protection, can be an excellent alternative to carotid endarterectomy. (orig.)

  17. Recanalisation of Chronically Occluded Remote Superficial Femoral Artery Endarterectomy Through Angioplasty for Limb Salvage

    Energy Technology Data Exchange (ETDEWEB)

    Husainy, Mohammad Ali, E-mail: m.husainy@nhs.net [King’s College Hospital, Department of Radiology (United Kingdom); Slim, Hani; Rashid, Hisham [King’s College Hospital, Department of Vascular Surgery (United Kingdom); Huang, Dean Y. [King’s College Hospital, Department of Radiology (United Kingdom)

    2017-02-15

    We report a novel application of balloon angioplasty to recanalise a chronically occluded remote endarterectomy superficial femoral artery. This patient previously had two occluded surgical bypass grafts in an attempt to revascularise the limb and presented with critical limb ischaemia and necrotic foot ulcerations. Following the angioplasty, the patient showed significant improvement in rest pain and healing of the ulcerations. This technique may be useful for limb salvage in patients where surgical options have been exhausted.

  18. Aeolian dune sediment flux heterogeneity in Meridiani Planum, Mars.

    Science.gov (United States)

    Chojnacki, Matthew; Urso, Anna; Fenton, Lori K; Michaels, Timothy I

    2017-06-01

    It is now known unambiguously that wind-driven bedform activity is occurring on the surface of Mars today, including early detections of active sand dunes in Meridiani Planum's Endeavour crater. Many of these reports are only based on a few sets of observations of relatively isolated bedforms and lack regional context. Here, we investigate aeolian activity across central Meridiani Planum and test the hypothesis that dune sites surrounding Endeavour crater are also active and part of region-wide sediment migration driven by northwesterly winds. All 13 dune fields investigated clearly showed evidence for activity and the majority exhibited dune migration (average rates of 0.6 m/Earth-year). Observations indicate substantial geographic and temporal heterogeneity of dune crest fluxes across the area and per site. Locations with multiple time steps indicate dune sand fluxes can vary by a factor of five, providing evidence for short periods of rapid migration followed by near-stagnation. In contrast, measurements at other sites are nearly identical, indicating that some dunes are in a steady-state as they migrate. The observed sediment transport direction was consistent with a regional northeasterly-to-northwesterly wind regime, revealing more variations than were appreciated from earlier, more localized studies. Craters containing shallow, degraded, flat-floored interiors tended to have dunes with high sediment fluxes/activity, whereas local kilometer-scale topographic obstructions (e.g., central peaks, yardangs) were found to be inversely correlated with dune mobility. Finally, the previous, more limited detections of dune activity in Endeavour crater have been shown to be representative of a broader, region-wide pattern of dune motion.

  19. Cerebral angioplasty practice at major medical centers in the United States

    International Nuclear Information System (INIS)

    Chaturvedi, S.; St Pierre, M.E.; Bertasio, B.

    2000-01-01

    Concern has been expressed recently regarding the proliferation of angioplasty and/or stenting of cerebral vessels. However, little is known about the volume of angioplasties being performed or the number of experienced interventionalists. A questionnaire was mailed to directors of accredited radiology residency programs in the United States, to define the level of expertise available at teaching hospitals in terms of angioplasty and/or stenting. Of 200 programs surveyed, 111 responded (56 %). Of 111 program directors 47 (42 %) indicated that cerebral angioplasty was being performed at their center. The greatest experience is currently for angioplasty of post-subarachnoid hemorrhage vasospasm (mean 16 procedures performed) and the least experience for dilation of basilar artery atherosclerosis (mean five procedures performed). The reported stroke and/or death rate in centers performing angioplasty of the extracranial carotid system is 1.5 %. Comparisons with other medical specialties (e. g., cardiologists, neurologists, neurosurgeons) are necessary to determine the full scope of extracranial neurovascular procedures being performed and the corresponding complication rates. (orig.)

  20. Immediate and Short-term Follow-Up of Aortic Coarctation Balloon Angioplasty and Stenting

    Directory of Open Access Journals (Sweden)

    Hasan Mottaghi Moghadam

    2017-12-01

    Full Text Available Background Aortic Coarcatation (CoA is one of the congenital heart diseases with the rate of 5-8% of Coronary heart diseases(CHDs. Balloon angioplasty is now one of the effective way of treatment for CoA, native or Re-coarctation (Re-CoA. We aimed to assess the immediate, and short term response to angioplasty and stenting, and also complications. Materials and Methods Balloon angioplasty with our without stenting was performed for 53 patients with native or Re-coarcatation angioplasty (39 balloon angioplasty alone, and 14 balloon and stenting. Pressure gradient across the CoA segment was measured initially by Echo and pre, and Post procedure. Echocardiography was also used for follow up assessment during 24 hours, one and 6 months afterward. Results Among 53 patients, 52.8% were male. There were 98.2% native and 3.8% Re-CoA. The mean age of patients was 8.65 ± 8.37 years, and the mean weight was 25.82±20.73 kg. The mean pressure gradient acrossthe CoA site before angioplasty was 24.88±12.32, and post procedure gradient was 4.77±6.42 (p

  1. Evaluation of workforce and organizational issues in establishing primary angioplasty in England.

    Science.gov (United States)

    Carter, Angela; Wood, Stephen; Goodacre, Steve; Sampson, Fiona; Stables, Rod

    2010-01-01

    To assess workforce and organizational issues in establishing a primary angioplasty service in England. Staff associated with the heart attack pathway at seven acute hospitals participating in the National Infarct Angioplasty Project (NIAP) completed a questionnaire, participated in focus groups and interviews, and observations were undertaken in catheter laboratories. All seven hospitals implemented primary angioplasty though not all provided a 24-hour service. Hospitals varied in size, number of staff involved in the delivery of angioplasty and the volume of cases. Hospitals that developed the service by incremental expansion encountered more problems than hospitals that planned for a full service at the outset. Simple, direct access to a catheter laboratory reduced delays and could be facilitated by an angioplasty gatekeeper. Little attention was paid to later cardiac rehabilitation. Multiskilling and the ability to work across traditional professional boundaries appeared to provide substantial advantages. Building relationships with key staff and auditing the heart attack pathway were critical to successful service development. Differences in remuneration and rest for staff undertaking out-of-hours working threatened sustainability. Primary angioplasty was feasible in varied settings and generally supported by staff. However, the participating hospitals were selected enthusiasts, only some implemented a 24-hour service and activity levels were relatively low. Organizational and workforce issues need to be addressed to achieve an efficient and sustainable service.

  2. The role of vegetation in shaping dune morphology

    Science.gov (United States)

    Duran Vinent, O.; Moore, L. J.; Young, D.

    2012-12-01

    Aeolian dunes naturally emerge under strong winds and sufficient sand supply. They represent the most dynamical feature of the arid and/or coastal landscape and their evolution has the potential to either increase desertification or reduce coastal vulnerability to storms. Although large-scale dune morphology mainly depends on the wind regime and sand availability, vegetation plays an important role in semiarid and/or coastal areas. It is well known that under certain conditions vegetation is able to stabilize dunes, driving a morphological transformation from un-vegetated mobile crescent dunes to static vegetated "parabolic" dunes, de facto paralyzing desertification and initiating land recovery. Furthermore, vegetation is also the primary ingredient in the formation of coastal foredunes, which determine vulnerability to storms, as low dunes are prone to storm-induced erosion and overwash. In both cases, the coupling of biological and geomorphic (physical) processes, in particular vegetation growth and sand transport, governs the evolution of morphology. These processes were implemented in a computational model as part of a previous effort. It was shown that, for a migrating dune, this coupling leads to a negative feedback for dune motion, where an ever denser vegetation implies ever lesser sand transport. The model also predicted the existence of a "mobility index", defined by the vegetation growth rate to sand erosion rate ratio, that fully characterizes the morphological outcome: for indices above a certain threshold biological processes are dominant and dune motion slows after being covered by plants; for lower indices, the physical processes are the dominant ones and the dune remains mobile while vegetation is buried or rooted out. Here, we extend this model to better understand the formation of coastal dunes. We include new physical elements such as the shoreline and water table, as well as different grass species and potential competition among them

  3. Provenance of Coastal dune sands along Red Sea, Egypt

    Indian Academy of Sciences (India)

    26

    accumulation of sands behind vegetation or any other obstacles. ... The study areas Safaga (SF) and Quseir (QS) field dunes (Fig. 1) ..... coastal dune sands were deposited in a passive margin of a synrift .... Sed Petrol 63(6), 1110-1117.

  4. Estimation of sand dune thickness using a vertical velocity profile

    International Nuclear Information System (INIS)

    Al-Shuhail, Abdullatif A.

    2004-01-01

    Previous field and mathematical studies have shown that sand dunes may have vertical velocity profiles (i.e. continuous increase of velocity with depth). Therefore, computing the dunes thickness using conventional seismic refraction methods that assume a vertically homogeneous layer will likely produce some errors. The purpose of this study is to quantify the effect of the vertical velocity profile in a sand dune on the process of thickness estimation using seismic refraction data. First, the time distance (T-X) data of the direct wave in the dune is calculated using a vertical velocity profile, V (z), derived from Hertz-Mindlin contact theory. Then the thickness is estimated from the calculated T-X data, intercept time and velocity of the refractor at the dune's base assuming a constant velocity in the dune. The error in the estimated thickness due to the constant-velocity assumption increases with increasing thickness and decreasing porosity of the dune. For sand dunes with porosities greater than 0.2 and thickness less than 200 meter, the error is less than 15%. (author)

  5. 36 CFR 7.80 - Sleeping Bear Dunes National Lakeshore.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Sleeping Bear Dunes National Lakeshore. 7.80 Section 7.80 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR SPECIAL REGULATIONS, AREAS OF THE NATIONAL PARK SYSTEM § 7.80 Sleeping Bear Dunes National...

  6. Planetary dune workshop expands to include subaqueous processes

    Science.gov (United States)

    Titus, Timothy N.; Bryant, Gerald; Rubin, David M.

    2018-01-01

    Dune-like structures appear in the depths of Earth’s oceans, across its landscapes, and in the extremities of the solar system beyond. Dunes rise up under the thick dense atmosphere of Venus, and they have been found under the almost unimaginably ephemeral atmosphere of a comet.

  7. Holocene eolian activity in the Minot dune field, North Dakota

    Science.gov (United States)

    Muhs, D.R.; Stafford, Thomas W.; Been, J.; Mahan, S.A.; Burdett, J.; Skipp, G.; Rowland, Z.M.

    1997-01-01

    Stabilized eolian sand is common over much of the Great Plains region of the United States and Canada, including a subhumid area of ??? 1500 km2 near Minot, North Dakota. Eolian landforms consist of sand sheets and northwest-trending parabolic dunes. Dunes and sand sheets in the Minot field are presently stabilized by a cover of prairie grasses or oak woodland. Stratigraphic studies and accelerator mass spectrometry radiocarbon dating of paleosols indicate at least two periods of eolian sand movement in the late Holocene. Pedologic data suggest that all of the dune field has experienced late Holocene dune activity, though not all parts of the dune field may have been active simultaneously. Similar immobile element (Ti, Zr, La, Ce) concentrations support the interpretation that eolian sands are derived from local glaciofluvial and glaciolacustrine sediments. However, glaciolacustrine and glaciofluvial source sediments have high Ca concentrations from carbonate minerals, whereas dune sands are depleted in Ca. Because noneolian-derived soils in the area are calcareous, these data indicate that the Minot dune field may have had extended periods of activity in the Holocene, such that eolian abrasion removed soft carbonate minerals. The southwest-facing parts of some presently stabilized dunes were active during the 1930s drought, but were revegetated during the wetter years of the 1940s. These observations indicate that severe droughts accompanied by high temperatures are the most likely cause of Holocene eolian activity.

  8. Modelling dune evolution and dynamic roughness in rivers

    NARCIS (Netherlands)

    Paarlberg, Andries

    2008-01-01

    Accurate river flow models are essential tools for water managers, but these hydraulic simulation models often lack a proper description of dynamic roughness due to hysteresis effects in dune evolution. To incorporate the effects of dune evolution directly into the resistance coefficients of

  9. Hydro-geochemical analysis of a degraded dune slack

    NARCIS (Netherlands)

    Grootjans, AP; Sival, FP; Stuyfzand, PJ

    A hydrochemical analysis of the groundwater composition was carried out in a degraded dune slack complex in order to assess the prospects for regeneration of low productivity, basiphilous vegetation types, typical of natural dune slacks. Two hundred and fifty water samples, most of them obtained

  10. Sensitivity Analysis of Dune Height Measurements Along Cross-shore Profiles Using a Novel Method for Dune Ridge Extraction

    Science.gov (United States)

    Hardin, E.; Mitasova, H.; Overton, M.

    2010-12-01

    In barrier islands where communities are subjected to hazards including storm surge and high wave height, coastal dunes offer the first line of defense to property and vital infrastructure. When dunes are over-washed, substantial damage, including complete destruction of buildings and roads can occur. For this reason, dunes are an integral aspect of coastal hazard management. As new, more efficient mapping and analysis technologies evolve, currently used methodologies should be regularly be reexamined in order to ensure the development of the most effective coastal management strategies. Currently, topographical parameters, such as dune height, are usually measured along evenly spaced, shore-perpendicular beach profiles. In previous studies, profile spacing has varied from 20m to over 500m, however, it has been shown that dune height can vary substantially over tens of meters. Profile spacing is a compromise between the resources needed to perform high-resolution measurements and ensuring the capture of meaningful dune features. While it is often clear how the choice of profile spacing will affect the resources needed to perform the analysis, it is often unclear how spacing affects the ability to capture significant dune variation and prevent omission of a narrow dune breach that can open the way for significant flooding. In this study, the structure of alongshore variation in dune height is investigated. The studied dune ridge is located in the Outer Banks, North Carolina, USA and stretches 18km from south of Oregon Inlet (75:31:19W, 35:46:03N) to Rodanthe (75:27:56W, 35:36:31N). The dune ridge is extracted from a 0.5m resolution Digital Elevation Model (DEM) that was interpolated from airborne lidar data using regularized spline with tension. The lidar data was collected in March 2008 by the National Oceanic and Atmospheric Administration. A dune ridge is usually identified as the highest elevation along a shore-perpendicular profile or where ocean-facing slope

  11. Coexistence of Dunes and Humid Conditions at Titan's Tropics

    Science.gov (United States)

    Radebaugh, Jani; Lorenz, R. D.; Lunine, J. I.; Kirk, R. L.; Ori, G. G.; Farr, T. G.; Malaska, M.; Le Gall, A.; Liu, Z. Y. C.; Encrenaz, P. J.; Paillou, P.; Hayes, A.; Lopes, R. M. C.; Turtle, E. P.; Wall, S. D.; Stofan, E. R.; Wood, C. A.; Cassini RADAR Team

    2012-10-01

    At Titan's equatorial latitudes there are tens of thousands of dunes, a landform typical of desert environments where sand does not become anchored by vegetation or fluids. Model climate simulations predict generally dry conditions at the equator and humid conditions near the poles of Titan, where lakes of methane/ethane are found. However, moderate relative methane humidity was observed at the Huygens landing site, recent rainfall was seen by Cassini ISS near the Belet Sand Sea, and a putative transient lake in Shangri-La was observed by Cassini VIMS, all of which indicate abundant fluids may be present, at least periodically, at Titan's equatorial latitudes. Terrestrial observations and studies demonstrate dunes can exist and migrate in conditions of high humidity. Active dunes are found in humid climates, indicating the movement of sand is not always prohibited by the presence of fluids. Sand mobility is related to precipitation, evaporation and wind speed and direction. If dune surfaces become wetted by rainfall or rising subsurface fluids, they can become immobilized. However, winds can act to dry the uppermost layers, freeing sands for saltation and enabling dune migration in wet conditions. Active dunes are found in tropical NE Brazil and NE Australia, where there are alternating dry and wet periods, a condition possible for Titan's tropics. Rising and falling water levels lead to the alteration of dune forms, mainly from being anchored by vegetation, but also from cementation by carbonates or clays. Studies of Titan's dunes, which could undergo anchoring of organic sediments by hydrocarbon fluids, could inform the relative strength of vegetation vs. cementation at humid dune regions on Earth. Furthermore, a comprehensive survey of dune morphologies near regions deemed low by SARTopo and stereo, where liquids may collect in wet conditions, could reveal if bodies of liquid have recently existed at Titan's tropics.

  12. Dune mobility in the St. Anthony Dune Field, Idaho, USA: Effects of meteorological variables and lag time

    Science.gov (United States)

    Hoover, R. H.; Gaylord, D. R.; Cooper, C. M.

    2018-05-01

    The St. Anthony Dune Field (SADF) is a 300 km2 expanse of active to stabilized transverse, barchan, barchanoid, and parabolic sand dunes located in a semi-arid climate in southeastern Idaho. The northeastern portion of the SADF, 16 km2, was investigated to examine meteorological influences on dune mobility. Understanding meteorological predictors of sand-dune migration for the SADF informs landscape evolution and impacts assessment of eolian activity on sensitive agricultural lands in the western United States, with implications for semi-arid environments globally. Archival aerial photos from 1954 to 2011 were used to calculate dune migration rates which were subsequently compared to regional meteorological data, including temperature, precipitation and wind speed. Observational analyses based on aerial photo imagery and meteorological data indicate that dune migration is influenced by weather for up to 5-10 years and therefore decadal weather patterns should be taken into account when using dune migration rates as proxies from climate fluctuation. Statistical examination of meteorological variables in this study indicates that 24% of the variation of sand dune migration rates is attributed to temperature, precipitation and wind speed, which is increased to 45% when incorporating lag time.

  13. Changes of Bulgarian Coastal Dune Landscape under Anthropogenic Impact

    Science.gov (United States)

    Palazov, A.; Young, R.; Stancheva, M.; Stanchev, H.

    2012-04-01

    At one time large sand dune formations were widely distributed along the Bulgarian coast. However, due to increased urbanization in the coastal zone, the areas of total dune landscape has been constantly reduced. Dunes presently comprise only 10% of the entire 412 km long coastline of Bulgaria: they embrace a total length of 38.57 km and a total area of 8.78 km2 Important tasks in dune protection are identification of landscape changes for a certain period of time and accurate delineation of sand dune areas. The present research traces sand dune changes along the Bulgarian Black Sea coast over a 27 year period (1983-2010). This period includes also the time of expanded tourist boom and overbuilding of the coastal zone, and respectively presents the largest dune changes and reductions. Based on the landscape change analyst in GIS environment the study also aims to explore the importance of different natural and human factors in driving the observed dune alterations and destruction. To detect and assess dune changes during the last 3 decades, we used data for sand dunes derived from several sources at different time periods in order to compare changes in shoreline positions, dune contours and areas: i) Topographic maps in 1:5,000 scale from 1983; ii) Modern Very High Resolution orthophotographs from 2006 and 2010; iii) QuickBird Very High Resolution satellite images from 2009; iv) Statistical information for population and tourist infrastructure is also used to consider the influence of human pressure and hotel developments on the dune dynamics. In addition, for more detailed description and visualization of main dune types, digital photos have been taken at many parts of the Bulgarian coast. The study was performed in GIS environment. Based on the results obtained the dunes along the Bulgarian coast were divided into three main groups with relation to the general factors responsible for their alterations: i) Dunes that have decreased in result of shoreline retreat

  14. Testing model parameters for wave‐induced dune erosion using observations from Hurricane Sandy

    Science.gov (United States)

    Overbeck, Jacquelyn R.; Long, Joseph W.; Stockdon, Hilary F.

    2017-01-01

    Models of dune erosion depend on a set of assumptions that dictate the predicted evolution of dunes throughout the duration of a storm. Lidar observations made before and after Hurricane Sandy at over 800 profiles with diverse dune elevations, widths, and volumes are used to quantify specific dune erosion model parameters including the dune face slope, which controls dune avalanching, and the trajectory of the dune toe, which controls dune migration. Wave‐impact models of dune erosion assume a vertical dune face and erosion of the dune toe along the foreshore beach slope. Observations presented here show that these assumptions are not always valid and require additional testing if these models are to be used to predict coastal vulnerability for decision‐making purposes. Observed dune face slopes steepened by 43% yet did not become vertical faces, and only 50% of the dunes evolved along a trajectory similar to the foreshore beach slope. Observations also indicate that dune crests were lowered during dune erosion. Moreover, analysis showed a correspondence between dune lowering and narrower beaches, smaller dune volumes, and/or longer wave impact.

  15. Testing model parameters for wave-induced dune erosion using observations from Hurricane Sandy

    Science.gov (United States)

    Overbeck, J. R.; Long, J. W.; Stockdon, H. F.

    2017-01-01

    Models of dune erosion depend on a set of assumptions that dictate the predicted evolution of dunes throughout the duration of a storm. Lidar observations made before and after Hurricane Sandy at over 800 profiles with diverse dune elevations, widths, and volumes are used to quantify specific dune erosion model parameters including the dune face slope, which controls dune avalanching, and the trajectory of the dune toe, which controls dune migration. Wave-impact models of dune erosion assume a vertical dune face and erosion of the dune toe along the foreshore beach slope. Observations presented here show that these assumptions are not always valid and require additional testing if these models are to be used to predict coastal vulnerability for decision-making purposes. Observed dune face slopes steepened by 43% yet did not become vertical faces, and only 50% of the dunes evolved along a trajectory similar to the foreshore beach slope. Observations also indicate that dune crests were lowered during dune erosion. Moreover, analysis showed a correspondence between dune lowering and narrower beaches, smaller dune volumes, and/or longer wave impact.

  16. Travail en cours — Internet sans fil dans le secteur rural de ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    3 févr. 2011 ... Sept ans peuvent faire toute une différence. Pendant cette période, un projet visant à amener des villages du sud de l'Inde à l'ère de l'information s'est mérité des prix et a donné à 50 000 utilisateurs « d'information » d'une dizaine de collectivités un accès Internet et téléphonique sans fil à haute vitesse.

  17. Late Pleistocene dune activity in the central Great Plains, USA

    Science.gov (United States)

    Mason, J.A.; Swinehart, J.B.; Hanson, P.R.; Loope, D.B.; Goble, R.J.; Miao, X.; Schmeisser, R.L.

    2011-01-01

    Stabilized dunes of the central Great Plains, especially the megabarchans and large barchanoid ridges of the Nebraska Sand Hills, provide dramatic evidence of late Quaternary environmental change. Episodic Holocene dune activity in this region is now well-documented, but Late Pleistocene dune mobility has remained poorly documented, despite early interpretations of the Sand Hills dunes as Pleistocene relicts. New optically stimulated luminescence (OSL) ages from drill cores and outcrops provide evidence of Late Pleistocene dune activity at sites distributed across the central Great Plains. In addition, Late Pleistocene eolian sands deposited at 20-25 ka are interbedded with loess south of the Sand Hills. Several of the large dunes sampled in the Sand Hills clearly contain a substantial core of Late Pleistocene sand; thus, they had developed by the Late Pleistocene and were fully mobile at that time, although substantial sand deposition and extensive longitudinal dune construction occurred during the Holocene. Many of the Late Pleistocene OSL ages fall between 17 and 14 ka, but it is likely that these ages represent only the later part of a longer period of dune construction and migration. At several sites, significant Late Pleistocene or Holocene large-dune migration also probably occurred after the time represented by the Pleistocene OSL ages. Sedimentary structures in Late Pleistocene eolian sand and the forms of large dunes potentially constructed in the Late Pleistocene both indicate sand transport dominated by northerly to westerly winds, consistent with Late Pleistocene loess transport directions. Numerical modeling of the climate of the Last Glacial Maximum has often yielded mean monthly surface winds southwest of the Laurentide Ice Sheet that are consistent with this geologic evidence, despite strengthened anticyclonic circulation over the ice sheet. Mobility of large dunes during the Late Pleistocene on the central Great Plains may have been the result of

  18. Large-eddy simulation of unidirectional turbulent flow over dunes

    Science.gov (United States)

    Omidyeganeh, Mohammad

    We performed large eddy simulation of the flow over a series of two- and three-dimensional dune geometries at laboratory scale using the Lagrangian dynamic eddy-viscosity subgrid-scale model. First, we studied the flow over a standard 2D transverse dune geometry, then bedform three-dimensionality was imposed. Finally, we investigated the turbulent flow over barchan dunes. The results are validated by comparison with simulations and experiments for the 2D dune case, while the results of the 3D dunes are validated qualitatively against experiments. The flow over transverse dunes separates at the dune crest, generating a shear layer that plays a crucial role in the transport of momentum and energy, as well as the generation of coherent structures. Spanwise vortices are generated in the separated shear; as they are advected, they undergo lateral instabilities and develop into horseshoe-like structures and finally reach the surface. The ejection that occurs between the legs of the vortex creates the upwelling and downdrafting events on the free surface known as "boils". The three-dimensional separation of flow at the crestline alters the distribution of wall pressure, which may cause secondary flow across the stream. The mean flow is characterized by a pair of counter-rotating streamwise vortices, with core radii of the order of the flow depth. Staggering the crestlines alters the secondary motion; two pairs of streamwise vortices appear (a strong one, centred about the lobe, and a weaker one, coming from the previous dune, centred around the saddle). The flow over barchan dunes presents significant differences to that over transverse dunes. The flow near the bed, upstream of the dune, diverges from the centerline plane; the flow close to the centerline plane separates at the crest and reattaches on the bed. Away from the centerline plane and along the horns, flow separation occurs intermittently. The flow in the separation bubble is routed towards the horns and leaves

  19. [Coronary angioplasty with the Monorail system via 6 French diagnostic catheters].

    Science.gov (United States)

    Villavicencio, R; González, H; López, J; Zavala, E; Ban Hayashi, E B; Gaspar, J; Gil, M; Martínez Ríos, M A

    1994-01-01

    We studied the use of "Monorail" system with Express (Scimed) balloon catheters for coronary angioplasty through 6 French (F) "high-flow" diagnostic catheters (Novoste, USCI). Prospectively, from July 1992 to January 1993, angioplasty of 31 lesions in 24 patients was attempted (1.3 lesions/procedure). Twenty procedures were of a single lesion and four were multi-vessel angioplasty. Fourteen lesions were in the left anterior descending or in its branches, 10 in the left circumflex or in its branches, 6 in the right coronary artery, and one in the distal anastomosis of an internal mammary artery graft. Thirteen lesions (42%) were type A, 17 (55%) type B and one (3%) type C. Balloon sizes varied between 2.0 and 3.5 mm. Twenty-nine lesions could be successfully dilated (93.5%); two cases were unsuccessful due to an acute occlusion in one and residual stenosis of more than 50% in the other. For only one case, another balloon catheter different from the "Monorail" system was necessary to complete a multi-vessel angioplasty. Coronary visualization and manipulation of the balloon through the tip of the diagnostic catheter were satisfactory in all cases, except with the 3.5 mm balloon catheter. Coronary angioplasty with "Monorail" system balloon catheters through 6 F "high-flow" diagnostic catheters is feasible and provides a high success rate in simple and moderately complex selected lesions, including multivessel angioplasty with advantages of smaller artery punction and the feasibility of performing coronary angioplasty with the same catheter used for diagnostic angiography.

  20. Application of conjugated heparin-albumin microparticles with laser-balloon angioplasty: a potential method for reducing adverse biologic reactivity after angioplasty

    Science.gov (United States)

    Kundu, Sourav K.; McMath, Linda P.; Zaidan, Jonathan T.; Spears, J. Richard

    1991-05-01

    Laser-balloon angioplasty (LBA) may potentially be used for local application of pharmacologically active agents which will reduce thrombogenic and proliferative responses after the angioplasty. In this study, the feasibility of applying covalently conjugated heparin- albumin microparticles onto arterial luminal surface was demonstrated. The covalent linkages were formed by reaction with 1-ethyl-3-dimethyl-aminopropyl-carbodiimide (EDC), and the resultant conjugates were used for preparation of microparticles by employing standard emulsification and heat-crosslinking techniques. The heparin release rate from the microparticles was found to be dependent upon the degree of crosslinking. When a thin coagulum of a suspension of microparticles was formed with heat on a glass surface, the treated surface demonstrated resistance to clot formation in contact with non-anticoagulated blood. A suspension of the microparticles applied during laser-balloon angioplasty onto the luminal surface of dog carotid and femoral arteries showed persistence for up to one week without thrombus formation or occlusion of the vessel. Since the rate of biodegradation is primarily dictated by the extent of crosslinking, an optimal degree of thermal denaturation will permit longer persistence of the carrier while allowing adequate release of the entrapped pharmacologic agent. A variety of antithrombotic and antiinflammatory agents are being considered as candidate bioprotective materials for local application after angioplasty.

  1. Calculation of the shock-wave in the region close to an underground nuclear explosion (method Cades); Calcul de l'onde de choc en zone proche d'une explosion nucleaire souterraine (methode cades)

    Energy Technology Data Exchange (ETDEWEB)

    Supiot, F; Brugies, J [Commissariat a l' Energie Atomique, Bruyeres-le-Chatel (France). Centre d' Etudes

    1969-07-01

    The outline of a method is presented for calculating the characteristics of a shock wave produced by an underground nuclear explosion (pressure, wave velocity, velocity of the medium, energy left in the medium by the shock, etc.). By means of an application to a granitic medium and of a comparison with results obtained during French nuclear explosions, it has been possible to show the good agreement existing between the calculations and the experimental results. The advantages of such a method for studying the industrial applications of underground nuclear explosions are stressed. (authors) [French] On expose les grandes lignes d'une methode de calcul des caracteristiques de l'onde de choc issue d'une explosion nucleaire souterraine (pression, vitesse de l'onde, vitesse du milieu, energie deposee par le choc dans le milieu...). Une application a un milieu granitique et une comparaison aux resultats obtenus au cours d'explosions nucleaires francaises permet de montrer la bonne concordance entre le calcul et les resultats experimentaux. On souligne l'interet d'une telle, methode pour l'etude d'applications industrielles des explosions nucleaires souterraines. (auteurs)

  2. The POSNA-COUR International Scholar Program. Results of the First 7 Years.

    Science.gov (United States)

    Fornari, Eric D; Sabharwal, Sanjeev; Schwend, Richard M

    2017-12-01

    The Pediatric Orthopedic Society of North America (POSNA)-Children's Orthopedics in Underserved Regions (COUR) International Scholar Program was initiated in 2007 to provide educational opportunities for emerging leaders who treat children with orthopaedic conditions in resource-challenged environments worldwide. Financial support is available each year for 4 to 6 orthopaedic surgeons to attend either the POSNA Annual Meeting or the International Pediatric Orthopedic Symposium. The scholars are also encouraged to visit selected centers for observerships during their trip. Since 2007 there have been 41 international scholars who have participated in the program. We wished to assess the impact of the program and to obtain feedback to improve the experience for future participants. A 23-question web-based survey was created and sent to 38 past scholars from 22 countries who have participated in the program by July 2013. The responses were gathered online and the data were analyzed for the 24 (62%) respondents from 18 countries who completed the survey. Of the respondents, 16/24 (66%) reported that their current practice is comprised of at least 75% pediatrics. Twelve of 24 (52%) were fellowship trained in pediatric orthopaedics, typically outside of North America. All scholars found the meeting they attended to be very useful and have subsequently made changes to their clinical practice. Nineteen of 24 (82%) did a premeeting or postmeeting observership. Twenty-two of 24 (92%) participants have remained in contact with POSNA members they met at the meeting, with 86% of respondents stating that they have subsequently consulted POSNA members on management of patients. Sixty-two percent of the scholars had a POSNA member visit them following the scholarship and 29% have since returned to visit POSNA members for further clinical observerships. Twenty-one of 24 (91%) have had the opportunity to share the knowledge they gained with others in their region through lectures

  3. Summary of the Third International Planetary Dunes Workshop: remote sensing and image analysis of planetary dunes

    Science.gov (United States)

    Fenton, Lori K.; Hayward, Rosalyn K.; Horgan, Briony H.N.; Rubin, David M.; Titus, Timothy N.; Bishop, Mark A.; Burr, Devon M.; Chojnacki, Matthew; Dinwiddie, Cynthia L.; Kerber, Laura; Gall, Alice Le; Michaels, Timothy I.; Neakrase, Lynn D.V.; Newman, Claire E.; Tirsch, Daniela; Yizhaq, Hezi; Zimbelman, James R.

    2013-01-01

    The Third International Planetary Dunes Workshop took place in Flagstaff, AZ, USA during June 12–15, 2012. This meeting brought together a diverse group of researchers to discuss recent advances in terrestrial and planetary research on aeolian bedforms. The workshop included two and a half days of oral and poster presentations, as well as one formal (and one informal) full-day field trip. Similar to its predecessors, the presented work provided new insight on the morphology, dynamics, composition, and origin of aeolian bedforms on Venus, Earth, Mars, and Titan, with some intriguing speculation about potential aeolian processes on Triton (a satellite of Neptune) and Pluto. Major advancements since the previous International Planetary Dunes Workshop include the introduction of several new data analysis and numerical tools and utilization of low-cost field instruments (most notably the time-lapse camera). Most presentations represented advancement towards research priorities identified in both of the prior two workshops, although some previously recommended research approaches were not discussed. In addition, this workshop provided a forum for participants to discuss the uncertain future of the Planetary Aeolian Laboratory; subsequent actions taken as a result of the decisions made during the workshop may lead to an expansion of funding opportunities to use the facilities, as well as other improvements. The interactions during this workshop contributed to the success of the Third International Planetary Dunes Workshop, further developing our understanding of aeolian processes on the aeolian worlds of the Solar System.

  4. Sediment Source Fingerprinting of the Lake Urmia Sand Dunes.

    Science.gov (United States)

    Ahmady-Birgani, Hesam; Agahi, Edris; Ahmadi, Seyed Javad; Erfanian, Mahdi

    2018-01-09

    Aeolian sand dunes are continuously being discovered in inner dry lands and coastal areas, most of which have been formed over the Last Glacial Maximum. Presently, due to some natural and anthropogenic implications on earth, newly-born sand dunes are quickly emerging. Lake Urmia, the world's second largest permanent hypersaline lake, has started shrinking, vast lands comprising sand dunes over the western shore of the lake have appeared and one question has been playing on the minds of nearby dwellers: where are these sand dunes coming from, What there was not 15 years ago!! In the present study, the determination of the source of the Lake Urmia sand dunes in terms of the quantifying relative contribution of each upstream geomorphological/lithological unit has been performed using geochemical fingerprinting techniques. The findings demonstrate that the alluvial and the fluvial sediments of the western upstream catchment have been transported by water erosion and they accumulated in the lower reaches of the Kahriz River. Wind erosion, as a secondary agent, have carried the aeolian sand-sized sediments to the sand dune area. Hence, the Lake Urmia sand dunes have been originating from simultaneous and joint actions of alluvial, fluvial and aeolian processes.

  5. Effects of sand fences on coastal dune vegetation distribution

    Science.gov (United States)

    Grafals-Soto, Rosana

    2012-04-01

    Sand fences are important human adjustments modifying the morphology of developed shores. The effects of sand fences on sediment transport and deposition in their initial stages have been well studied, but little is known about the effect of deteriorated sand fences that have become partially buried low scale barriers within the dune, potentially benefiting vegetation growth by protecting it from onshore stress. Data on vegetation, topography and fence characteristics were gathered at three dune sites in Ocean City, New Jersey on September 2007 and March 2008 to evaluate the effect of fences within the dune on vegetation distribution. Variables include: distance landward of dune toe, degree of sheltering from onshore stressors, net change in surface elevation (deposition or erosion), vegetation diversity and density, presence of remnant fence, and distance landward of fence. Results for the studied environment reveal that 1) vegetation diversity or density does not increase near remnant fences because most remnants are lower than average vegetation height and can not provide shelter; but 2) vegetation distribution is related to topographic variables, such as degree of sheltering, that are most likely the result of sand accretion caused by fence deployment. Fence deployment that prioritizes the creation of topographically diverse dunes within a restricted space may increase the diversity and density of the vegetation, and the resilience and value of developed dunes. Managers should consider the benefits of using sand fences on appropriately wide beaches to create a protective dune that is also diverse, functional and better able to adapt to change.

  6. Infrapopliteal Percutaneous Transluminal Balloon Angioplasty: Clinical Results and Influence Factors

    Energy Technology Data Exchange (ETDEWEB)

    Song, Jang Hyeon; Lee, Seung Jin; Jung, Hye Doo; Lim, Jae Hoon; Chang, Nam Kyu; Yim, Nam Yeol; Kim, Jae Kyu [Dept. of Radiology, Chonnam National University Hospital, Gwangju (Korea, Republic of); Lee, Keun Bae [Dept. of Radiology, Chonnam National University Hospital, Gwangju (Korea, Republic of)

    2011-09-15

    To assess the efficacy of percutaneous transluminal angioplasty (PTA) in patients with infrapopliteal arterial disease, and to determine the influencing factor for prognosis. A total of 55 patients (60 limbs) with infrapopliteal arterial stenosis or occlusion underwent PTA. Atherosclerotic risk factors, clinical symptoms, TransAtlantic Inter-Society Consensus (TASC) classification, and vascular wall calcification were evaluated before PTA. The number of patent infrapopliteal arteries was estimated, and the outcome was evaluated by symptom relief and limb salvage. Technical success was achieved in 53/60 limbs (88.3%) and 81/93 arteries (87.1%), TASC classification (p = 0.038) and vascular calcification (p = 0.002) influenced on technical failure. During follow-up, 26 of 55 limbs (47%) achieved symptom relief and 42/55 limbs (76%) underwent limb salvage. Non-diabetic patients (9/12, 75%) were superior to diabetic patients (17/43, 40%) in terms of symptom relief (p = 0.024). TASC classification and vascular wall calcification influenced on symptom relief and limb salvage. The number of patent infrapopliteal arteries after PTA influenced symptom relief (p < 0.001) and limb amputation (p = 0.003). PTA in patients with chronic critical limb ischemia is worthwhile as a primary treatment. The influence factors should be considered before PTA, and PTA should be performed in as many involved arteries as possible.

  7. Learning curve for intracranial angioplasty and stenting in single center.

    Science.gov (United States)

    Cai, Qiankun; Li, Yongkun; Xu, Gelin; Sun, Wen; Xiong, Yunyun; Sun, Wenshan; Bao, Yuanfei; Huang, Xianjun; Zhang, Yao; Zhou, Lulu; Zhu, Wusheng; Liu, Xinfeng

    2014-01-01

    To identify the specific caseload to overcome learning curve effect based on data from consecutive patients treated with Intracranial Angioplasty and Stenting (IAS) in our center. The Stenting and Aggressive Medical Management for Preventing Recurrent Stroke and Intracranial Stenosis trial was prematurely terminated owing to the high rate of periprocedural complications in the endovascular arm. To date, there are no data available for determining the essential caseload sufficient to overcome the learning effect and perform IAS with an acceptable level of complications. Between March 2004 and May 2012, 188 consecutive patients with 194 lesions who underwent IAS were analyzed retrospectively. The outcome variables used to assess the learning curve were periprocedural complications (included transient ischemic attack, ischemic stroke, vessel rupture, cerebral hyperperfusion syndrome, and vessel perforation). Multivariable logistic regression analysis was employed to illustrate the existence of learning curve effect on IAS. A risk-adjusted cumulative sum chart was performed to identify the specific caseload to overcome learning curve effect. The overall rate of 30-days periprocedural complications was 12.4% (24/194). After adjusting for case-mix, multivariate logistic regression analysis showed that operator experience was an independent predictor for periprocedural complications. The learning curve of IAS to overcome complications in a risk-adjusted manner was 21 cases. Operator's level of experience significantly affected the outcome of IAS. Moreover, we observed that the amount of experience sufficient for performing IAS in our center was 21 cases. Copyright © 2013 Wiley Periodicals, Inc.

  8. Infrapopliteal Percutaneous Transluminal Balloon Angioplasty: Clinical Results and Influence Factors

    International Nuclear Information System (INIS)

    Song, Jang Hyeon; Lee, Seung Jin; Jung, Hye Doo; Lim, Jae Hoon; Chang, Nam Kyu; Yim, Nam Yeol; Kim, Jae Kyu; Lee, Keun Bae

    2011-01-01

    To assess the efficacy of percutaneous transluminal angioplasty (PTA) in patients with infrapopliteal arterial disease, and to determine the influencing factor for prognosis. A total of 55 patients (60 limbs) with infrapopliteal arterial stenosis or occlusion underwent PTA. Atherosclerotic risk factors, clinical symptoms, TransAtlantic Inter-Society Consensus (TASC) classification, and vascular wall calcification were evaluated before PTA. The number of patent infrapopliteal arteries was estimated, and the outcome was evaluated by symptom relief and limb salvage. Technical success was achieved in 53/60 limbs (88.3%) and 81/93 arteries (87.1%), TASC classification (p = 0.038) and vascular calcification (p = 0.002) influenced on technical failure. During follow-up, 26 of 55 limbs (47%) achieved symptom relief and 42/55 limbs (76%) underwent limb salvage. Non-diabetic patients (9/12, 75%) were superior to diabetic patients (17/43, 40%) in terms of symptom relief (p = 0.024). TASC classification and vascular wall calcification influenced on symptom relief and limb salvage. The number of patent infrapopliteal arteries after PTA influenced symptom relief (p < 0.001) and limb amputation (p = 0.003). PTA in patients with chronic critical limb ischemia is worthwhile as a primary treatment. The influence factors should be considered before PTA, and PTA should be performed in as many involved arteries as possible.

  9. Early outcomes after carotid angioplasty with stenting performed by neurologists

    Directory of Open Access Journals (Sweden)

    Bathala Lokesh

    2010-01-01

    Full Text Available Aims: To evaluate the results of carotid artery angioplasty and stenting (CAS in treating extracranial carotid artery stenosis performed by neurologists in our center and compare the results with other large published series. Materials and Methods: Data for all patients who underwent CAS from January 2003 through November 2007, was retrieved from the Nanjing Stroke Registry. Perioperative and post-procedural complications within 30 days following stenting were analyzed and compared with that from other series. A total number of 75 patients were enrolled, with a mean age of 65.9 ± 8.8 years, and 64 (85.3% of them were male. Results: Procedural success was achieved in 74 patients (98.7%. Pre-treatment stenosis was 73.8 ± 14.9 and post-treatment residual stenosis was less than 10%. Thirty-four patients (45.3% had bilateral carotid artery disease and seven (9.3% had tandem stenosis. The neurological complication rate was 3.9% (one major and two minor strokes. Bradycardia in four (5.3% and hypotension in 13 (17.3% were observed during procedures. Using the Fischer′s exact t test, the complication rate compared with the large published series did not reveal any statistically significant difference (P > 0.05. Conclusions: We conclude that neurologists, with adequate training, can develop and add this technical skill to the existing cognitive skill of vascular neurology and safely perform stenting.

  10. [Experimental ultrasound angioplasty: in vitro resolution of thrombi].

    Science.gov (United States)

    Stähr, P; Erbel, R; Weber, W; Fischer, H; Meyer, J

    1995-05-01

    A new ultrasonic angioplasty ablation catheter connected to a 19.5 kHz. 25 W transducer was tested in vitro for its ability to disrupt 12-h. 24-h, and 5-day-old whole blood thrombi (n = 45.697 mg +/- 223 mg) and fibrin thrombi (n = 45.338 mg +/- 133 mg), as well as 5-day-old cadaver thrombi (n = 8.270 mg +/- 71 mg) within 10 min. Five of each age were used as control thrombi in which the catheter was moved back and forth without ultrasound emission. The size of ablated thrombus particles was measured by a laser device. The power output at the end of the catheter was assessed calorimetrically. The loss of weight of whole blood thrombi was between 429 (74%) and 524 mg (91%) (p power output at the catheter tip was 5.9 W compared to the power output of 25 W at the ultrasound generator.(ABSTRACT TRUNCATED AT 250 WORDS)

  11. Carotid angioplasty and stenting under protection. Techniques, results and limitations.

    Science.gov (United States)

    Henry, M; Polydorou, A; Henry, I; Anagnostopoulou, I S; Polydorou, I A; Hugel, M

    2006-10-01

    A carotid stenosis is responsible for about 30% of strokes occurring. Carotid endarterectomy (CEA) is considered to be the gold standard treatment of a carotid stenosis. Carotid angioplasty and stenting (CAS) is emerging as a new alternative treatment for a carotid artery stenosis, but the risk of neurological complications and brain embolism remains the major drawback to this procedure. Therefore, in order to reduce the risks, we need: 1) good indications, good patient and lesion selection; 2) correct techniques; 3) brain protection devices (cerebral protection devices should be routinely used and are mandatory for any procedure); 4) 3 types of protection devices are available, but filters are the most commonly used (all protection devices have limitations and cannot prevent from all embolic events; however, neurological complications can be reduced by 60%); 5) a good choice of the stent and correct implantation (all stents are not equivalent and have different geometrical effects); 6) pharmacological adjuncts; 7) a good team. Recent studies have shown that CAS has superior short-term outcomes than CEA in high surgical risk patients, but there are enough reported data to conclude that CAS is also not inferior to CEA in low-risk patients. CAS under protection is the standard of care and is maybe becoming the gold standard treatment of a carotid stenosis at least in some subgroups of patients.

  12. Clinical experience with the Monorail balloon catheter for coronary angioplasty.

    Science.gov (United States)

    Finci, L; Meier, B; Roy, P; Steffenino, G; Rutishauser, W

    1988-01-01

    The Monorail balloon catheter is distinctly different from other current balloon catheters: the guidewire passes through the balloon itself, exits the catheter proximal to the balloon, and runs alongside its small shaft (3 French) through the guiding catheter. Monorail coronary angioplasty was attempted in 61 patients on 73 lesions with balloons from 2.0 to 3.7 mm. Angiographic success was obtained in 66 lesions (90%). For 15 lesions, balloon exchanges were needed. In three lesions, the Monorail balloon failed to cross the lesion, while a standard balloon succeeded; two lesions could not be crossed with any balloon. Vessel occlusion occurred in four patients: two had emergency surgery without infarct (one died suddenly 4 days later and one had a stroke 1 day later), one was recanalized with a standard balloon, and one had a myocardial infarct. Continuous infusion of urokinase was used until patient 3 in whom problems with the delivery system led to cardiocerebral air embolization (with complete recovery). No thrombotic complications were observed in the subsequent 58 patients with only a bolus of 10,000 U of heparin. The Monorail balloon facilitates contrast injections and balloon exchanges but appears more difficult to pass through tight lesions. Omission of the previously recommended infusion with a thrombolytic agent proved safe.

  13. Endovascular treatment with angioplasty or stenting versus endarterectomy in patients with carotid artery stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): long-term follow-up of a randomised trial.

    LENUS (Irish Health Repository)

    Ederle, Jörg

    2009-10-01

    Endovascular treatment (angioplasty with or without stenting) is an alternative to carotid endarterectomy for carotid artery stenosis but there are scarce long-term efficacy data showing that it prevents stroke. We therefore report the long-term results of the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS).

  14. Use of Reactor-Produced Radioisotopes for Prevention Restenosis After Angioplasty

    International Nuclear Information System (INIS)

    Knapp, F.F.; Pipes, D.W.

    1999-01-01

    Coronary heart disease leads to myocardial infarction and is a major cause of death in the US. Myocardial infarctions result from atherosclerotic plaque deposits in the coronary arteries, reducing blood flow through these arteries which supply oxygen and nutrients to the heart muscle. The two major approaches for restoring adequate blood flow are coronary bypass graft surgery and coronary angioplasty. Angioplasty is a routinely used clinical procedure, where a deflated balloon attached to the end of a long catheter is inserted into an artery in the leg and then advanced through the aorta into the blocked regions of the coronary arteries. After positioning in the occluded region of the artery, the balloon is inflated with a pressurized saline solution which opens the artery restoring blood flow by pressing the atherosclerotic plaque into the vessel wall. Angioplasty is a widely performed procedure with the coronary arteries and is a much less expensive alternative to coronary bypass surgery. The best patients for angioplasty are those with single occlusions and this method is preferred over bypass grafting because of the significantly reduced expense. The reformation of plaque deposits in arteries (restenosis) following angioplasty, however, is a major clinical problem encountered in as high as 40 percent of patients. Because reduction of health care costs is a major national priority, development of effective new preventative methods for restenoses is an important national priority

  15. Probabilistic estimation of dune retreat on the Gold Coast, Australia

    Science.gov (United States)

    Palmsten, Margaret L.; Splinter, Kristen D.; Plant, Nathaniel G.; Stockdon, Hilary F.

    2014-01-01

    Sand dunes are an important natural buffer between storm impacts and development backing the beach on the Gold Coast of Queensland, Australia. The ability to forecast dune erosion at a prediction horizon of days to a week would allow efficient and timely response to dune erosion in this highly populated area. Towards this goal, we modified an existing probabilistic dune erosion model for use on the Gold Coast. The original model was trained using observations of dune response from Hurricane Ivan on Santa Rosa Island, Florida, USA (Plant and Stockdon 2012. Probabilistic prediction of barrier-island response to hurricanes, Journal of Geophysical Research, 117(F3), F03015). The model relates dune position change to pre-storm dune elevations, dune widths, and beach widths, along with storm surge and run-up using a Bayesian network. The Bayesian approach captures the uncertainty of inputs and predictions through the conditional probabilities between variables. Three versions of the barrier island response Bayesian network were tested for use on the Gold Coast. One network has the same structure as the original and was trained with the Santa Rosa Island data. The second network has a modified design and was trained using only pre- and post-storm data from 1988-2009 for the Gold Coast. The third version of the network has the same design as the second version of the network and was trained with the combined data from the Gold Coast and Santa Rosa Island. The two networks modified for use on the Gold Coast hindcast dune retreat with equal accuracy. Both networks explained 60% of the observed dune retreat variance, which is comparable to the skill observed by Plant and Stockdon (2012) in the initial Bayesian network application at Santa Rosa Island. The new networks improved predictions relative to application of the original network on the Gold Coast. Dune width was the most important morphologic variable in hindcasting dune retreat, while hydrodynamic variables, surge and

  16. Dating pleistocene fossil coastal sand dunes by thermoluminescence

    International Nuclear Information System (INIS)

    Poupeau, G.; Souza, J.H.; Soliani Junior, E.; Loss, E.L.

    1983-01-01

    It was shown recently that sunlight exposure is able to bleach most of the geological thermoluminescence (TL) of wind transported sediments. This property has been used in an attempt to date dunes from the well developed recent quaternary coastal dunes system of Rio Grande do Sul. Preliminary results presented here, show that TL dating on fossil sand dunes from Rio Grande do Sul should be possible in a time range from present to at least 50.000 yr and possibly more than 100.000 yr. (Author) [pt

  17. The role of bathymetry, wave obliquity and coastal curvature in dune erosion prediction

    NARCIS (Netherlands)

    Den Heijer, C.

    2013-01-01

    This study aims at reducing uncertainty in dune erosion predictions, in particular at complex dune coasts, in order to improve the assessment method for dune safety against flooding. To that end, state-of-the-art process-based dune erosion models are employed to further investigate issues

  18. Bien faire un cours, un exposé, une conférence

    CERN Document Server

    Brown, George

    1981-01-01

    Le livre de Georges Brown est un livre important pour deux raisons : - Parce qu'il propose à tous les formateurs et enseignants une approche méthodologique de la transmission orale des connaissances. En effet, il ne suffit pas de bien connaître son sujet pour le faire comprendre à son auditoire. Ce livre est conçu pour mener le lecteur pas à pas dans la découverte de son propre style d'explication, de ses points faibles et de ses points forts. - Parce qu'il permet au lecteur, grâce à la pratique des 45 exercices contenus dans l'ouvrage, de faire alterner la réflexion et la performance individuelle avec l'échange d'expériences et l'auto-évaluation des méthodes d'enseignement oral. Ce livre, qui possède toutes les qualités du pragmatisme anglo-saxon, met au service de la formation un outil essentiellement pratique. Il s'adresse donc à tous ceux qui donnent des cours, font des séminaires,ou ont à exposer leurs idées devant un auditoire. EXPLIQUER, C'EST D'ABORD SAVOIR COMMUNIQUER.

  19. Introduction à la thermodynamique cours et problèmes résolus

    CERN Document Server

    Lhuillier, Claire

    1994-01-01

    Si la thermodynamique fait appel à des concepts comme l'entropie, son étude renvoie souvent à des phénomènes courants (les changements d'état) ou encore à des technologies lourdes (les centrales thermiques). De ce fait, on la considère parfois comme une discipline difficile d'accès. Dans le cadre de leur enseignement de première année de premier cycle, Claire LHUILLIER et Jean ROUS ont rédigé un cours - appuyé de très nombreux exemples - dans lesquels ils introduisent avec clarté et rigueur toutes les notions de base : pression, température, énergie interne, premier principe, travail des forces de pression, chaleurs, etc. L'introduction de l'entropie est dissociée de celle du second principe : c'est une fonction d'état qui mesure l'information microscopique manquante. Le second principe est alors formulé comme un principe d'évolution, adapté à l'étude des phénomènes irréversibles. Les potentiels thermodynamiques ont été plus longuement traités dans cette nouvelle édition. Une f...

  20. Mécanique quantique cours et exercices corrigés

    CERN Document Server

    Texier, Christophe

    2015-01-01

    Ce manuel est destiné aux étudiants des licences et masters de physique, aux candidats au CAPES ou à l’Agrégation, ainsi qu’aux élèves ingénieurs. Le cours, illustré par de nombreuses expériences, aborde les points essentiels de la mécanique quantique, parmi lesquels : l’étude de l’équation d’onde de Schrödinger, le rôle des symétries, le problème de l’indiscernabilité des particules identiques, les méthodes d’approximation et les problèmes dépendant du temps. Sont abordées également la théorie de la collision ou l’étude de la dynamique d’une particule en champ magnétique. Une centaine d’exercices et de problèmes sont proposés et accompagnés de corrigés détaillés mettant en évidence la méthodologie. Dans cette seconde édition actualisée, des exemples, des problèmes et des expériences ont été ajoutés afin de faciliter la compréhension des notions les plus complexes.

  1. Technical Training: Annonce de nouveau cours: Utilisation des fichiers PDF avec ACROBAT 6.0

    CERN Multimedia

    Monique Duval

    2005-01-01

    CERN Technical Training 2005: Learning for the LHC! Un nouveau cours pratique sur Adobe Acrobat version 6.0 est proposé à l'ensemble du personnel par le service de l'Enseignement Technique, pour répondre aux besoins de formation des utilisateurs des documents PDF. La première session aura lieu le 1er mars 2005. Objectifs : Maîtriser les différentes fonctions d'Adobe Acrobat 6.0. Programme : Présentation d'Adobe Acrobat 6.0. Création de fichiers PDF depuis Microsoft Office et d'autres applications. Création de fichiers Postscript. Modification de fichiers PDF, enregistrement et exportation. Protection par mot de passe et par signature numérique. Navigation dans les documents : interactivité, vignettes et pages, signets, liens, articles, affichage et ouverture des PDF, recherche. Travail en commun: Ajout de commentaires, révision par messagerie électronique Dur&e...

  2. La politique qualité de la certification des comptes publics. Le cas de la Cour des comptes

    OpenAIRE

    Portal , Marine

    2009-01-01

    This research concerns the quality of the public accounts financial audit and more specifically the quality policy of this financial audit carries out by the Cour des comptes. The context is characterized by an increase of demands concerning the quality of financial and accounting information. The accounting and budgetary reform in France, generated by the LOLF 2001, is changing deeply performance of public management and accountancy by emphasizing transparence and quality for information, tw...

  3. Post-angioplasty far infrared radiation therapy improves 1-year angioplasty-free hemodialysis access patency of recurrent obstructive lesions.

    Science.gov (United States)

    Lai, C-C; Fang, H-C; Mar, G-Y; Liou, J-C; Tseng, C-J; Liu, C-P

    2013-12-01

    To explore the role of far infrared (FIR) radiation therapy for hemodialysis (HD) access maintenance after percutaneous transluminal angioplasties (PTA). This was a prospective observational study. Eligible patients were those who received repeated PTA with the last PTA successfully performed within 1 week before the study enrollments. Consecutively enrolled patients undergoing successful HD treatments after PTA were randomly assigned to the FIR-radiated group or control group without radiation. FIR-radiated therapy meaning 40-minute radiation at the major lesion site or anastomosed site three times a week was continued until an end-point defined as dysfunction-driven re-PTA or the study end was reached. Of 216 participants analyzed, including 97 with arteriovenous grafts (AVG) (49 FIR-radiated participants and 48 control participants) and 119 with arteriovenous fistulas (AVF) (69 FIR-radiated participants and 50 control participants), the FIR-radiated therapy compared with free-radiated usual therapy significantly enhanced PTA-unassisted patency at 1 year in the AVG subgroup (16.3% vs. 2.1%; p radiated therapy improves PTA-unassisted patency in patients with AVG who have undergone previous PTA. Copyright © 2013 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

  4. Percutaneous transluminal angioplasty of an occluded surgical splenorenal shunt in a 4-year-old child after liver transplantation

    Energy Technology Data Exchange (ETDEWEB)

    Yussim, Ethan; Belenky, Alexander; Atar, Eli [Department of Diagnostic Radiology, Rabin Medical Center, Vascular and Interventional Radiology Unit, Petah Tikva (Israel); Shapiro, Rivka [Schneider Children' s Medical Center, Institute of Pediatric Gastroenterology and Nutrition, Petah Tikva (Israel); Mor, Eytan [Rabin Medical Center, Department of Organ Transplantation, Petah Tikva (Israel)

    2005-07-01

    Percutaneous transluminal angioplasty is increasingly used in children. We present a case of successful balloon angioplasty of an occluded surgical splenorenal shunt in a 4-year-old child who underwent liver transplantation because of biliary atresia. Percutaneous reopening of the shunt is a relatively safe procedure that may spare patients of surgical intervention. (orig.)

  5. Percutaneous transluminal angioplasty of an occluded surgical splenorenal shunt in a 4-year-old child after liver transplantation

    International Nuclear Information System (INIS)

    Yussim, Ethan; Belenky, Alexander; Atar, Eli; Shapiro, Rivka; Mor, Eytan

    2005-01-01

    Percutaneous transluminal angioplasty is increasingly used in children. We present a case of successful balloon angioplasty of an occluded surgical splenorenal shunt in a 4-year-old child who underwent liver transplantation because of biliary atresia. Percutaneous reopening of the shunt is a relatively safe procedure that may spare patients of surgical intervention. (orig.)

  6. Safety and efficacy of recombinant hirudin (CGP 39 393) versus heparin in patients with stable angina undergoing coronary angioplasty

    NARCIS (Netherlands)

    van den Bos, A. A.; Deckers, J. W.; Heyndrickx, G. R.; Laarman, G. J.; Suryapranata, H.; Zijlstra, F.; Close, P.; Rijnierse, J. J.; Buller, H. R.; Serruys, P. W.

    1993-01-01

    Enhanced thrombin activity has been associated with acute and long-term complications following balloon angioplasty (percutaneous transluminal coronary angioplasty (PTCA). We evaluated, in a 2-to-1 randomized, double-blind trial, the effects of recombinant hirudin, CGP 39 393, relative to

  7. Safety and efficacy of recombinant Hirudin (CGP 39 393) versus Heparin in patients with stable angina undergoing coronary angioplasty

    NARCIS (Netherlands)

    A.A. van den Bos (Arjan); G.R. Heyndrickx (Guy); G-J. Laarman (GertJan); H. Suryapranata (Harry); F. Zijlstra (Felix); P. Close (Philip); J.J.M.M. Rijnierse (Joep); H.R. Büller (Harry); P.W.J.C. Serruys (Patrick); J.W. Deckers (Jaap)

    1993-01-01

    textabstractBACKGROUND. Enhanced thrombin activity has been associated with acute and long-term complications following balloon angioplasty (percutaneous transluminal coronary angioplasty (PTCA). We evaluated, in a 2-to-1 randomized, double-blind trial, the effects of recombinant hirudin, CGP 39

  8. Nucléation, ascension et éclatement d'une bulle de champagne

    Science.gov (United States)

    Liger-Belair, G.

    2006-03-01

    verre ou de la flûte. Dans la majorité des cas, il s'agit de fibres de cellulose creuses dont les propriétés géométriques permettent le piégeage d'une poche d'air en leur sein au moment du versement. Un modèle de piégeage a été construit et met en avant le rôle fondamental joué par la vitesse du versement. Plus cette vitesse augmente, plus on augmente la probabilité de piéger des poches d'air au sein de ces fibres, provoquant ainsi une effervescence plus importante. La dynamique de production des bulles a également été filmée in situ à l'aide de la caméra, puis modélisée en utilisant les équations de la diffusion adaptées à la géométrie de notre fibre supposée approximativement cylindrique. Nous avons montré que le temps caractéristique de production d'une bulle par la fibre est largement gouverné par la croissance de cette petite poche de gaz par diffusion du CO{2} dissous vers la poche. Nous avons démontré que la convection du liquide joue un rôle essentiel lors du transfert de masse du CO{2} dissous vers la poche. En effet, un modèle purement diffusif ne permet pas du tout de reproduire la dynamique de croissance expérimentale de ces poches de gaz piégées au cœur des fibres. Nous avons également pu mettre en évidence des changements spectaculaires dans la dynamique de bullage de certains sites de nucléation suivis au cours du temps pendant le processus de dégazage. Ces observations font de la fibre de cellulose immergée dans le champagne le plus petit système de bullage non-linéaire observé à ce jour. Dynamique ascensionnelle Pour mesurer la vitesse d'une bulle tout au long de son trajet vers la surface libre du champagne, nous avons tiré profit de la production répétitive de bulles au niveau des sites de nucléation. Par la mise en place d'un dispositif expérimental simple qui associe une lumière stroboscopique et un appareil photographique muni de bagues macros, nous avons pu accéder à l'observation fine des

  9. Exercise radionuclide ventriculography to detect restenosis following coronary angioplasty

    International Nuclear Information System (INIS)

    De Puey, E.G.; Leatherman, L.L.; Dear, W.E.; Leachman, R.D.; Massin, E.K.; Mathur, V.S.; Burdine, J.A.

    1984-01-01

    Forty one patients (pts) underwent semiupright exercise gated radionuclide ventriculography (EGRNV) before, within 3 d after single vessel transluminal coronary angioplasty (TCA), and 4 to 12 mos later, at which time follow-up cardiac catheterization was also performed. Prior to TCA 76% of pts had abnormal EGRNV, as defined by a failure to increase ejection fraction (EF) by 5 points or the development of a new regional wall motion abnormality. Stenosis was reduced from 90 +- 7% to 18 +- 17%. Early after TCA, exercise duration and maximum double product increased (p's 20% but <50%; Group III (n=8): ≥ 50%] Pts with abnormal EGRNV early after TCA were demonstrated to have a greater percent increase in stenosis at late follow-up than pts with normal EGRNV (41 +- 30% vs 19 +- 25%, p<.001). Early after TCA EGRNV was abnormal in 5% of Group I pts vs 75% in Group III (p<.01), and EF increased to a greater degree during exercise in Group I pts (+11.3 +- 7.5 vs +3.5 +- 6.5 points, p<.01). At 4-12 mos EGRNV was abnormal in 27% of Group I vs 88% of Group III (p<.01), and during exercise EF increased in Group I pts (+11.8 +- 7.8 points) but decreased in Group III (-1.9 +- 8.7 points) (p<.0005). The accuracy of abnormal EGRNV in predicting ≥ 50% restenosis was 73% early post-TCA and 77% at 4-12 mos. The authors conclude that EGRNV is a valuable test to verify the success of TCA and to detect subsequent restenosis

  10. Retrograde vs. Antegrade Puncture for Infra-Inguinal Angioplasty

    International Nuclear Information System (INIS)

    Nice, C.; Timmons, G.; Bartholemew, P.; Uberoi, R.

    2003-01-01

    This study was done to compare antegrade punctures with a retrograde puncture technique for infrainguinal angioplasty. A group of 100 consecutive patients (71 men, 29 women) were randomized for antegrade puncture or retrograde puncture of the common femoral artery. Following retrograde puncture the guidewire was 'turned' and placed into the superficial femoral artery. The time for gaining access, screening time, radiation dose, patient height, weight and complications were recorded. All patients were reviewed the day after the procedure and within 3 months. Data from 46 patients (34 males and 12 females) in the retrograde group and 44 (28 males and 16 females) in the antegrade group were available for analysis. Mean procedure time,screening time, radiation dose, height and weight were 8.3 minutes(range 3-22), 2.1 minutes (0.3-6.5), 7950 mGy cm -2 (820-71250), 169 cm (149-204) and 79 kg (32-108) for retrograde puncture and 8 min (2-60), 0.7 min (0.0-3.2), 1069 mGycm -2 (0-15400), 169 cm (152-186) and 75 kg (39-125) for antegrade punctures, respectively. An average of 1.2 (1-2) punctures was required for retrograde and 1.75 (1-8) for antegrade. Seven small hematomas occurred with antegrade and three for retrograde puncture.Retrograde puncture is technically easier with a tendency to fewer complications but results in a higher radiation dose. This technique should be used in difficult patients at high risk of haematoma formation

  11. Usefulness of percutaneous transluminal coronary angioplasty in silent myocardial ischemia

    International Nuclear Information System (INIS)

    Hou, Mami

    1996-01-01

    The usefulness of percutaneous transluminal coronary angioplasty (PTCA) was assessed in patients with exercise-induced asymptomatic myocardial ischemia (silent ischemia) and compared with exercise-induced symptomatic myocardial ischemia (symptomatic ischemia). Patients with single vessel coronary artery disease (51 with angina pectoris, 40 with old myocardial infarction) and evidence of stress-induced ischemia on thallium-201 single photon emission computed tomography (SPECT) underwent successful PTCA. Thirty-seven percent of angina patients and 60% of infarction patients showed asymptomatic exercise-induced ischemia. There was no significant difference in population characteristics between silent and symptomatic patients. Patients with silent angina had significantly higher percentage thallium uptake and washout rate than symptomatic patients. After PTCA, both percentage diameter stenosis and percentage thallium uptake were improved in all patients with angina irrespective of the presence or absence of symptoms. There were no significant differences in percentage thallium uptake and washout rate between patients with silent and symptomatic infarction. After PTCA, percentage diameter stenosis, percentage thallium uptake, and washout rate improved in all infarction patients irrespective of the symptoms. Zero percent of silent angina patients, 12% of symptomatic angina patients, 12% of silent infarction patients, 19% of symptomatic infarction patients had cardiac events during about 4.5 years after PTCA. The incidence of cardiac events did not significantly differ in any patient group. PTCA improved myocardial perfusion in all patients, and the incidence of cardiac events did not differ between the silent and symptomatic groups. Revascularization with PTCA is suitable for patients with silent as well as symptomatic ischemia. (author)

  12. Endovascular Revascularization of Symptomatic Infrapopliteal Arteriosclerotic Occlusive Disease: Comparison of Atherectomy and Angioplasty

    Science.gov (United States)

    Tan, Tze-Woei; Semaan, Elie; Nasr, Wael; Eberhardt, Robert T.; Hamburg, Naomi; Doros, Gheorghe; Rybin, Denis; Shaw, Palma M.; Farber, Alik

    2011-01-01

    The preferred method for revascularization of symptomatic infrapopliteal arterial occlusive disease (IPAD) has traditionally been open vascular bypass. Endovascular techniques have been increasingly applied to treat tibial disease with mixed results. We evaluated the short-term outcome of percutaneous infrapopliteal intervention and compared the different techniques used. A retrospective analysis of consecutive patients undergoing endovascular treatment for infrapopliteal arterial occlusive lesions between 2003 and 2007 in a tertiary teaching hospital was performed. Patient demographic data, indication for intervention, and periprocedural complications were recorded. Periprocedural and short-term outcomes were measured and compared. Forty-nine infrapopliteal arteries in 35 patients were treated. Twenty vessels (15 patients) underwent angioplasty and 29 vessels (20 patients) were treated with atherectomy. Demographic and angiographic characteristics were similar between the groups. Twenty-six patients had concurrent femoral and/or popliteal artery interventions. Overall, technical success was 90% and similar between angioplasty and atherectomy groups (85% versus 93%, p = NS). The vessel-specific complication rate was 10% and was similar between both groups (angioplasty 5% versus atherectomy 14%, p = NS). One dissection occurred in the angioplasty group; one perforation and three thromboembolic events occurred in the atherectomy group. Limb salvage and freedom from reintervention at 6 months were 81% and 68%, respectively, and were not significantly different between the angioplasty and atherectomy groups. Endovascular intervention for IPAD had acceptable periprocedural and short-term success rates in our high-risk patient population. Both atherectomy and angioplasty can be used successfully to treat symptomatic IPAD. PMID:22532766

  13. Predictors for adverse outcome after iliac angioplasty and stenting for limb-threatening ischemia.

    Science.gov (United States)

    Timaran, Carlos H; Stevens, Scott L; Freeman, Michael B; Goldman, Mitchell H

    2002-09-01

    The role of iliac artery angioplasty and stenting (IAS) for the treatment of limb-threatening ischemia is not defined. IAS has been used primarily for patients with disabling claudication. Because poorer results have been shown in patients with critical ischemia after iliac artery angioplasty, the purpose of this study was to estimate the influence of risk factors on the outcome of iliac angioplasty and stent placement in patients with limb-threatening ischemia. During a 5-year period (from 1996 to 2001), 85 iliac angioplasty and stent placement procedures (107 stents) were performed in 31 women and 43 men with limb-threatening ischemia. Patients with claudication were specifically excluded. The criteria prepared by the Ad Hoc Committee on Reporting Standards (Society for Vascular Surgery/International Society for Cardiovascular Surgery) were followed to define the variables. The TransAtlantic InterSociety Consensus classification was used to characterize the type of iliac lesions. Both univariate (Kaplan-Meier [KM]) and multivariate analyses (Cox proportional hazards model) were used to determine the association between variables, cumulative patency, limb salvage, and survival. Indications for iliac angioplasty with stenting were ischemic rest pain (56%) and tissue loss (44%). Primary stenting was performed in 36 patients (42%). Stents were placed selectively after iliac angioplasty mainly for residual stenosis or pressure gradient (43%). Overall, primary stent patency rate was 90% at 1 year, 74% at 3 years, and 69% at 5 years. Primary stent patency rate was significantly reduced in women compared with men (KM, log-rank test, P 1.6 mg/dL; KM, log-rank test, P IAS. Limb salvage, as shown in this study, is not affected by previous iliac stent failure.

  14. Latitudinal and altitudinal controls of Titan's dune field morphometry

    Science.gov (United States)

    Le Gall, A.; Hayes, A. G.; Ewing, R.; Janssen, M. A.; Radebaugh, J.; Savage, C.; Encrenaz, P.; the Cassini Radar Team

    2012-01-01

    Dune fields dominate ˜13% of Titan's surface and represent an important sink of carbon in the methane cycle. Herein, we discuss correlations in dune morphometry with altitude and latitude. These correlations, which have important implications in terms of geological processes and climate on Titan, are investigated through the microwave electromagnetic signatures of dune fields using Cassini radar and radiometry observations. The backscatter and emissivity from Titan's dune terrains are primarily controlled by the amount of interdune area within the radar footprint and are also expected to vary with the degree of the interdunal sand cover. Using SAR-derived topography, we find that Titan's main dune fields (Shangri-La, Fensal, Belet and Aztlan) tend to occupy the lowest elevation areas in Equatorial regions occurring at mean elevations between ˜-400 and ˜0 m (relative to the geoid). In elevated dune terrains, we show a definite trend towards a smaller dune to interdune ratio and possibly a thinner sand cover in the interdune areas. A similar correlation is observed with latitude, suggesting that the quantity of windblown sand in the dune fields tends to decrease as one moves farther north. The altitudinal trend among Titan's sand seas is consistent with the idea that sediment source zones most probably occur in lowlands, which would reduce the sand supply toward elevated regions. The latitudinal preference could result from a gradual increase in dampness with latitude due to the asymmetric seasonal forcing associated with Titan's current orbital configuration unless it is indicative of a latitudinal preference in the sand source distribution or wind transport capacity.

  15. TUMEUR ORBITAIRE: MANIFESTATION INITIALE D'UNE MALADIE ...

    African Journals Online (AJOL)

    L'hétérogénéité et la rareté des formes multicentriques de la maladie de Castleman font que leurs traitements soient très disparates. La maladie de Castleman doit être considérée comme un diagnostic possible d'une adénopathie cervicale particulièrement chez les patients souffrant d'une maladie inflammatoire chronique.

  16. Rip currents, mega-cusps, and eroding dunes

    Science.gov (United States)

    Thornton, E.B.; MacMahan, J.; Sallenger, A.H.

    2007-01-01

    Dune erosion is shown to occur at the embayment of beach mega-cusps O(200 m alongshore) that are associated with rip currents. The beach is the narrowest at the embayment of the mega-cusps allowing the swash of large storm waves coincident with high tides to reach the toe of the dune, to undercut the dune and to cause dune erosion. Field measurements of dune, beach, and rip current morphology are acquired along an 18 km shoreline in southern Monterey Bay, California. This section of the bay consists of a sandy shoreline backed by extensive dunes, rising to heights exceeding 40 m. There is a large increase in wave height going from small wave heights in the shadow of a headland, to the center of the bay where convergence of waves owing to refraction over the Monterey Bay submarine canyon results in larger wave heights. The large alongshore gradient in wave height results in a concomitant alongshore gradient in morphodynamic scale. The strongly refracted waves and narrow bay aperture result in near normal wave incidence, resulting in well-developed, persistent rip currents along the entire shoreline. The alongshore variations of the cuspate shoreline are found significantly correlated with the alongshore variations in rip spacing at 95% confidence. The alongshore variations of the volume of dune erosion are found significantly correlated with alongshore variations of the cuspate shoreline at 95% confidence. Therefore, it is concluded the mega-cusps are associated with rip currents and that the location of dune erosion is associated with the embayment of the mega-cusp.

  17. Method of Relating Grain Size Distribution to Hydraulic Conductivity in Dune Sands to Assist in Assessing Managed Aquifer Recharge Projects: Wadi Khulays Dune Field, Western Saudi Arabia

    KAUST Repository

    Lopez Valencia, Oliver Miguel; Jadoon, Khan; Missimer, Thomas

    2015-01-01

    Planning for use of a dune field aquifer for managed aquifer recharge (MAR) requires that hydraulic properties need to be estimated over a large geographic area. Saturated hydraulic conductivity of dune sands is commonly estimated from grain size

  18. Commande adaptive d'une machine asynchrone

    Science.gov (United States)

    Slama-Belkhodja, I.; de Fornel, B.

    1996-06-01

    The paper deals with an indirect self-tuning speed control for an induction motor supplied by a chopper-filter-inverter system. Input/Output models are identified with the recursive least squares algorithm and the controller adaptation is based on a pole assignement strategy. Emphasis is put on the evaluation of the parameter identification in order to avoid instabilities because of disturbances or insufficient excitations. This is especially of importance when the adaptive control is carried out in closed loop systems and without additional test signals. Simulation results show the improvement of the dynamic responses and the robustness against load variations or parameters variations (rotor resistance, inertia). Cat article décrit une stratégie de commande adaptive indirecte à Placement de Pôles (PP), appliquée à la commande en vitesse d'une machine asynchrone alimentée par un ensemble hacheur-filtre-onduleur de tension. L'algorithme des Moindres Carrés Récursifs (MCR) est utilisé pour l'identification des modèles de comportement type entrées/sorties. Un intérêt particulier est porté à la mise en oeuvre de cet algorithme et à la discussion de ses résultats, tenant compte des erreurs de modélisation et de la nature peu riche en excitations des entrées du processus. Différents régimes transitoires ont été simulés pour apprécier l'apport de cette association (MCR-PP) : démarrages et inversion des sens de rotation, à vide et en charges, applications d'échelons de couple résistant, variations paramétriques. Les résultats permettent d'illustrer, tant au niveau des performances que de la robustesse, l'apport d'une telle commande adaptive pour des entraînements électriques avec une machine asynchrone.

  19. Myocardial damage in successful vessel coronary angioplasty as assessed by creatinine kinase and its myocardium band isoenzyme levels

    International Nuclear Information System (INIS)

    Abbas, S.; Samor, N.A.; Kayani, A.M.

    2008-01-01

    To determine the frequency of myocardial damage in elective, successful, single vessel percutaneous coronary angioplasty by assessing myocardial band (MB), creatinine kinase levels and to find out the association of common modifiable risk factors with myocardial damage in patients undergoing single vessel coronary angioplasty. Fifty patients undergoing elective and successful single vessel percutaneous coronary angioplasty were evaluated with creatinine kinase and creatinine kinase MB levels before and after 8 hours and 1st day following coronary angioplasty. Studied variables included the length of stent deployed, maximum deployment pressure and total balloon inflation time, apart from hypertension, cholesterol level, smoking and diabetes mellitus. Out of 50 patients, 9 had raised creatinine kinase at 8 hours (18%) and 10 had raised creatinine kinase (20%) on 1st day following coronary angioplasty, 7 (14%) patients and 8 (16%) patients had raised creatinine kinase MB levels at 8 hours and 1st day following coronary angioplasty respectively. The rise of either was equal to or more than 3 times the normal limits. Modifiable risk factors, significantly associated with myocardial damage, were diabetes mellitus (p=0.006) and LDL levels (p=0.009) in patients undergoing single vessel coronary angioplasty. Successful elective, uncomplicated, single vessel coronary angioplasty resulted in some myocardial damage evident by mild rise in cardiac enzymes but rise of creatinine kinase MB above 3 times of normal, which signifies percutaneous coronary angioplasty-related myocardial infarction, was not seen. There was a significant association between diabetes mellitus, LDL levels and myocardial damage in patients undergoing coronary angioplasty but no significant association was found between hypertension, smoking and myocardial damage. (author)

  20. Large-eddy simulations of unidirectional water flow over dunes

    Science.gov (United States)

    Grigoriadis, D. G. E.; Balaras, E.; Dimas, A. A.

    2009-06-01

    The unidirectional, subcritical flow over fixed dunes is studied numerically using large-eddy simulation, while the immersed boundary method is implemented to incorporate the bed geometry. Results are presented for a typical dune shape and two Reynolds numbers, Re = 17,500 and Re = 93,500, on the basis of bulk velocity and water depth. The numerical predictions of velocity statistics at the low Reynolds number are in very good agreement with available experimental data. A primary recirculation region develops downstream of the dune crest at both Reynolds numbers, while a secondary region develops at the toe of the dune crest only for the low Reynolds number. Downstream of the reattachment point, on the dune stoss, the turbulence intensity in the developing boundary layer is weaker than in comparable equilibrium boundary layers. Coherent vortical structures are identified using the fluctuating pressure field and the second invariant of the velocity gradient tensor. Vorticity is primarily generated at the dune crest in the form of spanwise "roller" structures. Roller structures dominate the flow dynamics near the crest, and are responsible for perturbing the boundary layer downstream of the reattachment point, which leads to the formation of "horseshoe" structures. Horseshoe structures dominate the near-wall dynamics after the reattachment point, do not rise to the free surface, and are distorted by the shear layer of the next crest. The occasional interaction between roller and horseshoe structures generates tube-like "kolk" structures, which rise to the free surface and persist for a long time before attenuating.

  1. Pulmonary balloon angioplasty of chronic thromboembolic pulmonary hypertension (CTEPH) in surgically inaccessible cases

    International Nuclear Information System (INIS)

    Pitton, M.B.; Herber, S.; Thelen, M.; Mayer, E.

    2003-01-01

    The clinical course of patients suffering from chronic thromboembolic pulmonary hypertension (CTEPH) depends on the distribution pattern of the thromboembolic material. In patients with thromboembolic findings in the central pulmonary segments pulmonary thrombendarterectomy (PTE) has excellent results and acceptable operative risk. This paper presents two surgically inaccessable cases that were successfully treated with balloon pulmonary angioplasty. Balloon angioplasty improved parenchymal perfusion, increased cardiac index (ΔCI + 19.2% [Case 1], and + 15.4% [2]), reduced pulmonary vascular resistance during follow-up (ΔPVRI - 25.0% [1] and - 15.9% [2]), and is discussed as an alternative treatment option for cases not suited for surgery. (orig.) [de

  2. Long-Baseline Neutrino Facility (LBNF) and Deep Underground Neutrino Experiment (DUNE): Conceptual Design Report. Volume 3: Long-Baseline Neutrino Facility for DUNE

    Energy Technology Data Exchange (ETDEWEB)

    Strait, James [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); McCluskey, Elaine [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Lundin, Tracy [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Willhite, Joshua [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Hamernik, Thomas [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Papadimitriou, Vaia [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Marchionni, Alberto [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Kim, Min Jeong [National Inst. of Nuclear Physics (INFN), Frascati (Italy). National Lab. of Frascati (INFN-LNF); Nessi, Marzio [Univ. of Geneva (Switzerland); Montanari, David [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States); Heavey, Anne [Fermi National Accelerator Laboratory (FNAL), Batavia, IL (United States)

    2016-01-21

    This volume of the LBNF/DUNE Conceptual Design Report covers the Long-Baseline Neutrino Facility for DUNE and describes the LBNF Project, which includes design and construction of the beamline at Fermilab, the conventional facilities at both Fermilab and SURF, and the cryostat and cryogenics infrastructure required for the DUNE far detector.

  3. Cost-effectiveness analysis of orbital atherectomy plus balloon angioplasty vs balloon angioplasty alone in subjects with calcified femoropopliteal lesions

    Science.gov (United States)

    Weinstock, Barry; Dattilo, Raymond; Diage, Tiffini

    2014-01-01

    Introduction As cost considerations become increasingly critical when selecting optimal endovascular treatment strategies, a cost-benefit analysis was conducted comparing the Diamondback 360°® Orbital Atherectomy System (OAS) (Cardiovascular Systems, Inc., St Paul, MN, USA) and balloon angioplasty (BA) vs BA alone for treatment of calcified femoropopliteal lesions. Patients and methods The clinical outcomes from COMPLIANCE 360°, a prospective, multicenter, randomized study comparing OAS+BA vs BA alone for treatment of calcified femoropopliteal lesions, were correlated with cost data and previously published quality of life data. Site of service, hospital charges, and associated medical resource utilization were obtained from Uniform Billing statements for index treatments and associated revascularizations out to 1 year. Hospital costs were estimated using hospital-specific, procedure-specific cost-to-charge ratios. Length of stay and procedural data were collected from participating study sites. Results Twenty-five subjects with 38 lesions and 25 subjects with 27 lesions were randomized to the OAS+BA and BA-alone groups, respectively. Mean hospital charges (US$51,755 vs US$39,922) and estimated hospital costs (US$15,100 vs US$11,016) were higher for OAS+BA compared with BA alone (not statistically significant). Stent utilization was statistically significantly higher with BA-alone treatment for all subjects (1.1 vs 0.1, P=0.001) and in the subset of subjects with one lesion (1.0 vs 0.1, Patherectomy for treatment of calcified femoropopliteal lesions, a longstanding challenge for peripheral artery disease interventionalists. PMID:24672251

  4. Percutaneous lower-extremity arterial interventions with primary balloon angioplasty versus Silverhawk atherectomy and adjunctive balloon angioplasty: randomized trial.

    Science.gov (United States)

    Shammas, Nicolas W; Coiner, Denise; Shammas, Gail A; Dippel, Eric J; Christensen, Lori; Jerin, Michael

    2011-09-01

    Target lesion revascularization (TLR) with primary percutaneous transluminal angioplasty (PTA) versus SilverHawk atherectomy and adjunctive PTA of de novo infrainguinal disease has not been well defined. This study was conducted to compare the two approaches. In this prospective, two-center randomized trial of PTA versus atherectomy of infrainguinal vessels, the primary endpoint of TLR was evaluated at 1 year. Secondary endpoints included the rate of "bailout" stent placement for suboptimal acute angiographic results and the rate of target vessel revascularization (TVR). Fifty-eight patients were included in the study. Of these, 29 (36 vessels) were randomized to the atherectomy arm and 29 (48 vessels) to the PTA arm. Final acute angiographic success rates were 100% in the PTA arm and 97.2% in the atherectomy arm (P value not significant). There was no statistical difference in TLR (16.7% vs 11.1%) or TVR (21.4% vs 11.1%) between the PTA and atherectomy groups, respectively. Bailout stent placement was performed in 18 of 29 patients (62.1%) in the PTA arm and eight of 29 patients (27.6%) in the atherectomy arm (P = .017). Major adverse events were similar between the PTA and atherectomy arms. Finally, when embolic filter protection was used, distal macroembolization occurred in 11 of 17 patients (64.7%) treated with atherectomy versus none of 10 in the PTA group (P atherectomy and primary PTA. Atherectomy reduced the need for bailout stent placement compared with primary PTA. Copyright © 2011 SIR. Published by Elsevier Inc. All rights reserved.

  5. Cutting-Balloon Angioplasty Versus Balloon Angioplasty as Treatment for Short Atherosclerotic Lesions in the Superficial Femoral Artery: Randomized Controlled Trial

    Energy Technology Data Exchange (ETDEWEB)

    Poncyljusz, Wojciech, E-mail: wponcyl@poczta.onet.pl; Falkowski, Aleksander, E-mail: bakhis@hot.pl [Pomeranian Medical University, Department of Interventional Radiology (Poland); Safranow, Krzysztof, E-mail: chrissaf@mp.pl; Rac, Monika, E-mail: carmon@pum.edu.pl [Pomeranian Medical University, Department of Biochemistry and Medical Chemistry (Poland); Zawierucha, Dariusz, E-mail: dariusz13@yahoo.com [Interventional Radiology, Sacred Heart Medical Center, River Bend (United States)

    2013-12-15

    Purpose: To evaluate the treatments of a short-segment atherosclerotic stenosis in the superficial femoral arteries with the cutting balloon angioplasty (CBA) versus conventional balloon angioplasty [percutaneous transluminal angioplasty (PTA)] in a randomized controlled trial. Material and Methods: The study group comprised 60 patients (33 men, 27 women; average age 64 years) with a short ({<=}5 cm) focal SFA de novo atherosclerotic stenosis associated with a history of intermittent claudication or rest pain. The primary end point of this study was the rate of binary restenosis in the treated segment 12 months after the intervention. All patients were evenly randomized to either the PTA or CBA treatment arms. Follow-up angiograms and ankle-brachial index (ABI) measurements were performed after 12 months. The evaluation of the restenosis rates and factors influencing its occurrence were calculated by logistic regression analysis. Results: In the intention-to-treat analysis, restenosis rates after 2-month follow-up were 9 of 30 (30 %) in the PTA group and 4 of 30 (13 %) in the CBA group (p = 0.117). In the actual treatment analysis, after exclusion of patients who required nitinol stent placement for a suboptimal result after angioplasty alone (5 patients in the PTA group and none in the CBA group), restenosis rates were 9 of 25 (36 %) and 4 of 30 (13 %), respectively (p = 0.049). In the intention-to-treat analysis there were also significant differences in ABI values between the PTA and CBA groups at 0.77 {+-} 0.11 versus 0.82 {+-} 0.12, respectively (p = 0.039), at 12 months. Conclusion: Based on the presented results of the trial, CBA seems to be a safer and more effective than PTA for treatment of short atherosclerotic lesions in the superior femoral artery.

  6. Percutaneous common femoral artery interventions using angioplasty, atherectomy, and stenting.

    Science.gov (United States)

    Mehta, Manish; Zhou, Yi; Paty, Philip S K; Teymouri, Medhi; Jafree, Kamran; Bakhtawar, Humayun; Hnath, Jeffrey; Feustel, Paul

    2016-08-01

    This study evaluated the feasibility, safety, and effectiveness of endovascular interventions for common femoral artery (CFA) occlusive disease. Using a prospectively maintained multicenter database, we analyzed outcomes in 167 consecutive patients who underwent percutaneous CFA interventions for Rutherford class 3 to class 6 (R3-R6) disease. The standardized treatment approach included primary percutaneous transluminal angioplasty (PTA) only, atherectomy + PTA, and provisional stenting. Outcomes included technical failure rate, recurrence, complications, and major or minor amputation rate. Data were analyzed using multivariate regression analysis. During a 7-year period, 167 patients with R3 (n = 91 [54.5%]) and R4 to R6 (n = 76 [45.5%]) disease underwent CFA interventions that included PTA only (n = 114 [68.2%]), atherectomy ± PTA (n = 38 [22.8%]), and provisional stenting (n = 15 [9.0%]) for failed atherectomy ± PTA. Procedure-related complications included pseudoaneurysm (n = 1 [0.6%]), thrombosis (n = 1 [0.6%]), distal embolization (n = 1 [0.6%]), and death (R6, n = 1 [0.06%]). CFA restenosis was observed in 34 (20.4%) patents; these underwent further percutaneous (n = 18 [10.8%]) or surgical (n = 17 [10.2%]) revascularization that included CFA endarterectomy ± femoral distal bypass. Major or minor amputations were observed in none of the R3 patients and in only three (3.9%) and five (6.5%) of the R4 to R6 patients, respectively. Compared with the atherectomy + PTA group, patients in the PTA-only group had a significantly lower patency. Furthermore, during long-term mean follow-up of 42.5 months, the CFA provisional stent group had a 100% primary patency, which was significantly better than the primary patency in the CFA nonstent groups combined (77.0%; P = .0424). Data from this study to date would suggest that percutaneous CFA interventions in select patients are relatively safe and effective. In the long term, CFA stenting has

  7. Martian Dune Ripples as Indicators of Recent Surface Wind Patterns

    Science.gov (United States)

    Johnson, M.; Zimbelman, J. R.

    2015-12-01

    Sand dunes have been shown to preserve the most recent wind patterns in their ripple formations. This investigation continues the manual documentation of ripples on Martian dunes in order to assess surface wind flow. Study sites investigated must have clear HiRISE frames and be able to represent diverse locations across the surface, decided primarily by their spread of latitude and longitude values. Additionally, frames with stereo pairs are preferred because of their ability to create digital terrain models. This will assist in efforts to relate dune slopes and obstacles to ripple patterns. The search and analysis period resulted in 40 study sites with mapped ripples. Lines were drawn perpendicular to ripple crests across three adjacent ripples in order to document both ripple wavelength from line length and inferred wind direction from azimuth. It is not possible to infer a unique wind direction from ripple orientation alone and therefore these inferred directions have a 180 degree ambiguity. Initial results from all study sites support previous observations that the Martian surface has many dune types in areas with adequate sand supply. The complexity of ripple patterns varies greatly across sites as well as within individual sites. Some areas of uniform directionality for hundreds of kilometers suggest a unimodal wind regime while overlapping patterns suggest multiple dominant winds or seasonally varying winds. In most areas, form flow related to dune shape seems to have a large effect on orientation and must be considered along with the dune type. As long as the few steep slip faces on these small dunes are avoided, form flow can be considered the dominant cause of deviation from the regional wind direction. Regional results, wind roses, and comparisons to previous work will be presented for individual sites.

  8. Dune-Yardang Interactions in Becquerel Crater, Mars

    Science.gov (United States)

    Urso, Anna; Chojnacki, Matthew; Vaz, David A.

    2018-02-01

    Isolated landscapes largely shaped by aeolian processes can occur on Earth, while the majority of Mars' recent history has been dominated by wind-driven activity. Resultantly, Martian landscapes often exhibit large-scale aeolian features, including yardang landforms carved from sedimentary-layered deposits. High-resolution orbital monitoring has revealed that persistent bedform activity is occurring with dune and ripple migration implying ongoing abrasion of the surface. However, little is known about the interaction between dunes and the topography surrounding them. Here we explore dune-yardang interactions in Becquerel crater in an effort to better understand local landscape evolution. Dunes there occur on the north and south sides of a 700 m tall sedimentary deposit, which displays numerous superposed yardangs. Dune and yardang orientations are congruent, suggesting that they both were formed under a predominantly northerly wind regime. Migration rates and sediment fluxes decrease as dunes approach the deposit and begin to increase again downwind of the deposit where the effect of topographic sheltering decreases. Estimated sand abrasion rates (16-40 μm yr-1) would yield a formation time of 1.8-4.5 Myr for the 70 m deep yardangs. This evidence for local aeolian abrasion also helps explain the young exposure ages of deposit surfaces, as estimated by the crater size-frequency distribution. Comparisons to terrestrial dune activity and yardang development begin to place constraints on yardang formation times for both Earth and Mars. These results provide insight into the complexities of sediment transport on uneven terrain and are compelling examples of contemporary aeolian-driven landscape evolution on Mars.

  9. Dune-Yardang Interactions in Becquerel Crater, Mars.

    Science.gov (United States)

    Urso, Anna; Chojnacki, Matthew; Vaz, David A

    2018-01-01

    Isolated landscapes largely shaped by aeolian processes can occur on Earth, while the majority of Mars' recent history has been dominated by wind-driven activity. Resultantly, Martian landscapes often exhibit large-scale aeolian features, including yardang landforms carved from sedimentary-layered deposits. High-resolution orbital monitoring has revealed that persistent bedform activity is occurring with dune and ripple migration implying ongoing abrasion of the surface. However, little is known about the interaction between dunes and the topography surrounding them. Here we explore dune-yardang interactions in Becquerel crater in an effort to better understand local landscape evolution. Dunes there occur on the north and south sides of a 700 m tall sedimentary deposit, which displays numerous superposed yardangs. Dune and yardang orientations are congruent, suggesting that they both were formed under a predominantly northerly wind regime. Migration rates and sediment fluxes decrease as dunes approach the deposit and begin to increase again downwind of the deposit where the effect of topographic sheltering decreases. Estimated sand abrasion rates (16-40 μm yr -1 ) would yield a formation time of 1.8-4.5 Myr for the 70 m deep yardangs. This evidence for local aeolian abrasion also helps explain the young exposure ages of deposit surfaces, as estimated by the crater size-frequency distribution. Comparisons to terrestrial dune activity and yardang development begin to place constraints on yardang formation times for both Earth and Mars. These results provide insight into the complexities of sediment transport on uneven terrain and are compelling examples of contemporary aeolian-driven landscape evolution on Mars.

  10. Prevention of subsequent exercise-induced periinfarct ischemia by emergency coronary angioplasty in acute myocardial infarction: comparison with intracoronary streptokinase

    International Nuclear Information System (INIS)

    Fung, A.Y.; Lai, P.; Juni, J.E.; Bourdillon, P.D.; Walton, J.A. Jr.; Laufer, N.; Buda, A.J.; Pitt, B.; O'Neill, W.W.

    1986-01-01

    To compare the efficacy of emergency percutaneous transluminal coronary angioplasty and intracoronary streptokinase in preventing exercise-induced periinfarct ischemia, 28 patients presenting within 12 hours of the onset of symptoms of acute myocardial infarction were prospectively randomized. Of these, 14 patients were treated with emergency angioplasty and 14 patients received intracoronary streptokinase. Recatheterization and submaximal exercise thallium-201 single photon emission computed tomography were performed before hospital discharge. Periinfarct ischemia was defined as a reversible thallium defect adjacent to a fixed defect assessed qualitatively. Successful reperfusion was achieved in 86% of patients treated with emergency angioplasty and 86% of patients treated with intracoronary streptokinase (p = NS). Residual stenosis of the infarct-related coronary artery shown at predischarge angiography was 43.8 +/- 31.4% for the angioplasty group and 75.0 +/- 15.6% for the streptokinase group (p less than 0.05). Of the angioplasty group, 9% developed exercise-induced periinfarct ischemia compared with 60% of the streptokinase group (p less than 0.05). Thus, patients with acute myocardial infarction treated with emergency angioplasty had significantly less severe residual coronary stenosis and exercise-induced periinfarct ischemia than did those treated with intracoronary streptokinase. These results suggest further application of coronary angioplasty in the management of acute myocardial infarction

  11. OSIRIS reactor radioprotection, radioprotection measurements performed during the power rise and the first 50 megawatt operation; Radioprotection de la pile OSIRIS, mesures de radioprotection effectuees au cours de la montee en puissance et des premiers fonctionnements a 50 megawatts

    Energy Technology Data Exchange (ETDEWEB)

    Fanton, B; Lebouleux, P

    1967-12-01

    The authors supply the results of the measurements that have been made near the Osiris reactor during the power increase and during the first functioning at 50 megawatts. The measurements relate to the absorbed dose rates in the premises, the water activation and the atmospheric contamination. The influence of the heat layer of water movements and the water rate in the core chimney on the absorbed dose rate at the footbridge level overhanging the pile core has been studied. The modifications to the protection devices that have been proposed after the measurements and the effect of these modifications on the results of the measures are given then. The regeneration process of a water purification chain has been examined from the radiation protection point of view. It has been possible to make some twenty radionuclides obvious in the produced effluents and to determine the volume activity of these effluents for each radionuclide. The whole of results show that in a general way, the irradiation levels are low during the usual reactor functioning. [French] Les auteurs fournissent les resultats des mesures de radioprotection oui ont ete effectuees aupres de la pile Osiris pendant la montee en puissance et au cours des premiers fonctionnements a 50 megawatts. Les mesures portent sur les debits de dose absorbee dans les locaux, l'activation de l'eau et la contamination atmospherique. L'influence de la couche chaude des mouvements d'eau et du debit d'eau dans la cheminee du coeur sur le debit de dose absorbee au niveau de la passerelle surplombant le coeur de la pile, a ete etudiee. Les modifications aux dispositifs de protection, qui ont ete proposees a la suite des mesures, et l'effet de ces modifications sur les resultats des mesures sont indiques ensuite. Le processus de regeneration d'une chaine d'epuration de l'eau a ete examine sous l'angle de la radioprotection. Il a ete possible de mettre en evidence une vingtaine de radionucleides dans les effluents produits et de

  12. Renal artery blood flow assessed by video dilution technique before and after percutaneous transluminal angioplasty

    International Nuclear Information System (INIS)

    Lantz, B.M.T.; Link, D.P.; Lewis, E.L.; Foerster, J.M.; Lee, G.

    1981-01-01

    Successful percutaneous transluminal angioplasty was performed in 3 cases of renal artery stenosis where the effect upon renal blood flow was quantified by video dilution technique. This technique adds important information to pressure gradients and renin assays obtained during the dilatation procedure. (Auth.)

  13. Venous Sinus Stent-Assisted Angioplasty for Refractory Benign Intracranial Hypertension

    OpenAIRE

    Zhongrong, M.; Feng, L.; Shengmao, L.; Fengshui, Z.

    2003-01-01

    Two patients with dural sinus stenosis of different causes presenting with refractory benign intracranial hypertension were confirmed by angiogram. Stent-assistant angioplasty was used to dilate the stenosed sinusesand led to prompt clinical improvement. Relative long-term follow-up showed good patency of the stented sinuses.

  14. The prognostic importance of heart failure and age in patients treated with primary angioplasty

    NARCIS (Netherlands)

    Henriques, Jose P. S.; Zijlstra, Felix; de Boer, Menko-Jan; van 't Hof, Arnoud W. J.; Gosselink, A. T. Marcel; Dambrink, Jan-Henk E.; Suryapranata, Harry; Hoorntje, Jan C. A.

    2003-01-01

    Effective risk stratification is essential in the management of patients with acute myocardial infarction. Available models have not yet been studied and validated in patients treated with primary angioplasty for acute myocardial infarction. The prognostic value of heart failure defined by Killip

  15. Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty

    Energy Technology Data Exchange (ETDEWEB)

    Song, J.K. [Center for Endovascular Surgery, Hyman-Newman Inst. for Neurology and Neurosurgery, New York, NY (United States); Cacayorin, E.D. [Interventional Neuroradiology, Dept. of Radiology, Univ. of Texas Medical School, Houston, TX (United States); Fisher, S.; Seifert, T.D.; Alexandrov, A.V.; Malkoff, M.D.; Grotta, J.C.; Campbell, M.S. [Div. of Stroke Neurology, Dept. of Neurology, Univ. of Texas Medical School, Houston, TX (United States)

    2004-12-01

    Postpartum cerebral angiopathy (PCA) is an uncommon cause of ischemic and hemorrhagic stroke in young women. It is usually clinically benign and not relapsing. We describe a patient with non-hemorrhagic PCA who had an atypical progressive neurological deficit from bilateral hemisphere watershed ischemia despite treatment with aggressive medical therapy and intracranial balloon angioplasty. (orig.)

  16. The design and rationale of the primary angioplasty registry of Kerala

    Directory of Open Access Journals (Sweden)

    Jabir A

    2017-11-01

    Conclusions: The primary angioplasty registry of Kerala would help analyze the quality and outcomes of primary PCI services in Kerala, thereby yielding insights that can help limit unacceptable procedural variations in the performance of primary PCI. Identifying deviations from guideline based therapies can form the basis of quality improvement programs, which in turn will enable hospitals to achieve better patient outcomes.

  17. Stent angioplasty for the treatment of symptomatic stenosis of middle cerebral artery

    International Nuclear Information System (INIS)

    Lu Huisheng; Niu Huiming; Chao Yuanxiang; Li Xiaoning; Wu Dingfeng; Zhang Chenhong; Yang Jie; Zhang Liang

    2010-01-01

    Objective: To investigate the safety and feasibility of endovascular stent angioplasty in treating symptomatic stenosis of middle cerebral artery. Methods: Endovascular angioplasty with coronary stents was performed in 27 patients with symptomatic stenosis of middle cerebral artery. The clinical results were reviewed and analyzed. Results: Of the total 27 patients, successful placement of the coronary stents was achieved in 24. Angiography immediately after the procedure showed that the stenotic degree of the diseased artery was markedly decreased from preoperative (80 ± 19)% to postoperative (8 ±4)%, the improvement was very obvious. Percutaneous transcatheter angioplasty had to be employed in two cases because of the failure of stent placement. A mean follow-up period of 18 months was carried out. During the following up period no transient cerebral ischemia attack occurred in 25 patients and no newly-developed cerebral infarction in region fed by the responsible vessels occurred either.Re-irrigation cerebral hemorrhage was seen in one patient, which occurred three hours after the placement of the stent. In one case the placed stent fell off and immigrated into the siphon of internal carotid artery, and the displaced stent was took out later with a catching apparatus. In another case re-stenosis occurred six months after the stenting. Conclusion: Percutaneous endovascular stent angioplasty is a safe and effective treatment for symptomatic stenosis of middle cerebral artery, although its long-term results need to be further evaluated. (authors)

  18. HEMOPERFUSION DURING CORONARY ANGIOPLASTY - 1ST EUROPEAN EXPERIENCE WITH A NEW HEMOPERFUSION PUMP

    NARCIS (Netherlands)

    DEMUINCK, ED; MEEDER, J; MAGIELSE, C; BOM, VJJ; VANDIJK, RB; VERKERKE, GJ; LIE, KI

    Hemolysis tests with fresh human blood were performed in vitro with a new 5 ml, piston-type hemoperfusion pump, designed to prevent myocardial ischemia during coronary angioplasty. Despite driving pressures greater than 3 atmospheres, shear stress greater than 200 Pa, turbulent pump flow, and the

  19. Femoral artery recanalisation with percutaneous angioplasty and segmentally enclosed plasminogen activator

    DEFF Research Database (Denmark)

    Jørgensen, B; Tønnesen, K H; Bülow, J

    1989-01-01

    To establish whether re-occlusion of the femoral artery could be prevented, in 6 consecutive patients undergoing percutaneous transluminal angioplasty (PTA) for superficial femoral artery occlusion the recanalised segment was isolated, with a 7-French double-balloon catheter. 5 mg recombined huma...

  20. Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty

    International Nuclear Information System (INIS)

    Song, J.K.; Cacayorin, E.D.; Fisher, S.; Seifert, T.D.; Alexandrov, A.V.; Malkoff, M.D.; Grotta, J.C.; Campbell, M.S.

    2004-01-01

    Postpartum cerebral angiopathy (PCA) is an uncommon cause of ischemic and hemorrhagic stroke in young women. It is usually clinically benign and not relapsing. We describe a patient with non-hemorrhagic PCA who had an atypical progressive neurological deficit from bilateral hemisphere watershed ischemia despite treatment with aggressive medical therapy and intracranial balloon angioplasty. (orig.)

  1. Subintimal angioplasty for the treatment of long segment occlusion of superficial femoral artery: the midterm results

    International Nuclear Information System (INIS)

    Lou Wensheng; Gu Jianping; He Xu; Chen Liang; Chen Guoping; Su Haobo; Song Jinhua; Wang Tao; Xu Ke

    2011-01-01

    Objective: To discuss the clinical value of subintimal angioplasty in treating long segment occlusion of superficial femoral artery and to observe its midterm results. Methods: Subintimal angioplasty was performed in 45 patients with long segment occlusion of superficial femoral artery, whose clinical presentation was intermittent claudication or critical limb ischemia. The primary patency, limb salvage and factors influencing long-term patency were observed, and the clinical data were analyzed. Results: Of the total 45 cases, the subintimal angioplasty was successfully accomplished in 43. The success rate of antegrade approach technique via the superficial femoral artery was 80% (n=36), the occlusion was recanalized by using retrograde approach technique via ipsilateral popliteal artery in 7 case. The total technical success rate was 95.6%. The primary patency in 43 successful cases at 6, 12, 24 and 36 months was 85.7%, 69.0% 57.3% and 50.9%, respectively. No statistically significant difference in primary patency existed between the group of intermittent claudication and the group of critical limb ischemia (P>0.05). Statistically significant prediction factors for primary patency included the number of the run off vessels below the knee and the length of the occlusion (P<0.05). Conclusion: Subintimal angioplasty is an effective procedure for the treatment of long segment occlusions of superficial femoral artery with satisfactory mid-term results. (authors)

  2. Experimental and numerical investigation of wire waveguides for therapeutic ultrasound angioplasty

    OpenAIRE

    Noone, Declan J.

    2008-01-01

    Therapeutic ultrasound angioplasty is an emerging minimally invasive cardiovascular procedure for disrupting atherosclerotic lesions using small diameter wire waveguides. The lesions are damaged through a combination of direct ablation, pressure waves, cavitation and acoustic streaming caused by distal-tip displacements at ultrasonic frequencies. Numerical and experimental methods are used to investigate the outputs of the wire waveguides during ultrasonic activation. A commercially avail...

  3. Retrospective study of rapid-exchange monorail versus over-the-wire technique for femoropopliteal angioplasty.

    Science.gov (United States)

    Jahnke, Thomas; Schäfer, Jost Philipp; Bolte, Hendrik; Schäfer, Fritz; Michalek, Jens; Charalambous, Nicholas; Sapoval, Marc; Müller-Hülsbeck, Stefan

    2008-01-01

    The purpose of this study was to compare procedural outcome of rapid-exchange (RX) monorail versus conventional over-the-wire (OTW) technique for femoropopliteal angioplasty. Demographic data, procedure details, angioplasty success, and complications of 328 consecutive percutaneous transluminal angioplasties (PTAs) were collected from a prospective database and retrospectively analyzed. Procedure details included duration of fluoroscopy, area-dose product, amount of contrast agent, sheath sizes, access route, length of stenosis, presence of total occlusion, technical and anatomical success (residual stenosis or = 6 Fr = 82.5% for OTW) but showed only a tendency toward lower overall complication rates (16.6% [17/102] in the RX group versus 19.9% [45/226] in the OTW group; p = 0.09). There was no effect on length of hospitalization. RX monorail systems were not associated with higher procedural costs when compared to conventional OTW technique. We conclude that RX monorail systems seem to enhance the technical success of femoropopliteal angioplasty. Although smaller sheath sizes can be used due to the lower profile of the RX systems, there is only a tendency toward lower complication rates.

  4. Iliac artery myointimal hyperplasia in rabbits submitted to angioplasty and treated with Moringa oleifera.

    Science.gov (United States)

    Rolim, Jânio Cipriano; Nogueira, Manoel Ricardo Sena; Lima, Paulo Roberto da Silva; Bandeira, Francisco Chavier Vieira; Pordeus, Mizael Armando Abrantes; Castro, Aldemar Araújo; Pitta, Guilherme Benjamin; Diniz, Margareth de Fátima Formiga Melo; Pereira, Adamastor Humberto

    2016-02-01

    to assess post-angioplasty myointimal hyperplasia in iliac artery of rabbits treated with extract of Moringa oleifera leaves. we conducted a randomized trial in laboratory animals for five weeks of follow-up, developed in the Vivarium of Pharmaceutical Technology Laboratory of the Universidade Federal da Paraíba. We used rabbits from the New Zealand breed, subjected to a hypercholesterolemic diet and angioplasty of the external iliac artery, randomized into two groups: M200 Group (n=10) - rabbits treated with 200mg/kg/day of Moringa oleifera leaves extract orally; SF group (n=10) - rabbits treated with 0.9% saline orally. After five weeks, the animals were euthanized and the iliac arteries prepared for histology. Histological sections were analyzed by digital morphometry. Statistical analysis was performed using the Student's t test. The significance level was 0.05. there was no significant difference in myointimal hyperplasia between M200 and SF groups when comparing the iliac arteries submitted to angioplasty. there was no difference of myointimal hyperplasia between groups treated with saline and Moringa oleifera after angioplasty.

  5. Iliac artery myointimal hyperplasia in rabbits submitted to angioplasty and treated with Moringa oleifera

    Directory of Open Access Journals (Sweden)

    Jânio Cipriano Rolim

    Full Text Available Objective: to assess post-angioplasty myointimal hyperplasia in iliac artery of rabbits treated with extract of Moringa oleifera leaves. Methods : we conducted a randomized trial in laboratory animals for five weeks of follow-up, developed in the Vivarium of Pharmaceutical Technology Laboratory of the Universidade Federal da Paraíba. We used rabbits from the New Zealand breed, subjected to a hypercholesterolemic diet and angioplasty of the external iliac artery, randomized into two groups: M200 Group (n=10 - rabbits treated with 200mg/kg/day of Moringa oleifera leaves extract orally; SF group (n=10 - rabbits treated with 0.9% saline orally. After five weeks, the animals were euthanized and the iliac arteries prepared for histology. Histological sections were analyzed by digital morphometry. Statistical analysis was performed using the Student's t test. The significance level was 0.05. Results : there was no significant difference in myointimal hyperplasia between M200 and SF groups when comparing the iliac arteries submitted to angioplasty. Conclusion : there was no difference of myointimal hyperplasia between groups treated with saline and Moringa oleifera after angioplasty.

  6. Drug therapy or coronary angioplasty for the treatment of coronary artery disease : New insights

    NARCIS (Netherlands)

    Amoroso, G; Van Boven, AJ; Crijns, HJGM

    Background In the last decade percutaneous transluminal coronary angioplasty has become a very popular strategy For the treatment of coronary artery disease, although its efficacy in reducing ischemic events and the subsequent need for revascularization has yet to be proved. Methods We reviewed the

  7. Percutaneous angioplasty of portal vein stenosis that complicated liver transplantation: the mid-term therapeutic results

    Energy Technology Data Exchange (ETDEWEB)

    Park, Kwang Bo; Choo, Sung Wook; Do, Young Soo; Shin, Sung Wook; Cho, Sung Gi; Choo, In Wook [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2005-09-15

    We wanted to valuate the mid-term therapeutic results of percutaneous transhepatic balloon angioplasty for portal vein stenosis after liver transplantation. From May 1996 to Feb 2005, 420 patients underwent liver transplantation. Percutaneous transhepatic angioplasty of the portal vein was attempted in six patients. The patients presented with the clinical signs and symptoms of portal venous hypertension or they were identified by surveillance doppler ultrasonography. The preangioplasty and postangioplasty pressure gradients were recorded. The therapeutic results were monitored by the follow up of the clinical symptoms, the laboratory values, CT and ultrasonography. The overall technical success rate was 100%. The clinical success rate was 83% (5/6). A total of eight sessions of balloon angioplasty were performed in six patients. The mean pressure gradient decreased from 14.5 mmHg to 2.8 mmHg before and after treatment, respectively. The follow up periods ranged from three months to 64 months (mean period; 32 months). Portal venous patency was maintained in all six patients until the final follow up. Combined hepatic venous stenosis was seen in one patient who was treated with stent placement. One patient showed puncture tract bleeding, and this patient was treated with coil embolization of the right portal puncture tract via the left transhepatic portal venous approach. Percutaneous transhepatic balloon angioplasty is an effective treatment for the portal vein stenosis that occurs after liver transplantation, and our results showed good mid-term patency with using this technique.

  8. Preserved endothelium-dependent vasodilation in coronary segments previously treated with balloon angioplasty and intracoronary irradiation

    NARCIS (Netherlands)

    M. Sabaté (Manel); A.J. Wardeh (Alexander); I.P. Kay (Ian Patrick); A. Cequier (Angel); J.M.R. Ligthart (Jürgen); J.A. Gómez-Hospital (Joan Antoni); S.G. Carlier (Stephan); V.L.M.A. Coen (Veronique); J.P. Marijnissen (Johannes); P.W.J.C. Serruys (Patrick); P.C. Levendag (Peter); W.J. van der Giessen (Wim)

    1999-01-01

    textabstractBACKGROUND: Abnormal endothelium-dependent coronary vasomotion has been reported after balloon angioplasty (BA), as well as after intracoronary radiation. However, the long-term effect on coronary vasomotion is not known. The aim of this study was to evaluate the

  9. Value of Duplex scanning in the selection of patients for percutaneous transluminal angioplasty

    NARCIS (Netherlands)

    van der Heijden, F. H.; Legemate, D. A.; van Leeuwen, M. S.; Mali, W. P.; Eikelboom, B. C.

    1993-01-01

    Duplex scanning is becoming increasingly important in the diagnosis and follow-up of arterial lesions, though most surgeons and radiologists currently still prefer diagnostic angiography prior to percutaneous transluminal angioplasty (PTA). We performed PTA based on Duplex scanning alone in 31

  10. The role of the adventitia in the arterial response to angioplasty: the effect of intravascular radiation

    International Nuclear Information System (INIS)

    Wilcox, Josiah N.; Waksman, Ron; King, Spencer B.; Scott, Neal A.

    1996-01-01

    Purpose: In the current series of experiments we have characterized cell proliferation leading to vascular lesion formation in a porcine model for post-angioplasty restenosis and examined the mechanism of action of intravascular beta irradiation in the prevention of lesion formation in this model. Methods and Materials: Juvenile male pigs were subjected to balloon overstretch injury of the left anterior descending and circumflex coronary arteries using clinical angioplasty catheters. Proliferating cells were labelled by injections of 50 mg/kg of bromo-deoxyuridine (BrDU) 24, 16 and 8 hrs prior to sacrifice and were detected by immunohistochemistry using a specific antibody to BrDU. In some cases, BrDU was given as a pulse 3 days after angioplasty and the animals sacrificed on day 14 to follow the migration of the cells which had proliferated earlier. Characterization of the proliferating cells was performed by immunohistochemistry using antibodies to specific cytoskeletal proteins specific for smooth muscle cells and myofibroblasts. Some vessels were treated at the time of angioplasty with 14 or 28 Gy (to a depth of 2 mm) intravascular irradiation using a flexible catheter with a pure beta emitter 90 SR/Y and the effect on cell proliferation and terminal transferase-mediated UTP nick-end labelling (TUNEL) examined 3 or 7 days later. Results: The first major site of cell proliferation between 2-3 days after angioplasty is the adventitia and not the medial wall. Seven days after angioplasty cell proliferation is predominant in the neointima and is reduced in the media and adventitia. Differential staining with antibodies directed against smooth muscle alpha actin and other cytoskeletal proteins indicates that the proliferating adventitial cells are myofibroblasts. Pulse label studies with BrDU indicates that the proliferating adventitial myofibroblasts migrate into the neointima and contribute to the mass of the restenosis lesion. Fourteen days after angioplasty the

  11. Monitoring of desert dune topography by multi angle sensors

    Science.gov (United States)

    Yun, J.; Kim, J.; Choi, Y.; Yun, H.

    2011-12-01

    Nowadays, the sandy desert is rapidly expanding world widely and results in a lot of risks in the socio-econimical aspects as well as the anthropogenic activities. For example, the increasing occurrences of mineral dust storm which presumably originated from the sandy deserts in northwest China become a serious threat in human activities as well as public health over Far East Asian area as the interpretation by the MODIS analysis (Zhang et al., 2007) and the particle trajectory simulation with HYSPLYT (HYbrid Single-Particle Lagrangian Integrated Trajectory) (Kim et al., 2011) identified. Since the sand dune activity has been recognized as an essential indicator of the progressive desertification, it is important to establish the monitoring method for the variations of topographic properties by the dune activities such as local roughness. Thus it will provide the crucial data about the extent and the transition of sandy desert. For example, it is well known the aerodynamic roughness lengths Zo which can be driven from the specialized sensor such as POLDER (POLarization and Directionality of the Earth's Reflectances) is essential to understand desert dune characteristics. However, for the multi temporal observation of dune fields, the availability of data set to extract Zo is limited. Therefore, we employed MISR (Multi angle imaging Spectro Radiometer) image sequence to extract multi angle topographic parameters such as NDAI (Normalized Difference Angular Index) or the variation of radiance with the viewing geometry which are representing the characteristics of target desert topography instead of Zo. In our approach, NDAI were expanded to the all viewing angles and then compared over the target sandy desert and the surrounding land covers. It showed very strong consistencies according to the land cover type and especially over the dynamic dune fields. On the other hands, the variation of NDAIs of sandy desert combining with the metrological observations were

  12. The Mediterranean Coastal Dunes in Egypt: An Endangered Landscape

    Science.gov (United States)

    Batanouny, K. H.

    1999-08-01

    The Mediterranean coast in Egypt extends almost 900 km, the major part of which is bordered by sand dunes of different natures and types. Along the coastline between Alexandria and El-Alamein, a distance of some 100 km, the sand dunes represent a particular landscape with special characteristics and features, and consequently plants with particular attributes. In this area, the belt of sand dunes has developed immediately south of the shore and these dunes may rise up to 10 m in height and extend about 0·5-1·5 km inland from the shore. These dunes are famous as a habitat for the fig (Ficus carica L.) cultivation depending on the irregular rainfall. They also represent a landing station and a cross-road for birds such as quail migrating from Europe in the north. In the past, summer resort areas were confined to limited areas with few people, these same areas support the growth of some important plant species, for example, sand binders, medicinal and range plants. For more than two decades, there has been considerable socio-economic change and an open-door policy in the economy of the country has been adopted. One of the consequences of this change is that a great part of the coastal dune belt west of Alexandria till El-Alamein, has been subjected to destruction, due to the continuous construction of summer resort villages. These were built at a distance of about 100 m of the shoreline, extending 400-600 m inland and a breadth of 400 m or more along the shoreline. The area already covered by the dunes is now almost occupied by new buildings, gardens and other infrastructure. The consequences of these human activities are numerous and include impacts on the soil, water resources, the flora and the fauna, migrating birds, trends of the indigenous people, and the cultural environment. The present paper gives a concise environmental setting of the dune belt before the advent of the new activities, and the socio-economic and political attitudes which threaten the dunes

  13. Insect biodiversity of the Algodones Dunes of California

    Directory of Open Access Journals (Sweden)

    Lynn Kimsey

    2017-11-01

    Full Text Available Over a nine year period beginning in 2007 we surveyed the insects of the Algodones Dunes, Imperial Count, California, as part of a study undertaken for the U.S. Bureau of Land Management. In a series of 22 collecting trips ranging in duration from 2 to 8 days we thus far have accumulated records of 1,840 species, 21 orders and 244 families from the dunes. Hymenoptera constituted the most diverse order, comprising about 45% of all the species recovered. Insect diversity and abundance peaked during the hottest part of the year between the months of May and September. Life history traits of the insects sampled included herbivores (29.6%, parasitoids (28.7%, predators (18.1%, pollen/nectar feeders (10.9%, detritivores (6.2% and scavengers (2.4%. Seventy-nine or 4% of the insect species collected in the dunes have been solely recorded from there, and 3% of the species almost certainly derive from adjacent aquatic habitats or agricultural ecosystems, as their life histories could not be completed in Algodones Dunes habitat. The insect fauna of the Algodones Dunes is unexpectedly rich and diverse.

  14. Large-eddy simulation of sand dune morphodynamics

    Science.gov (United States)

    Khosronejad, Ali; Sotiropoulos, Fotis; St. Anthony Falls Laboratory, University of Minnesota Team

    2015-11-01

    Sand dunes are natural features that form under complex interaction between turbulent flow and bed morphodynamics. We employ a fully-coupled 3D numerical model (Khosronejad and Sotiropoulos, 2014, Journal of Fluid Mechanics, 753:150-216) to perform high-resolution large-eddy simulations of turbulence and bed morphodynamics in a laboratory scale mobile-bed channel to investigate initiation, evolution and quasi-equilibrium of sand dunes (Venditti and Church, 2005, J. Geophysical Research, 110:F01009). We employ a curvilinear immersed boundary method along with convection-diffusion and bed-morphodynamics modules to simulate the suspended sediment and the bed-load transports respectively. The coupled simulation were carried out on a grid with more than 100 million grid nodes and simulated about 3 hours of physical time of dune evolution. The simulations provide the first complete description of sand dune formation and long-term evolution. The geometric characteristics of the simulated dunes are shown to be in excellent agreement with observed data obtained across a broad range of scales. This work was supported by NSF Grants EAR-0120914 (as part of the National Center for Earth-Surface Dynamics). Computational resources were provided by the University of Minnesota Supercomputing Institute.

  15. Endovascular brachytherapy to prevent restenosis after angioplasty; Endovaskulaere Brachytherapie in der Restenoseprophylaxe nach Angioplastie und Stentimplantation: Eine Uebersicht

    Energy Technology Data Exchange (ETDEWEB)

    Wohlgemuth, W.A.; Bohndorf, K. [Klinikum Augsburg (Germany). Klinik fuer Diagnostische Radiologie und Neuroradiologie

    2003-02-01

    Endovascular radiotherapy is the first effective prophylaxis of restenosis after percutaneous transluminal angioplasty (PTA) and stenting. The FDA recently approved two devices for the delivery of intracoronary radiation following coronary artery stenting. Published multicenter, double-blind, randomized trials of intracoronary radiation therapy report good results for preventing in-stent restenosis, while the data for the peripheral circulation are still inconclusive. Beta-emitters are easier applicable and probably also safer, whereas gamma-emitters have been more extensively evaluated clinically so far. Primary indication for endovascular brachytherapy are patients at high risk for restenosis, such as previous restenoses, in-stent hyperplasia, long stented segment, long PTA lesion, narrow residual vascular lumen and diabetes. Data from coronary circulation suggest a safety margin of at least 4 to 10 mm at both ends of the angioplastic segment to avoid edge restenosis. To prevent late thrombosis of the treated coronary segment, antiplatelet therapy with clopidogrel and aspirin are recommended for at least 6 months after PTA and for 12 months after a newly implanted stent. An established medication regimen after radiotherapy of peripheral arteries is still lacking. (orig.) [German] Die endovaskulaere Radiotherapie stellt das erste erfolgreiche Therapiekonzept in der Restenoseprophylaxe nach PTA und Stentimplantation dar. Am 3.11.2000 hat die amerikanische Food and Drug Administration erstmalig zwei Brachytherapiegeraete zur Restenoseprophylaxe nach Koronararterien-Stenting zugelassen. Grosse multizentrische, kontrollierte Studien wurden fuer das koronare Stromgebiet mit positiven Ergebnissen publiziert, die Datenlage im peripheren Stromgebiet ist noch ungenuegend. Beta-Strahler bieten Vorteile in der Anwendung, moeglicherweise auch in der Sicherheit, Gamma-Strahler dagegen sind besser klinisch evaluiert. Die primaere Indikation zur endovaskulaeren Brachytherapie

  16. Cost-effectiveness analysis of orbital atherectomy plus balloon angioplasty vs balloon angioplasty alone in subjects with calcified femoropopliteal lesions.

    Science.gov (United States)

    Weinstock, Barry; Dattilo, Raymond; Diage, Tiffini

    2014-01-01

    As cost considerations become increasingly critical when selecting optimal endovascular treatment strategies, a cost-benefit analysis was conducted comparing the Diamondback 360°® Orbital Atherectomy System (OAS) (Cardiovascular Systems, Inc., St Paul, MN, USA) and balloon angioplasty (BA) vs BA alone for treatment of calcified femoropopliteal lesions. The clinical outcomes from COMPLIANCE 360°, a prospective, multicenter, randomized study comparing OAS+BA vs BA alone for treatment of calcified femoropopliteal lesions, were correlated with cost data and previously published quality of life data. Site of service, hospital charges, and associated medical resource utilization were obtained from Uniform Billing statements for index treatments and associated revascularizations out to 1 year. Hospital costs were estimated using hospital-specific, procedure-specific cost-to-charge ratios. Length of stay and procedural data were collected from participating study sites. Twenty-five subjects with 38 lesions and 25 subjects with 27 lesions were randomized to the OAS+BA and BA-alone groups, respectively. Mean hospital charges (US$51,755 vs US$39,922) and estimated hospital costs (US$15,100 vs US$11,016) were higher for OAS+BA compared with BA alone (not statistically significant). Stent utilization was statistically significantly higher with BA-alone treatment for all subjects (1.1 vs 0.1, P=0.001) and in the subset of subjects with one lesion (1.0 vs 0.1, Pcost for single-lesion versus multiple-lesion treatment. Using costs and quality-adjusted life years (QALYs) for the single-lesion cohort, the 1-year incremental cost of OAS+BA vs BA alone was US$549, and incremental QALY was 0.16. This results in an incremental cost-effectiveness ratio of US$3,441, well below the US$50,000 threshold. One-year index procedure cost and cost-effectiveness were comparable for OAS+BA vs BA alone. This study provides compelling cost-effectiveness data for using atherectomy for treatment of

  17. Cost-effectiveness analysis of orbital atherectomy plus balloon angioplasty vs balloon angioplasty alone in subjects with calcified femoropopliteal lesions

    Directory of Open Access Journals (Sweden)

    Weinstock B

    2014-03-01

    Full Text Available Barry Weinstock,1 Raymond Dattilo,2 Tiffini Diage3 1Orlando Health Heart Institute, Mid-Florida Cardiology Specialists, Orlando, FL, USA; 2Department of Cardiology, St Francis Health Center, Topeka, KS, USA; 3North American Science Association (NAMSA, Sunnyvale, CA, USA Introduction: As cost considerations become increasingly critical when selecting optimal endovascular treatment strategies, a cost-benefit analysis was conducted comparing the Diamondback 360°® Orbital Atherectomy System (OAS (Cardiovascular Systems, Inc., St Paul, MN, USA and balloon angioplasty (BA vs BA alone for treatment of calcified femoropopliteal lesions. Patients and methods: The clinical outcomes from COMPLIANCE 360°, a prospective, multicenter, randomized study comparing OAS+BA vs BA alone for treatment of calcified femoropopliteal lesions, were correlated with cost data and previously published quality of life data. Site of service, hospital charges, and associated medical resource utilization were obtained from Uniform Billing statements for index treatments and associated revascularizations out to 1 year. Hospital costs were estimated using hospital-specific, procedure-specific cost-to-charge ratios. Length of stay and procedural data were collected from participating study sites. Results: Twenty-five subjects with 38 lesions and 25 subjects with 27 lesions were randomized to the OAS+BA and BA-alone groups, respectively. Mean hospital charges (US$51,755 vs US$39,922 and estimated hospital costs (US$15,100 vs US$11,016 were higher for OAS+BA compared with BA alone (not statistically significant. Stent utilization was statistically significantly higher with BA-alone treatment for all subjects (1.1 vs 0.1, P=0.001 and in the subset of subjects with one lesion (1.0 vs 0.1, P<0.00001. There was a significant difference in cost for single-lesion versus multiple-lesion treatment. Using costs and quality-adjusted life years (QALYs for the single-lesion cohort, the 1-year

  18. Clinical observation of intraluminal stent angioplasty in the treatment of renal arterial stenoses

    International Nuclear Information System (INIS)

    Lu Yanwen; Zhang Jian; Huang Xianglong

    2002-01-01

    Objective: To evaluate the clinical application of intraluminal stent angioplasty (PTRAS) in the treatment of renal arterial stenoses. Methods: A retrospective study was done in 28 patients with renal arterial stenoses. Primary renal artery stenting was performed in 28 consecutive patients (36 renal arteries). Blood pressure, serum creating, the number of anti-hypertensive medications were recorded at 1, 6, 12 month post stent angioplasty respectively. Arterial angiography was also taken 1 year later to evaluate the incidence of restenosis. Results: Technical success rate was 100% achieving in all patients without serious complications. Primary successful patently rate reached 82% (renal artery 86%), secondary successful rate was 89% (renal artery 90%). Systolic and diastolic blood pressure were reduced significantly (P<0.01) at 1,6,12 month after stent angioplasty comparing with baseline and clinical improvement (cured + improved) of hypertension reached 100%, 92.9%, 89.3% respectively. There were no significant differences between serum creatine level and the number of anti-hypertensive medications before and after stent angioplasty. One year later, 14.3% of all patients showed improvement of renal function, 64.3% remained in stabilization and 21.4% fell into deterioration. Angiographic restenosis was found in 3 cases one year after stent angioplasty. Complications included 1 hematoma at puncture site and 3 transient azotaemia. Conclusions: PTRAS can be performed safely with high technical success and beneficial to the majority of patients with hypertension or renal insufficiency and therefore it should be the first choice in treating renal arterial stenoses

  19. Retrospective Study of Rapid-Exchange Monorail Versus Over-the-Wire Technique for Femoropopliteal Angioplasty

    International Nuclear Information System (INIS)

    Jahnke, Thomas; Schaefer, Jost Philipp; Bolte, Hendrik; Schaefer, Fritz; Michalek, Jens; Charalambous, Nicholas; Sapoval, Marc; Mueller-Huelsbeck, Stefan

    2008-01-01

    PurposeThe purpose of this study was to compare procedural outcome of rapid-exchange (RX) monorail versus conventional over-the-wire (OTW) technique for femoropopliteal angioplasty.Materials and MethodsDemographic data, procedure details, angioplasty success, and complications of 328 consecutive percutaneous transluminal angioplasties (PTAs) were collected from a prospective database and retrospectively analyzed. Procedure details included duration of fluoroscopy, area-dose product, amount of contrast agent, sheath sizes, access route, length of stenosis, presence of total occlusion, technical and anatomical success (residual stenosis <30% in the absence of complications), need for bail-out stenting, and periprocedural complications. The RX technique alone was used in 102 of 328 cases (31%); the OTW technique, in 226 of 328 of cases (68%).ResultsTechnical success was 98% for the RX versus 95.4% for the OTW technique (p = 0.2). A significantly greater number of stents had to be implanted due to angioplasty failure when the OTW technique was used (RX, 5.9%; OTW, 13.7%; p = 0.04). There were no significant differences in fluorocopy time, dose-area product, or amount of contrast medium used. The RX system facilitated the use of smaller sheath sizes (5 Fr = 38% and 6 Fr = 59% for RX versus 5 Fr = 16.8% and ≥6 Fr = 82.5% for OTW) but showed only a tendency toward lower overall complication rates (16.6% [17/102] in the RX group versus 19.9% [45/226] in the OTW group; p = 0.09). There was no effect on length of hospitalization. RX monorail systems were not associated with higher procedural costs when compared to conventional OTW technique.ConclusionWe conclude that RX monorail systems seem to enhance the technical success of femoropopliteal angioplasty. Although smaller sheath sizes can be used due to the lower profile of the RX systems, there is only a tendency toward lower complication rates.

  20. Endovascular brachytherapy prevents restenosis after femoropopliteal angioplasty: results of the Vienna-3 randomised multicenter study

    International Nuclear Information System (INIS)

    Pokrajac, Boris; Poetter, Richard; Wolfram, Roswitha M.; Budinsky, Alexandra C.; Kirisits, Christian; Lileg, Brigitte; Mendel, Helmuth; Sabeti, Schila; Schmid, Rainer; Minar, Erich

    2005-01-01

    Background and purpose: The aim of the trial was to investigate the effect of Iridium-192 gamma endovascular brachytherapy on reduction of restenosis after femoropopliteal angioplasty. Patients and methods: Between Oct, 1998 and Jul, 2001 a total of 134 patients have been randomized after successful angioplasty to brachytherapy or sham irradiation in a prospective, randomized, multicenter, double blind controlled trial. Patients with de novo lesion of at least 5 cm or recurrent lesion of any length after prior angioplasty have been enrolled. Brachytherapy was performed with 7 F centering catheter. Mean lesion length was 9.1 cm (1.5-25 cm) and mean intervention length 13.6 cm (4-27.5 cm) in brachytherapy cohort. Results: In placebo cohort mean lesion length was 10.3 cm (2-25 cm) and mean intervention length 14.1 cm (2-29 cm). A dose of 18 Gy was prescribed 2 mm from the surface of centering balloons. Analyzed (based on angiography) on intention to treat basis the binary restenosis rate at 12 months was 41.7% (28/67) in brachytherapy cohort and 67.1% (45/67) in placebo cohort (χ 2 test, P 30% residual stenosis after angioplasty) have been 23.4% in the brachytherapy and 53.3% in the placebo group (P<0.05), respectively. The cumulative patency rates after 24 months on intention to treat analysis were 54% in the brachytherapy and 27% in the placebo group (P<0.005). Corresponding data for as treated analysis were 77% in the brachytherapy and 39% in the placebo group (P<0.001). Late thrombosis was not seen. Conclusions: Significant reduction of restenosis rate was obtained with endovascular gamma brachytherapy after femoropopliteal angioplasty

  1. A New Approach: Regional Nerve Blockade for Angioplasty of the Lower Limb

    International Nuclear Information System (INIS)

    Marcus, A.J.; Lotzof, K.; Kamath, B.S.K.; Shanthakumar, R.E.; Munir, N.; Loh, A.; Bird, R.; Howard, A.

    2006-01-01

    Purpose. An audit study investigated the pilot use of regional nerve block analgesia (as an alternative to sedative/opiate, general or central neuraxial anesthesia) performed by radiologists with the assistance of imaging techniques during complex prolonged angiography. Methods. Radiologists were trained by anesthetic consultants to administer and use lower limb peripheral nerve block for difficult prolonged angioplasty procedures for patients with severe lower limb rest pain who were unable to lie in the supine position. In a pilot study 25 patients with limb-threatening ischemia received sciatic and femoral nerve blockade for angioplasty. The technique was developed and perfected in 12 patients and in a subsequent 13 patients the details of the angiography procedures, peripheral anesthesia, supplementary analgesia, complications, and pain assessment scores were recorded. Pain scores were also recorded in 11 patients prior to epidural/spinal anesthesia for critical ischemic leg angioplasty. Results. All patients with peripheral nerve blockade experienced a reduction in their ischemic rest pain to a level that permitted angioplasty techniques to be performed without spinal, epidural or general analgesia. In patients undergoing complex angioplasty intervention, the mean pain score by visual analogue scale was 3.7, out of a maximum score of 10. Conclusions. The successful use of peripheral nerve blocks was safe and effective as an alternative to sedative/opiate, epidural or general anesthesia in patients undergoing complex angiography and has optimized the use of radiological and anesthetic department resources. This has permitted the frequent radiological treatment of patients with limb-threatening ischemia and reduced delays caused by the difficulty in enlisting the help of anesthetists, often at short notice, from the busy operating lists

  2. Parabolic dune reactivation and migration at Napeague, NY, USA: Insights from aerial and GPR imagery

    Science.gov (United States)

    Girardi, James D.; Davis, Dan M.

    2010-02-01

    Observations from mapping since the 19th century and aerial imagery since 1930 have been used to study changes in the aeolian geomorphology of coastal parabolic dunes over the last ~ 170 years in the Walking Dune Field, Napeague, NY. The five large parabolic dunes of the Walking Dune Field have all migrated across, or are presently interacting with, a variably forested area that has affected their migration, stabilization and morphology. This study has concentrated on a dune with a particularly complex history of stabilization, reactivation and migration. We have correlated that dune's surface evolution, as revealed by aerial imagery, with its internal structures imaged using 200 MHz and 500 MHz Ground Penetrating Radar (GPR) surveys. Both 2D (transect) and high-resolution 3D GPR imagery image downwind dipping bedding planes which can be grouped by apparent dip angle into several discrete packages of beds that reflect distinct decadal-scale episodes of dune reactivation and growth. From aerial and high resolution GPR imagery, we document a unique mode of reactivation and migration linked to upwind dune formation and parabolic dune interactions with forest trees. This study documents how dune-dune and dune-vegetation interactions have influenced a unique mode of blowout deposition that has alternated on a decadal scale between opposite sides of a parabolic dune during reactivation and migration. The pattern of recent parabolic dune reactivation and migration in the Walking Dune Field appears to be somewhat more complex, and perhaps more sensitive to subtle environmental pressures, than an idealized growth model with uniform deposition and purely on-axis migration. This pattern, believed to be prevalent among other parabolic dunes in the Walking Dune Field, may occur also in many other places where similar observational constraints are unavailable.

  3. Advanced InSAR imaging for dune mapping

    Science.gov (United States)

    Havivi, Shiran; August, Yitzhak; Blumberg, Dan G.; Rotman, Stanley R.

    2015-04-01

    Aeolian morphologies are formed in the presence of sufficient wind energy and available particles. These processes occur naturally or are further enhanced or reduced by human intervention. The dimensions of change are dependent primarily on the wind energy and surface properties. Since the 1970's, remote sensing imagery both optical and radar, are used for documentation and interpretation of the geomorphologic changes of sand dunes. Remote sensing studies of Aeolian morphologies is mostly useful to document major changes, yet, subtle changes, occurring in a period of days or months in scales of centimeters, are very difficult to detect in imagery. Interferometric Synthetic Aperture Radar (InSAR) is an imaging technique for measuring Earth's surface topography and deformation. InSAR images are produced by measuring the radar phase difference between two separated antennas that view the same surface area. Classical InSAR is based on high coherence between two images or more. The output (interferogram) can show subtle changes with an accuracy of several millimeters to centimeters. Very little work has been done on measuring or identifying the changes in dunes using InSAR. The reason is that dunes tend to be less coherent than firm, stable, surfaces. This research aims to demonstrate how interferometric decorrelation, or, coherence change detection, can be used for identifying dune instability. We hypothesize and demonstrate that the loss of radar coherence over time on dunes can be used as an indication of the dune's instability. When SAR images are acquired at sufficiently close intervals one can measure the time it takes to lose coherence and associate this time with geomorphic stability. To achieve our goals, the Nitzanim coastal dunes along the Mediterranean, 40 km south of Tel-Aviv, Israel, were chosen as a case study. The dunes in this area are of varying levels of stability and vegetation cover and have been monitored meteorologically, geomorphologically and

  4. Instability of Reference Diameter in the Evaluation of Stenosis After Coronary Angioplasty: Percent Diameter Stenosis Overestimates Dilative Effects Due to Reference Diameter Reduction

    International Nuclear Information System (INIS)

    Hirami, Ryouichi; Iwasaki, Kohichiro; Kusachi, Shozo; Murakami, Takashi; Hina, Kazuyoshi; Matano, Shigeru; Murakami, Masaaki; Kita, Toshimasa; Sakakibara, Noburu; Tsuji, Takao

    2000-01-01

    Purpose: To examine changes in the reference segment luminal diameter after coronary angioplasty.Methods: Sixty-one patients with stable angina pectoris or old myocardial infarction were examined. Coronary angiograms were recorded before coronary angioplasty (pre-angioplasty) and immediately after (post-angioplasty), as well as 3 months after. Artery diameters were measured on cine-film using quantitative coronary angiographic analysis.Results: The diameters of the proximal segment not involved in the balloon inflation and segments in the other artery did not change significantly after angioplasty, but the reference segment diameter significantly decreased (4.7%). More than 10% luminal reduction was observed in seven patients (11%) and more than 5% reduction was observed in 25 patients (41%). More than 5% underestimation of the stenosis was observed in 22 patients (36%) when the post-angioplasty reference diameter was used as the reference diameter, compared with when the pre-angioplasty measurement was used and more than 10% underestimation was observed in five patients (8%).Conclusion: This study indicated that evaluation by percent diameter stenosis, with the reference diameter from immediately after angioplasty, overestimates the dilative effects of coronary angioplasty, and that it is thus better to evaluate the efficacy of angioplasty using the absolute diameter in addition to percent luminal stenosis

  5. Effects of Trampling Limitation on Coastal Dune Plant Communities

    Science.gov (United States)

    Santoro, Riccardo; Jucker, Tommaso; Prisco, Irene; Carboni, Marta; Battisti, Corrado; Acosta, Alicia T. R.

    2012-03-01

    Sandy coastlines are sensitive ecosystems where human activities can have considerable negative impacts. In particular, trampling by beach visitors is a disturbance that affects dune vegetation both at the species and community level. In this study we assess the effects of the limitation of human trampling on dune vegetation in a coastal protected area of Central Italy. We compare plant species diversity in two recently fenced sectors with that of an unfenced area (and therefore subject to human trampling) using rarefaction curves and a diversity/dominance approach during a two year study period. Our results indicate that limiting human trampling seems to be a key factor in driving changes in the plant diversity of dune systems. In 2007 the regression lines of species abundance as a function of rank showed steep slopes and high Y-intercept values in all sectors, indicating a comparable level of stress and dominance across the entire study site. On the contrary, in 2009 the regression lines of the two fenced sectors clearly diverge from that of the open sector, showing less steep slopes. This change in the slopes of the tendency lines, evidenced by the diversity/dominance diagrams and related to an increase in species diversity, suggests the recovery of plant communities in the two fences between 2007 and 2009. In general, plant communities subject to trampling tended to be poorer in species and less structured, since only dominant and tolerant plant species persisted. Furthermore, limiting trampling appears to have produced positive changes in the dune vegetation assemblage after a period of only two years. These results are encouraging for the management of coastal dune systems. They highlight how a simple and cost-effective management strategy, based on passive recovery conservation measures (i.e., fence building), can be a quick (1-2 years) and effective method for improving and safeguarding the diversity of dune plant communities.

  6. Characterization and Ecophysiological Observations on Coastal Sand Dune Vegetation from Goa, Central West Coast, India

    Digital Repository Service at National Institute of Oceanography (India)

    Rodrigues, R.S.

    Coastal Sand Dune flora (CSD) forms a specialized group of plants commonly referred as psammophytes. Goa has limited natural resources including beaches and sand dunes. The state is globally known for its tourism activities, which pressurize...

  7. Influence of a history of smoking on short term (six month) clinical and angiographic outcome after successful coronary angioplasty

    NARCIS (Netherlands)

    A.G. Violaris (Andonis); A. Thury (Attila); R. Melkert (Rein); P.W.J.C. Serruys (Patrick); E.S. Regar (Eveline)

    2000-01-01

    textabstractOBJECTIVES: To assess the influence of smoking on restenosis after coronary angioplasty. DESIGN AND PATIENTS: The incidence of smoking on restenosis was investigated in 2948 patients. They were prospectively enrolled in four major restenosis trials in which quantitative

  8. Usefulness of repeat coronary angiography 24 hours after balloon angioplasty to evaluate early lminal deterioration and facilitate quantitative analysis

    NARCIS (Netherlands)

    G.R. Heyndrickx (Guy); G-J. Laarman (GertJan); H. Suryapranata (Harry); F. Zijlstra (Felix); P.W.J.C. Serruys (Patrick); D.P. Foley (David); A.A. van den Bos (Arjan); J.W. Deckers (Jaap)

    1993-01-01

    textabstractBecause of the unavoidable occurrence of vessel disruption after successful coronary balloon angioplasty, the reliability of quantitative angiographic analysis in that setting has been questioned. For this reason and the suggested occurrence of delayed elastic recoil, repeat angiography

  9. Shear-stress and wall-stress regulation of vascular remodeling after balloon angioplasty: effect of matrix metalloproteinase inhibition

    NARCIS (Netherlands)

    C.J. Slager (Cornelis); J. Kloet (Jeroen); J.A.F. Oomen; J.C.H. Schuurbiers (Johan); B.J. de Smet; M.J. Post (Mark); D.P.V. de Kleijn (Dominique); G. Pasterkamp (Gerard); R. Krams (Rob); C. Borst (Cornelius); J.J. Wentzel (Jolanda); I. Andhyiswara (Ivan)

    2001-01-01

    textabstractBACKGROUND: Constrictive vascular remodeling (VR) is the most significant component of restenosis after balloon angioplasty (PTA). Whereas in physiological conditions VR is associated with normalization of shear stress (SS) and wall stress (WS), after PTA

  10. Videodensitometric quantitative angiography after coronary balloon angioplasty, compared to edge-detection quantitative angiography and intracoronary ultrasound imaging

    NARCIS (Netherlands)

    Peters, R. J.; Kok, W. E.; Pasterkamp, G.; von Birgelen, C.; Prins, M. [=Martin H.; Serruys, P. W.

    2000-01-01

    AIMS: To assess the value of videodensitometric quantification of the coronary lumen after angioplasty by comparison to two other techniques of coronary artery lumen quantification. METHODS AND RESULTS: Videodensitometric quantitative angiography, edge detection quantitative angiography and 30 MHz

  11. A Systematic Review of Outcomes Following Percutaneous Transluminal Angioplasty and Stenting in the Treatment of Transplant Renal Artery Stenosis

    NARCIS (Netherlands)

    Ngo, A. T.; Markar, S. R.; de Lijster, M. S.; Duncan, N.; Taube, D.; Hamady, M. S.

    2015-01-01

    To evaluate outcomes following treatment of transplant renal artery stenosis by percutaneous transluminal angioplasty and stent insertion. A literature search was performed using Pubmed, MEDLINE, Embase, Wiley Interscience and the Cochrane Library databases. Outcome measures were glomerular

  12. Single-phase ProtoDUNE, the Prototype of a Single-Phase Liquid Argon TPC for DUNE at the CERN Neutrino Platform

    CERN Document Server

    Cavanna, F; Touramanis, C

    2017-01-01

    ProtoDUNE-SP is the single-phase DUNE Far Detector prototype that is under construction and will be operated at the CERN Neutrino Platform (NP) starting in 2018. It was proposed to the CERN SPSC in June 2015 (SPSC-P-351) and was approved in December 2015 as experiment NP04 (ProtoDUNE). ProtoDUNE-SP, a crucial part of the DUNE effort towards the construction of the first DUNE 10-kt fiducial mass far detector module (17 kt total LAr mass), is a significant experiment in its own right. With a total liquid argon (LAr) mass of 0.77 kt, it represents the largest monolithic single phase LArTPC detector to be built to date. It is housed in an extension to the EHN1 hall in the North Area, where the CERN NP is providing a new dedicated charged-particle test beamline. ProtoDUNE-SP aims to take its first beam data before the LHC long shutdown (LS2) at the end of 2018. ProtoDUNE-SP prototypes the designs of most of the single-phase DUNE far detector module (DUNE-SP) components at a 1:1 scale, with an extrapolation of abo...

  13. Sedimentary processes of the Bagnold Dunes: Implications for the eolian rock record of Mars

    OpenAIRE

    Ewing, R. C.; Lapotre, M. G. A.; Lewis, K. W.; Day, M.; Stein, N.; Rubin, D. M.; Sullivan, R.; Banham, S.; Lamb, M. P.; Bridges, N. T.; Gupta, S.; Fischer, W. W.

    2017-01-01

    The Mars Science Laboratory rover Curiosity visited two active wind-blown sand dunes within Gale crater, Mars, which provided the first ground-based opportunity to compare Martian and terrestrial eolian dune sedimentary processes and study a modern analog for the Martian eolian rock record. Orbital and rover images of these dunes reveal terrestrial-like and uniquely Martian processes. The presence of grainfall, grainflow, and impact ripples resembled terrestrial dunes. Impact ripples were pre...

  14. Sedimentary processes of the Bagnold Dunes: Implications for the eolian rock record of Mars

    OpenAIRE

    Ewing, R. C.; Lapotre, M. G. A.; Lewis, K. W.; Day, M.; Stein, N.; Rubin, D. M.; Sullivan, R.; Banham, S.; Lamb, M. P.; Bridges, N. T.; Gupta, S.; Fischer, W. W.

    2017-01-01

    Abstract The Mars Science Laboratory rover Curiosity visited two active wind‐blown sand dunes within Gale crater, Mars, which provided the first ground‐based opportunity to compare Martian and terrestrial eolian dune sedimentary processes and study a modern analog for the Martian eolian rock record. Orbital and rover images of these dunes reveal terrestrial‐like and uniquely Martian processes. The presence of grainfall, grainflow, and impact ripples resembled terrestrial dunes. Impact ripples...

  15. Dune Erosion Models and Swash Zone Kinematics from Remote Video Observations

    Science.gov (United States)

    2010-12-09

    system. Thus, successful prediction of dune erosion requires knowledge of the expected trajectory of the eroding dune toe . If we describe the... dune toe trajectory as following a slope, βT, two end member retreat trajectories exist. The first would be direct landward erosion so that zb never...changes     0 0   T bb ztz  (2.24) The second end member trajectory is that erosion moves the dune toe directly up the foreshore slope

  16. Aeolian sedimentary processes at the Bagnold Dunes, Mars: Implications for modern dune dynamics and sedimentary structures in the aeolian stratigraphic record of Mars

    Science.gov (United States)

    Ewing, Ryan C.; Bridges, Nathan T.; Sullivan, Rob; Lapotre, Mathieu G. A.; Fischer, Woodward W.; Lamb, Mike P.; Rubin, David M.; Lewis, Kevin W.; Gupta, Sanjeev

    2016-04-01

    Wind-blown sand dunes are ubiquitous on the surface of Mars and are a recognized component of the martian stratigraphic record. Our current knowledge of the aeolian sedimentary processes that determine dune morphology, drive dune dynamics, and create aeolian cross-stratification are based upon orbital studies of ripple and dune morphodynamics, rover observations of stratification on Mars, Earth analogs, and experimental and theoretical studies of sand movement under Martian conditions. In-situ observations of sand dunes (informally called the Bagnold Dunes) by Curiosity Rover in Gale Crater, Mars provide the first opportunity to make observations of dunes from the grain-to-dune scale thereby filling the gap in knowledge between theory and orbital observations and refining our understanding of the martian aeolian stratigraphic record. We use the suite of cameras on Curiosity, including Navigation Camera (Navcam), Mast Camera (Mastcam) and Mars Hand Lens Imager (MAHLI), to make observations of the Bagnold Dunes. Measurements of sedimentary structures are made where stereo images are available. Observations indicate that structures generated by gravity-driven processes on the dune lee slopes, such as grainflow and grainfall, are similar to the suite of aeolian sedimentary structures observed on Earth and should be present and recognizable in Mars' aeolian stratigraphic record. Structures formed by traction-driven processes deviate significantly from those found on Earth. The dune hosts centimeter-scale wind ripples and large, meter-scale ripples, which are not found on Earth. The large ripples migrate across the depositional, lee slopes of the dune, which implies that these structures should be present in Mars' stratigraphic record and may appear similar to compound-dune stratification.The Mars Science Laboratory Curiosity Rover Team is acknowledged for their support of this work.

  17. Comparative study of conducting iliac angioplasties with digital subtraction and conventional angiography. Incidence on true (consumable) costs

    International Nuclear Information System (INIS)

    Brenot, P.; Raynaud, A.; Pernes, J.M.; Parola, J.L.; Gaux, J.C.

    1986-01-01

    Differences in time and cost were evaluated between the performance of iliac angioplasty with conventional (AC) and digital subtraction (AN) angiography, after a total of 27 angioplasties (13 with AC and 14 with AN). Excluding amortization of material and personnel costs, findings confirmed a certain number of advantages for AN: gain in time of about 34%, decrease of about 14% in charges, and notably of 83% in expenditure on films and 50% on contrast media [fr

  18. Long term results of endovascular treatment in renal arterial stenosis from Takayasu arteritis: Angioplasty versus stent placement

    Energy Technology Data Exchange (ETDEWEB)

    Park, Hong Suk, E-mail: hongsukpark@gmail.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Do, Young Soo, E-mail: ysdo@skku.edu [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Park, Kwang Bo, E-mail: kbjh.park@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Kim, Duk-Kyung, E-mail: dukkyung.kim@samsung.com [Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Choo, Sung Wook, E-mail: sw.choo@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Shin, Sung Wook, E-mail: sw88.shin@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Cho, Sung Ki, E-mail: sungkismc@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Hyun, Dongho, E-mail: mesentery.hyun@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Choo, In Wook, E-mail: inwook.choo@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of)

    2013-11-01

    Purpose: To retrospectively evaluate and compare the long term patency and antihypertensive effect of angioplasty and stent insertion in renal artery stenosis caused by Takayasu arteritis, with CT angiography and clinical follow-up. Materials and methods: We retrospectively analyzed and compared effects on hypertension and patency of renal artery in 16 patients (age ranging from 16 to 58 years, mean: 32.1 years) with renovascular hypertension caused by Takayasu arteritis who underwent endovascular treatment including angioplasty (n = 13) and stent placement (n = 9) for 22 stenotic renal arteries. Results: Technical success was 95% (21/22) without major complications. In the last follow-up CT angiogram (mean 85 ± 41 months), restenosis was 8% (1/12) in angioplasty and 66% (6/9) in stent. Patency rates of angioplasty were 100%, 91.7%, 91.7% and primary unassisted and primary assisted patency rates of stent placement were 55.6%, 33.3%, 33.3% and 88.9%, 66.7%, 55.6% at 1-, 3- and 5-years, respectively. In clinical follow-up (mean 120 ± 37.8 months, range 48–183 months), beneficial effects on hypertension were obtained in 87% of patients (13/15) and there was no significant difference between the patients who were treated by only angioplasty and the patients who received stent placement in at least one renal artery, regardless of whether or not angioplasty had been performed in the other renal artery. Conclusion: Compared with stent placement, angioplasty demonstrated better long term patency and similar clinical benefit on renovascular hypertension in renal artery stenosis of Takayasu arteritis. We suggest that stent placement should be reserved for obvious angioplasty failure.

  19. Balloon Angioplasty - The Legacy of Andreas Grüntzig, M.D. (1939-1985).

    Science.gov (United States)

    Barton, Matthias; Grüntzig, Johannes; Husmann, Marc; Rösch, Josef

    2014-01-01

    In 1974, at the Medical Policlinic of the University of Zürich, German-born physician-scientist Andreas Grüntzig (1939-1985) for the first time applied a balloon-tipped catheter to re-open a severely stenosed femoral artery, a procedure, which he initially called "percutaneous transluminal dilatation". Balloon angioplasty as a therapy of atherosclerotic vascular disease, for which Grüntzig and Charles T. Dotter (1920-1985) received a nomination for the Nobel Prize in Physiology or Medicine in 1978, became one of the most successful examples of translational medicine in the twentieth century. Known today as percutaneous transluminal angioplasty (PTA) in peripheral arteries or percutaneous transluminal coronary angioplasty (PTCA) or percutaneous coronary intervention (PCI) in coronary arteries, balloon angioplasty has become the method of choice to treat patients with acute myocardial infarction or occluded leg arteries. On the occasion of the 40(th) anniversary of balloon angioplasty, we summarize Grüntzig's life and career in Germany, Switzerland, and the United States and also review the developments in vascular medicine from the 1890s to the 1980s, including Dotter's first accidental angioplasty in 1963. The work of pioneers of catheterization, including Pedro L. Fariñas in Cuba, André F. Cournand in France, Werner Forssmann, Werner Porstmann and Eberhard Zeitler in Germany, António Egas Moniz and Reynaldo dos Santos in Portugal, Sven-Ivar Seldinger in Sweden, and Barney Brooks, Thomas J. Fogarty, Melvin P. Judkins, Richard K. Myler, Dickinson W. Richards, and F. Mason Sones in the United States, is discussed. We also present quotes by Grüntzig and excerpts from his unfinished autobiography, statements of Grüntzig's former colleagues and contemporary witnesses, and have included hitherto unpublished historic photographs and links to archive recordings and historic materials. This year, on June 25, 2014, Andreas Grüntzig would have celebrated his 75(th

  20. Upstream sediment input effects on experimental dune trough scour in sediment mixtures

    NARCIS (Netherlands)

    Kleinhans, M.G.

    2005-01-01

    Understanding causes of dune irregularity, especially dune trough scour, is important for the modeling of vertical sorting of sediment mixtures in morphological models of rivers with sediment mixtures. Sediment in dunes is generally sorted in a fining-upward manner, which affects the sediment

  1. A Sharp View on River Dune Transition to Upper Stage Plane Bed

    NARCIS (Netherlands)

    Naqshband, S.; Hoitink, A.J.F.; Mcelroy, B.; Hurther, D.; Hulscher, S.J.M.H.

    2017-01-01

    Sandy river beds are dominated by rhythmic features known as dunes. Experimental investigations of turbulent flow and sediment transport over dunes have predominantly focused on equilibrium flows that are rare in natural rivers. Using a novel acoustic instrument over migrating dunes in a laboratory

  2. A sharp view on river dune transition to upper stage plane bed

    NARCIS (Netherlands)

    Naqshband, S.; Hoitink, A.J.F.; Mcelroy, B.; Hurther, D.; Hulscher, S.J.M.H.

    2017-01-01

    Sandy river beds are dominated by rhythmic features known as dunes. Experimental investigations of turbulent flow and sediment transport over dunes have predominantly focused on equilibrium flows that are rare in natural rivers. Using a novel acoustic instrument over migrating dunes in a laboratory

  3. Demography and monitoring of Welsh's milkweed (Asclepias welshii) at Coral Pink Sand Dunes

    Science.gov (United States)

    Brent C. Palmer; L. Armstrong

    2001-01-01

    Results are presented of a 12-year monitoring program on the Coral Pink Sand Dunes and Sand Hills populations of the threatened Welsh's milkweed, Asclepias welshii N & P Holmgren. The species is an early sera1 member of the dune flora, colonizing blowouts and advancing with shifting dunes. When an area stabilizes and other vegetation encroaches, A. welshii is...

  4. 76 FR 62087 - Draft Conservation Plan and Draft Environmental Assessment; Dunes Sagebrush Lizard, Texas

    Science.gov (United States)

    2011-10-06

    ...] Draft Conservation Plan and Draft Environmental Assessment; Dunes Sagebrush Lizard, Texas AGENCY: Fish... draft Texas Conservation Plan for the Dunes Sagebrush Lizard (TCP). The draft TCP will function as a... the Applicant for the dunes sagebrush lizard (Sceloporus arenicolus) throughout its range in Texas...

  5. First quantification of relationship between dune orientation and sediment availability, Olympia Undae, Mars

    Science.gov (United States)

    Fernandez-Cascales, Laura; Lucas, Antoine; Rodriguez, Sébastien; Gao, Xin; Spiga, Aymeric; Narteau, Clément

    2018-05-01

    Dunes provide unique information about wind regimes on planetary bodies where there is no direct meteorological data. At the eastern margin of Olympia Undae on Mars, dune orientation is measured from satellite imagery and sediment cover is estimated using the high contrast between the dune material and substrate. The analysis of these data provide the first quantification of relationship between sediment availability and dune orientation. Abrupt and smooth dune reorientations are associated with inward and outward dynamics of dunes approaching and ejecting from major sedimentary bodies, respectively. These reorientation patterns along sediment transport pathways are interpreted using a new generation dune model based on the coexistence of two dune growth mechanisms. This model also permits solving of the inverse problem of predicting the wind regime from dune orientation. For bidirectional wind regimes, solutions of this inverse problem show substantial differences in the distributions of sediment flux orientation, which can be attributed to atmospheric flow variations induced by changes in albedo at the boundaries of major dune fields. Then, we conclude that relationships between sediment cover and dune orientation can be used to constrain wind regime and dune field development on Mars and other planetary surfaces.

  6. 76 FR 19304 - Endangered and Threatened Wildlife and Plants; Endangered Status for Dunes Sagebrush Lizard

    Science.gov (United States)

    2011-04-07

    ... for Dunes Sagebrush Lizard AGENCY: Fish and Wildlife Service, Interior. ACTION: Proposed rule... list the dunes sagebrush lizard (Sceloporus arenicolus) under the Endangered Species Act of 1973, as... dunes sagebrush lizard (Sceloporus arenicolus) that was published in the Federal Register on December 14...

  7. Environmental Controls and Eco-geomorphic Interactions of the Barchan-to-parabolic Dune Stabilisation and the Parabolic-to-barchan Dune Reactivation

    Science.gov (United States)

    Yan, Na; Baas, Andreas

    2015-04-01

    Parabolic dunes are one of a few common aeolian landforms which are highly controlled by eco-geomorphic interactions. Parabolic dunes, on the one hand, can be developed from highly mobile dune landforms, barchans for instance, in an ameliorated vegetation condition; or on the other hand, they can be reactivated and transformed back into mobile dunes due to vegetation deterioration. The fundamental mechanisms and eco-geomorphic interactions controlling both dune transformations remain poorly understood. To bridge the gap between complex processes involved in dune transformations on a relatively long temporal scale and real world monitoring records on a very limited temporal scale, this research has extended the DECAL model to incorporate 'dynamic' growth functions and the different 'growth' of perennial shrubs between growing and non-growing seasons, informed by field measurements and remote sensing analysis, to explore environmental controls and eco-geomorphic interactions of both types of dune transformation. A non-dimensional 'dune stabilising index' is proposed to capture the interactions between environmental controls (i.e. the capabilities of vegetation to withstand wind erosion and sand burial, the sandy substratum thickness, the height of the initial dune, and the sand transport potential), and establish the linkage between these controls and the geometry of a stabilising dune. An example demonstrates how to use the power-law relationship between the dune stabilising index and the normalised migration distance to assist in extrapolating the historical trajectories of transforming dunes. The modelling results also show that a slight increase in vegetation cover of an initial parabolic dune can significantly increase the reactivation threshold of climatic impact (both drought stress and wind strength) required to reactivate a stabilising parabolic dune into a barchan. Four eco-geomorphic interaction zones that govern a barchan-to-parabolic dune transformation

  8. Modeling river dune evolution using a parameterization of flow separation

    NARCIS (Netherlands)

    Paarlberg, Andries J.; Dohmen-Janssen, C. Marjolein; Hulscher, Suzanne J.M.H.; Termes, Paul

    2009-01-01

    This paper presents an idealized morphodynamic model to predict river dune evolution. The flow field is solved in a vertical plane assuming hydrostatic pressure conditions. The sediment transport is computed using a Meyer-Peter–Müller type of equation, including gravitational bed slope effects and a

  9. Nutrient limitation and vegetation changes in a coastal dune slack

    NARCIS (Netherlands)

    Lammerts, EJ; Pegtel, DM; Grootjans, AP; van der Veen, A.

    Basiphilous pioneer species are among the most endangered plant species in The Netherlands. They find most of their refuges in young coastal dune slacks, especially on the Wadden Sea islands. For the purpose of nature management it is important to know which processes control the presence of

  10. Dew Measurements along a Longitudinal Sand Dune Transect

    NARCIS (Netherlands)

    Jacobs, A.F.G.; Heusinkveld, B.G.; Berkowicz, S.

    2000-01-01

    In a desert environment dew can serve as an important source of moisture for plants, biological crusts, insects and small animals. A measurement programme was carried out within a sand dune belt situated in the northwestern Negev desert, Israel, to measure daily amounts of dew deposition as well as

  11. Probabilistic estimation of dune erosion and coastal zone risk

    NARCIS (Netherlands)

    Li, F.

    2014-01-01

    Coastal erosion has gained global attention and has been studied for many decades. As a soft sea defence structure, coastal sandy dunes protect coastal zones all over the world, which usually are densely populated areas with tremendous economic value. The coastal zone of the Netherlands, one of the

  12. Reliability of dune erosion assessment along curved coastlines

    NARCIS (Netherlands)

    Hoonhout, B.M.; Den Heijer, C.

    2010-01-01

    The dune assessment methods used to ensure the safety of the lower areas in The Netherlands are based on simple empirical relations that are, strictly speaking, only valid for infinitely long, uniform and straight coasts. The wide application of these relations is mainly justified due to intentional

  13. Analyse cognitive d'une politique publique : justice ...

    African Journals Online (AJOL)

    Analyse cognitive d'une politique publique : justice environnementale et « marchés ruraux » de bois-énergie. ... energy sources to poor urban dwellers; and to reduce the poverty of rural households by promoting sustainable forest management including income generation through producing and marketing charcoal.

  14. Mycorrhizal status of Lycium europaeum in the coastal dunes of ...

    African Journals Online (AJOL)

    SARAH

    2013-11-30

    Nov 30, 2013 ... to fix the mobile dunes and to protect the reserve of Sidi Boughaba threatened by the progress of sand. Mycorrhization probably .... 90°C in the water bath until the roots became white. Roots were then rinsed, after this; ..... early in the vegetation succession on degraded soil and promote subsequently the ...

  15. Nuclear Techniques for Coronary Heart Disease Therapy after Percutaneous Transluminal Coronary Angioplasty

    International Nuclear Information System (INIS)

    Nurlaila-Z

    2005-01-01

    Nuclear techniques studies of the heart represent one of the fastest growing areas of research. Several years ago, nuclear medicine cardiac studies were limited for the evaluation and diagnosis of myocardial infarction. Development in radiopharmaceutical-chemistry and instrumentation have made possible advances in nuclear medicine for restenosis cardiovascular therapy after percutaneous transluminal coronary angioplasty.The radionuclide as radiation source can be delivered to the target basically by two techniques, those are catheter-based systems and radioactive stents. For this purpose,it can be use the γ and β emitter radionuclides, in which the β emitter radionuclides is an ideal radionuclide for endovascular therapy. Restenosis after percutaneous transluminal coronary angioplasty can be prevented by using the radioactive stent. This review discusses several techniques which could be used for restenosis cardiovascular therapy. Furthermore, several types of radiopharmaceutical and kinds of radionuclides as well as doses of the compounds for this purpose are also reviewed. (author)

  16. Evidence level of nursing care technologies in angioplasty of the lower limbs

    Directory of Open Access Journals (Sweden)

    Viviane Soares

    2016-12-01

    Full Text Available The objective of this study was to describe the scientific work on nursing care technologies to adult patients undergoing angioplasty of the lower limbs. Systematic review of the literature followed the electronic databases: LILACS, PubMed, Web of Science, SciELO, and Google Scholar. Twelve articles were analyzed and classified according to the levels of evidence. All qualitative studies were classified with a low degree of recommendation, and as for the quantitative studies only one showed a high degree of recommendation. The research showed studies with the lowest level of scientific evidence, aside from a lack of research and poor scientific background in which nursing preoperative care to patients undergoing angioplasty of the lower limbs have been developed. Consequently, there is a lack of information and hence poor training, culminating in unpreparedness in providing care to patients, and in understanding and leading this high complexity service according to the safety principles of patient care.

  17. Amputation-Free Survival after Crural Percutaneous Transluminal Angioplasty for Critical Limb Ischemia

    DEFF Research Database (Denmark)

    Strøm, M; Konge, L; Lönn, L

    2016-01-01

    BACKGROUND AND AIM: To evaluate the amputation-free survival after below the knee percutaneous transluminal angioplasty in a consecutive group of patients with critical ischemia of the lower extremity. MATERIALS AND METHODS: A total of 70 consecutive patients with critical ischemia were treated......-up clinical examinations were performed within 6 weeks and after 1 year. All medical records were crosschecked with the national vascular registry ensuring a valid 1-year status in 97% of the patients. RESULTS: A total of 15 major amputations were performed during follow-up, with 11 amputations performed...... within the first year. Complications after percutaneous transluminal angioplasty were rare. Cumulative mortality after 1 and 2 years was 22% and 34%, respectively. Amputation-free survival at 1 and 2 years of follow-up was 68% and 58%, respectively. There were no association between known risk factors...

  18. Spontaneous Coronary Dissection: “Live Flash” Optical Coherence Tomography Guided Angioplasty

    Science.gov (United States)

    Bento, Angela Pimenta; Fernandes, Renato Gil dos Santos Pinto; Neves, David Cintra Henriques Silva; Patrício, Lino Manuel Ribeiro; de Aguiar, José Eduardo Chambel

    2016-01-01

    Optical Coherence tomography (OCT) is a light-based imaging modality which shows tremendous potential in the setting of coronary imaging. Spontaneous coronary artery dissection (SCAD) is an infrequent cause of acute coronary syndrome (ACS). The diagnosis of SCAD is made mainly with invasive coronary angiography, although adjunctive imaging modalities such as computed tomography angiography, IVUS, and OCT may increase the diagnostic yield. The authors describe a clinical case of a young woman admitted with the diagnosis of ACS. The ACS was caused by SCAD detected in the coronary angiography and the angioplasty was guided by OCT. OCT use in the setting of SCAD has been already described and the true innovation in this case was this unique use of OCT. The guidance of angioplasty with live and short images was very useful as it allowed clearly identifying the position of the guidewires at any given moment without the use of prohibitive amounts of contrast. PMID:26989520

  19. Successful Venous Angioplasty of Superior Vena Cava Syndrome after Heart Transplantation

    Directory of Open Access Journals (Sweden)

    Thomas Strecker

    2014-01-01

    Full Text Available Introduction. For patients with terminal heart failure, heart transplantation (HTX has become an established therapy. Before transplantation there are many repeated measurements with a pulmonary artery catheter (PAC via the superior vena cava (SVC necessary. After transplantation, endomyocardial biopsy (EMB is recommended for routine surveillance of heart transplant rejection again through the SVC. Case Presentation. In this report, we present a HTX patient who developed a SVC syndrome as a possible complication of all these procedures via the SVC. This 35-year-old Caucasian male could be successfully treated by balloon dilatation/angioplasty. Conclusion. The SVC syndrome can lead to pressure increase in the venous system such as edema in the head and the upper part of the body and further serious complications like cerebral bleeding and ischemia, or respiratory problems. Balloon angioplasty and stent implantation are valid methods to treat stenoses of the SVC successfully.

  20. Monorail Piccolino catheter: a new rapid exchange/ultralow profile coronary angioplasty system.

    Science.gov (United States)

    Mooney, M R; Douglas, J S; Mooney, J F; Madison, J D; Brandenburg, R O; Fernald, R; Van Tassel, R A

    1990-06-01

    The Monorail Piccolino coronary angioplasty balloon catheter (MBC) was evaluated on 118 patients at two centers. Technical success was achieved in 110 patients (93%). Time for catheter exchange and total fluoroscopy time were significantly lower for the Monorail catheter than with standard equipment (exchange time 97 vs. 170 seconds P less than .05 and fluoroscopy time 17 vs. 88 seconds P less than .001). The advantages of rapid exchange and the ability of utilize 2 Monorail balloon catheters through one 9F guiding catheter for simultaneous inflations allowed for maximal flexibility in treating patients with bifurcation lesions. The double wire approach utilizing one Monorail balloon catheter with a 7F guiding catheter was also technically successful. The Monorail Piccolino balloon catheter has unique features that allow for greater ease of operator use, rapid catheter exchange, and optimal angiographic visualization. It is felt that this catheter design provides distinct advantages over standard angioplasty equipment.

  1. Use of a wire extender during neuroprotected vertebral artery angioplasty and stenting.

    Science.gov (United States)

    Lesley, Walter S; Kumar, Ravi; Rangaswamy, Rajesh

    2010-09-01

    The off-label use of an extender wire during vertebral artery stenting and angioplasty with or with neuroprotection has not been previously reported. Retrospective, single-patient, technical report. After monorail balloon angioplasty was performed on a proximal left vertebral artery stenosis, the 190 cm long Accunet neuroprotection filter device was not long enough for delivery of an over-the-wire stent. After mating a 145 cm long, 0.014 inch extension wire to the filter device, a balloon-mounted Liberté stent was implanted with good angiographic and clinical results. The off-label use of an extender wire permits successful over-the-wire stenting on a monorail neuroprotection device for vertebral artery endosurgery.

  2. Clinical effectiveness of percutaneous angioplasty for acute and chronic mesenteric ischemia: a six case series.

    Science.gov (United States)

    Jung, Yu Min; Jo, Yun Ju; Ahn, Sang Bong; Son, Byoung Kwan; Kim, Seong Hwan; Park, Young Sook; Bae, June Ho; Cho, Young Kwon

    2011-04-01

    Intestinal ischemia is divided into three categories, namely, acute mesenteric ischemia (AMI), chronic mesenteric ischemia (CMI), and colonic ischemia. AMI can result from arterial or venous thrombi, emboli, and vasoconstriction secondary to low-flow states. It is an urgent condition which can result in high mortality rate. The predominant causative factor of CMI is stenosis or occlusion of the mesenteric arterial circulation, and it is characterized by postprandial abdominal pain and weight loss. Surgery is the treatment of choice for intestinal ischemia. However, it has been recently reported that percutaneous transluminal angioplasty with stent placement and/or thrombolysis is an effective therapy in various types of mesenteric ischemia. We report six cases of mesenteric ischemia which were successfully treated by percutaneous angioplasty, and review the literature from South Korea.

  3. Ultrasound-Guided Angioplasty of Dysfunctional Vascular Access for Haemodialysis. The Pros and Cons

    Energy Technology Data Exchange (ETDEWEB)

    García-Medina, J., E-mail: josegmedina57@gmail.com [“Reina Sofia” University Hospital, Vascular and Interventional Radiology Unit, Department of Radiology (Spain); García-Alfonso, J. J., E-mail: juanjozarandieta@gmail.com [University of Murcia, Faculty of Medicine (Spain)

    2017-05-15

    PurposeTo describe the benefits and the disadvantages of angioplasty in dialysis fistulas using only ultrasound guidance.Materials and MethodsThis is a prospective study in 132 failing or non-maturing arteriovenous accesses that underwent 189 ultrasound-guided balloon angioplasties. The technical success was defined as non-use of X-ray fluoroscopy during the procedure.Results127 procedures (67%) were successfully completed without fluoroscopy. Most failures were due to difficulty to traverse aneurismal segments, as well as anastomotic stenoses. Including initial failures, the primary patency rates at 6, 12 months and 2 years were 75 ± 3, 41 ± 3 and 14 ± 2%, respectively.ConclusionEndovascular repair of the dysfunctional vascular access for haemodialysis under ultrasound guidance is feasible and safe in roughly two-thirds of cases.

  4. Autogenic training reduces anxiety after coronary angioplasty: a randomized clinical trial.

    Science.gov (United States)

    Kanji, N; White, A R; Ernst, E

    2004-03-01

    Autogenic training (AT) is a method of autosuggestion with some potential for reducing anxiety. This study tests whether AT lowers anxiety levels experienced by patients undergoing coronary angioplasty. Fifty-nine patients were randomly assigned to receive regular AT or no such therapy as an adjunct to standard care for 5 months. The primary outcome measure was State Anxiety at 2 months. Qualitative information was generated by face-to-face interviews. State Anxiety showed a significant intergroup difference both at 2 and 5 months. This finding was corroborated by secondary outcome measures, for example, quality of life, and by qualitative information about patients' experiences. The results do not allow us to determine whether the observed effects are specific to AT or of a nonspecific nature. Our results suggest that AT may have a role in reducing anxiety of patients undergoing coronary angioplasty.

  5. “Transcollateral” Renal Angioplasty for a Completely Occluded Renal Artery

    International Nuclear Information System (INIS)

    Chandra, Subash; Chadha, Davinder S.; Swamy, Ajay

    2011-01-01

    Percutaneous transluminal renal angioplasty with stenting has been effective in the control of hypertension, renal function, and pulmonary edema caused by atherosclerotic renal artery stenosis. However, the role of the procedure has not been fully established in the context of chronic total occlusion of renal artery. We report the successful use of this procedure in 57-year-old male patient who reported for evaluation of a recent episode of accelerated hypertension. A renal angiogram in this patient showed ostial stenosis of the right renal artery, which was filling by way of the collateral artery. Renal angioplasty for chronic total occlusion of right renal artery was successfully performed in a retrograde fashion through a collateral artery, thereby leading to improvement of renal function and blood pressure control.

  6. Coastal dune dynamics in response to excavated foredune notches

    Science.gov (United States)

    Ruessink, B. G.; Arens, S. M.; Kuipers, M.; Donker, J. J. A.

    2018-04-01

    Dune management along developed coasts has traditionally focussed on the suppression of the geomorphic dynamics of the foredune to improve its role in sea defence. Because a stabilized foredune acts as an almost total barrier to aeolian transport from the beach, the habitat diversity in the more landward dunes has degraded. With the overarching objective to mitigate this undesirable loss in biodiversity, dune management projects nowadays increasingly intend to restore aeolian dynamics by reconnecting the beach-dune system with notches excavated through the foredune. Here, we use repeat topographic survey data to examine the geomorphic response of a coastal dune system in the Dutch National Park Zuid-Kennemerland to five notches excavated in 2012-2013 within an 850-m stretch of the 20-m high established foredune. The notches were dug in a V-shape (viewed onshore), with a width between approximately 50 and 100 m at the top, a (cross-dune) length between 100 and 200 m, and excavation depths between 9 and 12.5 m. The 1 × 1 m digital terrain models, acquired with airborne Lidar and UAV photogrammetry, illustrate that during the 3-year survey period the notches developed into a U-shape because of wall deflation, and that up to 8-m thick and 150-m long depositional lobes formed landward of the notches. Sand budget computations showed that the sand volume of the entire study area increased by about 22,750 m3/year, which, given the 850-m width of the study area, corresponds to an aeolian input from the beach of approximately 26.5 m3/m/year. Between 2006 and 2012 all wind-blown beach sand deposited on the seaward side of the foredune; since 2013, the notches have caused 75% of the sand to be deposited landward of the foredune. This highlights that the notches are highly effective conduits for aeolian transport into the back dunes. Future monitoring is required to determine for how long the notches will stimulate aeolian dynamics and if (and when) vegetation eventually

  7. Case report: renovascular hypertension following radiotherapy and chemotherapy treated by transluminal angioplasty

    International Nuclear Information System (INIS)

    Minton, M.J.; McIvor, J.; Cappuccio, F.P.; MacGregor, G.A.; Newlands, E.S.

    1986-01-01

    A man aged 33 with poorly controlled hypertension who had been treated with radiotherapy and combination chemotherapy for testicular teratoma 8 years earlier was found on arteriography to have 75% stenosis of the left renal artery and occlusion of the right renal artery. The stenosis was dilated by transluminal angioplasty and the hypertension adequately controlled. Patients who develop high blood pressure after abdominal radiotherapy with or without chemotherapy should be investigated for renal artery stenosis. (author)

  8. Long-Term Follow-Up of Percutaneous Balloon Angioplasty in Adult Aortic Coarctation

    International Nuclear Information System (INIS)

    Paddon, Alex J.; Nicholson, Anthony A.; Ettles, Duncan F.; Travis, Simon J.; Dyet, John F.

    2000-01-01

    Purpose: To assess long-term outcomes following percutaneous transluminal angioplasty (PTA) of congenital aortic coarctation in adults.Methods: Seventeen patients underwent PTA for symptomatic adult coarctation of the aorta. Sixteen patients, with a mean age of 28 years (range 15-60 years), were reviewed at a mean interval after angioplasty of 7.3 years (range 1.5-11 years). Assessment included magnetic resonance imaging (MRI), Doppler echocardiography, and clinical examination. Current clinical measurements were compared with pre- and immediate post-angioplasty measurements.Results: At follow-up 16 patients were alive and well. The patient not included in follow-up had undergone surgical repair and excision of the coarctation segment following PTA. Mean brachial systolic blood pressure for the group decreased from 174 mmHg before angioplasty to 130 mmHg at follow-up (p 0.0001). The mean gradient had fallen significantly from 50.9 to 17.8 at follow-up (p = 0.001). The average number of antihypertensive drugs required per patient decreased from 0.56 to 0.31 (p = 0.234). No significant residual stenoses or restenoses were seen at MRI. Small but clinically insignificant residual pressure gradients were recorded in all patients using Doppler echocardiography. Complications included one transient ischemic attack at 5 days, one external iliac dissection requiring stent insertion, and a further patient who developed a false aneurysm close to the coarctation site at 12 months which subsequently required surgical excision.Conclusion: PTA of adult coarctation is safe and effective in the long term. Although primary stenting has recently been advocated in the treatment of this condition, our results suggest that PTA remains the treatment of choice

  9. Popliteal artery thrombosis in a patient with Cogan syndrome: Treatment with thrombolysis and percutaneous transluminal angioplasty

    International Nuclear Information System (INIS)

    Bastug, Demir E.; Dominic, Anthony; Ortiz, Orlando; DiBartolomeo, Anthony G.; Kotzan, Jeffrey M.; Abraham, F. Matthew

    1997-01-01

    A 31-year-old woman with Cogan syndrome (a rare form of systemic vasculitis) was evaluated for a cold, painful left foot with diminished pulses. Arteriography demonstrated thrombosis of the left popliteal artery with evidence of vasculitis. Thrombolytic therapy was begun with initial success but eventual rethrombosis. After reinitiating thrombolytic therapy combined with intraarterial vasodilator therapy, successful angioplasty was performed with sustained results, at 6-month follow-up

  10. Ureteric angioplasty balloon placement to increase localised dosage of BCG for renal pelvis TCC.

    LENUS (Irish Health Repository)

    Forde, J C

    2012-03-01

    Endoscopic percutaneous resection of a renal pelvis transitional cell carcinoma (TCC) is a viable treatment option in those who would be rendered dialysis dependent following a nephroureterectomy. We report endoscopic percutaneous resection of an upper tract TCC recurrence in a single functioning kidney followed by antegrade renal pelvis BCG instillation with novel placement of inflated angioplasty balloon in the ureter to help localise its effect.

  11. Investigating the effect of collaborative care on depression, anxiety, and stress of patients after coronary angioplasty

    Directory of Open Access Journals (Sweden)

    Parastoo Rezapour

    2016-02-01

    Full Text Available Background: Coronary artery disease and its associated treatment interventions such as angioplasty can lead to emotional problems, including depression, anxiety, and stress, in patients and might have adverse effects on the recovery process. This study aimed to evaluate the effect of collaborative care model on depression, anxiety, and stress in patients after coronary angioplasty. Methods: This clinical trial was conducted on 50 patients undergoing coronary angioplasty, who were referred to intensive care unit and surgical ward of one of the hospitals of Isfahan, Iran, in 2015. Samples were selected through randomized convenience sampling and were divided into intervention and control group (n=25 for each group. Collaborative care model, consisting of four stages of motivation, preparation, engagement, and evaluation, was implemented for the intervention group through five 45-60 minute sessions and a three-month telephone follow-up. Data was collected using depression, anxiety, and stress scale (DASS-42 before and one month after the intervention from both groups. Data were analyzed using descriptive statistics, Chi-square, as well as independent and paired t-tests in SPSS, version 18. Results: In this study, mean score of depression was significantly decreased in the intervention group after the implementation of collaborative model (from 31.6±3.7 to 6.3±5.03 (P<0.001, and mean anxiety and stress scores were reduced from 32.6±3.04 and 32.2±3.3 to 6.2±4.1 and 8.5±4.8, respectively (P<0.001. In this regard, a significant difference was observed between the intervention and control groups (P<0.001. Conclusion: Implementation of collaborative care could be associated with lower depression, anxiety, and stress in patients after coronary angioplasty. Therefore, its application is recommended as an effective method for such patients.

  12. Pravastatin and endothelium dependent vasomotion after coronary angioplasty: the PREFACE trial.

    Science.gov (United States)

    Mulder, H J; Schalij, M J; Kauer, B; Visser, R F; van Dijkman, P R; Jukema, J W; Zwinderman, A H; Bruschke, A V

    2001-11-01

    To test the hypothesis that the 3-hydroxy-3-methylglutaryl coenzyme-A reductase inhibitor pravastatin ameliorates endothelium mediated responses of dilated coronary segments: the PREFACE (pravastatin related effects following angioplasty on coronary endothelium) trial. A double blind, randomised, placebo controlled, multicentre study. Four hospitals in the Netherlands. 63 non-smoking, non-hypercholesterolaemic patients scheduled for elective balloon angioplasty (pravastatin 34, placebo 29). The effects of three months of pravastatin treatment (40 mg daily) on endothelium dependent vasomotor function were studied. Balloon angioplasty was undertaken one month after randomisation, and coronary vasomotor function tests using acetylcholine were performed two months after balloon angioplasty. The angiograms were analysed quantitatively. The efficacy measure was the acetylcholine induced change in mean arterial diameter, determined in the dilated segment and in an angiographically normal segment of an adjacent non-manipulated coronary artery. Increasing acetylcholine doses produced vasoconstriction in the dilated segments (p = 0.004) but not in the normal segments. Pravastatin did not affect the vascular response to acetylcholine in either the dilated segments (p = 0.09) or the non-dilated sites. Endothelium dependent vasomotion in normal segments was correlated with that in dilated segments (r = 0.47, p < 0.001). There were fewer procedure related events in the pravastatin group than in the placebo group (p < 0.05). Endothelium dependent vasomotion in normal segments is correlated with that in dilated segments. A significant beneficial effect of pravastatin on endothelial function could not be shown, but in the dilated segments there was a trend towards a beneficial treatment effect in the pravastatin group.

  13. Successful Retrieval of an Embolized Vascular Closure Device (Angio-Seal{sup ®}) After Peripheral Angioplasty

    Energy Technology Data Exchange (ETDEWEB)

    Jud, Philipp, E-mail: philipp.jud@medunigraz.at [Medical University of Graz, Division of Angiology, Department of Internal Medicine (Austria); Portugaller, Rupert; Bohlsen, Dennis [Medical University of Graz, Division of Vascular and Interventional Radiology, Department of Radiology (Austria); Gary, Thomas; Brodmann, Marianne [Medical University of Graz, Division of Angiology, Department of Internal Medicine (Austria); Hackl, Gerald [Medical University of Graz, Division of Intensive Care, Department of Internal Medicine (Austria); Hafner, Franz [Medical University of Graz, Division of Angiology, Department of Internal Medicine (Austria)

    2017-06-15

    A 55-year-old male with peripheral arterial disease underwent angioplasty of the right lower limb arteries via antegrade femoral access. Angio-Seal{sup ®} closure device was used to treat the puncture site, whereby the intravascular sealing anchor accidentally embolized into the malleolar region of the right posterior tibial artery. Successful retrieval of the anchor was accomplished by a SpiderFX embolic protection device. This technique may be a useful approach to retrieve embolized foreign bodies via endovascular access.

  14. Acute occlusion of the coronary artery after transluminal balloon coronary angioplasty

    International Nuclear Information System (INIS)

    Savchenko, A.P.; Matchin, Yu.G.; Lyakishev, A.A.

    1995-01-01

    The research was aimed at elucidation of the relationship of the clinical and angiographic factors, on the one hand, and development of acute occlusion following transluminal balloon coronary angioplasty TBCA, on the other. TBCA was carried out in 162 patients. Eight (4.9 %) patients developed acute occlusion of the coronary artery, which was complicated by acute myocardial infarction in 50 % cases. 35 refs.; 4 tabs

  15. Fibrin Sheath Angioplasty: A Technique to Prevent Superior Vena Cava Stenosis Secondary to Dialysis Catheters

    Science.gov (United States)

    Hacker, Robert I.; Garcia, Lorena De Marco; Chawla, Ankur; Panetta, Thomas F.

    2012-01-01

    Fibrin sheaths are a heterogeneous matrix of cells and debris that form around catheters and are a known cause of central venous stenosis and catheter failure. A total of 50 cases of central venous catheter fibrin sheath angioplasty (FSA) after catheter removal or exchange are presented. A retrospective review of an outpatient office database identified 70 eligible patients over a 19-month period. After informed consent was obtained, the dialysis catheter exiting the skin was clamped, amputated, and a wire was inserted. The catheter was then removed and a 9-French sheath was inserted into the superior vena cava, a venogram was performed. If a fibrin sheath was present, angioplasty was performed using an 8 × 4 or 10 × 4 balloon along the entire length of the fibrin sheath. A completion venogram was performed to document obliteration of the sheath. During the study, 50 patients were diagnosed with a fibrin sheath, and 43 had no pre-existing central venous stenosis. After FSA, 39 of the 43 patient's (91%) central systems remained patent without the need for subsequent interventions; 3 patients (7%) developed subclavian stenoses requiring repeat angioplasty and stenting; 1 patent (2.3%) developed an occlusion requiring a reintervention. Seven patients with prior central stenosis required multiple angioplasties; five required stenting of their central lesions. Every patient had follow-up fistulograms to document long-term patency. We propose that FSA is a prudent and safe procedure that may help reduce the risk of central venous stenosis from fibrin sheaths due to central venous catheters. PMID:23997555

  16. Cutting Balloon Angioplasty in the Treatment of Short Infrapopliteal Bifurcation Disease.

    Science.gov (United States)

    Iezzi, Roberto; Posa, Alessandro; Santoro, Marco; Nestola, Massimiliano; Contegiacomo, Andrea; Tinelli, Giovanni; Paolini, Alessandra; Flex, Andrea; Pitocco, Dario; Snider, Francesco; Bonomo, Lorenzo

    2015-08-01

    To evaluate the safety, feasibility, and effectiveness of cutting balloon angioplasty in the management of infrapopliteal bifurcation disease. Between November 2010 and March 2013, 23 patients (mean age 69.6±9.01 years, range 56-89; 16 men) suffering from critical limb ischemia were treated using cutting balloon angioplasty (single cutting balloon, T-shaped double cutting balloon, or double kissing cutting balloon technique) for 47 infrapopliteal artery bifurcation lesions (16 popliteal bifurcation and 9 tibioperoneal bifurcation) in 25 limbs. Follow-up consisted of clinical examination and duplex ultrasonography at 1 month and every 3 months thereafter. All treatments were technically successful. No 30-day death or adverse events needing treatment were registered. No flow-limiting dissection was observed, so no stent implantation was necessary. The mean postprocedure minimum lumen diameter and acute gain were 0.28±0.04 and 0.20±0.06 cm, respectively, with a residual stenosis of 0.04±0.02 cm. Primary and secondary patency rates were estimated as 89.3% and 93.5% at 6 months and 77.7% and 88.8% at 12 months, respectively; 1-year primary and secondary patency rates of the treated bifurcation were 74.2% and 87.0%, respectively. The survival rate estimated by Kaplan-Meier analysis was 82.5% at 1 year. Cutting balloon angioplasty seems to be a safe and effective tool in the routine treatment of short/ostial infrapopliteal bifurcation lesions, avoiding procedure-related complications, overcoming the limitations of conventional angioplasty, and improving the outcome of catheter-based therapy. © The Author(s) 2015.

  17. Southern high latitude dune fields on Mars: Morphology, aeolian inactivity, and climate change

    Science.gov (United States)

    Fenton, L.K.; Hayward, R.K.

    2010-01-01

    In a study area spanning the martian surface poleward of 50?? S., 1190 dune fields have been identified, mapped, and categorized based on dune field morphology. Dune fields in the study area span ??? 116400km2, leading to a global dune field coverage estimate of ???904000km2, far less than that found on Earth. Based on distinct morphological features, the dune fields were grouped into six different classes that vary in interpreted aeolian activity level from potentially active to relatively inactive and eroding. The six dune field classes occur in specific latitude zones, with a sequence of reduced activity and degradation progressing poleward. In particular, the first signs of stabilization appear at ???60?? S., which broadly corresponds to the edge of high concentrations of water-equivalent hydrogen content (observed by the Neutron Spectrometer) that have been interpreted as ground ice. This near-surface ground ice likely acts to reduce sand availability in the present climate state on Mars, stabilizing high latitude dunes and allowing erosional processes to change their morphology. As a result, climatic changes in the content of near-surface ground ice are likely to influence the level of dune activity. Spatial variation of dune field classes with longitude is significant, suggesting that local conditions play a major role in determining dune field activity level. Dune fields on the south polar layered terrain, for example, appear either potentially active or inactive, indicating that at least two generations of dune building have occurred on this surface. Many dune fields show signs of degradation mixed with crisp-brinked dunes, also suggesting that more than one generation of dune building has occurred since they originally formed. Dune fields superposed on early and late Amazonian surfaces provide potential upper age limits of ???100My on the south polar layered deposits and ???3Ga elsewhere at high latitudes. No craters are present on any identifiable dune

  18. Matrix metalloproteinase 9 level as an indicator for restenosis following cervical and intracranial angioplasty and stenting

    Directory of Open Access Journals (Sweden)

    Jun-peng Liu

    2015-01-01

    Full Text Available Cervical and intracranial angioplasty and stenting is an effective and safe method of reducing the risk of ischemic stroke, but it may be affected by in-stent restenosis. The present study investigated serum level of matrix metalloproteinase 9 as a predictor of restenosis after 40 patients underwent cervical and/or intracranial angioplasty and stenting. Results showed that restenosis occurred in 30% (3/10 of patients when the serum level of matrix metalloproteinase 9 at 3 days after surgery was 2.5 times higher than preoperative level. No restenosis occurred when the serum level of matrix metalloproteinase 9 at 3 days after surgery was not 2.5 times higher than preoperative level. Restenosis occurred in 12% (2/17 of patients when the serum level of matrix metalloproteinase 9 was higher than preoperative level for more than 30 days after surgery, but only occurred in 4% (1/23 of patients when the serum level of matrix metalloproteinase 9 was higher than preoperative level for less than 30 days after surgery. However, the differences observed were not statistically significant (P > 0.05. Experimental findings indicate that when the serum level of matrix metalloproteinase 9 is 2.5 times higher than preoperative level at 3 days after cervical and intracranial angioplasty and stenting, it may serve as a predictor of in-stent restenosis.

  19. [Effect of compound Danshen dripping pills combined with atorvastatin on restenosis after angioplasty in rabbits].

    Science.gov (United States)

    Song, Jieli; Zeng, Jinpei; Zhang, Yongxia; Li, Pengfei; Zhang, Lihong; Chen, Cibin

    2014-08-01

    To study the effect of compound Danshen dripping pills and atorvastatin on restenosis after abdominal aorta angioplasty in rabbits. Rabbit models of abdominal aorta restenosis after angioplasty were established and treated with saline (group A), compound Danshen dripping pills (group B), atorvastatin (group C), or compound Danshen dripping pills plus atorvastatin (group D). HE staining was used to determine the thickness of arterial intimal hyperplasia and assess the morphological changes of the narrowed artery. Immunohistochemistry was employed to detect the expression of nuclear factor-κB (NF-κB) and monocyte chemoattractant protein-1 (MCP-1). Compared with group A, the 3 treatment groups showed significant increased vascular cavity area and reduced intimal area and percentage of intimal hyperplasia (Ppills combined with atorvastatin produces better effects than the drugs used alone in inhibiting vascular smooth muscle cell proliferation in rabbits after abdominal aorta angioplasty possibly due to a decreased expression of MCP-1 as a result of NF-κB inhibition.

  20. [Synchronized anterograde perfusion during percutaneous transluminal coronary angioplasty: preliminary clinical study].

    Science.gov (United States)

    Farcot, J C; Berland, J; Derumeaux, G; Letac, B; Bourdarias, J P

    1995-03-01

    A new circulatory system, "physiologic anteroperfusion system", has been developed and tested in 6 patients with significant proximal coronary artery stenosis. Prolonged and safe balloon inflation was possible without any ischemic signs. The system consists of an electronic cardiac synchroperfusor which, by activating a pulsatile unit, permits increased diastolic anteroperfusion of autologous blood under physiologic pressure through low-profile standard angioplasty catheters. This study reports the results obtained in 6 patients during proximal prolonged percutaneous transluminal coronary angioplasty. Four men and two women suffering from severe exertional angina pectoris, with normal resting left ventricular function, no collaterals and excellent apical two-dimensional four-chamber echocardiographic views were studied. After a 90 +/- 10 seconds of control occlusion under continuous monitoring of hemodynamics, electrocardiograms (3 to 4 leads), two-dimensional echo and chest pain grading, a second balloon inflation protected by the physiologic anteroperfusion system at a flow rate of 44 +/- 12 ml/min was performed for fifteen minutes. The ischemic signs present in the myocardium depending on the occluded artery were totally abolished during prolonged inflation protected by physiologic anteroperfusion system. All the patients were successfully dilated and were discharged from hospital the following morning without cardiac enzyme elevation or signs of central or peripheral hemolysis. Conclusion, in 6 patients with severe proximal coronary artery stenosis, safe prolonged proximal angioplasty without signs of ischemia was performed using a new simple physiologic anteroperfusion system, which allows active diastolic flow-pressure controlled autologous arterial blood perfusion, through standard low profile catheters.

  1. A comparison of seed banks across a sand dune successional gradient at Lake Michigan dunes (Indiana, USA)

    Science.gov (United States)

    Leicht-Young, S. A.; Pavlovic, N.B.; Grundel, R.; Frohnapple, K.J.

    2009-01-01

    In habitats where disturbance is frequent, seed banks are important for the regeneration of vegetation. Sand dune systems are dynamic habitats in which sand movement provides intermittent disturbance. As succession proceeds from bare sand to forest, the disturbance decreases. At Indiana Dunes National Lakeshore, we examined the seed banks of three habitat types across a successional gradient: foredunes, secondary dunes, and oak savanna. There were differences among the types of species that germinated from each of the habitats. The mean seed bank density increased across the successional gradient by habitat, from 376 to 433 to 968 seeds m-2, but with foredune and secondary dune seed bank densities being significantly lower than the savanna seed bank density. The number of seeds germinated was significantly correlated with soil organic carbon, demonstrating for this primary successional sequence that seed density increases with stage and age. The seed bank had much lower species richness than that of the aboveground vegetation across all habitats. Among sites within a habitat type, the similarity of species germinated from the seed banks was very low, illustrating the variability of the seed bank even in similar habitat types. These results suggest that restoration of these habitats cannot rely on seed banks alone. ?? 2008 Springer Science+Business Media B.V.

  2. Cool excimer laser-assisted angioplasty (CELA) and tibial balloon angioplasty (TBA) in management of infragenicular arterial occlusion in critical lower limb ischemia (CLI).

    Science.gov (United States)

    Sultan, Sherif; Tawfick, Wael; Hynes, Niamh

    2013-04-01

    We aim to compare cool excimer laser-assisted angioplasty (CELA) versus tibial balloon angioplasty (TBA) in patients with critical limb ischemia (CLI) with tibial artery occlusive disease. The primary end point is sustained clinical improvement (SCI) and amputation-free survival (AFS). The secondary end points are binary restenosis, target extremity revascularization (TER), and cost-effectiveness. From June 2005 to October 2010, 1506 patients were referred with peripheral vascular disease and 572 with CLI. A total of 80 patients underwent 89 endovascular revascularizations (EVRs) for tibial occlusions, 47 using TBA and 42 using CELA. All patients were Rutherford category 4 to 6. Three-year SCI was enhanced with CELA (81%) compared to TBA (63.8%; P = .013). Three-year AFS significantly improved with CELA (95.2%) versus TBA (89.4%; P = .0165). Three-year freedom from TER was significantly improved with CELA (92.9%) versus 78.7% TBA (P = .026). Three-year freedom from MACE was comparable in both the groups (P = .455). Patients with CELA had significantly improved quality time without symptoms of disease or toxicity of treatment (Q-TWiST) at 3 years (10.5 months; P = .048) with incremental cost of €2073.19 per quality-adjusted life year gained. Tibial EVR provides exceptional outcome in CLI. The CELA has superior SCI, AFS, and freedom from TER, with improved Q-TWiST and cost-effectiveness.

  3. Experimental studies on the X-radiation from a high-intensity annular discharge; Etudes experimentales sur le rayonnement X d'une decharge annulaire a forte intensite

    Energy Technology Data Exchange (ETDEWEB)

    Etievant, C [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    Under certain conditions, a very penetrating X-radiation is emitted at the start of a stabilised annular discharge. A number of experimental observations have been made using a pyrex toroid filled with deuterium or argon. The value of the stabilising magnetic field and the pressure have a very important influence on the intensity of the X-radiation emitted. The placing of an obstacle such as a magnetic mirror at a point of the torus can prevent the acceleration of runaway electrons during successive revolutions, and X-ray emission disappears. (author) [French] Un rayonnement X tres penetrant est emis dans certaines conditions au debut d'une decharge annulaire stabilisee. Un certain nombre d'observations experimentales ont ete faites a l'aide d'un tore en pyrex rempli de deuterium ou d'argon. La valeur du champ magnetique stabilisateur et la pression jouent un role tres important sur l'intensite du rayonnement X emis. La disposition d'un obstacle tel qu'un miroir magnetique en un point du tore peut empecher l'acceleration d'electrons decouples au cours de revolutions successives et l'emission de rayonnement X disparait. (auteur)

  4. Introduction de compétences managériales dans les cours et tribunaux belges

    Directory of Open Access Journals (Sweden)

    David Delvaux

    2010-02-01

    Full Text Available Depuis quelques années et jusqu’à ce jour, les Cours et tribunaux belges sont le théâtre d’un vaste processus de « modernisation ». Depuis l’affaire Dutroux – qui a révélé les dysfonctionnements de la Justice et de la police belge –, on ne compte plus les initiatives visant à améliorer la « qualité » de l’appareil judiciaire. Pour mener à bien cet objectif, des dispositifs de différentes natures ont été développés. Dans le cadre de cette contribution, nous proposons d’étudier l’un d’entre eux : l’introduction de conseillers en gestion des ressources humaines dans certaines juridictions du pays. En nous inscrivant dans la lignée des travaux de sociologie des organisations, nous posons l’hypothèse que l’apparition d’un nouvel acteur devrait mener à une réévaluation des rôles, des stratégies et des comportements du système d’action local. Cependant, à l’issue de nos observations, l’impact du dispositif apparait faible. Ce qui nous mène à redéfinir notre hypothèse et à envisager ces conseillers comme des « opérateurs cognitifs » du changement. En envisageant l’action de ces conseillers comme le résultat d’un processus, il a été possible de mettre au jour les idéologies dont ce dispositif est porteur, ainsi que l’émergence de représentations collectives susceptibles de fournir un nouveau référent commun, un nouvel « éthos professionnel ».The introduction of "human resources advisers" in several courts’ staff in BelgiumA large-scale process of "modernization" has taken place in Belgian courts in the past few years. Since the Dutroux scandal, which underlined the dysfunctions of Belgian courts and police, many initiatives have been taken in order to improve the quality of Justice. Various categories of instruments have been developed to achieve this purpose. This article focuses on one of them: the introduction of "human resources advisers" in several

  5. The effects of dune slopes and material heterogeneity on the thermal behavior of dune fields in Mars' Southern Hemisphere

    Science.gov (United States)

    O'Shea, P. M.; Putzig, N. E.; Van Kooten, S.; Fenton, L. K.

    2015-12-01

    We analyzed the effects of slopes on the thermal properties of three dune fields in Mars' southern hemisphere. Although slope has important thermal effects, it is not the main driver of observed apparent thermal inertia (ATI) for these dunes. Comparing the ATI seasonal behavior as derived from Thermal Emission Spectrometer (TES) data with that modeled for compositional heterogeneities, we found that TES results correlate best with models of duricrust overlying and/or horizontally mixing with fines. We measured slopes and aspects in digital terrain models created from High Resolution Imaging Science Experiment (HiRISE) images of dunes within Proctor, Kaiser, and Wirtz craters. Using the MARSTHERM web toolset, we incorporated the slopes and aspects together with TES albedo, TES thermal inertia, surface pressure, and TES dust opacity, into models of seasonal ATI. Models that incorporate sub-pixel slopes show seasonal day and night ATI values that differ from the TES results by 0-300 J m-2 K-1 s-½. In addition, the models' day-night differences are opposite in sign from those of the TES results, indicating that factors other than slope are involved. We therefore compared the TES data to model results for a broad range of horizontally mixed and two-layered surfaces to seek other possible controls on the observed data, finding that a surface layer of higher thermal inertia is a likely contributor. However, it is clear from this study that the overall composition and morphology of the dune fields are more complex than currently available models allow. Future work will combine slopes with other model parameters such as multi-layered surfaces and lateral changes in layer thickness. Coupling these improvements with broader seasonal coverage from the Thermal Emission Imaging System (THEMIS) at more thermally favorable times of day would allow more accurate characterization of dune thermal behavior.

  6. Relating sedimentary processes in the Bagnold Dunes to the development of crater basin aeolian stratification

    Science.gov (United States)

    Ewing, R. C.; Lapotre, M. G. A.; Lewis, K. W.; Day, M. D.; Stein, N.; Rubin, D. M.; Sullivan, R. J., Jr.; Banham, S.; Thomas, N. M.; Lamb, M. P.; Gupta, S.; Fischer, W. W.

    2017-12-01

    Wind-blown sand dunes are ubiquitous on the surface of Mars and are a recognized component of the martian stratigraphic record. Our current knowledge of the aeolian sedimentary processes that determine dune morphology, drive dune dynamics, and create aeolian cross-stratification are based upon orbital studies of ripple and dune morphodynamics, rover observations of stratification on Mars, Earth analogs, and experimental and theoretical studies of sand movement under martian conditions. Exploration of the Bagnold Dunes by the Curiosity Rover in Gale Crater, Mars provided the first opportunity to make in situ observations of martian dunes from the grain-to-dune scale. We used the suite of cameras on Curiosity, including Navigation Camera, Mast Camera, and Mars Hand Lens Imager. We measured grainsize and identified sedimentary processes similar to processes on terrestrial dunes, such as grainfall, grainflow, and impact ripples. Impact ripple grainsize had a median of 0.103 mm. Measurements of grainflow slopes indicate a relaxation angle of 29° and grainfall slopes indicate critical angles of at least 32°. Dissimilar to terrestrial dunes, large, meter-scale ripples form on all slopes of the dunes. The ripples form both sinuous and linear crestlines, have symmetric and asymmetric profiles, range in height between 12cm and 28cm, and host grainfall, grainflow, and impact ripples. The largest ripples are interpreted to integrate the annual wind cycle within the crater, whereas smaller large ripples and impact ripples form or reorient to shorter term wind cycling. Assessment of sedimentary processes in combination with dune type across the Bagnold Dunes shows that dune-field pattern development in response to a complex crater-basin wind regime dictates the distribution of geomorphic processes. From a stratigraphic perspective, zones of highest potential accumulation correlate with zones of wind convergence, which produce complex winds and dune field patterns thereby

  7. Long-term results after primary infrapopliteal angioplasty for limb ischemia

    International Nuclear Information System (INIS)

    Alfke, H.; Marburg Univ.; Vannucchi, A.; Froelich, J.J.; Klinikum Bad Hersfeld; El-Sheik, M.; Wagner, H.J.; Vivantes-Klinikum im Friedrichshain

    2007-01-01

    Purpose: To evaluate the technical success rate, procedure-related complications, and clinical long-term results for patients who underwent infrapopliteal angioplasty. Materials and Methods: We retrospectively evaluated all patients who underwent infrapopliteal angioplasty to treat critical chronic limb ischemia or severe claudication from 1/1997 to 12/1999. We excluded patients with acute (< 2 weeks) limb ischemia. Procedure-related data were prospectively documented in a database and analyzed with a focus on the technical success rate and procedure-related complications. In addition all clinical documents were analyzed, and a follow-up examination was performed or telephone interviews were conducted with patients, relatives and referring doctors for follow-up. The primary end points were the limb salvage rate and patient survival rate. The secondary end points included the complication rate, technical success rate, and walking distance. Results: 112 patients with a mean age of 72 years (41 women, 71 men) underwent crural angioplasty on 121 limbs. Four patients suffered from severe claudication (Rutherford category 3) and all others had critical chronic limb ischemia (category 4 to 6). The complication rate was 2.7 %. The technical success rate was 92 %. The ankle brachial index increased from 0.59 to 0.88. The mean walking distance increased significantly from 52 ± 66 to 284 ± 346 meters at the time of follow-up. The limb salvage rate was 83.6 % after one year and 81.1 % after three years. The mean survival rate according to Kaplan-Meier was 79.4 %, 69.2 %, and 54.2 % at 1, 2, and 3 years, respectively. Patients with at least one patent run-off vessel after angioplasty had a significantly better limb salvage rate. Diabetes was not a risk factor for limb salvage. Conclusion: Infrapopliteal angioplasty shows a high technical success rate with an acceptable complication rate. The clinical long-term success seems favorable if a least one open run-off vessel was

  8. Long-term results after primary infrapopliteal angioplasty for limb ischemia; Langzeitergebnisse nach Ballonangioplastie kruraler Arterien

    Energy Technology Data Exchange (ETDEWEB)

    Alfke, H. [Klinikum Luedenscheid (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie; Marburg Univ. (Germany). Klinik fuer Strahlendiagnostik; Vannucchi, A. [Marburg Univ. (Germany). Klinik fuer Strahlendiagnostik; Froelich, J.J. [Marburg Univ. (Germany). Klinik fuer Strahlendiagnostik; Klinikum Bad Hersfeld (Germany). Klinik fuer Radiologie und Nuklearmedizin; El-Sheik, M.; Wagner, H.J. [Marburg Univ. (Germany). Klinik fuer Strahlendiagnostik; Vivantes-Klinikum im Friedrichshain (Germany). Inst. fuer Radiologie und Interventionelle Therapie

    2007-08-15

    Purpose: To evaluate the technical success rate, procedure-related complications, and clinical long-term results for patients who underwent infrapopliteal angioplasty. Materials and Methods: We retrospectively evaluated all patients who underwent infrapopliteal angioplasty to treat critical chronic limb ischemia or severe claudication from 1/1997 to 12/1999. We excluded patients with acute (< 2 weeks) limb ischemia. Procedure-related data were prospectively documented in a database and analyzed with a focus on the technical success rate and procedure-related complications. In addition all clinical documents were analyzed, and a follow-up examination was performed or telephone interviews were conducted with patients, relatives and referring doctors for follow-up. The primary end points were the limb salvage rate and patient survival rate. The secondary end points included the complication rate, technical success rate, and walking distance. Results: 112 patients with a mean age of 72 years (41 women, 71 men) underwent crural angioplasty on 121 limbs. Four patients suffered from severe claudication (Rutherford category 3) and all others had critical chronic limb ischemia (category 4 to 6). The complication rate was 2.7 %. The technical success rate was 92 %. The ankle brachial index increased from 0.59 to 0.88. The mean walking distance increased significantly from 52 {+-} 66 to 284 {+-} 346 meters at the time of follow-up. The limb salvage rate was 83.6 % after one year and 81.1 % after three years. The mean survival rate according to Kaplan-Meier was 79.4 %, 69.2 %, and 54.2 % at 1, 2, and 3 years, respectively. Patients with at least one patent run-off vessel after angioplasty had a significantly better limb salvage rate. Diabetes was not a risk factor for limb salvage. Conclusion: Infrapopliteal angioplasty shows a high technical success rate with an acceptable complication rate. The clinical long-term success seems favorable if a least one open run-off vessel was

  9. Photon detection system for ProtoDUNE dual phase

    CERN Document Server

    Cuesta, C. (on behalf of DUNE collaboration)

    2017-01-01

    The Deep Underground Neutrino Experiment (DUNE) is a 40-kton underground liquid argon time-projection-chamber (LAr TPC) detector, for long-baseline neutrino oscillation studies and for neutrino astrophysics and nucleon decay searches. Photon detector systems embedded within the LAr TPC add precise timing capabilities for non-beam events. The ProtoDUNE dual phase detector will consist of a 6x6x6 m3 liquid argon time-projection chamber placed at CERN and the light readout will be formed by 8-inch cryogenic photomultipliers from Hamamatsu. The characterization of the 36 photomultipliers, the base design, and the light calibration system are described. In addition, preliminary results from a 3x1x1 m3 LAr double phase detector operating at CERN are presented.

  10. Optical dating of dune ridges on Rømø

    DEFF Research Database (Denmark)

    Madsen, Anni Tindahl; Murray, A. S.; Andersen, Thorbjørn Joest

    2007-01-01

    The application of optically stimulated luminescence (OSL) to the dating of recent aeolian sand ridges on Rømø, an island off the southwest coast of Denmark, is tested. These sand ridges began to form approximately 300 years ago, and estimates of the ages are available from historical records....... Samples for OSL dating were taken ~0.5 m below the crests of four different dune ridges; at least five samples were recovered from each ridge to test the internal consistency of the ages. Additional samples were recovered from the low lying areas in the swales and from the scattered dune formations......-defined building phases separated by inactive periods and the first major ridge formed ~235 years ago. This study demonstrates that optical dating can be successfully applied to these young aeolian sand deposits, and we conclude that OSL dating is a powerful chronological tool in studies of coastal change....

  11. Dynamics of Unusual Debris Flows on Martian Sand Dunes

    Science.gov (United States)

    Miyamoto, Hideaki; Dohm, James M.; Baker, Victor R.; Beyer, Ross A.; Bourke, Mary

    2004-01-01

    Gullies that dissect sand dunes in Russell impact crater often display debris flow-like deposits in their distal reaches. The possible range of both the rheological properties and the flow rates are estimated using a numerical simulation code of a Bingham plastic flow to help explain the formation of these features. Our simulated results are best explained by a rapid debris flow. For example, a debris flow with the viscosity of 10(exp 2) Pa s and the yield strength of 10(exp 2) Pa can form the observed deposits with a flow rate of 0.5 cu m/s sustained over several minutes and total discharged water volume on the order of hundreds of cubic meters, which may be produced by melting a surface layer of interstitial ice within the dune deposits to several centimeters depth.

  12. Episodic Late Holocene dune movements on the sand-sheet area, Great Sand Dunes National Park and Preserve, San Luis Valley, Colorado, USA

    Science.gov (United States)

    Forman, S. L.; Spaeth, M.; Marín, L.; Pierson, J.; Gómez, J.; Bunch, F.; Valdez, A.

    2006-07-01

    The Great Sand Dunes National Park and Preserve (GSDNPP) in the San Luis Valley, Colorado, contains a variety of eolian landforms that reflect Holocene drought variability. The most spectacular is a dune mass banked against the Sangre de Cristo Mountains, which is fronted by an extensive sand sheet with stabilized parabolic dunes. Stratigraphic exposures of parabolic dunes and associated luminescence dating of quartz grains by single-aliquot regeneration (SAR) protocols indicate eolian deposition of unknown magnitude occurred ca. 1290-940, 715 ± 80, 320 ± 30, and 200-120 yr ago and in the 20th century. There are 11 drought intervals inferred from the tree-ring record in the past 1300 yr at GSDNPP potentially associated with dune movement, though only five eolian depositional events are currently recognized in the stratigraphic record. There is evidence for eolian transport associated with dune movement in the 13th century, which may coincide with the "Great Drought", a 26-yr-long dry interval identified in the tree ring record, and associated with migration of Anasazi people from the Four Corners areas to wetter areas in southern New Mexico. This nascent chronology indicates that the transport of eolian sand across San Luis Valley was episodic in the late Holocene with appreciable dune migration in the 8th, 10-13th, and 19th centuries, which ultimately nourished the dune mass against the Sangre de Cristo Mountains.

  13. Combined Endovascular Treatment with Distal Radial Artery Coil Embolization and Angioplasty in Steal Syndrome Associated with Forearm Dialysis Fistula

    Energy Technology Data Exchange (ETDEWEB)

    Tercan, Fahri, E-mail: ftercan@yahoo.com; Koçyiğit, Ali, E-mail: alkoc@yahoo.com [Pamukkale University, Department of Radiology, School of Medicine (Turkey); Güney, Bünyamin [Muğla Sıtkı Kocman University, Department of Radiology, School of Medicine (Turkey)

    2016-09-15

    PurposeThe present study was performed to define the results of the endovascular treatment with angioplasty and distal radial artery embolization in ischemic steal syndrome associated with forearm arteriovenous accesses.MethodThe cases referred to our interventional radiology unit with symptoms and physical examination findings suggestive of ischemic steal syndrome were retrospectively evaluated first by Doppler ultrasonography, and then by angiography. Cases with proximal artery stenosis were applied angioplasty, and those with steal syndrome underwent coil embolization to distal radial artery.ResultsOf 589 patients who underwent endovascular intervention for dialysis arteriovenous fistulae (AVF)-associated problems, 6 (1.01 %) (5 female, 1 males; mean age 62 (range 41–78) with forearm fistula underwent combined endovascular treatment for steal syndrome. In addition to steal phenomenon, there were stenosis and/or occlusion in proximal radial and/or ulnar artery in 6 patients concurrently. Embolization of distal radial artery and angioplasty to proximal arterial stenoses were performed in all patients. Ischemic symptoms were eliminated in all patients and the AVF were in use at the time of study. In one patient, ischemic symptoms recurring 6 months later were alleviated by repeat angioplasty of ulnar artery.ConclusionIn palmar arch steal syndrome affecting forearm fistulae, combined distal radial embolization and angioplasty is also an effective treatment method in the presence of proximal radial and ulnar arterial stenoses and occlusions.

  14. Non-equilibrium flow and sediment transport distribution over mobile river dunes

    Science.gov (United States)

    Hoitink, T.; Naqshband, S.; McElroy, B. J.

    2017-12-01

    Flow and sediment transport are key processes in the morphodynamics of river dunes. During floods in several rivers (e.g., the Elkhorn, Missouri, Niobrara, and Rio Grande), dunes are observed to grow rapidly as flow strength increases, undergoing an unstable transition regime, after which they are washed out in what is called upper stage plane bed. This morphological evolution of dunes to upper stage plane bed is the strongest bed-form adjustment during non-equilibrium flows and is associated with a significant change in hydraulic roughness and water levels. Detailed experimental investigations, however, have mostly focused on fixed dunes limited to equilibrium flow and bed conditions that are rare in natural channels. Our understanding of the underlying sedimentary processes that result into the washing out of dunes is therefore very limited. In the present study, using the Acoustic Concentration and Velocity Profiler (ACVP), we were able to quantify flow structure and sediment transport distribution over mobile non-equilibrium dunes. Under these non-equilibrium flow conditions average dune heights were decreasing while dune lengths were increasing. Preliminary results suggest that this morphological behaviour is due to a positive phase lag between sediment transport maximum and topographic maximum leading to a larger erosion on the dune stoss side compared to deposition on dune lee side.

  15. La neurotoxoplasmose congenitale du nourrisson : a propos d'une ...

    African Journals Online (AJOL)

    Les auteurs rapportent un cas isolé d'une Toxoplasmose cérébrale congénitale chez un enfant de 02 ans hospitalisé dans le service de neurologie du centre hospitalouniversitaire (C.H.U) Campus de Lomé. La revue de la littérature permet d'insister sur les formes cliniques, l'imagerie médicale, la biologie ainsi que les ...

  16. TERATOME MATURE DE LA PAROTIDE : A PROPOS D'UNE ...

    African Journals Online (AJOL)

    Le tératome de la parotide est une malformation tumorale vestigiale rare contenant des dérivés plus ou moins différenciés, des trois feuillets embryonnaires. A la lumière d'une nouvelle observation et des données de la littérature, on se propose de mettre l'accent sur les aspects cliniques, histologiques et thérapeutiques de ...

  17. Turbulence and sediment transport over sand dunes and ripples

    Science.gov (United States)

    Bennis, A.; Le Bot, S.; lafite, R.; Bonneton, P.; Ardhuin, F.

    2013-12-01

    Several bedforms are present near to the surfzone of natural beaches. Dunes and ripples are frequently observed. Understanding the turbulence over these forms is essential for the sediment transport. The turbulent flow and the suspended sand particles interact with each other. At the moment, the modelling strategy for turbulence is still a challenge. According to the spatial scales, some different methods to model the turbulence are employed, in particular the RANS (Reynolds Averaged Navier-Stokes) and the LES (Large Eddy Simulation). A hybrid method combining both RANS and LES is set up here. We have adapted this method, initially developed for atmospheric flow, to the oceanic flow. This new method is implemented inside the 3D hydrodynamic model, MARS 3D, which is forced by waves. LES is currently the best way to simulate turbulent flow but its higher cost prevents it from being used for large scale applications. So, here we use RANS near the bottom while LES is set elsewhere. It allows us minimize the computational cost and ensure a better accuracy of the results than with a fully RANS model. In the case of megaripples, the validation step was performed with two sets of field data (Sandy Duck'97 and Forsoms'13) but also with the data from Dune2D model which uses only RANS for turbulence. The main findings are: a) the vertical profiles of the velocity are similar throughout the data b) the turbulent kinetic energy, which was underestimated by Dune2D, is in line with the observations c) the concentration of the suspended sediment is simulated with a better accuracy than with Dune2D but this remains lower than the observations.

  18. Cas d'une loi exponentielle Bayesian predict

    African Journals Online (AJOL)

    DK

    Avec des données groupées : Cas d'une loi exponentielle. Bayesian predictions of order statistics with grouped data: The case of an exponential law. Assia Chadli* & Asma Meradji. Laboratoire LaPS, Département de Mathématiques, Faculté des Sciences. Université Badji Mokhtar Annaba, BP 12, 23000, Annaba, Algérie.

  19. Contribution to the study of can deformations in the fuel elements of gas-graphite reactors during thermal cycling; Contribution a l'etude des deformations des gaines des elements combustibles de reacteur graphite-gaz au cours du cyclage thermique

    Energy Technology Data Exchange (ETDEWEB)

    Gauthron, M; Boudouresques, B; Delpeyroux, P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    The cans of fuel cartridges used in reactors of the gas-graphite type have either longitudinal fins of variable thickness, short herring-bone fins, or else a mixture of the two. An important test of the strength of these cartridges is their behaviour during thermal cycling carried out in cells reproducing in-pile conditions. It has been observed during with rapid cooling that there occurs a shortening at the base of the fins which can be accompanied in particular by a compression effect at the fin type, which has a tendency to curl, and by a tractive force acting on the body of the can at the ends of the longitudinal fins; this last phenomenon can result in a fracturing of the welds at the extremities or of the ends of the cartridge. This report presents first of all the way in which the stress diagram can be drawn for a can touching the fuel, and then the effect of the ratchet along a fin fixed to a bar with or without grooves. Finally the importance is shown of the test cycling variables (temperature, heating and cooling rates). (authors) [French] Les gaines des cartouches combustibles des reacteurs de la filiere graphite-gaz comportent soit des ailettes longitudinales plus ou moins epaisses, soit de courtes ailettes a chevrons, soit un ensemble des deux. Un test important de la tenue des cartouches, est la tenue au cyclage thermique en cellule pour reproduire le comportement en pile. On a observe au cours des cyclages a refroidissement rapide, un raccourcissement a la base des ailettes qui peut s'accompagner notamment d'une mise en compression du sommet de l'ailette qui a tendance a friser, et d'une traction exercee sur le corps des gaines au bout des ailettes longitudinales; ce dernier phenomene peut se traduire par des ruptures de soudures d'extremites ou des parties terminales de la cartouche. Ce rapport presente d'abord la maniere dont peut etre trace le diagramme des contraintes dans une gaine liee au combustible, puis l'effet du rochet le long d'une

  20. Properties of dune sand concrete containing coffee waste

    Directory of Open Access Journals (Sweden)

    Mohamed Guendouz

    2018-01-01

    Full Text Available In the last years, an increase of coffee beverages consumption has been observed all over the world; and its consumption increases the waste coffee grounds which will become an environmental problems. Recycling of this waste to produce new materials like sand concrete appears as one of the best solutions for reduces the problem of pollution. This work aims to study the possibility of recycling waste coffee grounds (Spent Coffee Grounds (SCG as a fine aggregate by replacing the sand in the manufacturing of dune sand concrete. For this; sand concrete mixes were prepared with substitution of sand with the spent coffee grounds waste at different percentage (0%, 5%, 10%, 15% and 20% by volume of the sand in order to study the influence of this wastes on physical (Workability, bulk density and porosity, mechanical (compressive and flexural strength and Thermal (Thermal conductivity and thermal diffusivity properties of dune sand concrete. The results showed that the use of spent coffee grounds waste as partial replacement of natural sand contributes to reduce workability, bulk density and mechanical strength of sand concrete mixes with an increase on its porosity. However, the thermal characteristics are improved and especially for a level of 15% and 20% of substitution. So, it is possible to obtain an insulating material which can be used in the various types of structural components. This study ensures that reusing of waste coffee grounds in dune sand concrete gives a positive approach to reduce the cost of materials and solve some environmental problems.

  1. Interdisciplinary Research Produces Results in the Understanding of Planetary Dunes

    Science.gov (United States)

    Titus, Timothy N.; Hayward, Rosalyn Kay; Bourke, Mary C.

    2010-08-01

    Second International Planetary Dunes Workshop: Planetary Analogs—Integrating Models, Remote Sensing, and Field Data; Alamosa, Colorado, 18-21 May 2010; Dunes and other eolian bed forms are prominent on several planetary bodies in our solar system. Despite 4 decades of study, many questions remain regarding the composition, age, and origins of these features, as well as the climatic conditions under which they formed. Recently acquired data from orbiters and rovers, together with terrestrial analogs and numerical models, are providing new insights into Martian sand dunes, as well as eolian bed forms on other terrestrial planetary bodies (e.g., Titan). As a means of bringing together terrestrial and planetary researchers from diverse backgrounds with the goal of fostering collaborative interdisciplinary research, the U.S. Geological Survey (USGS), the Carl Sagan Center for the Study of Life in the Universe, the Desert Research Institute, and the U.S. National Park Service held a workshop in Colorado. The small group setting facilitated intensive discussion of problems and issues associated with eolian processes on Earth, Mars, and Titan.

  2. Uavs to Assess the Evolution of Embryo Dunes

    Science.gov (United States)

    Taddia, Y.; Corbau, C.; Zambello, E.; Russo, V.; Simeoni, U.; Russo, P.; Pellegrinelli, A.

    2017-08-01

    The balance of a coastal environment is particularly complex: the continuous formation of dunes, their destruction as a result of violent storms, the growth of vegetation and the consequent growth of the dunes themselves are phenomena that significantly affect this balance. This work presents an approach to the long-term monitoring of a complex dune system by means of Unmanned Aerial Vehicles (UAVs). Four different surveys were carried out between November 2015 and November 2016. Aerial photogrammetric data were acquired during flights by a DJI Phantom 2 and a DJI Phantom 3 with cameras in a nadiral arrangement. GNSS receivers in Network Real Time Kinematic (NRTK) mode were used to frame models in the European Terrestrial Reference System. Processing of the captured images consisted in reconstruction of a three-dimensional model using the principles of Structure from Motion (SfM). Particular care was necessary due to the vegetation: filtering of the dense cloud, mainly based on slope detection, was performed to minimize this issue. Final products of the SfM approach were represented by Digital Elevation Models (DEMs) of the sandy coastal environment. Each model was validated by comparison through specially surveyed points. Other analyses were also performed, such as cross sections and computing elevation variations over time. The use of digital photogrammetry by UAVs is particularly reliable: fast acquisition of the images, reconstruction of high-density point clouds, high resolution of final elevation models, as well as flexibility, low cost and accuracy comparable with other available techniques.

  3. UAVS TO ASSESS THE EVOLUTION OF EMBRYO DUNES

    Directory of Open Access Journals (Sweden)

    Y. Taddia

    2017-08-01

    Full Text Available The balance of a coastal environment is particularly complex: the continuous formation of dunes, their destruction as a result of violent storms, the growth of vegetation and the consequent growth of the dunes themselves are phenomena that significantly affect this balance. This work presents an approach to the long-term monitoring of a complex dune system by means of Unmanned Aerial Vehicles (UAVs. Four different surveys were carried out between November 2015 and November 2016. Aerial photogrammetric data were acquired during flights by a DJI Phantom 2 and a DJI Phantom 3 with cameras in a nadiral arrangement. GNSS receivers in Network Real Time Kinematic (NRTK mode were used to frame models in the European Terrestrial Reference System. Processing of the captured images consisted in reconstruction of a three-dimensional model using the principles of Structure from Motion (SfM. Particular care was necessary due to the vegetation: filtering of the dense cloud, mainly based on slope detection, was performed to minimize this issue. Final products of the SfM approach were represented by Digital Elevation Models (DEMs of the sandy coastal environment. Each model was validated by comparison through specially surveyed points. Other analyses were also performed, such as cross sections and computing elevation variations over time. The use of digital photogrammetry by UAVs is particularly reliable: fast acquisition of the images, reconstruction of high-density point clouds, high resolution of final elevation models, as well as flexibility, low cost and accuracy comparable with other available techniques.

  4. Can nonstandard interactions jeopardize the hierarchy sensitivity of DUNE?

    Science.gov (United States)

    Deepthi, K. N.; Goswami, Srubabati; Nath, Newton

    2017-10-01

    We study the effect of nonstandard interactions (NSIs) on the propagation of neutrinos through the Earth's matter and how it affects the hierarchy sensitivity of the DUNE experiment. We emphasize the special case when the diagonal NSI parameter ɛe e=-1 , nullifying the standard matter effect. We show that if, in addition, C P violation is maximal then this gives rise to an exact intrinsic hierarchy degeneracy in the appearance channel, irrespective of the baseline and energy. Introduction of the off diagonal NSI parameter, ɛe τ, shifts the position of this degeneracy to a different ɛe e. Moreover the unknown magnitude and phases of the off diagonal NSI parameters can give rise to additional degeneracies. Overall, given the current model independent limits on NSI parameters, the hierarchy sensitivity of DUNE can get seriously impacted. However, a more precise knowledge of the NSI parameters, especially ɛe e, can give rise to an improved sensitivity. Alternatively, if a NSI exists in nature, and still DUNE shows hierarchy sensitivity, certain ranges of the NSI parameters can be excluded. Additionally, we briefly discuss the implications of ɛe e=-1 (in the Earth) on the Mikheyev-Smirnov-Wolfenstein effect in the Sun.

  5. Possibility of star (pyramid) dune development in the area of bimodal wind regime

    Science.gov (United States)

    Biejat, K.

    2012-04-01

    Star (pyramid) dunes are the largest aeolian landforms. They can occur in three types - simple, complex and compound. Development of this type of dunes is usually connected with multidirectional or complex wind regimes. The aim of this study was to verify a hypothesis that the star dunes can also develop by a bimodal wind regime and by local modifications of nearsurface wind flow directions. Field study was performed on Erg Chebbi, in southern Morocco. Several star and transverse dunes were selected for the study of their shape. The star dunes were analysed concerning their type and position in the dune field. This erg contains all of three types of star dunes together with transverse dunes. The regional wind data show that there are two dominant wind directions - NE (Chergui) and SW (Saheli). To determine the difference in shape of star dunes, we performed topographic surveying by GPS RTK. The results allowed to create 3D models of star dunes. The models were used to determine metric characteristics of star dunes, including area of dune basis, volume, and slope angles. On the basis of 3D models, primary, secondary and, on the compound dunes, tertiary arms were determined. Primary arms on each type of star dunes, as well as crestlines of transverse dunes, have dominant orientation NW-SE, perpendicular to two dominant wind directions. This clearly confirms that star dunes of Erg Chebbi develop by a bimodal wind regime In contrast to primary arms, subsidiary (secondary and tertiary) arms are not connected to general wind regime. The secondary arms of star dunes occur to be differentially developer. There are more subsidiary arms on SW sides in comparison to the E sides of the dunes where inclination of slopes is constant. It can be therefore inferred that sand has been supplied predominantly from SW direction. This is supported by distribution of the dunes on the erg. Most compound star dunes compose a chain along the E margin of the erg. Comparison of compound star

  6. The Sources of Moisture in the Sand Dunes – The Example of the Western Sahara Dune Field

    Directory of Open Access Journals (Sweden)

    Żmudzka Elwira

    2014-09-01

    Full Text Available Climatic and meteorological conditions may limit the aeolian transport within barchans. An explanation of that issue was the main goal of the investigation held in Western Sahara dune fields located around Tarfaya and Laâyoune. Particular attention was paid to the factors causing the moisture content rising of the sand dune surface layer, which could influence the wind threshold shear velocity in the aeolian transport. The wetted surface layer of sand, when receiving moisture from precipitation or suspensions, reduces the aeolian transport, even in case of wind velocity above 4-5 m s-1. Fog and dew condensation does not affect the moisture of deeper sand layers, what occurs after rainfall.

  7. Is Angiosome-Targeted Angioplasty Effective for Limb Salvage and Wound Healing in Diabetic Foot? : A Meta-Analysis.

    Science.gov (United States)

    Chae, Kum Ju; Shin, Jin Yong

    2016-01-01

    Given that the efficacy of employing angiosome-targeted angioplasty in the treatment of diabetic foot remains controversial, this study was conducted to examine its efficacy. We performed a systematic literature review and meta-analysis using core databases, extracting the treatment modality of angiosome-targeted angioplasty as the predictor variable, and limb salvage, wound healing, and revision rate as the outcome variables. We used the Newcastle-Ottawa Scale to assess the study quality, along with the Cochrane Risk of Bias Tool. We evaluated publication bias using a funnel plot. The search strategy identified 518 publications. After screening these, we selected four articles for review. The meta-analysis revealed that overall limb salvage and wound healing rates were significantly higher (Odds ratio = 2.209, 3.290, p = 0.001, pdiabetic foot was more effective than nonangiosome-targeted angioplasty with respect to wound healing and limb salvage.

  8. Balloon angioplasty of popliteal and crural arteries in elderly with critical chronic limb ischemia

    Energy Technology Data Exchange (ETDEWEB)

    Atar, Eli; Siegel, Yoel; Avrahami, Ram; Bartal, Gabriel; Bachar, Gil N.; Belenky, Alexander

    2005-02-01

    Objective: Elderly patients with extensive infrainguinal peripheral vascular disease and critical chronic limb ischemia (CCLI) are poor surgical candidates. Our purpose was to evaluate angiographic and clinical results of popliteal, infrapopliteal, and multi-level disease percutaneous transluminal angioplasty (PTA) in such patients. Design: Retrospective study of angiographic and clinical files in selected group. Materials and methods: Between 1996 and 2002, 38 elderly patients aged 80-94 years old (mean age 83.3) with critical leg ischemia were treated with PTA. All patients were at high surgical risk. 31/38 (81.5%) patients had chronic non-healing wounds, and 14/38 (37%) had multi-level disease of superficial femoral, popliteal and crural arteries. One hundred and two lesions were treated by angioplasty. Immediate angiographic and 1 year clinical results were retrospectively analyzed. Results: The overall procedural success rate was 32/38 (84.2%). There were three major complications (7.9%), but no deaths, and three technical failures, all were of infrapopliteal lesions. After 1 year, 27 patients could be followed, five patients died during the first year of unrelated causes. Twenty-three patients (85.2%), were clinically re-occluded within 1 year, but complete and partial wound healing was achieved in 80% (16/20) and rest pain improvement in 57% (4/7), so that overall limb salvage was 74% (20/27). Conclusions: Elderly patients with multi-level CCLI have a short patency term following angioplasty of 14.8% after 1 year. Nevertheless, this temporary vascular patency enables wound healing or improvement in 74% of these patients, thus such endovascular interventions are recommended in this age group.

  9. Balloon angioplasty of popliteal and crural arteries in elderly with critical chronic limb ischemia

    International Nuclear Information System (INIS)

    Atar, Eli; Siegel, Yoel; Avrahami, Ram; Bartal, Gabriel; Bachar, Gil N.; Belenky, Alexander

    2005-01-01

    Objective: Elderly patients with extensive infrainguinal peripheral vascular disease and critical chronic limb ischemia (CCLI) are poor surgical candidates. Our purpose was to evaluate angiographic and clinical results of popliteal, infrapopliteal, and multi-level disease percutaneous transluminal angioplasty (PTA) in such patients. Design: Retrospective study of angiographic and clinical files in selected group. Materials and methods: Between 1996 and 2002, 38 elderly patients aged 80-94 years old (mean age 83.3) with critical leg ischemia were treated with PTA. All patients were at high surgical risk. 31/38 (81.5%) patients had chronic non-healing wounds, and 14/38 (37%) had multi-level disease of superficial femoral, popliteal and crural arteries. One hundred and two lesions were treated by angioplasty. Immediate angiographic and 1 year clinical results were retrospectively analyzed. Results: The overall procedural success rate was 32/38 (84.2%). There were three major complications (7.9%), but no deaths, and three technical failures, all were of infrapopliteal lesions. After 1 year, 27 patients could be followed, five patients died during the first year of unrelated causes. Twenty-three patients (85.2%), were clinically re-occluded within 1 year, but complete and partial wound healing was achieved in 80% (16/20) and rest pain improvement in 57% (4/7), so that overall limb salvage was 74% (20/27). Conclusions: Elderly patients with multi-level CCLI have a short patency term following angioplasty of 14.8% after 1 year. Nevertheless, this temporary vascular patency enables wound healing or improvement in 74% of these patients, thus such endovascular interventions are recommended in this age group

  10. Drug-coated balloon angioplasty after directional atherectomy improves outcome in restenotic femoropopliteal arteries.

    Science.gov (United States)

    Sixt, Sebastian; Carpio Cancino, Oscar Gerardo; Treszl, András; Beschorner, Ulrich; Macharzina, Roland; Rastan, Aljoscha; Krankenberg, Hans; Neumann, Franz-Josef; Zeller, Thomas

    2013-09-01

    Restenosis remains an unresolved problem despite different treatment modalities and new stent technology in femoropopliteal arteries. No standard therapy has proven to provide acceptable outcome data for this entity. Directional atherectomy alone did not result in satisfactory long-term patency rates. The outcome might be improved in conjunction with drug-coated balloon angioplasty. In this retrospective study, restenotic lesions of the femoropopliteal arteries were treated with directed atherectomy in 89 lesions of consecutive patients (58% male; mean age, 69 ± 11 years). All patients received adjunctive treatment with conventional balloon percutaneous angioplasty (PTA; n = 60) or drug-coated balloon angioplasty (DCB; n = 29). Lesion location was in the stent (DCB [n = 27] vs PTA [n = 36]) and in native restenotic vessels (DCB [n = 2] vs PTA [n = 25]). The 1-year Kaplan-Meier freedom from restenosis estimates (95% confidence intervals) in the DCB and PTA groups were 84.7% (70.9%-98.5%) and 43.8% (30.5%-57.1%), respectively. In a multivariable Cox model for restenosis, DCB treatment had a hazard ratio (95% confidence interval) of 0.28 (0.12-0.66; P = .0036) compared with the PTA group. In the multivariable model for procedural success, the effect of treatment did not differ between PTA and DCB (P = .134). The combination of directed atherectomy with adjunctive DCB is associated with a better event-free survival at 12 months of follow-up compared with PTA after directed atherectomy. Copyright © 2013 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

  11. A clinical study on perforator stroke resulting from Wingspan stent angioplasty for symptomatic intracranial artery stenosis

    International Nuclear Information System (INIS)

    Wang Ziliang; Xu Haowen; Li Tianxiao; Zhu Liangfu; Li Zhaoshuo; Xue Jiangyu; Bai Weixing; Li Li; Guan Sheng

    2011-01-01

    Objective: To evaluate the incidence, potential hazards and effective countermeasure for perforator stroke (PS) resulting from stent angioplasty of symptomatic intracranial artery stenosis. Methods: Peri-operation PS complications of 258 patients receiving Gateway balloon-Wingspan stenting for severe symptomatic intracranial stenosis were analyzed. The incidence, clinical course, and prognosis of PS resulting from stenting were recorded. Special attention was given to the anatomical features, clinical manifestation and video materials of patients with PS. χ 2 test was used for statistics. Results: Two hundred and fifty-five patients received stent angioplasty successfully and 7 patients had PS (incidence rate 2.7%). The patients with basilar artery stenosis had a higher incidence of PS resulting from intracranial stenting (6.1%, 4/66) than patients with middle cerebral artery stenosis (2.5%, 3/118) (χ 2 =2.320, P= 0.025). The potential hazards for PS included preoperative perforator stroke adjacent to the stenotic segment and prominent dissection during operation. Six patients presented symptoms after awake from general anaesthesia and one had symptoms 3 hours after stenting. One deteriorated gradually and the others reached the maximum deficit almost at once. At the follow-up of 3 months, 3 patients were disabled and scored one, two, two by mRS respectively. Conclusion: The incidence of PS resulting from intracranial stenting was low and the prognosis was not disastrous. Stenosis at basilar artery and preoperative perforator stroke adjacent to the stenotic segment were potential risk factors for PS complication. Proper maneuver of angioplasty may decrease the incidence of PS and improve the prognosis. (authors)

  12. Short term results of percutaneous transluminal coronary angioplasty with the monorail technique: experience in the first 1000 patients.

    Science.gov (United States)

    de Feyter, P J; Serruys, P W; van den Brand, M; Suryapranata, H; Beatt, K

    1990-04-01

    The monorail technique allows monitoring of all steps of the coronary angioplasty procedure by high quality coronary angiography; easy, rapid, and safe recrossing and redilatation of the lesion if necessary; and stepwise dilatation of a stenosis with sequential increase of size of balloons. Transstenotic pressure differences cannot, however, be measured through the narrow shaft of the standard monorail balloon catheter. The monorail technique was used in 1014 patients (820 men, 194 women; mean age 57.8 years (range 24 to 84]. The indication for coronary angioplasty was stable angina in 52%, unstable angina in 40%, and acute myocardial infarction in 8%. Single vessel coronary angioplasty was attempted in 78%, multilesion coronary angioplasty in 11%, and multivessel coronary angioplasty in 11%. Angiographic success (reduction of stenosis to less than 50% of the luminal diameter) of all attempted lesions was achieved in 93%. The technique was clinically successful--that is, angiographic success of all attempted lesions, no occurrence of a major complication (death, myocardial infarction, acute bypass surgery), and improvement of symptoms--in 92% and partially successful in 1.3%. The clinical success rates were similar for stable angina (91%) and unstable angina (94%), but were somewhat lower for acute myocardial infarction (88%). Failure without major complication occurred in 3.4% of the patients. Failure with a major complication occurred in 3.3% (death 0.3%, myocardial infarction 2.4%, and acute bypass surgery 2.3%). The total major complication rate was higher in unstable angina (4.2%) than in stable angina (3.0%). These results indicate that the monorail technique can be applied safely and effectively for coronary angioplasty of patients with stable angina, unstable angina, and acute myocardial infarction.

  13. Economic appraisal of the angioplasty procedures performed in 2004 in a high-volume diagnostic and interventional cardiology unit.

    Science.gov (United States)

    Manari, Antonio; Costa, Elena; Scivales, Alessandro; Ponzi, Patrizia; Di Stasi, Francesca; Guiducci, Vincenzo; Pignatelli, Gianluca; Giacometti, Paola

    2007-10-01

    Growing interest in the use of drug-eluting stents (DESs) in coronary angioplasty has prompted the Healthcare Agency of the Emilia Romagna Region to draw up recommendations for their appropriate clinical use in high-risk patients. Since the adoption of any new technology necessitates economic appraisal, we analysed the resource consumption of the various types of angioplasty procedures and the impact on the budget of a cardiology department. A retrospective economic appraisal was carried out on the coronary angioplasty procedures performed in 2004 in the Department of Interventional Cardiology of Reggio Emilia. On the basis of the principles of activity-based costing, detailed hospital costs were estimated for each procedure and compared with the relevant diagnosis-related group (DRG) reimbursement. In 2004, the Reggio Emilia hospital performed 806 angioplasty procedures for a total expenditure of euro 5,176,268. These were 93 plain old balloon angioplasty procedures (euro 487,329), 401 procedures with bare-metal stents (euro 2,380,071), 249 procedures with DESs (euro 1,827,386) and 63 mixed procedures (euro 481,480). Reimbursements amounted to euro 5,816,748 (11% from plain old balloon angioplasty, 50% from bare-metal stent, 31% from DES and 8% from mixed procedures) with a positive margin of about euro 680,480 between costs incurred and reimbursements obtained, even if the reimbursement for DES and mixed procedures was not covering all the incurred costs. Analysis of the case-mix of procedures revealed that an overall positive margin between costs and DRG reimbursements was achieved. It therefore emerges that adherence to the indications of the Healthcare Agency of the Emilia Romagna Region for the appropriate clinical use of DESs is economically sustainable from the hospital enterprise point of view, although the DRG reimbursements are not able to differentiate among resource consumptions owing to the adoption of innovative technologies.

  14. The SABRE Trial (Sirolimus Angioplasty Balloon for Coronary In-Stent Restenosis)

    DEFF Research Database (Denmark)

    Verheye, Stefan; Vrolix, Mathias; Kumsars, Indulis

    2017-01-01

    centers, 50 ISR patients were treated with the Virtue balloon. Angiographic measurements at 6 months are reported, along with 12-month clinical follow-up. RESULTS Procedural success in the intention-to-treat population was 100 The primary safety endpoint was target lesion failure (TLF) (cardiac death...... and 14.3% MACE and for the per-protocol population were 2.8% TLF and 2.8% MACE. CONCLUSIONS This first-in-human study showed excellent procedural success for the Virtue sirolimus-eluting angioplasty balloon, 6-month LLL rates in line with current stent-free ISR treatment options, and clinical outcomes...

  15. Morphological differences in coronary arteries following rotational atherectomy versus balloon angioplasty: ultrasound and angioscopic observations

    Science.gov (United States)

    Bass, Theodore A.; Gilmore, Paul S.; White, Christopher J.; Chami, Youssef G.; Kircher, Barbara J.; Conetta, Donald A.

    1993-09-01

    Percutaneous transluminal coronary rotational atherectomy (PTCRA) is an exciting new device to recannulate obstructed coronary arteries. This device works as a high speed `drill,' selectively cutting hard atherosclerotic plaque while preferentially sparing the softer, less diseased vascular luminal surface. At speeds as high as 200,000 rpm the plaque is pulverized into small particles easily handled by the circulatory system with no untoward clinical sequela. Balloon angioplasty does not remove atherosclerotic plaque. It dilates the vessel by mechanically stretching, compressing and splitting the plaque and vessel lining. We compare morphological and surface luminal characteristics of vessels post PTCRA to vessels post PTCA.

  16. Balloon pulmonary angioplasty: a treatment option for inoperable patients with chronic thromboembolic pulmonary hypertension

    Directory of Open Access Journals (Sweden)

    Aiko eOgawa

    2015-02-01

    Full Text Available In chronic thromboembolic pulmonary hypertension, stenoses or obstructions of the pulmonary arteries due to organized thrombi can cause an elevation in pulmonary artery resistance, which in turn can result in pulmonary hypertension. Chronic thromboembolic pulmonary hypertension can be cured surgically by pulmonary endarterectomy; however, patients deemed unsuitable for pulmonary endarterectomy due to lesion, advanced age, or comorbidities have a poor prognosis and limited treatment options. Recently, advances have been made in balloon pulmonary angioplasty for these patients, and this review highlights this recent progress.

  17. Nuclear medical control of the efficiency of transluminal coronary angioplasty (TCA)

    International Nuclear Information System (INIS)

    Klepzig, H. Jr.; Scherer, D.; Kober, G.; Maul, F.D.; Kanemoto, N.; Standke, R.; Hoer, G.; Kaltenbach, M.; Frankfurt Univ.

    1982-01-01

    To assess the results of transluminal coronary angioplasty 48 patients with coronary heart disease were investigated at rest and during exercise with the ECG (46 patients), thallium-201 myocardial scintigraphy (26 patients), and equilibrium radionuclide ventriculography (38 patients). Exercise stress test was quantified by means of an ischemia score, myocardial scintigraphy by an vitality index and by corresponding redistribution factors, and radionuclide ventriculography by ejection fraction and maximum systolic volume change as a fraction of enddiastolic volume. This, the results show, that in selected cases, TCA can achieve improved left ventricular function and perfusion comparable to that of aortocoronary bypass surgery. (orig./MG) [de

  18. Source-to-Sink: An Earth/Mars Comparison of Boundary Conditions for Eolian Dune Systems

    OpenAIRE

    Kocurek, Gary; Ewing, Ryan C.

    2012-01-01

    Eolian dune fields on Earth and Mars evolve as complex systems within a set of boundary conditions. A source-to-sink comparison indicates that although differences exist in sediment production and transport, the systems largely converge at the dune-flow and pattern-development levels, but again differ in modes of accumulation and preservation. On Earth, where winds frequently exceed threshold speeds, dune fields are sourced primarily through deflation of subaqueous deposits as these sediments...

  19. Measurements of Dune Parameters on Titan Suggest Differences in Sand Availability

    Science.gov (United States)

    Stewart, Brigitte W.; Radebaugh, Jani

    2014-11-01

    The equatorial region of Saturn’s moon Titan has five large sand seas with dunes similar to large linear dunes on Earth. Cassini Radar SAR swaths have high enough resolution (300 m) to measure dune parameters such as width and spacing, which helps inform us about formation conditions and long-term evolution of the sand dunes. Previous measurements in locations scattered across Titan have revealed an average width of 1.3 km and spacing of 2.7 km, with variations by location. We have taken over 1200 new measurements of dune width and spacing in the T8 swath, a region on the leading hemisphere of Titan in the Belet Sand Sea, between -5 and -9 degrees latitude. We have also taken over 500 measurements in the T44 swath, located on the anti-Saturn hemisphere in the Shangri-La Sand Sea, between 0 and 20 degrees latitude. We correlated each group of 50 measurements with the average distance from the edge of the dune field to obtain an estimate of how position within a dune field affects dune parameters. We found that in general, the width and spacing of dunes decreases with distance from the edge of the dune field, consistent with similar measurements in sand seas on Earth. We suggest that this correlation is due to the lesser availability of sand at the edges of dune fields. These measurements and correlations could be helpful in determining differences in sand availability across different dune fields, and along the entire equatorial region of Titan.

  20. Erosion of Coastal Foredunes: A Review on the Effect of Dune Vegetation

    Science.gov (United States)

    2017-02-01

    inhabited by vegetation (Figure 2).The collision regime occurs when the total storm water level exceeds the elevation of the dune toe but is lower than the...of Dune Vegetation by Duncan B. Bryant, Mary A. Bryant, and Alison S. Grzegorzewski PURPOSE: The purpose of this Coastal and Hydraulics...Engineering Technical Note (CHETN) is to identify the potential roles of vegetation in mitigating coastal dune erosion during storm events by presenting a

  1. Mineralogy and Genesis of Heavy Minerals in Coastal Dune Sands, South Eastern Qatar

    OpenAIRE

    Nasir, Sobhi J. [صبحي جابر نصر; El-Kassas, Ibrahim A.; Sadiq, A. Ali M.

    1999-01-01

    Large amounts of aeolian sand occur in the southeastern coastal zone of Qatar Peninsula as sand dunes accumulated in a vast sand field locally called " Niqyan Qatar ". The present work, carried out on a sand dune belt of this field near Mesaied Industrial City, revealed the distribution of heavy minerals shows a regional variability induced by provenance and local variability reflecting genetic differences. The studied dune sands are rich in shells of pelecypods, with the light mineral assemb...

  2. Control parameters of the martian dune field positions at planetary scale: tests by the MCD

    Science.gov (United States)

    allemand, pascal

    2016-04-01

    The surface of Mars is occupied by more than 500 dunes fields mainly located inside impact craters of the south hemisphere and near the north polar cap. The questions of the activity of martian dunes and of the localization of the martian dune fields are not completely solved. It has been demonstrated recently by image observation and image correlation that some of these dune fields are clearly active. The sand flux of one of them has been even estimated. But there is no global view of the degree of activity of each the dune fields. (2)The topography of impact craters in which dune fields are localized is an important factor of their position. But there is no consensus of the effect of global atmospheric circulation on dune field localization. These two questions are addressed using the results of Mars Climate Database 5.2 (MCD) (Millour, 2015; Forget et al., 1999). The wind fields of the MCD have been first validated against the observations made on active dune fields. Using a classical transport law, the Drift Potential (DP) and the Relative Drift Potential (RDP) have been computed for each dune fields. A good correlation exists between the position of dune fields and specific values of these two parameters. The activity of each dune field is estimated from these parameters and tested on some examples by image observations. Finally a map of sand flow has been computed at the scale of the planet. This map shows that sand and dust is trapped in specific regions. These regions correspond to the area of dune field concentration.

  3. Angioplasty treatment and stent implant vs. surgical treatment in patients with stenosis of the cervical carotid artery

    International Nuclear Information System (INIS)

    Hamdan, Nabil; Castro, Pablo; Calderon, Luis I; Gomez, German; Estrada, Gilberto; Hurtado, Edgar; Echeverria, Rene

    2006-01-01

    Angioplasty with stent implant is a less invasive procedure than surgical intervention in the treatment of significant stenosis of the common cervical carotid artery (common and internal) (5). Currently the major published studies, in which angioplasty and surgical treatment are compared, show similar results in the major events, as cerebrovascular accidents and mortality, but a greater significant difference in the apparition of acute myocardial infarction, during surgical intervention (5,11). The objective of this study is to compare in both treatment methods the major and minor clinical events, like cerebrovascular accident, acute myocardial infarction, death, bradycardia, hypotension and encephalopathy during the intervention, the hospitalization and the follow-up year, as well as the re-intervention, the time of hospital stay and the complications of the surgical incision. Materials and methods: in this study of historical cohort, 46 patients with significant stenosis of the cervical carotid arteries, who were subjected to intervention from January 1st 2001 to December 31st 2003, were included. 21 patients were treated with angioplasty and stent implant and 25 with surgery (endarterectomy) Results: 1 (4.8%) major cerebrovascular accident occurred during angioplasty, whereas none occurred in the patients treated with surgery. 1 (4%) acute myocardial infarction occurred during intervention in the group of patients treated with surgery, and none in the patients treated with angioplasty. No deaths occurred in any of the groups during intervention, hospitalization and the follow-up year. After 8 months 1 (4%) patient treated with surgery was intervened again with angioplasty and stent implant. There were no statistically significant differences between both groups during hospitalization, and in the apparition of minor complications as bradycardia and hypotension. 2 (8%) complications related to the incision of the neck compromising cranial nerves, occurred in the

  4. Contribution of inhibitory receptor glycoprotein iib / iiia in coronary angioplasty and acute coronary syndrome, about 152 patients

    International Nuclear Information System (INIS)

    Sellami, Walid

    2007-01-01

    The aim of our study was to evaluate the immediate results and long-term intake of anti-GP IIb / IIIa inhibitors for patients with acute coronary syndrome treated with coronary angioplasty. The use of anti-GP IIb / IIIa is a valid therapeutic option in patients with acute coronary syndrome with signs of severity and for patients undergoing complex angioplasty. Adverse effects of anti-GP IIb / IIIa can be seen to encourage vigilance and careful monitoring during the administration of these molecules and perfect knowledge of their pharmacological properties for appropriate use.

  5. Mineralogy of an active eolian sediment from the Namib dune, Gale crater, Mars

    Science.gov (United States)

    Achilles, C. N.; Downs, R. T.; Ming, D. W.; Rampe, E. B.; Morris, R. V.; Treiman, A. H.; Morrison, S. M.; Blake, D. F.; Vaniman, D. T.; Ewing, R. C.; Chipera, S. J.; Yen, A. S.; Bristow, T. F.; Ehlmann, B. L.; Gellert, R.; Hazen, R. M.; Fendrich, K. V.; Craig, P. I.; Grotzinger, J. P.; Des Marais, D. J.; Farmer, J. D.; Sarrazin, P. C.; Morookian, J. M.

    2017-11-01

    The Mars Science Laboratory rover, Curiosity, is using a comprehensive scientific payload to explore rocks and soils in Gale crater, Mars. Recent investigations of the Bagnold Dune Field provided the first in situ assessment of an active dune on Mars. The Chemistry and Mineralogy (CheMin) X-ray diffraction instrument on Curiosity performed quantitative mineralogical analyses of the history of the dune material and offers an important opportunity for ground truth of orbital observations. CheMin's analysis of the mineralogy and phase chemistry of modern and ancient Gale crater dune fields, together with other measurements by Curiosity's science payload, provides new insights into present and past eolian processes on Mars.

  6. LA NOTION DE TORTURE, DE TRAITEMENTS INHUMAINS ET DEGRADANTS DANS LA JURISPRUDENCE DE LA COUR EUROPEENNE DES DROITS DE L’HOMME

    Directory of Open Access Journals (Sweden)

    Jean-Paul Céré

    2017-03-01

    Full Text Available En vertu de l'article 3 de la Convention européenne de sauvegarde des droits de l'homme, les Etats ne peuvent ni pratiquer la torture ni infliger des traitements inhumains ou dégradants. Le particularisme de cette convention par rapport aux autres textes internationaux ou régionaux relatifs aux droits de l’homme réside indéniablement dans le système de protection existant qu’elle a organisé. Un organe juridictionnel, la cour européenne des droits de l’homme, est en charge de sanctionner les Etats qui ne respectent la Convention. Au terme d’une jurisprudence novatrice et évolutive, la cour européenne des droits de l’homme impose de plus en plus efficacement de lutter contre la torture, les traitements inhumains et dégradants.

  7. Modifications de l'hémogramme au cours des maladies virales à expression digestive et/ou respiratoire chez le chien

    OpenAIRE

    Lavernhe, Elise

    2002-01-01

    Après un rappel bibliographique concernant les modifications de l'hémogramme au cours des trachéo-bronchites virales, de la maladie de Carré, de la pavovirose et des autres gastro-entérites virales, nous avons choisi d'étudier les hémogrammes de chiens atteints par ces maladies, présentés à la consultation de l'ENVT au cours de trois années scolaires successives. Les hémogrammes des chiens présentant une trachéo-bronchite virale sont peu modifiés. Les anomalies rencontrées sont de nombreuses ...

  8. ÉTUDE COMPARATIVE SUR L’ÉVOLUTION DE L’ALCOOLÉMIE AU COURS DU TEMPS

    Directory of Open Access Journals (Sweden)

    Madalina Toma

    2007-12-01

    Full Text Available La consommation excessive d’alcool éthylique est connue depuis longtemps comme très dangereuse pour la santé humaine. De plus, l’alcool au volant représente, après la vitesse excessive, la deuxième cause d’accidents mortels sur la route. Quoique autorisé au volant à faibles doses dans certains pays, l’alcool met toujours en danger la vie du chauffeur et de ses passagers. Le taux d’alcool dans le sang, pour la même quantité d’éthanol consommée, varie en fonction de différents facteurs physiologiques. Il existe à l’heure actuelle de nombreuses modalités d’estimer l’évolution de l’alcoolémie au cours du temps. Nous avons essayé de démontrer que cette évolution présente une forte variabilité, en fonction du sexe, de l’age et de la physiologie individuelle

  9. Energy transition: future of the planet or expensive utopia? The truths of the Cour des Comptes report of 2013

    International Nuclear Information System (INIS)

    Giansily, Jean-Antoine

    2013-01-01

    While providing in appendix an article published by four politicians concerned by the evolution of the relationship between the French society and sciences and techniques, an article on the difficult situation of a Danish leader company of the wind energy sector (Vestas), and the general conclusions of a report by the French Cour des Comptes (Court of Audit) on the French policy of development of renewable energies, the author first highlight some elements published in this last report regarding energy consumption sources, CO 2 emissions, electricity prices for households and for industries in France and in other European countries, and French and European objectives of renewable energy production. The author more particularly discusses these last objectives which he considers as being unrealistic and expensive, notably because of a lack of economic growth which may last long. He therefore considers nuclear energy as a good solution as it does not emit any CO 2 , and is far less expensive than renewable energies which he calls random energies

  10. Estimation de la survie des alevins de carpe (C. carpio au cours de leur premier mois d'existence

    Directory of Open Access Journals (Sweden)

    MOREAU J.

    1979-10-01

    Full Text Available Des observations réalisées sur deux stations piscicoles de Madagascar, dans des étangs ne recevant ni engrais ni nourriture, révèlent qu'au cours de leur premier mois les alevins de carpe (C. carpio subissent des mortalités voi-sines de 50 %. Ces dernières sont encore plus élevées en début et en fin de saison de reproduction. Au début, les fortes mortalités sont dues à la température trop basse et aux disponibilités alimentaires insuffisantes ; en fin de saison de reproduction, la température trop élevée et la mauvaise qualité des œufs sont sans doute en cause. Une fumure adéquate des étangs de grossissement des alevins et une alimentation correcte des géniteurs permettront peut-être de diminuer ces mortalités.

  11. Mécanique quantique relativiste théories de jauge : cours et exercices corrigés

    CERN Document Server

    Klasen, Michael

    2009-01-01

    Avec la mise en service du plus grand accélérateur du monde, le LHC au CERN, cet ouvrage propose de manière pertinente une introduction pédagogique aux théories décrivant les particules élémentaires à haute énergie. Des rappels de relativité restreinte et du formalisme de Lagrange et Hamilton permettent d'établir une base commune et une notation covariante. Sont ensuite présentées la mécanique quantique relativiste avec les équations de Klein-Gordon et de Dirac, les fonctions de Green et les propagateurs, les théories de jauge abéliennes, comme l'électrodynamique quantique (QED), et non-abéliennes, comme la chromodynamique quantique (QCD), et le mécanisme de Higgs. Les règles de Feynman, qui en sont déduites, offrent une description intuitive sur les interactions entre les constituants fondamentaux et un outil de calcul efficace pour les processus physiques. Chaque chapitre se termine par une série d'exercices corrigés. Le cours reste accessible aux étudiants de master qui ne souhait...

  12. Evolution de films de cuivre sur un substrat de cordiérite au cours de traitements thermiques

    Science.gov (United States)

    Guille, Jean-Louis; Gondolf, Marc

    1993-04-01

    Copper films were applied on low sintering temperature cordierite substrates either by sputtering or screen printing. Their behaviour during thermal treatments was studied as a function of various parameters : deposition technique, thickness, firing atmosphere, physical state of the substrate (green or sintered). Films were most often broken during the treatment. In the case of screen printed films the effects of an oxydation-reduction cycle of copper are pointed out. Des films de cuivre ont été déposés sur un substrat de cordiérite à basse température de frittage par deux techniques, pulvérisation cathodique et sérigraphie. On étudie leur comportement au cours de traitements thermiques en fonction de différents paramètres : technique de déposition, épaisseur, atmosphère de traitement, état physique du substrat (cru ou fritté). On constate le plus souvent une fragmentation du film. Dans le cas des films sérigraphiés on met en évidence les effets dus à l'oxydation et à la réduction du cuivre.

  13. Anaerobic p-coumarate degradation by Rhodopseudomonas palustris and identification of CouR, a MarR repressor protein that binds p-coumaroyl coenzyme A.

    Science.gov (United States)

    Hirakawa, Hidetada; Schaefer, Amy L; Greenberg, E Peter; Harwood, Caroline S

    2012-04-01

    The phenylpropanoid p-coumarate and structurally related aromatic compounds are produced in large amounts by green plants and are excellent carbon sources for many soil bacteria. Aerobic bacteria remove the acyl side chain from phenylpropanoids to leave an aromatic aldehyde, which then enters one of several possible central pathways of benzene ring degradation. We investigated the pathway for the anaerobic degradation of p-coumarate by the phototrophic bacterium Rhodopseudomonas palustris and found that it also follows this metabolic logic. We characterized enzymes for the conversion of p-coumarate to p-hydroxybenzaldehyde and acetyl coenzyme A (acetyl-CoA) encoded by the couAB operon. We also identified a MarR family transcriptional regulator that we named CouR. A couR mutant had elevated couAB expression. In addition, His-tagged CouR bound with high affinity to a DNA fragment encompassing the couAB promoter region, and binding was abrogated by the addition of nanomolar quantities of p-coumaroyl-CoA but not by p-coumarate. Footprinting demonstrated binding of CouR to an inverted repeat sequence that overlaps the -10 region of the couAB promoter. Our results provide evidence for binding of a CoA-modified aromatic compound by a MarR family member. Although the MarR family is widely distributed in bacteria and archaea and includes over 12,000 members, ligands have been identified for relatively few family members. Here we provide biochemical evidence for a new category of MarR ligand.

  14. Microhabitats utilisés par les alevins 0+ d'une communauté de cyprins rhéophiles : analyse de l'évolution de la communauté et des densités de population

    Directory of Open Access Journals (Sweden)

    BARAS E.

    1995-04-01

    Full Text Available L'évolution de l'occupation des microhabitats par les alevins de la communauté de cyprins rhéophiles de l'Ourthe a été étudiée au cours de l'été et de l'automne 1994 par échantillonnage ponctuel d'abondance (électrodes fixes prépositionnées, courant continu. 16155 poissons (10-75 mm appartenant à 15 espèces ont été recensés sur 78 sites d'échantillonnage de 2 m2 . Les espèces les plus représentées étaient Leuciscus cephalus, Leuciscus leuciscus et Chondrostoma nasus (respectivement 43,6 %, 20,7 % et 16,7 % des captures estivales. L'analyse factorielle des correspondances d'une matrice site x (espèce x taille met en évidence une subdivision progressive de la communauté au cours de l'été en espèces d'eau vive (B. barbus et L. leuciscus et d'eau lente, davantage associées à un couvert végétal (L. cephalus et C. nasus. La densité maximale observée (fin juin est de 1500 alevins (25 mm m-2, correspondant à une biomasse de 250 g m-2. Le modèle explicatif de la densité généré par analyse de régression multiple pas-à-pas explique 60,0 % de la variabilité de la densité par les variables vitesse de courant, température de l'eau et date d'échantillonnage, cette variable intégrant le concept de mortalité-dispersion au cours de la saison de croissance. Les implications de la méthodologie et des résultats présentés au plan de la gestion des écosystèmes lotiques sont brièvement discutés.

  15. Long-Baseline Neutrino Facility (LBNF) and Deep Underground Neutrino Experiment (DUNE): Conceptual Design Report. Volume 1: The LBNF and DUNE Projects

    Energy Technology Data Exchange (ETDEWEB)

    Acciarri, R. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); et al.

    2016-01-22

    This document presents the Conceptual Design Report (CDR) put forward by an international neutrino community to pursue the Deep Underground Neutrino Experiment at the Long-Baseline Neutrino Facility (LBNF/DUNE), a groundbreaking science experiment for long-baseline neutrino oscillation studies and for neutrino astrophysics and nucleon decay searches. The DUNE far detector will be a very large modular liquid argon time-projection chamber (LArTPC) located deep underground, coupled to the LBNF multi-megawatt wide-band neutrino beam. DUNE will also have a high-resolution and high-precision near detector.

  16. Long-Baseline Neutrino Facility (LBNF) and Deep Underground Neutrino Experiment (DUNE) Conceptual Design Report Volume 1: The LBNF and DUNE Projects

    CERN Document Server

    Acciarri, R.; Adamowski, M.; Adams, C.; Adamson, P.; Adhikari, S.; Ahmad, Z.; Albright, C.H.; Alion, T.; Amador, E.; Anderson, J.; Anderson, K.; Andreopoulos, C.; Andrews, M.; Andrews, R.; Anghel, I.; Anjos, J. d.; Ankowski, A.; Antonello, M.; Aranda Fernandez, A.; Ariga, A.; Ariga, T.; Aristizabal, D.; Arrieta-Diaz, E.; Aryal, K.; Asaadi, J.; Asner, D.; Athar, M.S.; Auger, M.; Aurisano, A.; Aushev, V.; Autiero, D.; Avila, M.; Back, J.J.; Bai, X.; Baibussinov, B.; Baird, M.; Balantekin, B.; Baller, B.; Ballett, P.; Bambah, B.; Bansal, M.; Bansal, S.; Barker, G.J.; Barletta, W.A.; Barr, G.; Barros, N.; Bartosz, B.; Bartoszek, L.; Bashyal, A.; Bass, M.; Bay, F.; Beacom, J.; Behera, B.R.; Bellettini, G.; Bellini, V.; Beltramello, O.; Benekos, N.; Benetti, P.A.; Bercellie, A.; Bergevin, M.; Berman, E.; Berns, H.; Bernstein, R.; Bertolucci, S.; Bhandari, B.; Bhatnagar, V.; Bhuyan, B.; Bian, J.; Biery, K.; Bishai, M.; Blackburn, T.; Blake, A.; Blaszczyk, F. d. M.; Blaufuss, E.; Bleakley, B.; Blucher, E.; Bocean, V.; Boffelli, F.; Boissevain, J.; Bolognesi, S.; Bolton, T.; Bonesini, M.; Boone, T.; Booth, C.; Bordoni, S.; Borysova, M.; Bourguille, B.; Boyd, S.B.; Brailsford, D.; Brandt, A.; Bremer, J.; Brice, S.; Bromberg, C.; Brooijmans, G.; Brown, G.; Brown, R.; Brunetti, G.; Bu, X.; Buchanan, N.; Budd, H.; Bugg, B.; Calafiura, P.; Calligarich, E.; Calvo, E.; Camilleri, L.; Campanelli, M.; Cantini, C.; Carls, B.; Carr, R.; Cascella, M.; Castromonte, C.; Mur, E.Catano; Cavanna, F.; Centro, S.; Cervera Villanueva, A.; Chalifour, M.; Chandratre, V.B.; Chatterjee, A.; Chattopadhyay, S.; Chattopadhyay, S.; Chaussard, L.; Chembra, S.; Chen, H.; Chen, K.; Chen, M.; Cherdack, D.; Chi, C.; Childress, S.; Choubey, S.; Choudhary, B.C.; Christodoulou, G.; Christofferson, C.; Church, E.; Cianci, D.; Cline, D.; Coan, T.; Cocco, A.; Coelho, J.; Cole, P.; Collin, G.; Conrad, J.M.; Convery, M.; Corey, R.; Corwin, L.; Cranshaw, J.; Crivelli, P.; Cronin-Hennessy, D.; Curioni, A.; Cushing, J.; Adams, D.L.; Dale, D.; Das, S.R.; Davenne, T.; Davies, G.S.; Davies, J.; Dawson, J.; De, K.; de Gouvea, A.; de Jong, J.K.; de Jong, P.; De Lurgio, P.; Decowski, M.; Delbart, A.; Densham, C.; Dharmapalan, R.; Dhingra, N.; Di Luise, S.; Diamantopoulou, M.; Diaz, J.S.; Diaz Bautista, G.; Diwan, M.; Djurcic, Z.; Dolph, J.; Drake, G.; Duchesneau, D.; Duvernois, M.; Duyang, H.; Dwyer, D.A.; Dye, S.; Dytman, S.; Eberly, B.; Edgecock, R.; Edmunds, D.; Elliott, S.; Elnimr, M.; Emery, S.; Endress, E.; Eno, S.; Ereditato, A.; Escobar, C.O.; Evans, J.; Falcone, A.; Falk, L.; Farbin, A.; Farnese, C.; Farzan, Y.; Fava, A.; Favilli, L.; Felde, J.; Felix, J.; Fernandes, S.; Fields, L.; Finch, A.; Fitton, M.; Fleming, B.; Forest, T.; Fowler, J.; Fox, W.; Fried, J.; Friedland, A.; Fuess, S.; Fujikawa, B.; Gago, A.; Gallagher, H.; Galymov, S.; Gamble, T.; Gandhi, R.; Garcia-Gamez, D.; Gardiner, S.; Garvey, G.; Gehman, V.M.; Gendotti, A.; Geronimo, G. d.; Ghag, C.; Ghoshal, P.; Gibin, D.; Gil-Botella, I.; Gill, R.; Girardelli, D.; Giri, A.; Glavin, S.; Goeldi, D.; Golapinni, S.; Gold, M.; Gomes, R.A.; Gomez Cadenas, J.J.; Goodman, M.C.; Gorbunov, D.; Goswami, S.; Graf, N.; Graf, N.; Graham, M.; Gramelini, E.; Gran, R.; Grant, C.; Grant, N.; Greco, V.; Greenlee, H.; Greenler, L.; Greenley, C.; Groh, M.; Grullon, S.; Grundy, T.; Grzelak, K.; Guardincerri, E.; Guarino, V.; Guarnaccia, E.; Guedes, G.P.; Guenette, R.; Guglielmi, A.; Habig, A.T.; Hackenburg, R.W.; Hackenburg, A.; Hadavand, H.; Haenni, R.; Hahn, A.; Haigh, M.D.; Haines, T.; Hamernik, T.; Handler, T.; Hans, S.; Harris, D.; Hartnell, J.; Hasegawa, T.; Hatcher, R.; Hatzikoutelis, A.; Hays, S.; Hazen, E.; Headley, M.; Heavey, A.; Heeger, K.; Heise, J.; Hennessy, K.; Hewes, J.; Higuera, A.; Hill, T.; Himmel, A.; Hogan, M.; Holanda, P.; Holin, A.; Honey, W.; Horikawa, S.; Horton-Smith, G.; Howard, B.; Howell, J.; Hurh, P.; Huston, J.; Hylen, J.; Imlay, R.; Insler, J.; Introzzi, G.; Ioanisyan, D.; Ioannisian, A.; Iwamoto, K.; Izmaylov, A.; Jackson, C.; Jaffe, D.E.; James, C.; James, E.; Jediny, F.; Jen, C.; Jhingan, A.; Jimenez, S.; Jo, J.H.; Johnson, M.; Johnson, R.; Johnstone, J.; Jones, B.J.; Joshi, J.; Jostlein, H.; Jung, C.K.; Junk, T.; Kaboth, A.; Kadel, R.; Kafka, T.; Kalousis, L.; Kamyshkov, Y.; Karagiorgi, G.; Karasavvas, D.; Karyotakis, Y.; Kaur, A.; Kaur, P.; Kayser, B.; Kazaryan, N.; Kearns, E.; Keener, P.; Kemboi, S.; Kemp, E.; Kettell, S.H.; Khabibullin, M.; Khandaker, M.; Khotjantsev, A.; Kirby, B.; Kirby, M.; Klein, J.; Kobilarcik, T.; Kohn, S.; Koizumi, G.; Kopylov, A.; Kordosky, M.; Kormos, L.; Kose, U.; Kostelecky, A.; Kramer, M.; Kreslo, I.; Kriske, R.; Kropp, W.; Kudenko, Y.; Kudryavtsev, V.A.; Kulagin, S.; Kumar, A.; Kumar, G.; Kumar, J.; Kumar, L.; Kutter, T.; Laminack, A.; Lande, K.; Lane, C.; Lang, K.; Lanni, F.; Learned, J.; Lebrun, P.; Lee, D.; Lee, H.; Lee, K.; Lee, W.M.; Leigui de Oliveira, M.A.; Li, Q.; Li, S.; Li, S.; Li, X.; Li, Y.; Li, Z.; Libo, J.; Lin, C.S.; Lin, S.; Ling, J.; Link, J.; Liptak, Z.; Lissauer, D.; Littenberg, L.; Littlejohn, B.; Liu, Q.; Liu, T.; Lockwitz, S.; Lockyer, N.; Loew, T.; Lokajicek, M.; Long, K.; Lopes, M.D.L.; Lopez, J.P.; Losecco, J.; Louis, W.; Lowery, J.; Luethi, M.; Luk, K.; Lundberg, B.; Lundin, T.; Luo, X.; Lux, T.; Lykken, J.; Machado, A.A.; Macier, J.R.; Magill, S.; Mahler, G.; Mahn, K.; Malek, M.; Malhotra, S.; Malon, D.; Mammoliti, F.; Mancina, S.; Mandal, S.K.; Mandodi, S.; Manly, S.L.; Mann, A.; Marchionni, A.; Marciano, W.; Mariani, C.; Maricic, J.; Marino, A.; Marshak, M.; Marshall, C.; Marshall, J.; Marteau, J.; Martin-Albo, J.; Martinez, D.; Matsuno, S.; Matthews, J.; Mauger, C.; Mavrokoridis, K.; Mayilyan, D.; Mazzucato, E.; McCauley, N.; McCluskey, E.; McConkey, N.; McDonald, K.; McFarland, K.S.; McGowan, A.M.; McGrew, C.; McKeown, R.; McNulty, D.; McTaggart, R.; Mefodiev, A.; Mehrian, M.; Mehta, P.; Mei, D.; Mena, O.; Menary, S.; Mendez, H.; Menegolli, A.; Meng, G.; Meng, Y.; Mertins, D.; Merritt, H.; Messier, M.; Metcalf, W.; Mewes, M.; Meyer, H.; Miao, T.; Milincic, R.; Miller, W.; Mills, G.; Mineev, O.; Miranda, O.; Mishra, C.S.; Mishra, S.R.; Mitrica, B.; Mladenov, D.; Mocioiu, I.; Mohanta, R.; Mokhov, N.; Montanari, C.; Montanari, D.; Moon, J.; Mooney, M.; Moore, C.; Morfin, J.; Morgan, B.; Morris, C.; Morse, W.; Moss, Z.; Mossey, C.; Moura, C.A.; Mousseau, J.; Mualem, L.; Muether, M.; Mufson, S.; Murphy, S.; Musser, J.; Musser, R.; Nakajima, Y.; Naples, D.; Napolitano, J.; Navarro, J.; Navas, D.; Nelson, J.; Nessi, M.; Newcomer, M.; Ng, Y.; Nichol, R.; Nicholls, T.C.; Nikolics, K.; Niner, E.; Norris, B.; Noto, F.; Novakova, P.; Novella, P.; Nowak, J.; Nunes, M.S.; O'Keeffe, H.; Oldeman, R.; Oliveira, R.; Olson, T.; Onishchuk, Y.; Osta, J.; Ovsjannikova, T.; Page, B.; Pakvasa, S.; Pal, S.; Palamara, O.; Palazzo, A.; Paley, J.; Palomares, C.; Pantic, E.; Paolone, V.; Papadimitriou, V.; Park, J.; Parke, S.; Parsa, Z.; Pascoli, S.; Patterson, R.; Patton, S.; Patzak, T.; Paulos, B.; Paulucci, L.; Pavlovic, Z.; Pawloski, G.; Peeters, S.; Pennacchio, E.; Perch, A.; Perdue, G.N.; Periale, L.; Perkin, J.D.; Pessard, H.; Petrillo, G.; Petti, R.; Petukhov, A.; Pietropaolo, F.; Plunkett, R.; Pordes, S.; Potekhin, M.; Potenza, R.; Potukuchi, B.; Poudyal, N.; Prokofiev, O.; Pruthi, N.; Przewlocki, P.; Pushka, D.; Qian, X.; Raaf, J.L.; Raboanary, R.; Radeka, V.; Radovic, A.; Raffelt, G.; Rakhno, I.; Rakotondramanana, H.T.; Rakotondravohitra, L.; Ramachers, Y.A.; Rameika, R.; Ramsey, J.; Rappoldi, A.; Raselli, G.; Ratoff, P.; Rebel, B.; Regenfus, C.; Reichenbacher, J.; Reitzner, D.; Remoto, A.; Renshaw, A.; Rescia, S.; Richardson, M.; Rielage, K.; Riesselmann, K.; Robinson, M.; Rochester, L.; Rodrigues, O.B.; Rodrigues, P.; Roe, B.; Rosen, M.; Roser, R.M.; Ross-Lonergan, M.; Rossella, M.; Rubbia, A.; Rubbia, C.; Rucinski, R.; von Rohr, C.Rudolph; Russell, B.; Ruterbories, D.; Saakyan, R.; Sahu, N.; Sala, P.; Samios, N.; Sanchez, F.; Sanchez, M.; Sands, B.; Santana, S.; Santorelli, R.; Santucci, G.; Saoulidou, N.; Scaramelli, A.; Schellman, H.; Schlabach, P.; Schmitt, R.; Schmitz, D.; Schneps, J.; Scholberg, K.; Schukraft, A.; Schwehr, J.; Segreto, E.; Seibert, S.; Sepulveda-Quiroz, J.A.; Sergiampietri, F.; Sexton-Kennedy, L.; Sgalaberna, D.; Shaevitz, M.; Shahi, J.; Shahsavarani, S.; Shanahan, P.; Shankar, S.U.; Sharma, R.; Sharma, R.K.; Shaw, T.; Shrock, R.; Shyrma, I.; Simos, N.; Sinev, G.; Singh, I.; Singh, J.; Singh, J.; Singh, V.; Sinnis, G.; Sippach, W.; Smargianaki, D.; Smy, M.; Snider, E.; Snopok, P.; Sobczyk, J.; Sobel, H.; Soderberg, M.; Solomey, N.; Sondheim, W.; Sorel, M.; Sousa, A.; Soustruznik, K.; Spitz, J.; Spooner, N.J.; Stancari, M.; Stancu, I.; Stefan, D.; Steiner, H.M.; Stewart, J.; Stock, J.; Stoica, S.; Stone, J.; Strait, J.; Strait, M.; Strauss, T.; Striganov, S.; Sulej, R.; Sullivan, G.; Sun, Y.; Suter, L.; Sutera, C.M.; Svoboda, R.; Szczerbinska, B.; Szelc, A.; Soldner-Rembold, S.; Talaga, R.; Tamsett, M.; Tariq, S.; Tatar, E.; Tayloe, R.; Taylor, C.; Taylor, D.; Terao, K.; Thiesse, M.; Thomas, J.; Thompson, L.F.; Thomson, M.; Thorn, C.; Thorpe, M.; Tian, X.; Tiedt, D.; Timm, S.C.; Tonazzo, A.; Tope, T.; Topkar, A.; Torres, F.R.; Torti, M.; Tortola, M.; Tortorici, F.; Toups, M.; Touramanis, C.; Tripathi, M.; Tropin, I.; Tsai, Y.; Tsang, K.V.; Tsenov, R.; Tufanli, S.; Tull, C.; Turner, J.; Tzanov, M.; Tziaferi, E.; Uchida, Y.; Urheim, J.; Usher, T.; Vagins, M.; Vahle, P.; Valdiviesso, G.A.; Valerio, L.; Vallari, Z.; Valle, J.; Van Berg, R.; Van de Water, R.; Van Gemmeren, P.; Varanini, F.; Varner, G.; Vasseur, G.; Vaziri, K.; Velev, G.; Ventura, S.; Verdugo, A.; Viant, T.; Vieira, T.V.; Vignoli, C.; Vilela, C.; Viren, B.; Vrba, T.; Wachala, T.; Wahl, D.; Wallbank, M.; Walsh, N.; Wang, B.; Wang, H.; Wang, L.; Wang, T.; Warburton, T.K.; Warner, D.; Wascko, M.; Waters, D.; Watson, T.B.; Weber, A.; Weber, M.; Wei, W.; Weinstein, A.; Wells, D.; Wenman, D.; Wetstein, M.; White, A.; Whitehead, L.; Whittington, D.; Wilking, M.; Willhite, J.; Wilson, P.; Wilson, R.J.; Winslow, L.; Wittich, P.; Wojcicki, S.; Wong, H.H.; Wood, K.; Worcester, E.; Worcester, M.; Wu, S.; Xin, T.; Yanagisawa, C.; Yang, S.; Yang, T.; Yarritu, K.; Ye, J.; Yeh, M.; Yershov, N.; Yonehara, K.; Yu, B.; Yu, J.; Zalesak, J.; Zalewska, A.; Zamorano, B.; Zang, L.; Zani, A.; Zani, A.; Zavala, G.; Zeller, G.; Zhang, C.; Zhang, C.; Zimmerman, E.D.; Zito, M.; Zwaska, R.

    2016-01-01

    This document presents the Conceptual Design Report (CDR) put forward by an international neutrino community to pursue the Deep Underground Neutrino Experiment at the Long-Baseline Neutrino Facility (LBNF/DUNE), a groundbreaking science experiment for long-baseline neutrino oscillation studies and for neutrino astrophysics and nucleon decay searches. The DUNE far detector will be a very large modular liquid argon time-projection chamber (LArTPC) located deep underground, coupled to the LBNF multi-megawatt wide-band neutrino beam. DUNE will also have a high-resolution and high-precision near detector.

  17. Natural versus Urban dunes along the Emilia-Romagna coast, Northern Adriatic (Italy)

    Science.gov (United States)

    Corbau, Corinne; Simeoni, Umberto

    2014-05-01

    Beach-dune interaction models can be precious tools for land managers and policymakers. However, if the models are inaccurate, land use policies may be designed based on false pretences or assumptions leading to poor land management, long-term erosion and sustainability issues, and increased difficulties in maintaining the dynamic coastal systems. From the literature, it appears that even the most reliable beach-dunes interactions models are not applicable to all coastal systems (Short and Hesp, 1982; Psuty, 1988; Sherman and Bauer, 1993). The study aims to identify the morphological evolution of the Emilia-Romagna coastal dunes according to its natural and "human" characteristics and to classify groups of dunes with similar evolutionary patterns. The coastal area consists essentially of 130 km of low sandy coast, interrupted by vast lagoon areas, harbor jetties and numerous hard coastal defense structures that were built during the first half of the 20th century to protect the Emilia-Romagna coast against erosion. Today about 57% of the littoral is protected by hard defenses, which have modified the morphodynamic characteristics of the beach without inverting the negative coastal evolution's trend. From recent aerial photographs (2011), 62 coastal dunes have been identified and mapped. Furthermore, the dune analysis shows a variability of the "physical characteristics" of coastal-dune systems along the Emilia-Romagna coast. The dune height varies from 1 to 7 meters, the width of the beach and of the active dunes range respectively from 10 to 150 m and from 10 to 65 m. Three main factors may explain the variability of the "physical characteristics": 1- Firstly the frontal dunes may be of different states according to the classification of Hesp (2002) since they correspond to incipient foredunes, well-developed foredunes, blowouts, residual foredunes as well as reactivated relict foredunes, 2- This could also be related to a different orientation of the coastline

  18. Percutaneous transluminal angioplasty with stenting for treatment of superior vena cava obstructive syndrome

    International Nuclear Information System (INIS)

    Chen Shiwei; Qiao Delin

    2004-01-01

    Objective: To evaluate the clinical value of percutaneous transluminal angioplasty with stenting (PTAS) for the treatment of superior vana cava obstructive syndrome (SVCOS). Methods: 15 cases of SVCOS including 10 cases of lung cancer with mediastinal lymphatic metastasis, 3 cases as malignant lymphoma and 2 cases of esophageal cancer with mediastinal lymphadenopathy, were undergone right subclavian vein or elbow vein catheterization for pressure measurement and DSA imaging of SVC with displaying the obstructive characteristics. A self-expanding stent was then implanted through right femoral vein catheterization. Results: 15 cases were all successfully under-taken angioplasty and stenting, except 1 case with a long stricture over 10 cm requiring 2 stents. After successful stent placement, DSA revealed smooth flow of contrast with almost normal diameter of SVC lumen, together with disappearance or relief of SVCOS. The SVC pressure decreased from 30.5±2.3 cmH 2 O down to 8.8 ± 1.5 cmH 2 O after recanalization, with a significant difference in statistics (P<0.01). All the patients were followed up for 6 months and obstructive symptom did not reappear except one case complicated with thrombosis which was treated by regional thrombolysis and balloon dilation leading to obviously improved symptom. Conclusion: PTAS for the treatment of SVCOS is effective, safe, simple and of less complications. (authors)

  19. Renal angioplasty for atherosclerotic renal artery stenosis: Cardiologist′s perspective

    Directory of Open Access Journals (Sweden)

    A S Gulati

    2013-01-01

    Full Text Available Atherosclerotic renal artery stenosis (ARAS is frequently associated with concomitant coronary and peripheral arterial disease with a significant impact on cardiovascular morbidity and mortality. Renal angioplasty of ARAS is more challenging because of increased incidence of technical failures, complications, and restenosis; while there is barely perceptible control of hypertension and only marginal improvement in renal function. This is because most of the patient population in recent randomized trials had unmanifested or clinically silent renovascular disease. Manifestations of RAS should be looked for and incorporated in the management plan particularly before deciding for revascularization. In the absence of clinical manifestation like renovascular hypertension, ischemic nephropathy, left ventricular failure, or unstable coronary syndromes; mere presence of RAS is analogous to presence of concomitant peripheral arterial disease which increases risk of adverse coronary events. Dormant-RAS in the absence of any manifestations can be managed with masterly inactivity. Chronological sequence of events and clinical condition of the patient help in decision making by identifying progressive renovascular disease. Selecting patients for renal artery stenting who actually will benefit from revascularization shall also decrease the unnecessary complications inherent with any interventional procedure. The present review is an attempt to analyze the current view on the diagnostic and management issues more specifically about the need and rationale behind angioplasty.

  20. [The usefullness of percutaneous transluminal balloon angioplasty in the management of budd-Chiari syndrome].

    Science.gov (United States)

    Kim, Se Hwan; Yu, Kyung Sool; Baek, Seung Min; Lee, Seung Yup; Kim, Hyun Su; Tak, Won Young; Kweon, Young Oh; Kim, Sung Kook; Choi, Yong Hwan; Chung, Joon Mo

    2002-06-01

    Membranous obstruction is the most common cause of Budd-Chiari syndrome in Orientals. Recently, percutaneous transluminal balloon angioplasty (PTBA) has been successfully applied as a treatment of membranous obstruction. We evaluated etiologies and clinical manifestations in our cases and the usefulness of PTBA. Twelve cases of Budd-Chiari syndrome were analyzed. 50.3 years was the average age of the cases (ranging from 37 to 67 years). Major symptoms or signs were superficial collateral vessels on the chest or the abdomen in 6 cases, ascites in 3, abdominal pain in 4, hepatomegaly in 4, splenomegaly in 3, melena or hematemesis in 2, and leg edema in 2. Upper gastrointestinal endoscopy showed esophageal varices in 6 cases and two of these 6 cases had gastric varices. Of 8 cases with liver cirrhosis, 4 were classified as Child-Pugh class A and 4 as B. Four patients with cirrhosis had concurrent hepatocellular carcinoma including 1 patient who was HBs Ag positive. Etiologies were membranous obstruction in 11 cases and protein C deficiency in 1 case. The main site of obstruction was IVC in 8 and hepatic vein in 4. PTBA was successfully performed in 8 cases of membranous obstruction. During the mean follow-up period of 27.6 months (12-40 months), there were no reobstructions except in 2 cases. The most common cause of Budd-Chiari syndrome in our cases was membranous obstruction of IVC. Percutaneous transluminal balloon angioplasty is a very useful treatment method.

  1. Platelet deposition at angioplasty sites and its relation to restenosis in human iliac and femoropopliteal arteries

    International Nuclear Information System (INIS)

    Minar, E.; Ehringer, H.; Ahmadi, R.; Dudczak, R.; Leitha, T.; Koppensteiner, R.; Jung, M.; Stuempflen, A.

    1989-01-01

    The amount and time course of platelet accumulation at angioplasty sites and influence of these platelets on restenosis after percutaneous transluminal angioplasty (PTA) in peripheral arteries were determined in 92 patients, who received either a high or low dose of aspirin. Platelet deposition was quantitated by means of dual-radiotracer scintigraphy and calculation of a platelet accumulation index (PAI). The PAI was higher (P less than .05) 4-6 hours after PTA compared with that on subsequent days. There was a trend toward greater platelet accumulation in vessels with extensive dissection. Platelet accumulation at the PTA site occurred with both doses of aspirin, with no differences between the two dosage groups. Twenty-one of 67 patients who underwent PTA in the femoropopliteal segment developed restenosis during a median follow-up of 14 months. The median PAI at 4-6 and 22-24 hours after PTA was significantly less in these 21 patients than in the 46 without restenosis. The data suggest that use of antiplatelet agents to prevent platelet deposition after PTA may not be useful for prevention of restenosis

  2. Assessment of percutaneous transluminal coronary angioplasty with 123IODO-heptadecanoic acid

    International Nuclear Information System (INIS)

    Stoddart, P.G.P.; Wilde, P.; Papouchado, M.; Jones, J.V.

    1987-01-01

    Ten patients underwent myocardial scintigraphy with 123 I-iodo-heptadecanoic acid (HDA), which was injected in the last minute of maximal exercise testing. Six of the patients were rescanned following percutaneous transluminal coronary angioplasty. All ten patients underwent full coronary angiography. There were visible perfusion defects on the static images in 74% of the myocardial areas which were supplied by an artery with a stenosis greater than 75%. The mean half life recorded from areas distal to an arterial stenosis of at least 90% (35.69 min±41.25 min), was longer than the expected normal mean (18.85 min±3.35 min). However, the difference was not statistically significant. The static images changed in some patients following angioplasty, however there was no consistent alteration in the half-lives. It was concluded that HDA is a suitable agent for investigating myocardial perfusion, but that the half life cannot be measured adequately for clinical purposes with a planar imaging sytsem. (orig.)

  3. [Effect of nattokinase on restenosis after percutaneous transluminal angioplasty of the abdominal artery in rabbits].

    Science.gov (United States)

    Gong, Min; Lin, Huan-bing; Wang, Qian; Xu, Jiang-ping

    2008-08-01

    To investigate the effect of nattokinase on intimal hyperplasia in rabbit abdominal artery after balloon injury and explore a novel strategy for the preventing restenosis after percutaneous transluminal angioplasty. Fifty-six New Zealand rabbits were randomly divided into 7 groups, namely the solvent control group, model group, natto extract lavage group, refined nattokinse lavage group, intravenous refined nattokinse injection group, clopidogrel group and clopidogrel-aspirin group. Balloon injury was induced by inserting the catheter through the femoral artery into the thoracic aorta of the rabbits. The platelet counts were notad and platelet aggregation was observed, and the abdominal artery was taken for pathological analysis. The expressions of MMP-2 and -9 in the abdominal artery were detected immunohistochemically. There was no significant difference in the platelet counts, platelet aggregation rate or MMP-2 and -9 expression between the model group and the nattokinse-treated groups (P>0.05). The stenosis index in each nattokinse-treated group was significantly greater and the neointimal proliferation index smaller than that of the model group (P<0.01 or 0.05). Nattokinse can inhibit restenosis of rabbit abdominal artery after percutaneous transluminal angioplasty, which is independent of its actions on the platelet or MMP-2 and -9 expressions.

  4. Improved left ventricular function and perfusion at rest after successful transluminal coronary angioplasty

    International Nuclear Information System (INIS)

    Klepzig, H.; Kaltenbach, M.; Standke, R.; Maul, F.D.; Hoer, G.

    1991-01-01

    The purpose of this study was to evaluate left ventricular function and perfusion at rest before and after percutaneous transluminal coronary angioplasty. In consecutive 69 patients in whom coronary stenoses were dilated, the radionuclide left ventricular ejection fraction at rest increased significantly. In 26 of these patients, the ejection fraction increased by at least 4%. In these patients, exercise-induced ischemic ST depression had been more pronounced than in the others. 36 other patients underwent 201 Tl myocardial scintigraphy before and after angioplasty. Twelve patients in whom pre-PTCA images had revealed regions with irreversible 201 Tl uptake defects, showed normal 201 Tl distribution patterns on post-PTCA scintigrams. Post-exercise 201 Tl uptake (representing myocardial perfusion and metabolic activity) during pre-PTCA exercise stress tests was significantly lower in these cases. It is concluded that PTCA can improve left ventricular function and perfusion at rest. This improvement is most obvious in patients with pronounced exercise-induced myocardial ischemia as diagnosed by typical ST segment depression and reduced thallium uptake. (orig.) [de

  5. Treatment of Chronic Thromboembolic Pulmonary Hypertension: The Role of Medical Therapy and Balloon Pulmonary Angioplasty.

    Science.gov (United States)

    Fernandes, Timothy M; Poch, David S; Auger, William R

    2016-01-01

    Chronic thromboembolic pulmonary hypertension (CTEPH) is a potentially curable disease when treated with pulmonary thromboendarterectomy (PTE). However, even at experienced surgical centers, nearly one-third of patients with CTEPH will be deemed inoperable for reasons including distal disease, comorbidities, or out-of-proportion pulmonary hypertension. It is in these patients with inoperable CTEPH that pulmonary hypertension (PH)-targeted medical therapy and balloon pulmonary angioplasty have potential therapeutic value. Previous unblinded cohort trials have assessed PH-targeted medical therapy in various subpopulations of CTEPH patients using epoprostenol, treprostinil, sildenafil, bosentan, and iloprost, each demonstrating measurable pulmonary hemodynamic effects. However, riociguat, a soluble guanylate cyclase stimulator, is the first FDA-approved therapy for inoperable CTEPH to demonstrate both an improvement in functional capabilities (6-minute walk time) as well as significant gains in secondary pulmonary hemodynamic end points in a large placebo-controlled trial. Balloon pulmonary angioplasty is an interventional procedure using telescoping catheters placed in the pulmonary arteries, through which wires and balloons are used to mechanically disrupt chronic clot material and relieve pulmonary vascular obstruction. Contemporary case series from multiple centers worldwide have demonstrated pulmonary hemodynamic improvement with this approach. As a result of these advances, patients with inoperable CTEPH who had few options as recently as 5 years ago now have alternatives with emerging evidence of therapeutic efficacy.

  6. Percutaneous transluminal angioplasty and stent placement for iliofemoral arterial atherosclerotic occlusive disease

    International Nuclear Information System (INIS)

    Zheng Yanbo; Jiang Wenjin; Liu Sheng; Song Xuepeng; Sheng Qirui

    2006-01-01

    Objectives: To assess the safety and efficacy of percutaneous transluminal angioplasty (PTA) and stent placement for the treatment of iliofemoral arterial atherosclerotic occlusive diseases. Methods From April 1999 to August 2004, 13 cases of iliofemoral arterial occlusions were recanalized with contact thrombolytic therapy combined with guide wire mechanical recanalization method, followed by angioplasty and stent placement. A total of 25 self-expanding Wallstents were deployed. All patients were followed up by means of duplex ultrasound, angiography, or both. Results: All 13 cases were successfully recanalized, with technical successful rate of 100%. Available follow-up for all patients from 8 months-5 years (mean 26.2 months) included one patient undergoing again with successful contact thrombolysis because of early thrombosis; another patient with recurrent symptoms at 19 month after operation undertaking surgical bypass because of later reocclusion; all of the rest stents showing patency by the end of the study. Conclusions: Contact thrombolysis combined with guide wire mechanical recanalization for iliofemoral arterial occlusion is safe and effective, whereas PTA and stent placement would have the nearly same efficacy for the disease with mild injury and low restenosis. (authors)

  7. Neutrinos, DUNE and the world best bound on CPT invariance

    Science.gov (United States)

    Barenboim, G.; Ternes, C. A.; Tórtola, M.

    2018-05-01

    CPT symmetry, the combination of Charge Conjugation, Parity and Time reversal, is a cornerstone of our model building strategy and therefore the repercussions of its potential violation will severely threaten the most extended tool we currently use to describe physics, i.e. local relativistic quantum fields. However, limits on its conservation from the Kaon system look indeed imposing. In this work we will show that neutrino oscillation experiments can improve this limit by several orders of magnitude and therefore are an ideal tool to explore the foundations of our approach to Nature. Strictly speaking testing CPT violation would require an explicit model for how CPT is broken and its effects on physics. Instead, what is presented in this paper is a test of one of the predictions of CPT conservation, i.e., the same mass and mixing parameters in neutrinos and antineutrinos. In order to do that we calculate the current CPT bound on all the neutrino mixing parameters and study the sensitivity of the DUNE experiment to such an observable. After deriving the most updated bound on CPT from neutrino oscillation data, we show that, if the recent T2K results turn out to be the true values of neutrino and antineutrino oscillations, DUNE would measure the fallout of CPT conservation at more than 3σ. Then, we study the sensitivity of the experiment to measure CPT invariance in general, finding that DUNE will be able to improve the current bounds on Δ (Δ m312) by at least one order of magnitude. We also study the sensitivity to the other oscillation parameters. Finally we show that, if CPT is violated in nature, combining neutrino with antineutrino data in oscillation analysis will produce imposter solutions.

  8. Dune recovery after storm erosion on a high-energy beach: Vougot Beach, Brittany (France)

    Science.gov (United States)

    Suanez, Serge; Cariolet, Jean-Marie; Cancouët, Romain; Ardhuin, Fabrice; Delacourt, Christophe

    2012-02-01

    On 10th March 2008, the high energy storm Johanna hit the French Atlantic coast, generating severe dune erosion on Vougot Beach (Brittany, France). In this paper, the recovery of the dune of Vougot Beach is analysed through a survey of morphological changes and hydrodynamic conditions. Data collection focused on the period immediately following storm Johanna until July 2010, i.e. over two and a half years. Results showed that the dune retreated by a maximum of almost 6 m where storm surge and wave attack were the most energetic. Dune retreat led to the creation of accommodation space for the storage of sediment by widening and elevating space between the pre- and post-storm dune toe, and reducing impacts of the storm surge. Dune recovery started in the month following the storm event and is still ongoing. It is characterised by the construction of "secondary" embryo dunes, which recovered at an average rate of 4-4.5 cm per month, although average monthly volume changes varied from - 1 to 2 m 3.m - 1 . These embryo dunes accreted due to a large aeolian sand supply from the upper tidal beach to the existing foredune. These dune-construction processes were facilitated by growth of vegetation on low-profile embryo dunes promoting backshore accretion. After more than two years of survey, the sediment budget of the beach/dune system showed that more than 10,000 m 3 has been lost by the upper tidal beach. We suggest that seaward return currents generated during the storm of 10th March 2008 are responsible for offshore sediment transport. Reconstitution of the equilibrium beach profile following the storm event may therefore have generated cross-shore sediment redistribution inducing net erosion in the tidal zone.

  9. The morphodynamics and internal structure of intertidal fine-gravel dunes: Hills Flats, Severn Estuary, UK

    Science.gov (United States)

    Carling, P. A.; Radecki-Pawlik, A.; Williams, J. J.; Rumble, B.; Meshkova, L.; Bell, P.; Breakspear, R.

    2006-01-01

    In the macrotidal Severn estuary, UK, the dynamics of intertidal fine-gravel dunes were investigated. These dunes are migrating across a bedrock platform. Systematic observations were made of hydraulic climate, geometry, migration rates and internal sedimentary structures of the dunes. During spring tides, the ebb flow is dominant, dunes grow in height and have ebb orientated geometry with bedrock floors in the troughs. During neap tides, a weak flood flow may dominate. Dunes then are flood orientated or symmetrical. Neap dune heights decrease and the eroded sediment is stored in the dune troughs where the bedrock becomes blanketed by muddy gravel. During spring tides, instantaneous bed shear stresses reach 8 N m - 2 , sufficient to disrupt a 9 mm-gravel armour layer. However, a sustained bed shear stress of 4 N m - 2 is required to initiate dune migration at which time the critical depth-mean velocity is 1 m s - 1 . Ebb and flood inequalities in the bed shear stress explain the changes in dune asymmetry and internal structures. During flood tides, the crests of the dunes reverse such that very mobile sedimentary 'caps' overlie a more stable dune 'core'. Because ebb tides dominate, internal structures of the caps often are characterised by ebb orientated steep open-work foresets developed by strong tidal currents and some lower angle crossbeds deposited as weaker currents degrade foresets. The foresets forming the caps may be grouped into cosets (tidal bundles) and are separated from mud-infused cores of crossbeds that lie below, by reactivation and erosion surfaces blanketed by discontinuous mud drapes. The cores often exhibit distinctive muddy toe sets that define the spacing of tidal cosets.

  10. Numerical modelling of flow structures over idealized transverse aeolian dunes of varying geometry

    Science.gov (United States)

    Parsons, Daniel R.; Walker, Ian J.; Wiggs, Giles F. S.

    2004-04-01

    A Computational Fluid Dynamics (CFD) model (PHOENICS™ 3.5) previously validated for wind tunnel measurements is used to simulate the streamwise and vertical velocity flow fields over idealized transverse dunes of varying height ( h) and stoss slope basal length ( L). The model accurately reproduced patterns of: flow deceleration at the dune toe; stoss flow acceleration; vertical lift in the crest region; lee-side flow separation, re-attachment and reversal; and flow recovery distance. Results indicate that the flow field over transverse dunes is particularly sensitive to changes in dune height, with an increase in height resulting in flow deceleration at the toe, streamwise acceleration and vertical lift at the crest, and an increase in the extent of, and strength of reversed flows within, the lee-side separation cell. In general, the length of the separation zone varied from 3 to 15 h from the crest and increased over taller, steeper dunes. Similarly, the flow recovery distance ranged from 45 to >75 h and was more sensitive to changes in dune height. For the range of dune shapes investigated in this study, the differing effects of height and stoss slope length raise questions regarding the applicability of dune aspect ratio as a parameter for explaining airflow over transverse dunes. Evidence is also provided to support existing research on: streamline curvature and the maintenance of sand transport in the toe region; vertical lift in the crest region and its effect on grainfall delivery; relations between the turbulent shear layer and downward forcing of flow re-attachment; and extended flow recovery distances beyond the separation cell. Field validation is required to test these findings in natural settings. Future applications of the model will characterize turbulence and shear stress fields, examine the effects of more complex isolated dune forms and investigate flow over multiple dunes.

  11. Comparison of orbital atherectomy plus balloon angioplasty vs. balloon angioplasty alone in patients with critical limb ischemia: results of the CALCIUM 360 randomized pilot trial.

    Science.gov (United States)

    Shammas, Nicolas W; Lam, Russell; Mustapha, Jihad; Ellichman, Jonathan; Aggarwala, Gaurav; Rivera, Ernesto; Niazi, Khusrow; Balar, Nilesh

    2012-08-01

    To evaluate the role of orbital atherectomy in calcified infrapopliteal arteries in patients with critical limb ischemia compared to balloon angioplasty (BA) alone. A randomized multicenter study was undertaken to evaluate short and 1-year outcomes in 50 patients (32 men; mean age 71 years, range 40-90) with confirmed calcified lesions using 1∶1 randomization to the Diamondback 360° Orbital Atherectomy System followed by BA vs. BA alone. All patients had severe (≥50% stenosis) peripheral artery disease (Rutherford classification 4-6) in the popliteal, tibial, and/or peroneal arteries. The primary endpoint was defined as restoration of a normal lumen (residual stenosis ≤30%) with no bailout stenting or dissection types C through F. Scheduled follow-up visits were conducted according to a common protocol at 1, 6, and 12 months. Procedural success was 93.1% (27/29 lesions) for atherectomy + BA patients and 82.4% (28/34 lesions) for BA alone (p = 0.27). Bailout stenting was needed in 2 (6.9%) of the 29 atherectomy + BA lesions and in 5 (14.3%) of the 35 BA-treated lesions (p = 0.44). At 1 year, there were no amputations in either group related to the index procedure. Estimates for freedom from target vessel revascularization and all-cause mortality were 93.3% and 100% in the atherectomy + BA group vs. 80.0% (p = 0.14) and 68.4% (p = 0.01) in the BA group, respectively. Proportional hazard models evaluating survival time vs. status of residual stenosis determined a hazard ratio for major adverse events of 5.6 for patients with an acute post-procedure residual stenosis >30% (p = 0.01). Debulking with orbital atherectomy appeared to increase the chance of reaching a desirable angioplasty result, with less acute need for bailout stenting and a higher procedure success. A negative association between procedure success and risk of serious adverse outcomes should encourage larger confirmatory studies.

  12. Systemic Hypertension and Transient Ischemic Attack in a 6-Year-Old Girl with Fibromuscular Dysplasia Treated with Percutaneous Angioplasty

    International Nuclear Information System (INIS)

    Foa-Torres, Gustavo; Ganame, Javier; Juaneda, Ernesto; Peirone, Alejandro; Barcudi, Maria Silvina; Achaval, Alberto

    2010-01-01

    We describe a 6-year-old girl with arterial hypertension secondary to fibromuscular dysplasia with stenoses of both renal arteries and transient ischemic attack due to extracranial right internal carotid artery subtotal occlusion as well as left internal carotid artery stenosis. She was treated with percutaneous angioplasty of both renal and both carotid arteries.

  13. Successful intestinal ischemia treatment by percutaneus transluminal angioplasty of visceral arteries in a patient with abdominal angina

    Directory of Open Access Journals (Sweden)

    Nenezić Dragoslav

    2011-01-01

    Full Text Available Introduction. Abdominal angina, also known as chronic mesenteric ischemia or intestinal angina, is a rare disease caused by intestinal flow reduction due to stenosis or occlusion of mesenteric arteries. A case of successful treatment of a patient with abdominal angina by percutaneous transuliminal angioplasty of high-grade superior mesenteric artery and coeliac trunk stenosis was presented. Case Outline. A 77-year-old male patient was admitted at our Clinic for severe postprandial abdominal pains followed by frequent diarrhoeas. Extensive gastrointestinal investigations were performed and all results were normal. Multislice computerized (MSCT arteriography was indicated which revealed ostial celiac trunk and superior mesenteric artery subocclusion. Percutaneous transluminal angioplasty of the superior mesenteric artery and coeliac trunk was done with two stents implantation. Just a few hours following the intervention, after food ingestion, there were no abdominal pains. Six months later, the patient described a significant feeling of relief after food ingestion and no arduousness at all. Conclusion. High-grade visceral arteries stenoses in patients with intestinal ischemia symptoms can be treated by either surgical procedures or percutaneus transluminal angioplasty. In cases when a low operative risk is anticipated, surgical treatment is recommended due to a better anatomical outcome, while percutaneus angioplasty is advised to elderly patients in whom increased operative risks can be expected.

  14. Short-, medium-, and long-term follow-up after percutaneous transluminal coronary angioplasty for stable and unstable angina pectoris

    NARCIS (Netherlands)

    O. Kamp (Otto); K.J. Beatt (Kevin); P.J. de Feyter (Pim); M.J.B.M. van den Brand (Marcel); H. Suryapranata (Harry); H.E. Luijten; P.W.J.C. Serruys (Patrick)

    1989-01-01

    textabstractThe first 840 consecutive patients who underwent percutaneous transluminal coronary angioplasty (PTCA) performed in the same institution were retrospectively assessed at an average follow-up period of 25 months after the initial procedure. The study population consisted of 506 patients

  15. Primary Cutting Balloon Angioplasty for Treatment of Venous Stenoses in Native Hemodialysis Fistulas: Long-Term Results from Three Centers

    International Nuclear Information System (INIS)

    Bhat, Rajesh; McBride, Kieran; Chakraverty, Sam; Vikram, Raghunandan; Severn, Alison

    2007-01-01

    Aim. To evaluate the technical success and patency rates following primary cutting balloon angioplasty for venous stenoses in native dialysis fistulas. Methods. Forty-one patients (26 men, 15 women; age range 26-82 years, average age 59 years) underwent 50 (repeat procedures in 9 patients) primary cutting balloon (PCB) angioplasty procedures in three institutions by three primary operators. The indication was primary stenosis in 21 patients, recurrent lesions in 15, and immature fistulas in 5. A PCB was used alone in 17 cases, but was followed by a larger standard balloon in 33 cases. Follow-up included ultrasound, flow analysis and urea reduction ratio, and ranged from 2 to 30 months (mean 14 months). Results. The technical success rate was 98%. All procedures were relatively painless. Two PCBs burst and 4 leaked, but without causing any morbidity. Nineteen fistulas were still working at last follow-up. Primary patency rates at 6, 12, and 24 months using Kaplan-Meier analysis were 88%, 73%, and 34%, respectively, and the primary assisted patencies were 90%, 75%, and 50%, respectively. Conclusion. PCB angioplasty has high technical success and low complication rates. The long-term patency rates are favorable for PCB angioplasty and compare favorably with other series

  16. Time course, predictors and clinical implications of stent thrombosis following primary angioplasty. Insights from the DESERT cooperation

    DEFF Research Database (Denmark)

    De Luca, Giuseppe; Dirksen, Maurits T; Spaulding, Christian

    2013-01-01

    on the timing of stent thrombosis (ST) with both DES and bare metal stents (BMS) and its prognostic significance in patients undergoing pPCI. The Drug-Eluting Stent in Primary Angioplasty (DESERT) cooperation is based on a pooled database including individual data of randomised trials that evaluate the long...

  17. Comparison of costs of percutaneous transluminal coronary angioplasty and coronary bypass surgery for patients with angina pectoris

    NARCIS (Netherlands)

    C. van Halem; F. van den Brink; P.J. de Feyter (Pim); P.W.J.C. Serruys (Patrick); H. Suryapranata (Harry); K.J. Meeter; E. Bos (Egbert); F.J. van Dalen (Frederik); M.J.B.M. van den Brand (Marcel)

    1990-01-01

    textabstractTo determine the costs of a procedure, the total costs of the department that provides the service must be considered and, in addition, the direct cost of the specific procedure. Applying this principle to the cost accounting of angioplasty and bypass surgery results in a direct, i.e.

  18. Efficacy of beta radiation in prevention of post-angioplasty restenosis : An interim report from the beta energy restenosis trial

    NARCIS (Netherlands)

    D. Meerkin; R. Bonan (Raoul); I.R. Crocker; A. Arsenault (André); P. Chougule; V.L.M.A. Coen (Veronique); D.O. Williams (David); P.W.J.C. Serruys (Patrick); S.B. King 3rd (Spencer)

    1998-01-01

    textabstractRestenosis remains a major limitation of coronary angioplasty in spite of major advances in techniques and technology. Recent studies have demonstrated that ionizing radiation may limit the degree of this problem. Gamma radiation has been shown to be effective in reducing in stent

  19. Cardiac troponin T and CK-MB mass release after visually successful percutaneous transluminal coronary angioplasty in stable angina pectoris

    DEFF Research Database (Denmark)

    Ravkilde, J; Nissen, H; Mickley, H

    1994-01-01

    The incidence of cardiac troponin T (Tn-T) and creatine kinase (CK) isoenzyme MB mass release was studied in 23 patients with stable angina pectoris undergoing visually successful percutaneous transluminal coronary angioplasty (PTCA). Serial blood samples were drawn for measurement of serum Tn...

  20. Introducing Backchannel Technology into a Large Undergraduate Course | Introduction d’une technologie d’arrière-plan dans un vaste cours de premier cycle

    Directory of Open Access Journals (Sweden)

    Ruth Neustifter

    2016-04-01

    Full Text Available Backchannel technology can be used to allow students in large lecture courses to communicate with each other and the instructor during the delivery of lecture content and class discussions. It can also be utilized by instructors to capture, summarize, and integrate student questions, ideas, and needs into course content both immediately and throughout the course. The authors integrated backchannel software in one of two sections of a course, leaving the other section as a control; combined, the two sections contained a total number of 871 students. Data was gathered comparing both groups using online surveys and semester grades; results showed that the section using backchannel software had higher class satisfaction and perception of engagement, used their mobile devices more for accessing class content, felt more comfortable participating in class discussions, and had a higher grade average than the section that did not. The authors also explore their own experiences of finding, integrating, and maintaining backchannel technology. La technologie d’arrière-plan peut permettre aux étudiants de grands cours magistraux de communiquer les uns avec les autres et avec l’instructeur durant le cours et les discussions en classe. Les instructeurs peuvent aussi l’utiliser pour saisir, résumer et intégrer les questions, idées et besoins des étudiants dans le contenu du cours, et ce, immédiatement et pendant toute la durée du cours. Les auteurs ont intégré un logiciel d’arrière-plan dans l’une des deux sections d’un cours, faisant de l’autre section son groupe témoin. Ensemble, les deux sections comprenaient 871 étudiants. Des données ont été recueillies pour comparer les deux groupes à l’aide de sondages en ligne et des notes du trimestre. Les résultats ont démontré que la section utilisant le logiciel d’arrière-plan avait une plus grande satisfaction et une meilleure perception de l’engagement, que ses

  1. Appréciation de la qualité biologique d'un cours d'eau de plaine

    Directory of Open Access Journals (Sweden)

    GROSS F.

    1976-01-01

    Full Text Available Un ruisseau de la Gironde est étudié du point de vue physico-chimique et faunistique (invertébrés benthiques. Les communautés d'invertébrés benthiques diversifiées trouvées en milieu non pollué organiquement se transforment progressivement avec remplacement d'espèces et simplification de la communauté dans les milieux pollués par effluents domestiques. Trois méthodes de détermination de la qualité biologique : saprobies, indices biotiques, indices de diversité, sont utilisées comparativement avec proposition d'une échelle d'équivalence entre ces techniques. L'indice de diversité serait la méthode rendant le mieux compte de l'état du ruisseau.

  2. The primary opinion on the formation mechanisms of mega dunes and lakes in the Badain jaran desert

    International Nuclear Information System (INIS)

    Guo Yonghai; Li Yawei

    2010-01-01

    Badain Jaran Desert is famous in distribution of many lakes and mega dunes in the world. Up to now, there are several different opinions about formation problems of lakes and mega dunes. Actually, these problems are directly correlated to the groundwater circulation and alternation in the area. Refering to the prevenient research results and combining with the current hydrogeological investigation in the desert, the paper discussed the problems about the formation mechanisms of lakes and mega dunes. The Primary cognition is that: the lakes in the desert were formed mainly by the lateral recharge of groundwaters both from Yabulai mountain and mega dunes. The formation of the mega dunes was related nearly to the rainfall and groundwater in the area. The formation and coexistence relationship between lakes and mega dunes is that: the mega dunes were formed firstly, and then the lakes. That is to say the mega dunes are the basic conditions for the lake formation. (authors)

  3. RIGED-RA project - Restoration and management of Coastal Dunes in the Northern Adriatic Coast, Ravenna Area - Italy

    Science.gov (United States)

    Giambastiani, Beatrice M. S.; Greggio, Nicolas; Sistilli, Flavia; Fabbri, Stefano; Scarelli, Frederico; Candiago, Sebastian; Anfossi, Giulia; Lipparini, Carlo A.; Cantelli, Luigi; Antonellini, Marco; Gabbianelli, Giovanni

    2016-10-01

    Coastal dunes play an important role in protecting the coastline. Unfortunately, in the last decades dunes have been removed or damaged by human activities. In the Emilia- Romagna region significant residual dune systems are found only along Ravenna and Ferrara coasts. In this context, the RIGED-RA project “Restoration and management of coastal dunes along the Ravenna coast” (2013-2016) has been launched with the aims to identify dynamics, erosion and vulnerability of Northern Adriatic coast and associated residual dunes, and to define intervention strategies for dune protection and restoration. The methodology is based on a multidisciplinary approach that integrates the expertise of several researchers and investigates all aspects (biotic and abiotic), which drive the dune-beach system. All datasets were integrated to identify test sites for applying dune restoration. The intervention finished in April 2016; evolution and restoration efficiency will be assessed.

  4. Even low to medium nitrogen deposition impacts vegetation of dry, coastal dunes around the Baltic Sea

    NARCIS (Netherlands)

    Remke, E.; Brouwer, E.; Kooijman, A.; Blindow, I.; Esselink, H.; Roelofs, J.G.M.

    2009-01-01

    Coastal dunes around the Baltic Sea have received small amounts of atmospheric nitrogen and are rather pristine ecosystems in this respect. In 19 investigated dune sites the atmospheric wet nitrogen deposition is 3-8 kg N ha−1 yr−1. The nitrogen content of Cladonia portentosa appeared to be a

  5. Dune and ripple migration along Curiosity's traverse in Gale Crater on Mars

    Science.gov (United States)

    Silvestro, S.; Vaz, D.; Ewing, R. C.; Fenton, L. K.; Michaels, T. I.; Ayoub, F.; Bridges, N. T.

    2013-12-01

    The NASA Mars Science Laboratory (MSL) rover, Curiosity, has safely landed near a 35-km-long dark dune field in Gale Crater on Mars. This dune field lies along Curiosity's traverse to Aeolis Mons (Mt. Sharp). Here we present new evidence of aeolian activity and further estimate wind directions within the dune field through analysis of ripple migration with the COSI-Corr technique, which provides precise measurements of ripple displacement at the sub-pixel scale.The area analyzed is located ~10 km southwest of rover Curiosity's current position and ~4 km SW of its selected path through Aeolis Mons (Mt. Sharp) (Fig. 1a). Here barchan dunes with elongated horns and seif dunes coexist with more typical barchan and dome dunes (Fig. 1a, b), with slopes sculpted by two intersecting ripple crestline orientations trending at 45° and 330°. The range of dune types and ripple orientations indicate the dune field morphology is influenced by at least two winds from the NW and the NE. The direction of migration is toward the SW, suggesting the most recent sand transporting winds were from the NE (Fig. 1c). These results match previous predictions and can be used to forecast the wind conditions close to the entry point to Mt. Sharp. Fig. 1: a-b) Study area c) Ripple migration direction computed using the COSI-Corr technique

  6. Mineralogy of an Active Eolian Sediment from the Namib Dune, Gale Crater, Mars

    OpenAIRE

    Achilles, C. N.; Downs, R. T.; Ming, D. W.; Rampe, E. B.; Morris, R. V.; Treiman, A. H.; Morrison, S. M.; Blake, D. F.; Vaniman, D. T.; Ewing, R. C.; Chipera, S. J.; Yen, A. S.; Bristow, T. F.; Ehlmann, B. L.; Gellert, R.

    2017-01-01

    The Mars Science Laboratory rover, Curiosity, is using a comprehensive scientific payload to explore rocks and soils in Gale crater, Mars. Recent investigations of the Bagnold Dune Field provided the first in situ assessment of an active dune on Mars. The Chemistry and Mineralogy (CheMin) X-ray diffraction instrument on Curiosity performed quantitative mineralogical analyses of the

  7. Is succession in wet calcareous dune slacks affected by free sulfide?

    NARCIS (Netherlands)

    Adema, EB; van Gemerden, H; Grootjans, AP; Adema, Erwin B.; Grootjans, Ab P.; Rapson, G.

    Consequences of sulfide toxicity on succession in wet calcareous dune slacks were investigated. Sulfide may exert an inhibitory effect on dune slack plants, but several pioneer species exhibit ROL (Radial Oxygen Loss) and thereby protect themselves against free sulfide. Under oxic conditions free

  8. SPINIFICI-SCAEVOLETEA SERICEAE, A NEW VEGETATION CLASS FOR PSAMMOPHYTIC DUNE VEGETATION IN THAILAND

    Directory of Open Access Journals (Sweden)

    S. PIGNATII

    1996-04-01

    Full Text Available This is a short account on the coastal dune vegetation of the Gulf of Siam in Thailand. Vegetation is mainly composed by succulent creeping plants with herbaceous habit as to Canavalia maritima (Papilionaceae and Iponwea pes-caprae (Convolvulaceae and the robust stoloniferous grass Spinijex littoreus, the last having an important function for the fonnation of coastal dunes.

  9. SPINIFICI-SCAEVOLETEA SERICEAE, A NEW VEGETATION CLASS FOR PSAMMOPHYTIC DUNE VEGETATION IN THAILAND

    Directory of Open Access Journals (Sweden)

    S. PIGNATII

    1996-01-01

    Full Text Available This is a short account on the coastal dune vegetation of the Gulf of Siam in Thailand. Vegetation is mainly composed by succulent creeping plants with herbaceous habit as to Canavalia maritima (Papilionaceae and Iponwea pes-caprae (Convolvulaceae and the robust stoloniferous grass Spinijex littoreus, the last having an important function for the fonnation of coastal dunes.

  10. Restoration of Dune Habitats in Østerild Klitplantage - Baseline Monitoring 2011

    DEFF Research Database (Denmark)

    Nygaard, Bettina; Wind, Peter; Ejrnæs, Rasmus

    will lead to clear-felling of up to 266 ha coniferous dune plantations. The agreement parties decided that the vegetation development from coniferous forest to open dune habitats should be monitored. The monitoring programme includes a recording of soil conditions and plant species composition pr...

  11. Dune-slope activity due to frost and wind throughout the north polar erg, Mars.

    Science.gov (United States)

    Diniega, Serina; Hansen, Candice J; Allen, Amanda; Grigsby, Nathan; Li, Zheyu; Perez, Tyler; Chojnacki, Matthew

    2017-01-01

    Repeat, high-resolution imaging of dunes within the Martian north polar erg have shown that these dune slopes are very active, with alcoves forming along the dune brink each Mars year. In some areas, a few hundred cubic metres of downslope sand movement have been observed, sometimes moving the dune brink 'backwards'. Based on morphological and activity-timing similarities of these north polar features to southern dune gullies, identifying the processes forming these features is likely to have relevance for understanding the general evolution/modification of dune gullies. To determine alcove-formation model constraints, we have surveyed seven dune fields, each over 1-4 Mars winters. Consistent with earlier reports, we found that alcove-formation activity occurs during the autumn-winter seasons, before or while the stable seasonal frost layer is deposited. We propose a new model in which alcove formation occurs during the autumn, and springtime sublimation activity then enhances the feature. Summertime winds blow sand into the new alcoves, erasing small alcoves over a few Mars years. Based on the observed rate of alcove erasure, we estimated the effective aeolian sand transport flux. From this, we proposed that alcove formation may account for 2-20% of the total sand movement within these dune fields.

  12. Performances d'une nouvelle approche dans l'estimation au champ

    African Journals Online (AJOL)

    ACSS

    Elle possède cependant des limitations, dues à l'organisation temporaire d'une .... Performances d'une nouvelle approche dans l'estimation au champ utilisant le principe de la ... différents types de résidus (soja, luzerne, haricot et maïs) et ...

  13. Mapping gullies, dunes, lava fields, and landslides via surface roughness

    Science.gov (United States)

    Korzeniowska, Karolina; Pfeifer, Norbert; Landtwing, Stephan

    2018-01-01

    Gully erosion is a widespread and significant process involved in soil and land degradation. Mapping gullies helps to quantify past, and anticipate future, soil losses. Digital terrain models offer promising data for automatically detecting and mapping gullies especially in vegetated areas, although methods vary widely measures of local terrain roughness are the most varied and debated among these methods. Rarely do studies test the performance of roughness metrics for mapping gullies, limiting their applicability to small training areas. To this end, we systematically explored how local terrain roughness derived from high-resolution Light Detection And Ranging (LiDAR) data can aid in the unsupervised detection of gullies over a large area. We also tested expanding this method for other landforms diagnostic of similarly abrupt land-surface changes, including lava fields, dunes, and landslides, as well as investigating the influence of different roughness thresholds, resolutions of kernels, and input data resolution, and comparing our method with previously published roughness algorithms. Our results show that total curvature is a suitable metric for recognising analysed gullies and lava fields from LiDAR data, with comparable success to that of more sophisticated roughness metrics. Tested dunes or landslides remain difficult to distinguish from the surrounding landscape, partly because they are not easily defined in terms of their topographic signature.

  14. Quelques noddees sur l’ecologie de la vedetation des dunes et sur la fonction de l’enraciment dans l’edification de dunes a la Cote Mediterraneenne de la France. I

    NARCIS (Netherlands)

    Boterenbrood, A.J.; Donsellaar-Ten Bokkel Huinink, van W.A.E.; Donselaar, van J.

    1956-01-01

    Dans la végétation des dunes du Languedoc J. BRAUN-BLANQUET (1952) distingue trois associations, à savoir; 1) l’Agropyretum mediterraneum parmi et sur les premières dunes basses; 2) l’Ammophiletum arundinaceae sur les dunes plus hautes; et 3) le Crucianelletum maritimae dans les dépressions et en

  15. Sediment flux and airflow on the stoss slope of a barchan dune

    Science.gov (United States)

    Lancaster, N.; Nickling, W. G.; Neuman, C. K. McKenna; Wyatt, V. E.

    1996-09-01

    Measurements of sediment flux on the windward slope of an isolated barchan using an array of 30 sand traps provide new data that can constrain models of dune dynamics. The data show that at low wind incident speeds, flux increases up the dune exponentially, whereas at higher wind speeds the increase with distance approaches linearity. Wind profile measurements, conducted at the same time as the flux measurements, indicate that, although wind speed at a given height increases by 1.2 times from dune toe to brinkline, wind shear velocity derived from the profile data decreases up the dune and is in many cases below transport threshold values. This demonstrates that conventional wind profiles, derived from anemometry on dunes, do not measure the part of the boundary layer that is significant for sediment transport.

  16. Modelling the impact of the climatic changes on the dune erosion. The case of the Camargue

    International Nuclear Information System (INIS)

    Sabatier, F.

    2008-01-01

    Three climatic changes scenarios were investigated by an increase of energy and by the duration of an extreme storm. The wave characteristics properties and the sea level time series of the referenced storm were increased of about 5, 10 and 20 % in order to define the dune erosion. We evidenced that the wave height displays more influence on the dune erosion than the sea level. Moreover, the storm duration, over 4 days, does not play an important role on the dune erosion. However, there is no proportional relationships between a weak storm energy increase and/or duration, and dune erosion. A small increase of storm will have a large impact on dune erosion in the future. (author)

  17. Percutaneous Transluminal Angioplasty and Enclosed Thrombolysis Versus Percutaneous Transluminal Angioplasty in the Treatment of Femoropopliteal Occlusions: Results of a Prospective Randomized Trial

    International Nuclear Information System (INIS)

    Nicholson, Tony

    1998-01-01

    Purpose: To determine whether percutaneous transluminal angioplasty (PTA) and enclosed thrombolysis (ET) is superior to PTA alone in the treatment of femoropopliteal occlusions. Methods: Twenty-five patients with 5-15-cm-long occlusions in the femoropopliteal segments, with otherwise normal run-in arteries and at least one normal tibioperoneal artery to the foot, were randomized to ET/PTA or PTA alone. Ankle brachial systolic index (ABI) was measured before the procedure and at 24 hr and 12 months after the procedure, when a duplex scan was also carried out. End points in the study were patency at, or repeat intervention before, 12 months. Results: Procedures were successful in 23 of 25 patients. There was one immediate occlusion of tibioperoneal arteries, and one early reocclusion of a reopened segment in the ET/PTA group. There was one early reocclusion in the PTA group. At 12 months patency was 70% and 69.2% in the ET/PTA and PTA groups respectively. Covariant analysis showed no significant difference in ABI between the two groups at any of the three measurement times. Conclusion: This trial demonstrated no difference between ET/PTA and PTA alone in femoropopliteal occlusions associated with normal proximal arteries and at least one normal tibioperoneal artery

  18. Decreased expression of vitamin D receptors in neointimal lesions following coronary artery angioplasty in atherosclerotic swine.

    Directory of Open Access Journals (Sweden)

    Gaurav K Gupta

    Full Text Available Inflammatory cytokines, such as TNF-α, play a key role in the pathogenesis of occlusive vascular diseases. Activation of vitamin D receptors (VDR elicits both growth-inhibitory and anti-inflammatory effects. Here, we investigated the expression of TNF-α and VDR in post-angioplasty coronary artery neointimal lesions of hypercholesterolemic swine and examined the effect of vitamin D deficiency on the development of coronary restenosis. We also examined the effect of calcitriol on cell proliferation and effect of TNF-α on VDR activity and expression in porcine coronary artery smooth muscle cells (PCASMCs in-vitro.Expression of VDR and TNF-α and the effect of vitamin D deficiency in post-angioplasty coronary arteries were analyzed by immunohistochemistry and histomorphometry. Cell proliferation was examined by thymidine and BrdU incorporation assays in cultured PCASMCs. Effect of TNF-α-stimulation on the activity and expression of VDR was analyzed by luciferase assay, immunoblotting and immunocytochemistry. In-vivo, morphometric analysis of the tissues revealed typical lesions with significant neointimal proliferation. Histological evaluation showed expression of smooth muscle α-actin and significantly increased expression of TNF-α in neointimal lesions. Interestingly, there was significantly decreased expression of VDR in PCASMCs of neointimal region compared to normal media. Indeed, post-balloon angioplasty restenosis was significantly higher in vitamin D-deficient hypercholesterolemic swine compared to vitamin D-sufficient group. In-vitro, calcitriol inhibited both serum- and PDGF-BB-induced proliferation in PCASMCs and TNF-α-stimulation significantly decreased the expression and activity of VDR in PCASMCs.These data suggest that significant downregulation of VDR in proliferating smooth muscle cells in neointimal lesions could be due to atherogenic cytokines, including TNF-α. Vitamin D deficiency potentiates the development of coronary

  19. Angiography for renal artery stenosis: no additional impairment of renal function by angioplasty

    Energy Technology Data Exchange (ETDEWEB)

    Lufft, Volkmar; Fels, Lueder M.; Egbeyong-Baiyee, Daniel; Olbricht, Christoph J. [Abteilung Nephrologie, Medizinische Hochschule Hannover (Germany); Hoogestraat-Lufft, Linda; Galanski, Michael [Abteilung Diagnostische Radiologie, Medizinische Hochschule Hannover (Germany)

    2002-04-01

    The aim of this study was to compare renal function between patients with renal angiography and patients with renal angiography and angioplasty (AP) for renal artery stenosis (RAS). Forty-seven patients with suspected RAS were prospectively investigated by digital subtraction angiography (DSA) using non-ionic low osmolar contrast media (CM). In 22 patients RAS was detected and in 16 cases an angioplasty was performed in the same session. The following parameters were determined 1 day prior to and after the DSA, respectively: serum creatinine (S-Crea, {mu}mol/l) and single-shot inulin clearance (In-Cl, ml/min) for the evaluation of renal function; and urine alpha 1-microglobuline (AMG, {mu}g/g Crea) and beta-N-acetyl-glucoseaminidase (beta-NAG, U/g Crea) as markers of tubular toxicity. Serum creatinine was measured additionally 2 days after CM had been injected. In both groups with and without AP 174{+-}65 and 104{+-}56 ml of CM (p<0.0005) were used, respectively. There were no differences with regard to renal function or risk factors for CM nephrotoxicity between both groups. In the group with AP S-Crea and In-Cl (each: mean{+-}SD) did not change significantly (before DSA: 171{+-}158 and 61{+-}24, after DSA: 189{+-}177 and 61{+-}25, respectively), beta-NAG (median) rose from 4 to 14 (p<0.05) and AMG from 8 to 55 (n.s., because of high SD). In the group without AP S-Crea increased from 134{+-}109 to 141{+-}113 (p<0.01), In-Cl dropped from 65{+-}26 to 62{+-}26 (p<0,01), beta NAG (median) rose from 4 to 8 (p=0.01), and AMG from 7 to 10 (n.s.). A rise in baseline S-Crea by more than 25% or 44 {mu}mol/l occurred in 4 and 2 patients in the group with and without AP, respectively. Creatinine increase was reversible in all cases within 7 days. In this study using sensitive methods to detect changes of renal function and tubular toxicity no additional renal function impairment in DSA with angioplasty for RAS compared with DSA alone could be demonstrated. Our data suggest

  20. Angiography for renal artery stenosis: no additional impairment of renal function by angioplasty

    International Nuclear Information System (INIS)

    Lufft, Volkmar; Fels, Lueder M.; Egbeyong-Baiyee, Daniel; Olbricht, Christoph J.; Hoogestraat-Lufft, Linda; Galanski, Michael

    2002-01-01

    The aim of this study was to compare renal function between patients with renal angiography and patients with renal angiography and angioplasty (AP) for renal artery stenosis (RAS). Forty-seven patients with suspected RAS were prospectively investigated by digital subtraction angiography (DSA) using non-ionic low osmolar contrast media (CM). In 22 patients RAS was detected and in 16 cases an angioplasty was performed in the same session. The following parameters were determined 1 day prior to and after the DSA, respectively: serum creatinine (S-Crea, μmol/l) and single-shot inulin clearance (In-Cl, ml/min) for the evaluation of renal function; and urine alpha 1-microglobuline (AMG, μg/g Crea) and beta-N-acetyl-glucoseaminidase (beta-NAG, U/g Crea) as markers of tubular toxicity. Serum creatinine was measured additionally 2 days after CM had been injected. In both groups with and without AP 174±65 and 104±56 ml of CM (p<0.0005) were used, respectively. There were no differences with regard to renal function or risk factors for CM nephrotoxicity between both groups. In the group with AP S-Crea and In-Cl (each: mean±SD) did not change significantly (before DSA: 171±158 and 61±24, after DSA: 189±177 and 61±25, respectively), beta-NAG (median) rose from 4 to 14 (p<0.05) and AMG from 8 to 55 (n.s., because of high SD). In the group without AP S-Crea increased from 134±109 to 141±113 (p<0.01), In-Cl dropped from 65±26 to 62±26 (p<0,01), beta NAG (median) rose from 4 to 8 (p=0.01), and AMG from 7 to 10 (n.s.). A rise in baseline S-Crea by more than 25% or 44 μmol/l occurred in 4 and 2 patients in the group with and without AP, respectively. Creatinine increase was reversible in all cases within 7 days. In this study using sensitive methods to detect changes of renal function and tubular toxicity no additional renal function impairment in DSA with angioplasty for RAS compared with DSA alone could be demonstrated. Our data suggest that AP performed for RAS has

  1. Sedimentary processes of the Bagnold Dunes: Implications for the eolian rock record of Mars

    Science.gov (United States)

    Ewing, R. C.; Lapotre, M. G. A.; Lewis, K. W.; Day, M.; Stein, N.; Rubin, D. M.; Sullivan, R.; Banham, S.; Lamb, M. P.; Bridges, N. T.; Gupta, S.; Fischer, W. W.

    2017-12-01

    The Mars Science Laboratory rover Curiosity visited two active wind-blown sand dunes within Gale crater, Mars, which provided the first ground-based opportunity to compare Martian and terrestrial eolian dune sedimentary processes and study a modern analog for the Martian eolian rock record. Orbital and rover images of these dunes reveal terrestrial-like and uniquely Martian processes. The presence of grainfall, grainflow, and impact ripples resembled terrestrial dunes. Impact ripples were present on all dune slopes and had a size and shape similar to their terrestrial counterpart. Grainfall and grainflow occurred on dune and large-ripple lee slopes. Lee slopes were 29° where grainflows were present and 33° where grainfall was present. These slopes are interpreted as the dynamic and static angles of repose, respectively. Grain size measured on an undisturbed impact ripple ranges between 50 μm and 350 μm with an intermediate axis mean size of 113 μm (median: 103 μm). Dissimilar to dune eolian processes on Earth, large, meter-scale ripples were present on all dune slopes. Large ripples had nearly symmetric to strongly asymmetric topographic profiles and heights ranging between 12 cm and 28 cm. The composite observations of the modern sedimentary processes highlight that the Martian eolian rock record is likely different from its terrestrial counterpart because of the large ripples, which are expected to engender a unique scale of cross stratification. More broadly, however, in the Bagnold Dune Field as on Earth, dune-field pattern dynamics and basin-scale boundary conditions will dictate the style and distribution of sedimentary processes.

  2. Characteristics of dune-paleosol-sequences in Fuerteventura. - What should be questioned?

    Science.gov (United States)

    Faust, Dominik; Willkommen, Tobias; Yanes, Yurena; Richter, David; Zöller, Ludwig

    2013-04-01

    Characteristics of dune-paleosol-sequences in Fuerteventura. - What should be questioned? Dominik Faust, TU Dresden, Germany Tobias Willkommen, TU Dresden, Germany Yurena Yanes, CSIC Granada/Cincinatti, Spain/USA David Richter, TU Dresden, Germany Ludwig Zöller, Uni Bayreuth, Germany The northern part of Fuerteventura is characterized by large dune fields. We investigated dune-paleosol-sequences in four pits to establish a robust stratigraphy and to propose a standard section. An interaction of processes like dune formation, soil formation and redeposition of soils and sand are most important to understand the principles of landscape development in the study area. To our mind a process cycle seem to be important: First climbing-dunes are formed by sand of shelf origin. Then soil formation could have taken place. Soil and/or sand were then eroded and deposited at toe slope position. This material in turn is the source of new sand supply and dune formation. The described cycle may be repeated several times and this ping-pong-process holds on. The results are sections composed of dune layers, paleosols and colluvial material interbedded. Fundamental questions still remain unanswered: Is climate change responsable for changes in process combination (e.g. from dune formation to soil formation)? Or are these features due to divergence phenomenon, where different effects/results (dune and soils) may be linked to similar causes (here: climate)? Assuming that different features (soils and dunes) were formed under one climate, increasing soil forming intensity could be mainly a function of decreasing sand supply. This in turn could be caused by reduced sand production (s. ZECH et al. accepted). However geochemical data and mollusc assemblages point to changing environments in space and even climate modifications in time.

  3. Sedimentary processes of the Bagnold Dunes: Implications for the eolian rock record of Mars.

    Science.gov (United States)

    Ewing, R C; Lapotre, M G A; Lewis, K W; Day, M; Stein, N; Rubin, D M; Sullivan, R; Banham, S; Lamb, M P; Bridges, N T; Gupta, S; Fischer, W W

    2017-12-01

    The Mars Science Laboratory rover Curiosity visited two active wind-blown sand dunes within Gale crater, Mars, which provided the first ground-based opportunity to compare Martian and terrestrial eolian dune sedimentary processes and study a modern analog for the Martian eolian rock record. Orbital and rover images of these dunes reveal terrestrial-like and uniquely Martian processes. The presence of grainfall, grainflow, and impact ripples resembled terrestrial dunes. Impact ripples were present on all dune slopes and had a size and shape similar to their terrestrial counterpart. Grainfall and grainflow occurred on dune and large-ripple lee slopes. Lee slopes were ~29° where grainflows were present and ~33° where grainfall was present. These slopes are interpreted as the dynamic and static angles of repose, respectively. Grain size measured on an undisturbed impact ripple ranges between 50 μm and 350 μm with an intermediate axis mean size of 113 μm (median: 103 μm). Dissimilar to dune eolian processes on Earth, large, meter-scale ripples were present on all dune slopes. Large ripples had nearly symmetric to strongly asymmetric topographic profiles and heights ranging between 12 cm and 28 cm. The composite observations of the modern sedimentary processes highlight that the Martian eolian rock record is likely different from its terrestrial counterpart because of the large ripples, which are expected to engender a unique scale of cross stratification. More broadly, however, in the Bagnold Dune Field as on Earth, dune-field pattern dynamics and basin-scale boundary conditions will dictate the style and distribution of sedimentary processes.

  4. Sand dune of Ruby, Arizona, an anthropogenically created biodiversity hotspot for wasps and their velvet ant parasitoids

    Science.gov (United States)

    Justin O. Schmidt

    2013-01-01

    A large artificial sand dune composed of finely crushed mine tailings was produced by deep mining operations at Ruby, Arizona. Today, the ghost town of Ruby is an important historical location and biodiversity refuge, with the newly formed dune forming the core of the refuge. The dune provides ideal nesting habitat for at least 13 species of sand-loving wasps,...

  5. Temporal development of vegetation and geomorphology in a man-made beach-dune system by natural processes

    DEFF Research Database (Denmark)

    Vestergaard, Peter

    2006-01-01

    with F. rubra and the invasive alien Rosa rugosa. It was concluded, that the main trends in the geomorphological and vegetational development of the man-made beach-dune system is similar to the development in natural dunes. In the future, further accretion and seaward dune formation may be expected...

  6. Restoration of wet dune slacks on the Dutch Wadden Sea islands : Recolonization after large-scale sod cutting

    NARCIS (Netherlands)

    Grootjans, AP; Everts, H; Bruin, K; Fresco, L; Grootjans, Ab P.

    The effects of sod cutting were studied in a dune area on the Dutch Wadden Sea Island of Texel. Sod cutting was carried out in a range of different dune slacks in order to restore dune slack vegetation with many endangered Red List species. Sod cutting removed approximately 96% of the soil seed

  7. Restoration of Wet Dune Slacks on the Dutch Wadden Sea Islands: Recolonization After Large-Scale Sod Cutting

    NARCIS (Netherlands)

    Grootjans, A.P.; Everts, H.; Bruin, K.; Fresco, L.

    2011-01-01

    The effects of sod cutting were studied in a dune area on the Dutch Wadden Sea Island of Texel. Sod cutting was carried out in a range of different dune slacks in order to restore dune slack vegetation with many endangered Red List species. Sod cutting removed approximately 96% of the soil seed

  8. Does salt stress constrain spatial distribution of dune building grasses Ammophila arenaria and Elytrichia juncea on the beach?

    NARCIS (Netherlands)

    Puijenbroek, van M.E.B.; Teichmann, C.; Meijdam, Noortje; Oliveras Menor, I.; Berendse, F.; Limpens, J.

    2017-01-01

    Rising sea levels threaten coastal safety by increasing the risk of flooding. Coastal dunes provide a natural form of coastal protection. Understanding drivers that constrain early development of dunes is necessary to assess whether dune development may keep pace with sea-level rise. In this study,

  9. Parabolic dune development modes according to shape at the southern fringes of the Hobq Desert, Inner Mongolia, China

    Science.gov (United States)

    Guan, Chao; Hasi, Eerdun; Zhang, Ping; Tao, Binbin; Liu, Dan; Zhou, Yanguang

    2017-10-01

    Since the 1970s, parabolic dunes at the southern fringe of the Hobq Desert, Inner Mongolia, China have exhibited many different shapes (V-shaped, U-shaped, and palmate) each with a unique mode of development. In the study area, parabolic dunes are mainly distributed in Regions A, B, and C with an intermittent river running from the south to the north. We used high-resolution remote-sensing images from 1970 to 2014 and RTK-GPS measurements to study the development modes of different dune shapes; the modes are characterized by the relationship between the intermittent river and dunes, formation of the incipient dune patterns, the predominant source supply of dunes, and the primary formation of different shapes (V-shaped, U-shaped, and palmate). Most parabolic dunes in Region A are V-shaped and closer to the bank of the river. The original barchans in this region exhibit "disconnected arms" behavior. With the sand blown out of the riverbed through gullies, the nebkhas on the disconnected arms acquire the external sand source through the "fertile island effect", thereby developing into triangular sand patches and further developing into V-shaped parabolic dunes. Most parabolic dunes in Regions B and C are palmate. The residual dunes cut by the re-channelization of river from transverse dune fields on the west bank are the main sand source of Region B. The parabolic dunes in Region C are the original barchans having then been transformed. The stoss slopes of V-shaped parabolic dunes along the riverbank are gradual and the dunes are flat in shape. The dune crest of V-shaped parabolic dune is the deposition area, which forms the "arc-shaped sand ridge". Their two arms are non-parallel; the lateral airflow of the arms jointly transport sand to the middle part of dunes, resulting in a narrower triangle that gradually becomes V-shaped. Palmate parabolic dunes have a steeper stoss slope and height. The dune crest of the palmate parabolic dune is the erosion area, which forms

  10. Rupture of the Renal Artery After Cutting Balloon Angioplasty in a Young Woman With Fibromuscular Dysplasia

    International Nuclear Information System (INIS)

    Oguzkurt, Levent; Tercan, Fahri; Gulcan, Oner; Turkoz, Riza

    2005-01-01

    A 24-year-old woman with uncontrollable high blood pressure for 3 months had significant stenosis of the left renal artery caused by fibromuscular dysplasia (FMD). The lesion was resistant to percutaneous transluminal angioplasty at 18 atm with a semicompliant balloon. Angioplasy with a 6 x 10 mm cutting balloon (CB) caused rupture of the artery. Low-pressure balloon inflation decreased but did not stop the leak. An attempt to place a stent-graft (Jostent; Jomed, Rangendingen, Germany) failed, and a bare, 6-mm balloon-expandable stent (Express SD; Boston Scientific, MN) was deployed to seal the leak, which had decreased considerably after long-duration balloon inflation. The bleeding continued, and the patient underwent emergent surgical revascularization of the renal artery with successful placement of a 6-mm polytetrafluoroethylene bypass graft. CBs should be used very carefully in the treatment of renal artery stenosis, particularly in patients with FMD

  11. Duplex evaluation following femoropopliteal angioplasty and stenting: criteria and utility of surveillance.

    Science.gov (United States)

    Baril, Donald T; Marone, Luke K

    2012-07-01

    Surveillance following lower extremity bypass, carotid endarterectomy, and endovascular aortic aneurysm repair has become the standard of care at most institutions. Conversely, surveillance following lower extremity endovascular interventions is performed somewhat sporadically in part because the duplex criteria for recurrent stenoses have been ill defined. It appears that duplex surveillance after peripheral endovascular interventions, as with conventional bypass, is beneficial in identifying recurrent lesions which may preclude failure and occlusion. In-stent stenosis following superficial femoral artery angioplasty and stenting can be predicted by both peak systolic velocity and velocity ratio data as measured by duplex ultrasound. Duplex criteria have been defined to determine both ≥50% in-stent stenosis and ≥80% in-stent stenosis. Although not yet well studied, it appears that applying these criteria during routine surveillance may assist in preventing failure of endovascular interventions.

  12. Iatrogenic Subtotal Stenosis of the Right Subclavian Artery Treated With Percutaneous Transluminal Angioplasty

    International Nuclear Information System (INIS)

    Smeenk, Robert M.; Kock, Mark C. J. M.; Elgersma, Otto E. H.; Schnater, Marco J.

    2011-01-01

    This report describes a rare vascular complication of surgical placement of a marking clip and a possible approach to problem solving. A 55-year-old patient presented with loss of sensation in the fingers and loss of peripheral pulsations in the right arm 4 days after right upper lobectomy for a pT2N1 moderately differentiated adenocarcinoma of the lung. Duplex examination and computed tomography were performed the same day and showed a subtotal stenosis of the right subclavian artery, which was caused by the surgical placement of a metal clip to mark the surgical boundary. Selective angiography was subsequently performed. Percutaneous transluminal angioplasty (PTA) successfully dilated the stenosis and pushed the clip off. Flow in the right subclavian artery (RSA) was completely restored as were neurology and peripheral pulses. In conclusion, arterial stenosis by a surgical (marking) clip may be feasibly treated with PTA.

  13. Longitudinal outcomes after tibioperoneal angioplasty alone compared to tibial stenting and atherectomy for critical limb ischemia.

    Science.gov (United States)

    Reynolds, Shaun; Galiñanes, Edgar Luis; Dombrovskiy, Viktor Y; Vogel, Todd R

    2013-10-01

    There are limited data available evaluating longitudinal outcomes after tibioperoneal angioplasty (TA) alone compared to adjunctive tibial procedures including stenting and atherectomy. Using the Centers for Medicare & Medicaid Services inpatient claims (2005-2007), patients evaluated TA only, TA plus stent placement (TA + S), and TA plus atherectomy (TA + A). A total of 2080 patients with critical limb ischemia underwent percutaneous tibioperoneal intervention for the indication of ulceration. Procedures included TA (56.3%), TA + S (16.2%), and TA + A (27.5%). Rates of amputation were not statistically different between the groups at 30, 90, and 365 days after the intervention. Mean total hospital charges were TA ($35,867), TA + A ($41,698; P = .0004), and TA + S ($51,040; P atherectomy for ulceration demonstrated no improvement in limb salvage. Future analysis of adjunctive tibioperoneal interventions is essential to temper cost, as they fail to improve long-term limb salvage.

  14. Percutaneous transluminal angioplasty in the region of the renal artery: indications, technique and results

    Energy Technology Data Exchange (ETDEWEB)

    Olbert, F; Ogris, E; Muzika, N; Schlegl, A; Vacariu, O; Diez, W

    1985-01-01

    The paper reports the results obtained by percutaneous transluminal angioplasty (PTA) in the treatment of renal artery stenosis in 25 patients with secondary hypertension and discusses indications and the technique used. The follow-up period ranged from 0.5 to 12 months. All interventions were performed with the Olbert catheter system. Following PTA a significant decrease in systolic, diastolic and mean arterial pressure was observed in nearly all patients. The response of the plasma renin activity (PRA) to orthostatic stimulation and pharmacological stimulation by furosemide was determined in a subset of 15 patients before and after PTA. A significant decrease in both basal and stimulated PRA values was observed subsequent to PTA. The decrease in PRA values after successful PTA did not, however, correlate with the extent of the blood pressure changes. (Author).

  15. Percutaneous transluminal angioplasty in the region of the renal artery: indications, technique and results

    International Nuclear Information System (INIS)

    Olbert, F.; Ogris, E.; Muzika, N.; Schlegl, A.; Vacariu, O.; Diez, W.

    1985-01-01

    The paper reports the results obtained by percutaneous transluminal angioplasty (PTA) in the treatment of renal artery stenosis in 25 patients with secondary hypertension and discusses indications and the technique used. The follow-up period ranged from 0.5 to 12 months. All interventions were performed with the Olbert catheter system. Following PTA a significant decrease in systolic, diastolic and mean arterial pressure was observed in nearly all patients. The response of the plasma renin activity (PRA) to orthostatic stimulation and pharmacological stimulation by furosemide was determined in a subset of 15 patients before and after PTA. A significant decrease in both basal and stimulated PRA values was observed subsequent to PTA. The decrease in PRA values after successful PTA did not, however, correlate with the extent of the blood pressure changes. (Author)

  16. After the Dawn - Balloon Pulmonary Angioplasty for Patients With Chronic Thromboembolic Pulmonary Hypertension.

    Science.gov (United States)

    Ogawa, Aiko; Matsubara, Hiromi

    2018-04-25

    In the past 5 years, balloon pulmonary angioplasty (BPA) for patients with chronic thromboembolic pulmonary hypertension (CTEPH) who are deemed inoperable has undergone significant refinement. As a result, the procedure is now used worldwide and has become a promising therapeutic option for those patients. However, pulmonary endarterectomy remains the gold standard treatment for patients with CTEPH because the techniques and strategies for BPA are not yet unified. The best therapeutic option for each patient should be determined based on discussion among a multidisciplinary team of experts. For BPA to become an established treatment for CTEPH, further data are needed. This review summarizes the techniques and strategies of BPA at present and discusses the future development of the procedure.

  17. Comparison of angiography and intravascular ultrasound before and after balloon angioplasty of the femoropopliteal artery

    International Nuclear Information System (INIS)

    Lankeren, Winnifred van; Gussenhoven, Elma J.; Pieterman, Herman; Sambeek, Marc R. H. M. van; Lugt, Aad van der

    1998-01-01

    Purpose: To compare angiographic and intravascular ultrasound (IVUS) data before and after balloon angioplasty (PTA) of the femoropopliteal artery.Methods: Qualitative and quantitative analyses were performed on corresponding angiographic and IVUS levels obtained from 135 patients.Results: IVUS detected more lesions, calcified lesions, and vascular damage than angiography. Sensitivity of angiography was good for the presence of a lesion (84%), moderate for eccentric lesions (53%) and for vascular damage (52%), and poor for calcified lesions (30%). The increase in angiographic diameter stenosis was associated with a decrease in lumen area and increase in percentage area stenosis on IVUS.Conclusions: Angiography is less sensitive than IVUS for detecting lesion eccentricity, calcified lesions, and vascular damage. Presence of a lesion and amount of plaque were underestimated angiographically. Only before PTA was good agreement found between angiographic diameter stenosis and lumen size on IVUS.

  18. Percutaneous transluminal angioplasty of renal artery: therapeutic experience of 31 patients

    International Nuclear Information System (INIS)

    Kim, Seung Cheol; Park, Jae Hyung; Chung, Jin Wook; Han, Joon Koo; Kim, Hong Dae; Jeong, Yoong Ki; Kim, Seung Hoon; Yeon, Kyung Mo

    1995-01-01

    The purpose of this study is to introduce the experience of 31 patients who had renovascular hypertension and underwent percutaneous transluminal angioplasty of renal artery (PTA). The subjects were 31 patients with hypertension and stenotic renal artery or arteries on angiography. The criteria of stenosis is more than 50% narrowing of the artery. The technical results were considered to be successful if residual stenosis is less than 50%. The clinical results were classified as cure, improvement and fail. And clinical results were analyzed according to the follow-up duration, short term (≤6 mo) and long term (> 6 mo). Technical success rate was 90.2% (37/41) and clinical success rate were 82.8% (24/29) on short term follow-up and 84.2% (16/19) on long term follow-up. Recurred cases were 7 cases. PTA is a safe and effective therapeutic modality on renovascular hypertension

  19. Laboratory studies of dune sand for the use of construction industry in Sri Lanka

    Science.gov (United States)

    de Silva Jayawardena, Upali; Wijesuriya, Roshan; Abayaweera, Gayan; Viduranga, Tharaka

    2015-04-01

    With the increase of the annual sand demand for the construction industry the excessive excavation of river sand is becoming a serious environmental problem in Sri Lanka. Therefore, it is necessary to explore the possibility for an alternative to stop or at least to minimize river sand mining activities. Dune sand is one of the available alternative materials to be considered instead of river sand in the country. Large quantities of sand dunes occur mainly along the NW and SE coastal belt which belong to very low rainfall Dry Zone coasts. The height of dune deposits, vary from 1m to about 30 meters above sea level. The objective of this paper is to indicate some studies and facts on the dune sand deposits of Sri Lanka. Laboratory studies were carried out for visual observations and physical properties at the initial stage and then a number of tests were carried out according to ASTM standards to obtain the compressive strength of concrete cylinders and mortar cubes mixing dune sand and river sand in different percentages keeping a constant water cement ratio. Next the water cement ratio was changed for constant dune sand and river sand proportion. Microscopic analysis shows that the dune sand consist of 95 % of quartz and 5 % of garnet, feldspar, illmenite and other heavy minerals with clay, fine dust, fine shell fragments and organic matters. Grains are sub-rounded to angular and tabular shapes. The grain sizes vary from fine to medium size of sand with silt. The degree of sorting and particle size observed with dune sands are more suited with the requirement of fine aggregates in the construction industry. The test result indicates that dune sand could be effectively used in construction work without sieving and it is ideal for wall plastering due to its'-uniformity. It could also be effectively used in concrete and in mortars mixing with river sand. The best mixing ratio is 75% dune sand and 25% river sand as the fine aggregate of concrete. For mortar the mixing

  20. MYOCARDIAL PERFUSION ASSESSMENT IN FORECASTING EFFECT OF CORONARY ANGIOPLASTY IN PATIENTS WITH ISCHEMIC CHRONIC HEART FAILURE

    Directory of Open Access Journals (Sweden)

    A. B. Mironkov

    2015-01-01

    Full Text Available Aim. To define influence of the left ventricle (LV perfusion defects on the clinical status dynamics after coronary angioplasty in patients with the expressed myocardium dysfunction of ischemic etiology. Materials and methods. Examined 86 patients (81 men and 5 women aged from 46 to 73 years before and in 2–3 days after percutaneous coronary intervention with diagnosis: CAD, CHF with NYHA class III–IV, echocardiography parameters of LV: ejection fraction less than 40%, end-diastolic volume is more than 200 ml. Perfusion defects of myocardium estimated with use of ECG-gated single photon emission computed tomography. Predictors were defined: perfusion defects on LV apex (in score, perfusion defects in the area of LAD, LCx and RCA (%, the LV global perfusion defects (in score and %. Results. In 42% of cases 6-minute walk test increased to 3 times; The NYHA class decreased by 2 classes (group 1. In 28 cases 6-minute walk test increased to 2 times and the NYHA class decreased on 1 class. In 22 patients 6-minute walk test increased less than 50% of reference values and there was no dynamics NYHA class (50 patients of the group 2. Initial extent of LV global perfusion defects in group 1 – 41,2 ± 4,0%, in group 2 – 58,3 ± 2,4% (р = 0,0004. Similar values are received for perfusion indicators in the area of LAD and the LV apex. Prevalence of myocardial perfusion defects at rest reflects prevalence of a cardiosclerosis in a cardiac muscle. Conclusion. Degree of LV myocardial perfusion defects in patients with the expressed heart failure of ischemic etiology is the key indicator influencing clinical efficiency of coronary angioplasty. Critical size for definition of the favorable forecast of revascularization are 60% and more perfusion defects testifying that in a cardiac muscle the focal cardiosclerosis prevails over the functioning myocardium. 

  1. Impact of the Intracoronary Rendezvous technique on coronary angioplasty for chronic total occlusion.

    Science.gov (United States)

    Nihei, Taro; Yamamoto, Yoshito; Kudo, Shun; Hanawa, Kenichiro; Hasebe, Yuhi; Takagi, Yusuke; Minatoya, Yutaka; Sugi, Masafumi; Shimokawa, Hiroaki

    2017-10-01

    The Rendezvous technique, which requires bidirectional wiring, is one of the useful methods for improving the success rate of recanalization for chronic total occlusion (CTO) in the field of peripheral intervention. Recently, advanced new devices for percutaneous coronary intervention have enabled us to perform the Rendezvous technique for peripheral as well as for coronary CTO lesions. We used the Intracoronary Rendezvous technique to perform angioplasty for coronary CTO. "Intracoronary Rendezvous" means that Rendezvous was achieved within the CTO lesion. From March 2009 to November 2015, 189 patients underwent CTO angioplasty at our institute, and we treated 10 patients with the Intracoronary Rendezvous technique. This technique involves crossing the Gaia series guidewire to the contralateral Corsair microcatheter located inside the plaque of CTO lesions. The majority of the CTO sites examined were in the proximal RCA (60 %). Lesion length of the occlusion was relatively long (64.4 ± 12.2 mm). Using the biplane imaging system, we were able to control the Gaia guidewires in a specific direction. Furthermore, if the antegrade and retrograde wires can be advanced into contiguous space inside the CTO lesion, we intentionally entered either wire into the contralateral Corsair microcatheter, followed by successful CTO crossing. CTO recanalization was completed for all patients without controlled antegrade retrograde subintimal tracking (CART) or reverse CART. No major complications occurred during hospitalization. These results indicate that the Rendezvous technique, assisted by new devices and a biplane imaging system, represents one of the primary options to achieve successful coronary CTO recanalization.

  2. Critical appraisal of paclitaxel balloon angioplasty for femoral-popliteal arterial disease.

    Science.gov (United States)

    Herten, Monika; Torsello, Giovanni B; Schönefeld, Eva; Stahlhoff, Stefan

    2016-01-01

    Peripheral arterial disease, particularly critical limb ischemia, is an area with urgent need for optimized therapies because, to date, vascular interventions often have limited life spans. In spite of initial encouraging technical success after femoropopliteal percutaneous transluminal angioplasty or stenting, postprocedural restenosis remains the major problem. The challenging idea behind the drug-coated balloon (DCB) concept is the biological modification of the injury response after balloon dilatation. Antiproliferative drugs administered via DCBs or drug-eluting stents are able to suppress neointimal hyperplasia, the main cause of restenosis. This article reviews the results of DCB treatments of femoropopliteal and infrapopliteal lesions in comparison to standard angioplasty with uncoated balloons. A systematic literature search was performed in 1) medical journals (ie, MEDLINE), 2) international registers for clinical studies (ie, www.clinicaltrials.gov), and 3) abstracts of scientific sessions. Several controlled randomized trials with follow-up periods of up to 5 years demonstrated the efficacy of paclitaxel -DCB technology. However, calcified lesions seem to affect the efficacy of DCB. Combinations of preconditioning methods with DCBs showed promising results. Although the mechanical abrasion of calcium via atherectomy or laser ablation showed favorable periprocedural results, the long-term impact on restenosis and clinical outcome has to be demonstrated. Major advantages of the DCBs are the rapid delivery of drug at uniform concentrations with a single dose, their efficacy in areas wherein stents have been contraindicated until now (ie, bifurcation, ostial lesions), and in leaving no stent scaffold behind. Reinterventions are easier to perform because DCBs leave no metal behind. Various combinations of DCBs with other treatment modalities may prove to be viable options in future. The follow-up results of clinical studies will evaluate the long-term impact

  3. Percutaneous transluminal angioplasty combining intraarterial drug perfusion for the treatment of chronic lower limb ischemia

    International Nuclear Information System (INIS)

    Liu Yuan; He Chunshui; Liao Huaqiang; Zeng Wei; Zhang Hongwei; Liu Yang; Mu Yan; Liao Huaqiang; Guan Yongsong

    2008-01-01

    Objective: To evaluate the clinical effects of balloon angioplasty in combination with intraarterial perfusion of vasoactive drugs in the treatment of chronic lower limb ischemia. Methods: A total of 21 patients were treated with percutaneous transfemoral or transaxillary approach of balloon dilatation of the occlusive arterial segments, and then followed by perfusion of urokinase, Lipo prostaglandin E 1 and ginkgo leaf injection, respectively, into the responsible arteries via the catheter. Postoperatively, some of the patients with tibioperoneal arteries occlusion were perfused with the same drugs into their diseased arterial segments, one time per day altogether 5-7 times, through the ipsilateral femoral arterial sheath reserved temporarily, and then followed by observation for improvement of ischemia, superficial ulceration and gangrenous change. Results: Of the 21 patients, 20 were successfully treated with percutaneous transluminal balloon dilation and arterial perfusion with a technical successful rate of 95.2% (20/21). Five of the total 20 were additionally treated with the same drugs perfusion 5-7 days through the retained sheath, showing well patency. No serious complications occurred and ischemic symptoms of limbs improved, such as rest pain, claudication and dermo temperature. During 2-7 months follow-up, healing of skin ulcer occurred in 4 patients and breakoff of necrotic digits in 2 with the surface wound healed. Necrotic toes in all patients were dehydrated with stopping of necrosis and without any amputation. Conclusions: Percutaneous transluminal angioplasty combining intraarterial drug perfusion is safe and effective for promoting blood circulation with healing of ulceration and ceasing the development of lesions; with furthermore of maintaining the arterial patency through the retained vascular sheath for sustaining the drug plerfusion. (authors)

  4. Angioplasty and stent placement in the treatment of radiation-induced arterial injury

    International Nuclear Information System (INIS)

    Liu Pengcheng; Pierre, P.; Philippe, O.; Danial, C.; Jean-Paul, B.; Cyril, B.; Jean-Pierre, C.; Denis, K.; Helve, R.; Francis, J.

    1999-01-01

    Objective: Evaluation of therapeutic efficacy and longterm patency of angioplasty and stent for the treatment of radiation induced arterial disease. Methods: PTA was attempted in 18 arterial lesions following irradiation in 14 patients. Thirteen stents were placed in 8 patients to treat occlusion (n = 3), aneurysm (n = 1), residual stenosis (n =2), multiple stenoses (n = 1), and delayed restenosis after previous balloon angioplasty (n = 1). The stents were readily visualized and patency of the stent and the target artery determined with Doppler US and (or) CT in all patients. Results: Interventional procedure was successful in 14 patients of which 8 underwent stent placement for their arterial lesions. Eleven of these patients demonstrated primary patency with relief of clinical symptoms with a mean follow-up of 2 years (range, 8 months -60 months). Clinical improvement was noted for the other patients. Eleven patients underwent PTA once or twice. One patient had PTA four times and three stents were installed, two of which were in the area of the aortic bifurcation, and one in the celiac trunk. another patient also had PTA four times and two stents were placed in the superior mesenteric artery. A stent was implanted in one patient because of PTA induced dissection and occlusion, and the arterial lesion was considered to be cured clinically after a follow-up of 5 years. Conclusions: The results suggested that PTA with single or multiple techniques may be effective immediately in the treatment of arterial lesions caused by radiation and can be considered the first therapeutic option in these cases

  5. Percutaneous Transluminal Angioplasty of Renal Artery Fibromuscular Dysplasia: Mid-term Results

    International Nuclear Information System (INIS)

    Kim, Hyo Jin; Do, Young Soo; Shin, Sung Wook; Park, Kwang Bo; Cho, Sung Ki; Choe, Yeon Hyeon; Choo, Sung Wook; Choo, In Wook; Kim, Duk Kyung

    2008-01-01

    To evaluate mid-term imaging, clinical follow-up, and restenosis rates from patients that had undergone percutaneous transluminal renal artery angioplasty (PTRA) for symptomatic renal artery fibromuscular dysplasia (FMD). Between March 1999 and July 2006, 16 consecutive renal artery FMD patients underwent PTRA for poorly controlled hypertension. The patients were enrolled into this retrospective study after receiving 19 primary and four secondary PTRAs in 19 renal artery segments. Follow-up monitoring of blood pressure, use of antihypertensive medication, and the serum creatinine level after PTRA were assessed at 1, 3, 6, 9, 12 months, and each following year. The degree of restenosis was evaluated with computed tomographic angiography (CTA) after PTRA at 6, 12 months, and every year if possible. Technical and clinical success rates for the treatment of FMD, and restenosis rates for the renal artery were evaluated. The technical success rate for primary PTRA was 79% (15/19) and the complication rate was 16% (3/19). Hypertension improved in 80% (12/15) of the patients after four weeks follow-up, and was finally cured or improved in 93% (14/15) during the mean follow-up period of 23.6 months. There was a cumulative 22% (4/18) restenosis rate during the follow-up period. All of the patients were treated with a second PTRA without complications and all of the patients were cured of hypertension after the second PTRA. Percutaneous transluminal renal artery angioplasty for clinically symptomatic renal FMD is technically and clinically successful and safe to perform. For all patients with restenosis, there was a good response after undergoing a second PTRA

  6. Patient Experience, Pain, and Quality of Life after Lower Limb Angioplasty: A Multisite Prospective Cohort Study

    Energy Technology Data Exchange (ETDEWEB)

    Culverwell, A. D., E-mail: adamculverwell@doctors.net.uk [Leeds General Infirmary (United Kingdom); Tapping, C. R.; Ettles, D. F. [Hull Royal Infirmary (United Kingdom); Kessel, D. [Leeds General Infirmary (United Kingdom)

    2012-08-15

    Purpose: To explore the experience of patients undergoing endovascular lower limb angioplasty and evaluate the improvements in quality of life and disease-related symptoms after the procedure. Methods: Patients completed a questionnaire before treatment and three questionnaires after the procedure (immediately after the procedure, and again 4 weeks and 3 months later). Anxiety, patient understanding, procedure-related pain, and disease-related pain were assessed by a visual analog score (VAS). Complications, analgesic requirements, and satisfaction were recorded. Changes to quality of life were assessed by the validated SF36 questionnaire. Results: A total of 88 patients (41%) responded. Overall, disease-related pain decreased over 3 months after the procedure. Smokers had more pain both before and after the procedure (P < 0.05). Explanation was considered better if provided by radiologist (P < 0.05). Sixty-nine percent of patients found the procedures less painful (mean VAS 2.5) than they had anticipated (VAS 5.5). Fifty percent of patients experienced adverse effects related to their puncture site, but this was highest among patients who had undergone the procedure before and smokers. The greatest quality-of-life improvements were in emotional and general health. Higher levels of disease-related pain were associated with worse general, emotional, and physical health (P < 0.05). Conclusion: Lower limb angioplasty provides symptomatic and quality-of-life improvements. Implementation of simple measures could improve patient satisfaction-for example, treatment should be explained by the radiologist in advance. Routine prescription of analgesics with particular attention to smokers and those undergoing repeat interventions is suggested.

  7. Outpatient angioplasty and stenting facilitated by percutaneous arterial suture closure devices

    International Nuclear Information System (INIS)

    Wilde, N.T.; Bungay, P.; Johnson, L.; Asquith, J.; Butterfield, J.S.; Ashleigh, R.J.

    2006-01-01

    Aim: To review our practice of outpatient percutaneous vascular interventions facilitated by an arterial suture device. Materials and methods: A retrospective review of all patients attending this tertiary centre for iliac or femoral intervention was undertaken between February 2001 and December 2004. All patients who underwent angioplasty or stenting had their puncture sites closed using a Perclose suture. Patients were kept flat for 15 min and allowed to fully mobilize at 60 min. Puncture sites were scored for visible bruising, haematoma and pain at discharge and on outpatient follow-up. Patient preference for future outpatient treatment was assessed. Results: Fifty-seven outpatients underwent 81 punctures. Forty-eight (84%) patients underwent iliac angioplasty; of those 42% underwent stent placement. Six patients (10%) required inpatient admission, five secondary to failed suture deployment. One patient had a non-closer-related puncture site intimal flap occlusion successfully repaired at surgery. Fifty-one (90%) patients discharged with a mean time of 157 min (60-280 min). Forty-six (92%) patients had no visible bruising or palpable haematoma on discharge. No patient had a haematoma greater than 2.5 cm. No discharged patient required readmission. Thirty percent reported a moderate to severe groin pain score (2-5/5) at discharge, increasing to 40% at follow-up. Forty-seven (98%) of the 48 patients, who expressed a preference, would be happy to undergo outpatient treatment again. Conclusion: Outpatient treatment is feasible, well tolerated and preferable to patients, but 10% will require inpatient admission. A planned post-procedure analgesia regimen or advice should be considered

  8. Outpatient angioplasty and stenting facilitated by percutaneous arterial suture closure devices

    Energy Technology Data Exchange (ETDEWEB)

    Wilde, N.T. [South Manchester University Hospitals NHS Trust, Wythenshawe, Manchester (United Kingdom); Bungay, P. [South Manchester University Hospitals NHS Trust, Wythenshawe, Manchester (United Kingdom); Johnson, L. [South Manchester University Hospitals NHS Trust, Wythenshawe, Manchester (United Kingdom); Asquith, J. [South Manchester University Hospitals NHS Trust, Wythenshawe, Manchester (United Kingdom); Butterfield, J.S. [South Manchester University Hospitals NHS Trust, Wythenshawe, Manchester (United Kingdom); Ashleigh, R.J. [South Manchester University Hospitals NHS Trust, Wythenshawe, Manchester (United Kingdom)]. E-mail: Ray.Ashleigh@smuht.nhs.uk

    2006-12-15

    Aim: To review our practice of outpatient percutaneous vascular interventions facilitated by an arterial suture device. Materials and methods: A retrospective review of all patients attending this tertiary centre for iliac or femoral intervention was undertaken between February 2001 and December 2004. All patients who underwent angioplasty or stenting had their puncture sites closed using a Perclose suture. Patients were kept flat for 15 min and allowed to fully mobilize at 60 min. Puncture sites were scored for visible bruising, haematoma and pain at discharge and on outpatient follow-up. Patient preference for future outpatient treatment was assessed. Results: Fifty-seven outpatients underwent 81 punctures. Forty-eight (84%) patients underwent iliac angioplasty; of those 42% underwent stent placement. Six patients (10%) required inpatient admission, five secondary to failed suture deployment. One patient had a non-closer-related puncture site intimal flap occlusion successfully repaired at surgery. Fifty-one (90%) patients discharged with a mean time of 157 min (60-280 min). Forty-six (92%) patients had no visible bruising or palpable haematoma on discharge. No patient had a haematoma greater than 2.5 cm. No discharged patient required readmission. Thirty percent reported a moderate to severe groin pain score (2-5/5) at discharge, increasing to 40% at follow-up. Forty-seven (98%) of the 48 patients, who expressed a preference, would be happy to undergo outpatient treatment again. Conclusion: Outpatient treatment is feasible, well tolerated and preferable to patients, but 10% will require inpatient admission. A planned post-procedure analgesia regimen or advice should be considered.

  9. Patient Experience, Pain, and Quality of Life after Lower Limb Angioplasty: A Multisite Prospective Cohort Study

    International Nuclear Information System (INIS)

    Culverwell, A. D.; Tapping, C. R.; Ettles, D. F.; Kessel, D.

    2012-01-01

    Purpose: To explore the experience of patients undergoing endovascular lower limb angioplasty and evaluate the improvements in quality of life and disease-related symptoms after the procedure. Methods: Patients completed a questionnaire before treatment and three questionnaires after the procedure (immediately after the procedure, and again 4 weeks and 3 months later). Anxiety, patient understanding, procedure-related pain, and disease-related pain were assessed by a visual analog score (VAS). Complications, analgesic requirements, and satisfaction were recorded. Changes to quality of life were assessed by the validated SF36 questionnaire. Results: A total of 88 patients (41%) responded. Overall, disease-related pain decreased over 3 months after the procedure. Smokers had more pain both before and after the procedure (P < 0.05). Explanation was considered better if provided by radiologist (P < 0.05). Sixty-nine percent of patients found the procedures less painful (mean VAS 2.5) than they had anticipated (VAS 5.5). Fifty percent of patients experienced adverse effects related to their puncture site, but this was highest among patients who had undergone the procedure before and smokers. The greatest quality-of-life improvements were in emotional and general health. Higher levels of disease-related pain were associated with worse general, emotional, and physical health (P < 0.05). Conclusion: Lower limb angioplasty provides symptomatic and quality-of-life improvements. Implementation of simple measures could improve patient satisfaction—for example, treatment should be explained by the radiologist in advance. Routine prescription of analgesics with particular attention to smokers and those undergoing repeat interventions is suggested.

  10. Self-expanding nitinol stents for treatment of infragenicular arteries following unsuccessful balloon angioplasty

    International Nuclear Information System (INIS)

    Tepe, Gunnar; Heller, Stephan; Wiskirchen, Jakub; Fischmann, Arne; Claussen, Claus D.; Zeller, Thomas; Coerper, Stephan; Beckert, Stefan; Balletshofer, Bernd

    2007-01-01

    The feasibility of self-expanding nitinol stents for treatment of infragenicular arteries following unsuccessful balloon angioplasty was assessed. Options for lower limb percutaneous revascularization are limited, especially for complex vessel obstruction. Depending on the lesion and the experience of the interventionalist, the failure rate of balloon angioplasty (PTA) ranges between 10 and 40%. Until recently, no self-expanding stent for the use in the infragenicular arteries was available. This is the first report of the results for 18 consecutive patients who received 4F sheath compatible self-expanding nitinol stents following unsuccessful PTA or early restenosis. Twenty-four stents were implanted in 21 lesions for various indications residual stenosis >50% due to heavy calcification, flow-limiting dissection, occluding thrombus resistant to thrombolyis, thrombaspiration, and PTA, and early restenosis after previous PTA. Stent implantation was feasible in all cases. No complications occurred. After the stent implantation, all primarily unsuccessful interventions could be transformed into successful procedures with no residual stenosis >30% in any case. After 6 ± 2 months, two of the 18 patients died, and 14 of the 16 remaining patients improved clinically. At follow-up, the patency could be assessed in 14 stented arteries. Three stents were occluded, one stent showed some neointimal hyperplasia (50-70% restenosis), the remaining ten stents showed no restenosis (0-30%). The use of self-expanding nitinol stents in tibioperoneal and popliteal arteries is a safe and feasible option for the treatment of unsuccessful PTA. The 6-months patency is high. (orig.)

  11. Percutaneous Transluminal Angioplasty for Complete Membranous Obstruction of Suprahepatic Inferior Vena Cava: Long-Term Results

    Energy Technology Data Exchange (ETDEWEB)

    Kucukay, Fahrettin, E-mail: fkucukay@hotmail.com [Turkiye Yuksek Ihtisas Hospital, Department of Interventional Radiology (Turkey); Akdogan, Meral, E-mail: akdmeral@yahoo.com [Turkiye Yuksek Ihtisas Hospital, Department of Gastroenterology (Turkey); Bostanci, Erdal Birol, E-mail: ebbostanci@yahoo.com [Turkiye Yuksek Ihtisas Hospital, Department of Gastrointestinal Surgery (Turkey); Ulus, Ahmet Tulga, E-mail: uluss@yahoo.com [Hacettepe University, Department of Cardiovascular Surgery (Turkey); Kucukay, Murat Bulent, E-mail: dr-mbk@hotmail.com [Lokman Hekim Hospital, Department of Internal Medicine (Turkey)

    2016-10-15

    PurposeTo determine the long-term results of percutaneous transluminal angioplasty (PTA) for a complete membranous obstruction of the suprahepatic inferior vena cava.MethodsPatients (n = 65) who were referred to the interventional unit for PTA for a complete membranous obstruction of the suprahepatic inferior vena cava between January 2006 and October 2014 were included in the study. Thirty-two patients (18 males, 14 females, mean age 35 ± 10.7, range 20–42 years) were treated. The patients presented with symptoms of ascites (88 %), pleural effusion (53 %), varicose veins (94 %), hepatomegaly (97 %), abdominal pain (84 %), and splenomegaly (40 %). Transjugular liver access set and re-entry catheter were used to puncture and traverse the obstruction from the jugular side. PTA balloon dilations were performed. The mean follow-up period was 65.6 ± 24.5 months. The objective was to evaluate technical success, complications, primary patency, and clinical improvement in the symptoms of the patients.ResultsThe technical success rate was 94 %. In two patients, obstruction could not be traversed. These patients underwent cavoatrial graft bypass surgery. There were no procedure-related complications. Clinical improvements were achieved in all patients within 3 months. The primary patency rate at 4 years was 90 %. There was no primary assisted patency. There was no need for metallic stent deployment in the cohort. The secondary patency rate at 4 years was 100 %.ConclusionsPercutaneous transluminal angioplasty for a complete membranous obstruction of the suprahepatic inferior vena cava is safe and effective, and the long-term results are excellent.

  12. Is the Watanabe heritable hyperlipidemic rabbit a suitable experimental model for percutaneous transluminal coronary angioplasty in humans? A light microscopic, immunohistochemical and ultrastructural study

    NARCIS (Netherlands)

    Wanibuchi, H.; Dingemans, K. P.; Becker, A. E.; Ueda, M.; Naruko, T.; Tanizawa, S.; Nakamura, K.

    1993-01-01

    This study was designed to assess an experimental model for the study of mechanisms that underlie restenosis after percutaneous transluminal coronary angioplasty. The Watanabe heritable hyperlipidemic (WHHL) rabbit lacks the receptor for low density lipoproteins, produces atherosclerotic lesions

  13. Systematic Review of Randomized Controlled Trials of Patch Angioplasty Versus Primary Closure and Different Types of Patch Materials During Carotid Endarterectomy

    Directory of Open Access Journals (Sweden)

    Kittipan Rerkasem

    2011-01-01

    Conclusion: Meta-analysis of relatively small RCTs suggests that carotid patch angioplasty reduces the combined perioperative and long-term risk of stroke and the risk of restenosis. More data are needed.

  14. Annexe 3. Constitution d'une exploitation à Homs

    OpenAIRE

    2015-01-01

    ‘Abd al-Laṭīf, né en 1925, est jardinier à Horns. Il exploite avec son fils aîné et l'aide de deux de ses petits-fils un jardin de quelques 35 dunum (3,5 hectares) situé dans le zūr al-Ǧdīdeh, secteur central de la zone agricole. Cette grande exploitation, constituée de plusieurs parcelles ayant différents statuts, est en partie le produit d'une histoire familiale dont je voudrais présenter ici brièvement les principaux aspects. Figure 50 – Alliances matrimoniales entre la lignée de ‘Abbās e...

  15. Thermoluminescence dating of sand dunes at Roonka, South Australia

    International Nuclear Information System (INIS)

    Prescott, J.R.

    1983-01-01

    Thermoluminescence has been used to date sediments associated with the archaeological excavations at Roonka. An age of 65,000 +- 12,000 years has been found for the terra rossa soil immediately underlying the oldest 14 C dated feature at the main site (18,000 years). At the East Bank site, an age of 2700 +- 300 years is found for the top of the dune at a depth of 30 cm. An age of 14,500 +- 2000 years is found for a stratigraphically distinct and sealed layer at a depth of 1 m. A similar (or possibly older) date is found at 1.7 m. These ages are consistent with the archaeological and geomorphological evidence. There is some evidence that bleaching of sediments by daylight may not be complete in the field. If this is confirmed the ages will need to be revised downwards. (author)

  16. Impact of Age on Long-Term Outcome After Primary Angioplasty With Bare-Metal or Drug-Eluting Stent (From the DESERT Cooperation)

    DEFF Research Database (Denmark)

    De Luca, Giuseppe; Dirksen, Maurits T; Spaulding, Christian

    2013-01-01

    Despite mechanical reperfusion, elderly patients with ST-segment elevation myocardial infarction (STEMI) still experience unsatisfactory outcomes. Drug-eluting stents (DES) have significantly reduced target-vessel revascularization (TVR), but concerns have emerged about the higher risk of late st...... angioplasty and stent implantation included in the Drug-Eluting Stent in Primary Angioplasty (DESERT) Cooperation database. Age was significantly associated with female gender (p...

  17. Transient right-sided heart failure after percutaneous transluminal angioplasty (PTA) of Membranous obstruction of inferior vena cava: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Park, Sung Bin [College of Medicine, University of Ulsan, Ulsan (Korea, Republic of); Lee, Deok hee; Kim, Yeon Suk; Jung, Seung Mun; Ryu, Dae Sik; Park, Man Soo [Kangnung Hospital, Kangnung (Korea, Republic of)

    2000-09-01

    We experienced a case of transient right-sided heart failure after angioplasty of membranous obstruction of the inferior vena cava confirmed by sonography and an inferior vena cavogram. Angioplasty involved the use of a self-expandable metallic stent, but after successful recanalization of the obstruction, the patient became dyspneic. Chest radiography revealed mild cardiomegaly with pulmonary congestion, but this was resolved spontaneously. For the prevention of serious heart failure, we recommend preprocedural evaluation of cardiac function. (author)

  18. Eolian deposition cycles since AD 500 in Playa San Bartolo lunette dune, Sonora, Mexico: Paleoclimatic implications

    Science.gov (United States)

    Ortega, Beatriz; Schaaf, Peter; Murray, Andrew; Caballero, Margarita; Lozano, Socorro; Ramirez, Angel

    2013-12-01

    Records of past climatic changes in desert environments are scarce due to the poor preservation of biological proxies. To overcome this lack we consider the paleoenvironmental significance and age of a lunette dune at the eastern rim of Playa San Bartolo (PSB) in the Sonoran Desert (Mexico). Thermoluminescence and optical stimulated luminescence (TL and OSL) provide the chronology of lunette dune development. Mineralogical, geochemical (major, trace and REE element concentrations) and rock magnetic analyses allow for the assessment of sediment provenance and changes in the composition of the PSB dune over time. The upper 6 m of dune accumulation occurred over the past 1.5 ka, largely during AD 500-1200, a period that correlates with the Medieval climatic anomaly (AD 300-1300). Variability in composition of dune sediments is attributed to changes in sediment sources. Sand sized deposits are mainly eroded from granitoids from nearby outcrops. Sandy silt deposits, rich in evaporative minerals, resulted after the flooding of PSB, later deflation and accumulation of both detritic and authigenic components in the dune. These findings suggest that main dune accretion occurred during regionally extended drought conditions, disrupted by sporadic heavy rainfall.

  19. The influence of groundwater depth on coastal dune development at sand flats close to inlets

    Science.gov (United States)

    Silva, Filipe Galiforni; Wijnberg, Kathelijne M.; de Groot, Alma V.; Hulscher, Suzanne J. M. H.

    2018-05-01

    A cellular automata model is used to analyze the effects of groundwater levels and sediment supply on aeolian dune development occurring on sand flats close to inlets. The model considers, in a schematized and probabilistic way, aeolian transport processes, groundwater influence, vegetation development, and combined effects of waves and tides that can both erode and accrete the sand flat. Next to three idealized cases, a sand flat adjoining the barrier island of Texel, the Netherlands, was chosen as a case study. Elevation data from 18 annual LIDAR surveys was used to characterize sand flat and dune development. Additionally, a field survey was carried out to map the spatial variation in capillary fringe depth across the sand flat. Results show that for high groundwater situations, sediment supply became limited inducing formation of Coppice-like dunes, even though aeolian losses were regularly replenished by marine import during sand flat flooding. Long dune rows developed for high sediment supply scenarios which occurred for deep groundwater levels. Furthermore, a threshold depth appears to exist at which the groundwater level starts to affect dune development on the inlet sand flat. The threshold can vary spatially depending on external conditions such as topography. On sand flats close to inlets, groundwater is capable of introducing spatial variability in dune growth, which is consistent with dune development patterns found on the Texel sand flat.

  20. Balloon Angioplasty – The Legacy of Andreas Grüntzig, M.D. (1939–1985)

    Science.gov (United States)

    Barton, Matthias; Grüntzig, Johannes; Husmann, Marc; Rösch, Josef

    2014-01-01

    In 1974, at the Medical Policlinic of the University of Zürich, German-born physician-scientist Andreas Grüntzig (1939–1985) for the first time applied a balloon-tipped catheter to re-open a severely stenosed femoral artery, a procedure, which he initially called “percutaneous transluminal dilatation”. Balloon angioplasty as a therapy of atherosclerotic vascular disease, for which Grüntzig and Charles T. Dotter (1920–1985) received a nomination for the Nobel Prize in Physiology or Medicine in 1978, became one of the most successful examples of translational medicine in the twentieth century. Known today as percutaneous transluminal angioplasty (PTA) in peripheral arteries or percutaneous transluminal coronary angioplasty (PTCA) or percutaneous coronary intervention (PCI) in coronary arteries, balloon angioplasty has become the method of choice to treat patients with acute myocardial infarction or occluded leg arteries. On the occasion of the 40th anniversary of balloon angioplasty, we summarize Grüntzig’s life and career in Germany, Switzerland, and the United States and also review the developments in vascular medicine from the 1890s to the 1980s, including Dotter’s first accidental angioplasty in 1963. The work of pioneers of catheterization, including Pedro L. Fariñas in Cuba, André F. Cournand in France, Werner Forssmann, Werner Porstmann and Eberhard Zeitler in Germany, António Egas Moniz and Reynaldo dos Santos in Portugal, Sven-Ivar Seldinger in Sweden, and Barney Brooks, Thomas J. Fogarty, Melvin P. Judkins, Richard K. Myler, Dickinson W. Richards, and F. Mason Sones in the United States, is discussed. We also present quotes by Grüntzig and excerpts from his unfinished autobiography, statements of Grüntzig’s former colleagues and contemporary witnesses, and have included hitherto unpublished historic photographs and links to archive recordings and historic materials. This year, on June 25, 2014, Andreas Grüntzig would have celebrated

  1. Cause rare d'une perforation de la cloison nasale

    Science.gov (United States)

    Jahidi, Ali; Hemmaoui, Bouchaïb; Itoua, Wulfran Rosaire; Errami, Noureddine; Benariba, Fouad

    2014-01-01

    Les perforations de la cloison nasale constituent une pathologie fréquente en ORL. Leurs causes sont multiples et restent dominées par les traumatismes chirurgicaux. Les étiologies infectieuses et notamment la tuberculose sont rares. Nous présentons le cas d'une patiente ayant bénéficié d'une méatotomie bilatérale et chez laquelle une perforation de la cloison nasale a été découverte lors d'un examen systématique à un an de son intervention. D'abord considérée comme une complication de la chirurgie, la biopsie des berges de la perforation a permis de déterminer son origine tuberculeuse. La présentation clinique des perforations de la cloison nasale n'est pas spécifique. Elles sont souvent asymptomatiques et de découverte fortuite. Les traumatismes notamment chirurgicaux sont le plus siuvent en cause. L′orogine tuberculeuse resta très rare. Le diagnostic de certitude de tuberculose repose sur la biopsie des berges de cette perforation. Le but de ce travail est de mettre en avant l'intérêt de la biopsie dans le diagnostic de la tuberculose de la cloison nasale. Cette biopsie doit être systématique même en cas d'antécédents de chirurgie endonasale qui est le plus souvent en cause dans les perforations de la cloison nasale. PMID:24932334

  2. A field study of the geomorphic effects of sublimating CO2 blocks on dune slopes at Coral Pink Dunes, Utah.

    Science.gov (United States)

    Bourke, Mary; Nield, Jo; Diniega, Serina; Hansen, Candy; McElwaine, Jim

    2016-04-01

    The seasonal sublimation of CO2 ice is an active driver of present-day surface change on Mars. Diniega et al (2013) proposed that a discrete type of Martian gully, found on southern hemisphere dunes, were formed by the movement of CO2 seasonal ice blocks. These 'Linear Gullies' consist primarily of long (100 m - 2.5 km) grooves with near-uniform width (few-10 m wide), and typical depth of nudge it moved downslope. The dynamics of the block movement were recorded using a pair of high resolution video cameras. Geomorphological observations were noted and topographic change was quantified using a Leica P20 terrestrial laser scanner with a resolution of 0.8 mm at 10 m, and change detection limits less than 3 mm. The block run was repeated a total of 10 times and launched from the same location at the dune brink. The experiment ran for 45 minutes. The block size was reduced to (45 x 190 x 195 mm) by the end of the run series. The resultant geomorphology shows that the separate block runs occupied different tracks leading to a triangular plan form shape with a maximum width of 3.5 m. This is different from the findings in Arizona where a narrower track span was recorded (1.7m) (Bourke et al, 2016). Similar block dynamics were observed at both sites (as blocks moved straight, swiveled and bounced downslope). Distinctive pits with arcuate rims on their downslope edge were formed where blocks bounced on the surface. These pits are at an almost equidistant spacing. Despite a longer slope (16 m as opposed to 8m at Grand Falls), no depositional apron was formed. Levee development was less consistent compared to the Arizona site, but a pronounced unpaired-levee formed towards the base of the lee slope. These data show that sublimating blocks of CO2 ice leave signatures of transport paths and are capable of eroding and transporting sediment. Diniega,S. et al (2013) A new dry hypothesis for the formation of Martian linear gullies. Icarus. Vol. 225, 1, p. 526-537. Bourke, M.C. et

  3. Introduction to the study of an optimal control for irradiation loops of the reactor Pegase; Introduction a l'etude d'une commande optimale des boucles d'irradiation du reacteur Pegase

    Energy Technology Data Exchange (ETDEWEB)

    Guintrand, C [Commissariat a l' Energie Atomique, Cadarache (France). Centre d' Etudes Nucleaires

    1968-07-01

    The control system under consideration is made up of: a regulation unit consisting of a conventional nonlinear looped circuit for static tests, a cycling unit operating in open loop for dynamic tests. After a definition of a mathematical model for an irradiation loop, the behaviour of the regulation unit is studied, first of all theoretically using three-dimensional topological methods, and then by analogue simulation. A prototype unit is under construction and its principal characteristics are given. Finally, as far as the cycling unit is concerned, the first tests involving self-instruction technique, are described. (author) [French] Le systeme de commande envisage se compose de r: une unite de regulation se presentant sous la forme d'un circuit boucle classique non-lineaire, pour les essais statiques, une unite de cyclage fonctionnant en boucle ouverte, pour les essais dynamiques. Apres avoir defini un modele mathematique d'une boucle d'irradiation, on etudie le comportement de l'unite de regulation d'abord de facon theorique par les methodes topologiques a trois dimensions, puis par une simulation analogique. Une unite prototype est en cours de realisation, les principales caracteristiques en sont donnees. Enfin, en ce qui concerne l'unite de cyclage, les premiers essais effectues faisant appel aux techniques d'autoapprentissage, sont decrits. (auteur)

  4. Nourishment of perched sand dunes and the issue of erosion control in the Great Lakes

    Science.gov (United States)

    Marsh, William M.

    1990-09-01

    Although limited in coverage, perched sand dunes situated on high coastal bluffs are considered the most prized of Great Lakes dunes. Grand Sable Dunes on Lake Superior and Sleeping Bear Dunes on Lake Michigan are featured attractions of national lakeshores under National Park Service management. The source of sand for perched dunes is the high bluff along their lakeward edge. As onshore wind crosses the bluff, flow is accelerated upslope, resulting in greatly elevated levels of wind stress over the slope brow. On barren, sandy bluffs, wind erosion is concentrated in the brow zone, and for the Grand Sable Bluff, it averaged 1 m3/yr per linear meter along the highest sections for the period 1973 1983. This mechanism accounts for about 6,500 m3 of sand nourishment to the dunefield annually and clearly has been the predominant mechanism for the long-term development of the dunefield. However, wind erosion and dune nourishment are possible only where the bluff is denuded of plant cover by mass movements and related processes induced by wave erosion. In the Great Lakes, wave erosion and bluff retreat vary with lake levels; the nourishment of perched dunes is favored by high levels. Lake levels have been relatively high for the past 50 years, and shore erosion has become a major environmental issue leading property owners and politicians to support lake-level regulation. Trimming high water levels could reduce geomorphic activity on high bluffs and affect dune nourishment rates. Locally, nourishment also may be influenced by sediment accumulation associated with harbor protection facilities and by planting programs aimed at stabilizing dunes.

  5. Le recours aux catégories dans la gestion du choix au cours d’un repas au restaurant

    Directory of Open Access Journals (Sweden)

    Hugol-Gential Clémentine

    2012-07-01

    Full Text Available Ce travail, ancré dans le champ de l’Analyse Conversationnelle (Sacks, 1992, s’intéresse à une question centrale à laquelle les clients sont perpétuellement confrontés lors de la prise d’un repas au restaurant : le choix. Plus précisément, nous nous intéressons à son caractère situé et à son déploiement en interaction en nous basant sur un corpus audiovisuel collecté en situation « naturelle » de production, lors de repas au restaurant, afin d’étudier la parole-en-interaction telle qu’elle est localement produite et organisée par les participants (Heath, Hindmarsch & Luff, 2010. Après avoir exposé le lien entre identité et alimentation et la notion de catégorisation telle qu’elle a été développée en Analyse Conversationnelle, nous proposerons deux analyses de séquences de prise de commande pendant lesquelles les choix des clients sont discutés et négociés avec le sommelier ou le serveur. Grâce à des analyses séquentielles basées sur des transcriptions fines, nous soulignerons que les participants à l’interaction manifestent de façon reconnaissable qui ils sont (clients experts, non experts, habitués... afin d’organiser de façon intelligible leurs actions et de permettre à leurs partenaires de s’y ajuster. Nous analyserons finement les catégories utilisées par les participants, et nous décrirons les différents procédés mobilisés afin d’organiser et d’orienter la prise de commande. Ainsi, dans un premier extrait, nous verrons que les clients s’orientent, tout d’abord, vers l’exhibition de leur propre identité, tandis que dans un deuxième extrait, c’est le plat à la carte qui fait l’objet d’une première catégorisation. L’ensemble de ce travail nous permettra de montrer que les catégories sont structurantes pour l’organisation du choix et que leur déploiement séquentiel au cours de l’interaction est constitutif des affiliations ou des désaffiliations lors

  6. Emergency coronary angioplasty with stenting using Cordis® diagnostic coronary catheters when there is difficulty in engaging guide catheters and bench evaluation of diagnostic and guide catheters.

    Science.gov (United States)

    Arokiaraj, Mark Christopher

    2018-02-01

    Difficulty in engaging with guide catheters is not uncommon in acute emergencies. We aimed to evaluate the use of Cordis ® INFINITI diagnostic catheters to perform angioplasty in patients in whom the coronaries cannot be engaged using standard guide catheters. In 34 cases of acute coronary syndrome, when difficulty in engagement with two standard guide catheters was encountered with reasonable manipulations, angioplasty was performed using diagnostic catheters. In total, 40 stents were placed by this technique. Pushability and trackability, distal tip flexion and three-point bending tests were performed to evaluate the performance of the guide and diagnostic catheters. Angioplasty was performed easily in a setting where it would have been very difficult to perform. Coronary dissection occurred in one patient, treated by a stent. The stent and dilatation balloons were easily passed through the diagnostic catheters. Pressure tracings were clearly preserved with certain stent delivery systems, and at angioplasty, although there was slightly reduced opacification of the respective artery, the coronary anatomy was sufficiently visualized to perform angioplasty. No periprocedural target lesion complications were seen in any cases. Pushability and trackability tests showed good force transmission along a tortuous path with diagnostic catheters, and balanced force-displacement curves from three-point bending tests and distal tip softness tests. Angioplasty with stenting can be performed safely through 6F Cordis ® infiniti diagnostic catheters when difficulty in engaging guide catheters is encountered. Copyright © 2018 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Comparative Efficacy of Pulse-Spray Thrombolysis and Angioplasty Versus Surgical Salvage Procedures for Treatment of Recurrent Occlusion of PTFE Dialysis Access Grafts

    International Nuclear Information System (INIS)

    Polak, Joseph F.; Berger, Markus F.; Pagan-Marin, Heriberto; Aruny, John E.; Meyerovitz, Michael F.

    1998-01-01

    Purpose: To compare the efficacy of surgery versus pulse-spray thrombolysis and angioplasty in patients with recurrent thrombosis of polytetrafluoroethylene (PTFE) dialysis access grafts. Methods: We analyzed 96 consecutive interventions for thrombosed PTFE dialysis access grafts in 18 patients. Primary patency after thrombolysis and angioplasty (n= 25) was compared with primary patency following thrombectomy alone (n= 50) or thrombectomy followed by graft revision (n= 21) using life-table analysis. A Cox proportional hazards model that accounted for graft age and number of previous interventions was used to generate the relative risk for recurrent occlusion following therapy. Results: Life-table analysis showed that patency after thrombolysis and angioplasty was greater than that following thrombectomy alone (p= 0.02). After accounting for the age of the graft and the number of previous interventions (average six per patient), the relative risk for recurrent occlusion [3.0; 95% confidence intervals (CI): 1.5, 6.4] was greater for thrombectomy alone than for thrombolysis/angioplasty [0.6; CI = 0.3, 1.3]. The relative risks of repeat occlusion following thrombolysis/angioplasty [0.6; CI = 0.3, 1.3] and thrombectomy/surgical revision [1.0; CI = 0.5, 1.7] were similar. Conclusion: Outcome data from our retrospective study on recurrent thrombosis of PTFE dialysis access grafts suggest that thrombolysis/angioplasty is superior to thrombectomy alone, and equivalent to thrombectomy/surgical revision

  8. Long-term outcome of primary angioplasty compared with fibrinolysis across age groups: a Danish Multicenter Randomized Study on Fibrinolytic Therapy Versus Acute Coronary Angioplasty in Acute Myocardial Infarction (DANAMI-2) substudy

    DEFF Research Database (Denmark)

    Fosbøl, Emil Loldrup; Thune, Jens Jakob; Kelbaek, Henning

    2008-01-01

    of angioplasty versus fibrinolysis was investigated in 1,572 patients from the DANAMI-2 study across age groups. End points were total mortality and a composite end point of death, reinfarction, or disabling stroke. Follow-up was 3 years. RESULTS: Increasing age was associated with mortality (adjusted hazard...... ratio [HR] 2.45 per 10 year increment, 95% confidence interval [CI] 1.78-3.37, P age: patients aged ... 0.73, CI 0.41-1.31); 56 to 65 years (HR 0.83, CI 0.52-1.33); 66 to 75 years (HR 0.71, CI 0.48-1.04); and >75 years (HR 0.83, CI 0.59-1.17) (P = .006 for overall treatment effect and P = .5 for interaction between age and treatment). There was no long-term effect of angioplasty versus fibrinolysis...

  9. Course Design using an Authentic Studio Model / Restructuration de cours au moyen d’un authentique modèle de studio de design

    Directory of Open Access Journals (Sweden)

    Jay R Wilson

    2013-02-01

    Full Text Available Educational Technology and Design 879 is a graduate course that introduces students to the basics of video design and production. In an attempt to improve the learning experience for students a redesign of the course was implemented for the summer of 2011 that incorporated an authentic design studio model. The design studio approach is based on the idea of working and learning in a shared space. Offering a course that employs a studio design model provides the opportunity for exchanging ideas, sharing artifacts, and developing community more deeply and more quickly. What makes this course offering different is the combination of authentic tasks incorporating both online and face-to-face design studio environments. This paper will describe how a studio design approach combined with an authentic learning design was implemented and what was learned. Educational Technology and Design 879 est un cours d'études supérieures initiant les étudiants aux rudiments de la conception et de la production vidéo. Pour améliorer l’expérience d'apprentissage, une refonte du cours a été entreprise à l'été 2011 en intégrant un authentique modèle de studio de design. L'approche « studio de design » repose sur l'idée d’un travail et d'un apprentissage réalisés dans un espace partagé. Un cours utilisant un modèle de studio de design offre la possibilité d'échanger des idées, de partager des artefacts et de développer une communauté plus en profondeur et plus rapidement. Ce qui rend ce cours unique est la combinaison de tâches authentiques qui incorporent des environnements de studio de design à la fois en ligne et en face à face. Cet article décrit comment une approche « studio de design » combinée à une conception d'apprentissage authentique a été mise en œuvre et ce qu’on en a appris.

  10. Stratigraphy and landsnail faunas of Late Holocene coastal dunes, Tokerau Beach, northern New Zealand

    International Nuclear Information System (INIS)

    Brook, F.J.

    1999-01-01

    At least four depositional episodes, each involving cycles of dune instability and sand accumulation followed by stabilisation and soil formation, are represented in a Holocene dune sequence at Tokerau Beach. The first depositional episode followed the maximum post-glacial sea level rise at 6500 years BP, probably with formation of a narrow dune belt landward of the present coastline. The second depositional episode resulted in extensive progradation of the dune belt to about the present coastline from c. 3000-2000 years BP, followed by dune stabilisation and soil formation from c. 2000-900 years BP. The third depositional episode involved vertical dune accretion at c. 900-600 years BP, followed by stabilisation and soil formation after c. 600 years BP. The fourth depositional episode, after 240 years BP, resulted in further vertical dune accretion and localised extensive erosion and reworking of pre-existing dune deposits. Fossil landsnail faunas indicate that there was patchy sandfield and shrubland vegetation of the dune belt from c. 3000-2000 years BP, followed by a mosaic of shrubland and forest from c. 2000-900 years BP. After 900 years BP there was a progressive reversion to patchy shrubland vegetation, but an extensive shrubland cover again became established at c. 600 years BP and persisted until c. 450 years BP, when it was replaced by patchy shrubland and sandfield vegetation. Dune progradational phases in the first two depositional episodes correlate with and probably developed primarily in response to changes in sea level, whereas subsequent alternating phases of dune stabilisation and build-up are inferred to have resulted in part from the influence of long term cyclical variation in prevailing local wind and wave regimes in Doubtless Bay. Two stratigraphically distinct, exotic, sea-rafted pumice units are represented in the Tokerau dune sequence: Tokerau pumice (new), which has a primary depositional age of c. 3000 years BP, and Loisels pumice, which

  11. Reattachment Zone Characterisation Under Offshore Winds With Flow Separation On The Lee Side Of Coastal Dunes

    Science.gov (United States)

    Delgado-Fernandez, I.; Jackson, D.; Cooper, J. A.; Baas, A. C.; Lynch, K.; Beyers, M.

    2010-12-01

    Airflow separation, lee-side eddies and secondary flows play an essential role on the formation and maintenance of sand dunes. Downstream from dune crests the flow surface layer detaches from the ground and generates an area characterised by turbulent eddies in the dune lee slope (the wake). At some distance downstream from the dune crest, flow separates into a reversed component directed toward the dune toe and an offshore “re-attached” component. This reattachment zone (RZ) has been documented in fluvial and desert environments, wind tunnel experiments and numerical simulations, but not yet characterised in coastal dunes. This study examines the extent and temporal evolution of the RZ and its implications for beach-dune interaction at Magilligan, Northern Ireland. Wind parameters were measured over a profile extending from an 11 m height dune crest towards the beach, covering a total distance of 65 m cross-shore. Data was collected using an array of nine ultrasonic anemometers (UAs) deployed in April-May 2010, as part of a larger experiment to capture airflow data under a range of incident wind velocities and offshore directions. UAs were located along the profile (5 m tower spacing) over the beach, which allowed a detailed examination of the RZ with empirical data. Numerical modelling using Computational Fluid Dynamics (CFD) software was also conducted with input data from anemometer field measurements, running over a surface mesh generated from LiDAR and DGPS surveys. Results demonstrate that there is a wind threshold of approximately 5-6 ms-1 under which no flow separation exists with offshore winds. As wind speed increases over the threshold, a flow reversal area is quickly formed, with the maximum extent of the RZ at approximately 3.5 dune heights (h). The maximum extent of the RZ increases up to 4.5h with stronger wind speeds of 8-10 ms-1 and remains relatively constant as wind speed further increases. This suggests that the spatial extent of the RZ is

  12. Variability and correlations of shoreline and dunes on the southern Baltic coast (CRS Lubiatowo, Poland)

    OpenAIRE

    Zbigniew Pruszak; Rafal Ostrowski; Jan Schönhofer

    2011-01-01

    The paper analyses the results of field investigations into the evolution of the shoreline and dune toe positions in a multi-bar,dissipative coastal zone. The correlations between the changes in the shoreline and the dune toe range from -0.4 to 0.8. It is most often the case that the dune toe is stable while the shoreline moves. Consistent cross-shore migration is slightly more likelyto happen than the divergent or convergent movements of both lines. Shoreline retreat and advance attain resp...

  13. The Geologic Exploration of the Bagnold Dune Field at Gale Crater by the Curiosity Rover.

    Science.gov (United States)

    Chojnacki, Matthew; Fenton, Lori K

    2017-11-01

    The Mars Science Laboratory rover Curiosity engaged in a monthlong campaign investigating the Bagnold dune field in Gale crater. What represents the first in situ investigation of a dune field on another planet has resulted in a number of discoveries. Collectively, the Curiosity rover team has compiled the most comprehensive survey of any extraterrestrial aeolian system visited to date with results that yield important insights into a number of processes, including sediment transport, bed form morphology and structure, chemical and physical composition of aeolian sand, and wind regime characteristics. These findings and more are provided in detail by the JGR-Planets Special Issue Curiosity's Bagnold Dunes Campaign, Phase I.

  14. Deep learning for the detection of barchan dunes in satellite images

    Science.gov (United States)

    Azzaoui, A. M.; Adnani, M.; Elbelrhiti, H.; Chaouki, B. E. K.; Masmoudi, L.

    2017-12-01

    Barchan dunes are known to be the fastest moving sand dunes in deserts as they form under unidirectional winds and limited sand supply over a firm coherent basement (Elbelrhiti and Hargitai,2015). They were studied in the context of natural hazard monitoring as they could be a threat to human activities and infrastructures. Also, they were studied as a natural phenomenon occurring in other planetary landforms such as Mars or Venus (Bourke et al., 2010). Our region of interest was located in a desert region in the south of Morocco, in a barchan dunes corridor next to the town of Tarfaya. This region which is part of the Sahara desert contained thousands of barchans; which limits the number of dunes that could be studied during field missions. Therefore, we chose to monitor barchan dunes with satellite imagery, which can be seen as a complementary approach to field missions. We collected data from the Sentinel platform (https://scihub.copernicus.eu/dhus/); we used a machine learning method as a basis for the detection of barchan dunes positions in the satellite image. We trained a deep learning model on a mid-sized dataset that contained blocks representing images of barchan dunes, and images of other desert features, that we collected by cropping and annotating the source image. During testing, we browsed the satellite image with a gliding window that evaluated each block, and then produced a probability map. Finally, a threshold on the latter map exposed the location of barchan dunes. We used a subsample of data to train the model and we gradually incremented the size of the training set to get finer results and avoid over fitting. The positions of barchan dunes were successfully detected and deep learning was an effective method for this application. Sentinel-2 images were chosen for their availability and good temporal resolution, which will allow the tracking of barchan dunes in future work. While Sentinel images had sufficient spatial resolution for the

  15. DIVERSITY OF ARBUSCULAR MYCORRHIZAL FUNGI ALONG A SAND DUNE STABILIZATION GRADIENT: A CASE STUDY AT PRAIA DE JOAQUINA, ILHA DE SANTA CATARINA, SOUTH BRAZIL

    Science.gov (United States)

    Species diversity of abuscular mycorrhizal fungi (AMF) was assessed along a dunes stabilization gradient (embyonic dune, foredune and fixed dune) at Praia da Joaquina (Joaquina Beach), Ilha de Santa Catarina. These dunes served as a case study to assess whether diversity and myc...

  16. Percutaneous transluminal angioplasty of brachiocephalic arteries: Indications and long-term success in a series of 25 patients

    International Nuclear Information System (INIS)

    Burke, D.R.; Gordon, R.; Mishkin, J.D.; Meranze, S.G.; McLean, G.K.

    1986-01-01

    The clinical records and procedural details of 28 angioplasty procedures performed on 25 patients were reviewed. Long-term follow-up was conducted by examining the referring physicians' records and by direct telephone contact with the patient. Nine patients had neurologic symptoms only, eight patients had arm claudication symptoms only, seven patients had both neurologic and arm symptoms, and two patients underwent dilation procedures to provide graft inflow. Procedural complications were a stroke in the contralateral carotid distribution during follow-up thoracic aortography, and an embolus to the fifth digit (of no clinical significance). Long-term success of the angioplasty procedure did not correlate with initial symptoms, degree of stenosis, lesion length, or postangioplasty appearance. All patients with arm and neurologic symptoms and who were followed up for 3 years, with the exception of the patient who suffered a periprocedural stroke

  17. Evaluation of the effect of collaborative care on depression, anxiety and stress of patients after coronary angioplasty

    Directory of Open Access Journals (Sweden)

    Rezapour Parastoo

    2016-08-01

    Full Text Available Background and Objective: Coronary artery disease and its associated treatment interventions such as angioplasty can lead to emotional problems, including depression, anxiety, and stress, in patients and might have adverse effects on the recovery process. This study aimed to evaluate the effect of collaborative care model on depression, anxiety, and stress in patients after coronary angioplasty. Materials and Methods: This clinical trial was conducted on 50 patients undergoing coronary angioplasty, who were referred to intensive care unit and surgical ward of one of the hospitals of Isfahan, Iran, in 2015. Samples were selected through randomized convenience sampling and were divided into intervention and control group (n=25 for each group. Collaborative care model, consisting of four stages of motivation, preparation, engagement, and evaluation, was implemented for the intervention group through five 45-60 minute sessions and a three-month telephone follow-up. Data was collected using depression, anxiety, and stress scale (DASS-42 before and one month after the intervention from both groups. Data were analyzed using descriptive statistics, Chi-square, as well as independent and paired t-tests in SPSS, version 18. Results: In this study, mean score of depression was significantly decreased in the intervention group after the implementation of collaborative model (from 31.6±3.7 to 6.3±5.03 (P <0.001, and mean anxiety and stress scores were reduced from 32.6±3.04 and 32.2±3.3 to 6.2±4.1 and 8.5±4.8, respectively (P<0.001. In this regard, a significant difference was observed between the intervention and control groups (P<0.001. Conclusion: Implementation of collaborative care could be associated with lower depression, anxiety, and stress in patients after coronary angioplasty. Therefore, its application is recommended as an effective method for such patients.

  18. Randomized Trial of the SMART Stent versus Balloon Angioplasty in Long Superficial Femoral Artery Lesions: The SUPER Study

    International Nuclear Information System (INIS)

    Chalmers, Nicholas; Walker, Paul T.; Belli, Anna-Maria; Thorpe, Anthony P.; Sidhu, Paul S.; Robinson, Graham; Ransbeeck, Mariella van; Fearn, Steven A.

    2013-01-01

    To determine whether primary stenting reduces the rate of restenosis compared with balloon angioplasty alone in the endovascular treatment of long superficial femoral artery lesions; and to assess the effect of treatment on quality of life. A total of 150 patients with superior femoral artery occlusion or severe stenosis of 5–22 cm length from 17 UK centers were randomized to either primary stenting with the SMART stent or balloon angioplasty (i.e., percutaneous transluminal angioplasty, PTA). Bailout stent placement was permitted in case of inadequate result from PTA. The primary end point was restenosis measured by duplex ultrasound at 1 year. Quality-of-life assessments were performed by the EuroQol (EQ)-5D questionnaire. Mean lesion length was 123.0 mm in the stent group and 116.8 mm in the PTA group. A total of 140 (93.3 %) of 150 had total occlusions. At 12 months’ follow-up, restenosis measured by Duplex ultrasound was not significantly different between the stent and PTA groups by intention-to-treat or as-treated analyses: 47.2 versus 43.5 % (p = 0.84) and 40.8 versus 46.7 % (p = 0.68), respectively. There were fewer target lesion revascularizations in patients randomized to stenting, but this did not reach statistical significance (12.5 vs. 20.8 %, p = 0.26). There was no difference in the rate of amputation. Patients in both groups reported improved quality of life. Primary stenting of long lesions in predominantly occluded superficial femoral arteries does not reduce the rate of binary restenosis compared with balloon angioplasty and bailout stenting. Both treatment strategies conferred a meaningful and sustained improvement to the quality of life of patients with severe superficial femoral artery disease.

  19. The exposure of radiologists and patients to radiation during coronary angiography and percutaneous transluminal coronary angioplasty (PTCA)

    International Nuclear Information System (INIS)

    Karppinen, J.; Parviainen, T.

    1993-03-01

    The exposure of radiologists and patients to radiation during coronary angiography and percutaneous transluminal coronary angioplasty (PTCA) in Finland was studied using phantom measurements. Additional tests were made concerning the performance of TV fluoroscopy systems, cine fluorographic units and film processing. These tests include sensitometric quality control of film processing, automatic exposure control in fluoroscopy and cinefluorography, and contrast and resolution in a cine frame and TV image

  20. Flow motion waves with high and low frequency in severe ischaemia before and after percutaneous transluminal angioplasty

    OpenAIRE

    Hoffmann, Ulrich; Schneider, Ernst; Bollinger, Alfred

    2017-01-01

    Study of objective - The aim was to evaluate skin flux and prevalence of low and high frequency flow motion waves in patients with severe ischaemia due to peripheral arterial occlusive disease before and after percutaneous transluminal angioplasty (PTA) with and without local thrombolysis. Design - Flow motion was recorded by the laser Doppler technique at the dorsum of the foot before, one day, and one month after PTA. The results were separately analysed in patients with successful and unsu...