Effect of implant support on mandibular distal extension removable partial dentures: relationship between denture supporting area and stress distribution.

Science.gov (United States)

Sato, Maki; Suzuki, Yasunori; Kurihara, Daisuke; Shimpo, Hidemasa; Ohkubo, Chikahiro

2013-04-01

This study explored the relationship between implant support and the denture-supporting area by comparing the stability of an implant-supported distal extension removable partial denture and a conventional distal extension removable partial denture. A model simulating a mandibular bilateral distal extension missing (#34-37 and #44-47) was fabricated using silicone impression material as soft tissue (2 mm thick) on an epoxy resin bone model. The denture base was reduced by 5 mm cutting part of both the retromolar pad and the lingual border. Loads of up to 5 kg were applied, and the pressure and displacement of the RPDs were simultaneously measured and analyzed using the Wilcoxon test (αremovable partial denture (ISRPD) was significantly less than on the conventional RPD (CRPD). As the supporting area of the denture base decreased, the pressure and the denture displacement of the CRPD were greater than for the ISRPD. This study indicated that implant placement at the distal edentulous ridge can prevent denture displacement of the distal extension bases, regardless of the supporting area of the denture base. Copyright © 2013 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

Brief communication: Population variation in human maxillary premolar accessory ridges (MxPAR).

Science.gov (United States)

Burnett, Scott E; Hawkey, Diane E; Turner, Christy G

2010-02-01

The purpose of this brief communication is to report the results of an analysis of maxillary premolar accessory ridges (MxPAR), a common but understudied accessory ridge that may occur both mesial and distal to the central ridge of the buccal cusp of upper premolars. We developed a new five-grade scoring plaque to better categorize MxPAR variation. Subsequently, we conducted a population analysis of MxPAR frequency in 749 dental casts of South African Indian, American Chinese, Alaskan Eskimo, Tohono O'odham (Papago), Akimel O'odham (Pima), Solomon Islander, South African Bantu, and both American and South African Whites. Northeast Asian and Asian-derived populations exhibited the highest MxPAR frequencies while Indo-European samples (South African Indians, American and South African Whites) exhibited relatively low frequencies. The Solomon Islanders and South African Bantu samples exhibited intermediate frequencies. Our analysis indicates that statistically significant differences in MxPAR frequency exist between major geographic populations. As a result, the MxPAR plaque has now been added to the Arizona State University Dental Anthropology System, an important contribution as maxillary premolar traits are underrepresented in analyses of dental morphology. 2009 Wiley-Liss, Inc.

[Descending ocular myopathy].

Science.gov (United States)

de Freitas, M R; Nascimento, O J

1975-06-01

The case of a 23 years old female patient, with primary involvement of the extraocular and faringeal muscles without familiar history is reported. Electromyographic and muscular biopsy studies proved the myogenic nature of the process. A clinical comparison between the ocular myopathy and the descending ocular myopathy is made, the authors thinking that both of them would be variants of the same muscle disease.

The plasticity of descending controls in pain: translational probing.

Science.gov (United States)

Bannister, Kirsty; Dickenson, A H

2017-07-01

Descending controls, comprising pathways that originate in midbrain and brainstem regions and project onto the spinal cord, have long been recognised as key links in the multiple neural networks that interact to produce the overall pain experience. There is clear evidence from preclinical and clinical studies that both peripheral and central sensitisation play important roles in determining the level of pain perceived. Much emphasis has been put on spinal cord mechanisms in central excitability, but it is now becoming clear that spinal hyperexcitability can be regulated by descending pathways from the brain that originate from predominantly noradrenergic and serotonergic systems. One pain can inhibit another. In this respect diffuse noxious inhibitory controls (DNIC) are a unique form of endogenous descending inhibitory pathway since they can be easily evoked and quantified in animals and man. The spinal pharmacology of pathways that subserve DNIC are complicated; in the normal situation these descending controls produce a final inhibitory effect through the actions of noradrenaline at spinal α 2 -adrenoceptors, although serotonin, acting on facilitatory spinal 5-HT 3 receptors, influences the final expression of DNIC also. These descending pathways are altered in neuropathy and the effects of excess serotonin may now become inhibitory through activation of spinal 5-HT 7 receptors. Conditioned pain modulation (CPM) is the human counterpart of DNIC and requires a descending control also. Back and forward translational studies between DNIC and CPM, gauged between bench and bedside, are key for the development of analgesic therapies that exploit descending noradrenergic and serotonergic control pathways. © 2017 The Authors. The Journal of Physiology © 2017 The Physiological Society.

Descendants of the Chiral Anomaly

OpenAIRE

Jackiw, R.

2000-01-01

Chern-Simons terms are well-known descendants of chiral anomalies, when the latter are presented as total derivatives. Here I explain that also Chern-Simons terms, when defined on a 3-manifold, may be expressed as total derivatives.

Distal corporoplasty for distal cylinders extrusion after penile prosthesis implantation.

Science.gov (United States)

Carrino, Maurizio; Chiancone, Francesco; Battaglia, Gaetano; Pucci, Luigi; Fedelini, Paolo

2017-02-03

Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. Several methods have been proposed for repairing a distal penile erosion. We present our preliminary experience in "Distal corporoplasty" technique. We enrolled 18 consecutive patients whose underwent a distal corporoplasty with simultaneous reimplantation of an "AMS 700 inflatable penile prosthesis (LGX)" from January 2013 to November 2015 at our hospital. All procedures were performed by a single surgical team. Intraoperative and postoperative complications have been classified and reported according to Satava6 and Clavien-Dindo (CD) system.7 Mean values with standard deviations (±SD) were computed and reported for all items. Mean age of the patients was 53.61 (±11.90) years. Mean body max index (BMI) was 24.22 (±2.51). Mean operative time was 85.2 (±13.1) minutes. Blood losses were minimal. No intraoperative complications are reported according to Satava classification. Four out of 18 patients (22.22%) experienced postoperative complications according to CD system. All patients had sexual intercourse for the first time postsurgery after a mean of 59.11 ± 2.08 days. Mean follow-up was 22.11 (±9.95). Distal extrusion of cylinders is a potential complication of the penile prosthesis implantation. Distal corporoplasty was first described by Mulcahy. He reported a series of 14 patients with a follow-up of about 2 years with optimal functional outcomes. Moreover, distal corporoplasty resulted in shorter operative time, better function, less pain, and fewer recurrences than Gortex windsock repair.10 In our experience, distal corporoplasty is a simple and safe procedure in the treatment of distal cylinders extrusion when the prosthetic material is not exposed to the exterior.

Descending with Angels

DEFF Research Database (Denmark)

Suhr, Christian

2014-01-01

Islamic exorcism or psychotropic medication? “Descending with Angels” explores two highly different solutions to the same problem: namely Danish Muslims who are possessed by invisible spirits, called jinn. A Palestinian refugee living in the city of Aarhus has been committed to psychiatric......, and directed by Christian Suhr Produced by Persona Film, November 2013 Distribution: Documentary Educational Resources (DER, Watertown) Screening format: DCP / Blu-ray / ProRes / Mpeg4 / DVD / DV SP. Original format: XDCAM 1080p Languages: Arabic, Danish, English Subtitles: English...

Diversity of Cortico-descending Projections

DEFF Research Database (Denmark)

Innocenti, Giorgio M; Caminiti, Roberto; Rouiller, Eric M

2018-01-01

The axonal composition of cortical projections originating in premotor, supplementary motor (SMA), primary motor (a4), somatosensory and parietal areas and descending towards the brain stem and spinal cord was characterized in the monkey with histological tract tracing, electron microscopy (EM) a...

Distal digital replantation.

Science.gov (United States)

Jazayeri, Leila; Klausner, Jill Q; Chang, James

2013-11-01

Hand surgeons have been hesitant to perform distal digital replantation because of the technical challenges and the perception of a high cost-to-benefit ratio. Recent studies, however, have shown high survival rates and excellent functional and aesthetic results, providing renewed enthusiasm for distal replantation. The authors reviewed the literature and summarize key points regarding the surgical treatment, perioperative care, and outcomes of distal digital replantation. They describe specific techniques and considerations for surgical repair in each of four distal zones as described by Sebastin and Chung. Zone 1A replantation involves an artery-only anastomosis of a longitudinal pulp artery. Venous anastomosis first becomes possible in zone 1B. Zone 1C involves periarticular amputations where arthrodesis of the distal interphalangeal joint is usually indicated. Repair of the artery, vein, and nerve is technically optimal in zone 1D, where venous anastomosis should be performed. Overall, survival rates for distal digital replantation are similar to those reported for more proximal replantation. The literature reports good outcomes regarding nail salvage, fingertip sensibility, and range of motion, with restoration of length and aesthetic appearance. Distal replantation performed at institutions that specialize in microsurgery and specifically tailored to the level of injury is associated with good survival, function, and patient satisfaction and superior aesthetic outcome. More prospective data are needed to evaluate the cost of treatment, psychological outcomes, and functional outcomes of distal replantation compared with revision amputation.

Descending colon endometriosis misdiagnosis as diverticulitis: A case report

Energy Technology Data Exchange (ETDEWEB)

Kim, Ji Hyun; Kim, Min Jeong; Ha, Hong Il; Lee, Kwan Seop; Min, Soo Kee [Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang (Korea, Republic of)

2016-09-15

Endometriosis is defined as the presence of ectopic endometrial tissue outside the uterus. It is a common disease in menstruating females and intestinal involvement is not uncommon. Intestinal endometriosis most commonly involves the sigmoid colon, rectum, ileum, appendix, and cecum. However, the descending colon is a rare site of intestinal endometriosis. Although computed tomography (CT) findings of bowel endometriosis have been presented in several articles, there has been no report describing the CT findings of descending colon endometriosis above the pelvic cavity. Here, we report a rare case of descending colon endometriosis located in the retroperitoneal space, in which the initial impression was acute colonic diverticulitis with a small abscess on preoperative multidetector CT.

Descending colon endometriosis misdiagnosis as diverticulitis: A case report

International Nuclear Information System (INIS)

Kim, Ji Hyun; Kim, Min Jeong; Ha, Hong Il; Lee, Kwan Seop; Min, Soo Kee

2016-01-01

Endometriosis is defined as the presence of ectopic endometrial tissue outside the uterus. It is a common disease in menstruating females and intestinal involvement is not uncommon. Intestinal endometriosis most commonly involves the sigmoid colon, rectum, ileum, appendix, and cecum. However, the descending colon is a rare site of intestinal endometriosis. Although computed tomography (CT) findings of bowel endometriosis have been presented in several articles, there has been no report describing the CT findings of descending colon endometriosis above the pelvic cavity. Here, we report a rare case of descending colon endometriosis located in the retroperitoneal space, in which the initial impression was acute colonic diverticulitis with a small abscess on preoperative multidetector CT

A combinatorial approach for analyzing the number of descendants ...

African Journals Online (AJOL)

This work is devoted to a study of the number of descendants of node j in random increasing trees, previously treated in [5, 8, 10, 15], and also to a study of the number of descendants of node j in pairs of random trees generated by a certain growth process generalizing the corresponding analysis of various classes of ...

Maxillary molar distalization with the dual-force distalizer supported by mini-implants: a clinical study.

Science.gov (United States)

Oberti, Giovanni; Villegas, Carlos; Ealo, Martha; Palacio, John Camilo; Baccetti, Tiziano

2009-03-01

The objective of this prospective study was to describe the clinical effects of a bone-supported molar distalizing appliance, the dual-force distalizer. The study group included 16 patients (mean age, 14.3 years) with Class II molar relationships. Study models and lateral cephalograms were taken before and after the distalizing movement to record significant dental and skeletal changes (Wilcoxon test). The average distalization time was 5 months, with a movement rate of 1.2 mm per month; the distalization amounts were 5.9 +/- 1.72 mm at the crown level and 4.4 +/- 1.41 mm at the furcation level. The average molar inclination was 5.6 degrees +/- 3.7 degrees ; this was less than the amount of inclination generated by bone-supported appliances that use single distalizing forces. The correlation between inclination and distalization was not significant, indicating predominantly bodily movement. The teeth anterior to the first molar moved distally also; the second premolars distalized an average of 4.26 mm, and the incisors retruded by 0.53 mm. The dual-force distalizer is a valid alternative distalizing appliance that generates controlled molar distalization with a good rate of movement and no loss of anchorage.

Descending perineum syndrome: new perspectives.

Science.gov (United States)

Pucciani, F

2015-08-01

The classical clinical profile of descending perineum syndrome (DPS) has been replaced by new pathophysiological, diagnostic, and therapeutic acquisitions. This paper will focus on trigger factors ranging from dyssynergic defecation to excessive straining, fecal incontinence against the backdrop of obstructed defecation, attendant rectal diseases, and therapy tailored to evolving stages of DPS.

Alveolar ridge atrophy related to facial morphology in edentulous patients

Directory of Open Access Journals (Sweden)

Kuć J

2017-09-01

Full Text Available Joanna Kuć,1 Teresa Sierpińska,2 Maria Gołębiewska1 1Department of Prosthodontics, 2Department of Dental Technology, Medical University of Bialystok, Bialystok, Poland Objectives: The morphology of the alveolar process determines the retention and stability of prosthetic restorations, thereby determining the result of the therapy. Considering that the edentulous jaws may be affected by the atrophy process, it was hypothesized that the morphology of the alveolar process of the maxilla may be dependent on the anterior facial height and anatomy of the mandible. Subjects and methods: Twenty-five healthy edentulous Caucasian individuals were randomly chosen. Each subject underwent a lateral cephalogram before and after prosthetic rehabilitation. During exposition, newly made prostheses were placed in the patient’s mouth. Teeth remained in maximal intercuspidation. Morphological parameters were evaluated according to the Ricketts, McNamara, and Tallgren’s method. Results: An inversely proportional association was observed between patient age and the distal part of the maxilla. A statistically significant connection was noted between the vertical dimension of alveolar ridge and anterior total and lower facial height conditioned by prosthetic rehabilitation. Conclusion: The height of the lateral part of the alveolar ridge of the maxilla remains in connection with the anterior total and lower facial height obtained in the course of prosthetic rehabilitation. The vertical dimension of the alveolar ridge of the maxilla seems to be in close relationship with the morphology of the lower jaw. Keywords: anterior facial height, cephalometric analysis, complete dentures, vertical occlusal dimension

Remedial Investigation Work Plan for Chestnut Ridge Operable Unit 1 (Chestnut Ridge Security Pits) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1994-03-01

This document outlines the activities necessary to conduct a Remedial Investigation (RI) of the Chestnut Ridge Security Pits (CRSP) at the Oak Ridge Y-12 Plant. The CRSP, also designated Chestnut Ridge Operable Unit (OU) 1, is one of four OUs along Chestnut Ridge on the Oak Ridge Reservation (ORR). The purpose of the RI is to collect data to (1) evaluate the nature and extent of known and suspected contaminants, (2) support an Ecological Risk Assessment (ERA) and a Human Health Risk Assessment (HHRA), (3) support the feasibility study in the development and analysis of remedial alternatives, and (4) ultimately, develop a Record of Decision (ROD) for the site. This chapter summarizes the regulatory background of environmental investigation on the ORR and the approach currently being followed and provides an overview of the RI to be conducted at the CRSP. Subsequent chapters provide details on site history, sampling activities, procedures and methods, quality assurance (QA), health and safety, and waste management related to the RI

Remedial Investigation Work Plan for Chestnut Ridge Operable Unit 1 (Chestnut Ridge Security Pits) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

1994-03-01

This document outlines the activities necessary to conduct a Remedial Investigation (RI) of the Chestnut Ridge Security Pits (CRSP) at the Oak Ridge Y-12 Plant. The CRSP, also designated Chestnut Ridge Operable Unit (OU) 1, is one of four OUs along Chestnut Ridge on the Oak Ridge Reservation (ORR). The purpose of the RI is to collect data to (1) evaluate the nature and extent of known and suspected contaminants, (2) support an Ecological Risk Assessment (ERA) and a Human Health Risk Assessment (HHRA), (3) support the feasibility study in the development and analysis of remedial alternatives, and (4) ultimately, develop a Record of Decision (ROD) for the site. This chapter summarizes the regulatory background of environmental investigation on the ORR and the approach currently being followed and provides an overview of the RI to be conducted at the CRSP. Subsequent chapters provide details on site history, sampling activities, procedures and methods, quality assurance (QA), health and safety, and waste management related to the RI.

An aerial radiological survey of the Oak Ridge Reservation, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Maurer, R.J.

1993-04-01

An aerial radiological survey of the Oak Ridge Reservation (ORR) and surrounding area in Oak Ridge, Tennessee, was conducted during the period March 30 to April 14,1992. The purpose of the survey was to measure and document the terrestrial radiological environment of the Oak Ridge Reservation for use in environmental management programs and emergency response planning. The aerial survey was flown at an altitude of 150 feet (46 meters) along a series of parallel lines 250 feet (76 meters) apart and included X-10 (Oak Ridge National Laboratory), K-25 (former Gaseous Diffusion Plant), Y-12 (Weapons Production Plant), the Freels Bend Area and Oak Ridge Institute for Science and Education, the East Fork Poplar Creek (100-year floodplain extending from K-25 to Y-12), Elza Gate (former uranium ore storage site located in the city of Oak Ridge), Parcel A, the Clinch River (river banks extending from Melton Hill Dam to the city of Kingston), and the CSX Railroad Tracks (extending from Y-12 to the city of Oak Ridge). The survey encompassed approximately 55 square miles (1 41 square kilometers) of the Oak Ridge Reservation and surrounding area

Suicide awareness of japanese family descendants

Directory of Open Access Journals (Sweden)

Carla Tiemi Kawaziri Diogo

2014-10-01

Full Text Available This study aimed to comprehend the meaning of suicide for Japanese descendants. This was a qualitative study, based on Grounded Theory, using a structured interview with sixteen questions, digitally recorded. Subjects were ten descendants who were interviewed in 2011. The opinions of the interviewed showed factors of psychological, social and cultural origin involved in suicide, such as: heredity, religion, mental health, personality characteristics and interpersonal relationships, pleasure and pain at work, stigma and consequences of the act on the family. Family without case of suicide showed attitudes of prejudice and judgment, while those with case displayed feelings of pain in their reports. It was concluded that the Japanese rigid culture, personality, interpersonal communication and the way family and work have effects on their behavior are predisposing factors to suicide, as well as the identification of these factors contributes to a better performance of the nurse.

Reverse Distal Transverse Palmar Arch in Distal Digital Replantation.

Science.gov (United States)

Wei, Ching-Yueh; Orozco, Oscar; Vinagre, Gustavo; Shafarenko, Mark

2017-11-01

Refinements in microsurgery have made distal finger replantation an established technique with high success rates and good functional and aesthetic outcomes. However, it still represents a technically demanding procedure due to the small vessel caliber and frequent lack of vessel length, requiring the use of interpositional venous grafts in some instances. We describe a new technique for anastomosis in fingertip replantation, whereby the need for venous grafts is eliminated. Applying the reverse distal transverse palmar arch technique, 11 cases of distal digital replantation were performed between January 2011 and July 2016. The described procedure was used for arterial anastomosis in 10 cases and arteriovenous shunting for venous drainage in 1 case. A retrospective case review was conducted. The technical description and clinical outcome evaluations are presented. Ten of the 11 replanted digits survived, corresponding to an overall success rate of 91%. One replant failed due to venous insufficiency. Blood transfusions were not required for any of the patients. Follow-up (range, 1.5-5 months) revealed near-normal range of motion and good aesthetic results. All of the replanted digits developed protective sensation. The average length of hospital admission was 5 days. All patients were satisfied with the results and were able to return to their previous work. The use of the reverse distal transverse palmar arch is a novel and reliable technique in distal digital replantation when an increase in vessel length is required, allowing for a tension-free arterial repair without the need for vein grafts.

Descending necrotising mediastinitis: Case report

Directory of Open Access Journals (Sweden)

Canan Eren

2010-12-01

Full Text Available Descending necrotising mediastinitis is a rare but usually fatal infection. It commonly results of oropharyngeal and odontogenic infections. Complete recovery may be achieved by early diagnosis, prompt medical and surgical approach. We are reporting our desending necrotizing mediastinitis case secondary to tooth abscess, and it’s successfull surgical treatment.A-48-year-old man admitted with fever, exhaustion neck distendion for a week. He had a tooth abscess one week ago. Chest tomography showed neck and mediastinal air and fluid collections. Antibiothreapy was started and urgent surgical management applied. Neck drainage was performed via transcervical approach. Mediastinal drainage was performed via right thoracotomy. Continue mediastinal washing feasibility was done by drainage tubes. Drainage was ended after nonextra drainage and cultural growthless. Vital signs became stable and control tomography showed complete recovery. He was healthfull at the 6th month’s follow-up.Broad antibiothreapy, surgical management are the main approaches for descending necrotising mediastinitis. The most common surgical procedure is the combination of transcervical approach and thoracotomy. We suggest early and agressive surgical management for the complete recovery. J Clin Exp Invest 2010; 1(3: 228-231

Congenital Membrane Causing Duodenal Obstruction and Malpositioning of the Descending Colon

Directory of Open Access Journals (Sweden)

Chee-Chee Koh

2013-08-01

Full Text Available A congenital membrane without intestinal malrotation is a rare cause of duodenal obstruction. Here we present an 11-year-old girl who had suffered from intermittent abdominal cramping pain and vomiting for more than 5 years. The image studies, including a plain abdomen roentgenogram and sonogram, showed no definite diagnosis. The upper gastrointestinal series and small bowel series showed the contrast was static over the third portion of the duodenum and the descending colon pulled up toward the epigastric area. Laparoscopic exploration revealed a congenital membrane extending from the right-side paraduodenal peritoneum through the third portion of the duodenum to the descending colon, which had caused obstruction of the third portion of the duodenum and malpositioning of the descending colon. To the best of our knowledge, this is the first case report in the literature where a congenital membrane caused both duodenal obstruction and malpositioning of the descending colon.

Effects of ascending and descending climbers on space elevator cable dynamics

Science.gov (United States)

Ishikawa, Yoji; Otsuka, Kiyotoshi; Yamagiwa, Yoshiki; Doi, Hinata

2018-04-01

Based on a mass-point model, the cable dynamics of a space elevator during a climber's travel motion are examined. The cable response during a single operation of one ascending or descending climber is analyzed first, and then, based on the results, the cable dynamics for simultaneous operation of an ascending and a descending climber are evaluated. For the single operation, bending is significant when the climber is traveling near the Earth's surface. The cable also inclines with periodic oscillation as a result of a Coriolis force corresponding to the climber velocity. However, simultaneous operation of ascending and descending climbers can suppress the inclination of the cable by almost a factor of ten. In simultaneous operation, compared to single operation, a descending climber has a smaller amplitude of libration angle and less cable bending, while an ascending climber has a smaller amplitude when the climber is traveling at a higher altitude with climber velocities of 200 km/h and 400 km/h. The phase of the oscillation of the overall cable is found to be close to that of the descending climber. Cable bending is suppressed for any examined climber velocity, but the dependency of this suppression of displacement on climber velocity is not found. In summary, simultaneous operation can surely suppress the inclination of the cable via the cancellation of Coriolis forces by the two climbers.

Thickness of Knox Group overburden on Central Chestnut Ridge, Oak Ridge Reservation

International Nuclear Information System (INIS)

Staub, W.P.; Hopkins, R.A.

1984-05-01

The thickness of residual soil overlying the Knox Group along Central Chestnut Ridge was estimated by a conventional seismic refraction survey. The purpose of this survey was to identify sites on the Department of Energy's Oak Ridge Reservation where ample overburden exists above the water table for the shallow land burial of low-level radioactive waste. The results of the survey suggest that the upper slopes of the higher ridges in the area have a minimum of 16 to 26 m (52 to 85 ft) of overburden and that the crests of these ridges may have more than 30 m (100 ft). Therefore, it is unlikely that sound bedrock would be encountered during trench excavation [maximum of 10 m (32 ft)] along Central Chestnut Ridge. Also, the relatively low seismic wave velocities measured in the overburden suggest that the water table is generally deep. On the basis of these preliminary results, Central Chestnut Ridge appears to be suitable for further site characterization for the shallow land burial of low-level radioactive waste. 3 references, 5 figures, 1 table

Successful outcome of descending necrotizing mediastinitis due to neck trauma

International Nuclear Information System (INIS)

Kurowski, K.; Matuszek, I.; Nunez, C. F. M.

2011-01-01

Descending necrotizing mediastinitis (DNM) is an uncommon form of mediastinitis that can rapidly progress to septicemia. The optimal surgical approach still remains controversial. In this paper we would like to present a case of descending necrotizing mediastinitis that was treated successfully by means of thoracic drainage through trans-thoracic approach. In our case DNM occurred as a complication of oropharyngeal abscesses and a complication of cervical spine trauma. (authors)

[Distal clavicle fracture].

Science.gov (United States)

Seppel, G; Lenich, A; Imhoff, A B

2014-06-01

Reposition and fixation of unstable distal clavicle fractures with a low profile locking plate (Acumed, Hempshire, UK) in conjunction with a button/suture augmentation cerclage (DogBone/FibreTape, Arthrex, Naples, FL, USA). Unstable fractures of the distal clavicle (Jäger and Breitner IIA) in adults. Unstable fractures of the distal clavicle (Jäger and Breitner IV) in children. Distal clavicle fractures (Jäger and Breitner I, IIB or III) with marked dislocation, injury of nerves and vessels, or high functional demand. Patients in poor general condition. Fractures of the distal clavicle (Jäger and Breitner I, IIB or III) without marked dislocation or vertical instability. Local soft-tissue infection. Combination procedure: Initially the lateral part of the clavicle is exposed by a 4 cm skin incision. After reduction of the fracture, stabilization is performed with a low profile locking distal clavicle plate. Using a special guiding device, a transclavicular-transcoracoidal hole is drilled under arthroscopic view. Additional vertical stabilization is arthroscopically achieved by shuttling the DogBone/FibreTape cerclage from the lateral portal cranially through the clavicular plate. The two ends of the FibreTape cerclage are brought cranially via adjacent holes of the locking plate while the DogBone button is placed under the coracoid process. Thus, plate bridging is achieved. Finally reduction is performed and the cerclage is secured by surgical knotting. Use of an arm sling for 6 weeks. Due to the fact that the described technique is a relatively new procedure, long-term results are lacking. In the short term, patients postoperatively report high subjective satisfaction without persistent pain.

Free-flap cover of complex defects around the knee using the descending genicular artery as the recipient pedicle.

Science.gov (United States)

Venkatramani, H; Sabapathy, S R; Nayak, S

2014-01-01

Selection of ideal recipient vessels is one of the most important factors determining success in free-flap reconstruction of the lower limb. At the knee, the choice of vessels has traditionally been either the common femoral or the popliteal vessels and their branches but these are often difficult to use or cannot be used. A series of 32 free flaps for cover of complex injuries of the knee involving the distal femur, the knee joint and the upper tibia were reconstructed using the descending genicular branch of the femoral artery in the adductor canal and its muscular branches to the vastus medialis as the recipient vessels. All but one flap survived with no major complications. The use of the descending genicular artery as the recipient vessel for reconstruction with free flaps around the knee has various advantages including: (i) it is mostly remote from the zone of trauma, (ii) it is constant in location, (iii) the recipient vessels are an excellent size match for end-to-end anastomosis, (iv) there is no need for changes of position of the patient when using most free flaps commonly used for knee reconstruction, (v) it is easy to harvest these simultaneously, (vi) secondary exposure of the underlying skeleton from all quadrants is unlikely to divide the flap pedicle as it is superior and (vii), perhaps most important of all, it obviates the need for exploration of the popliteal fossa. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Pathology of the distal condyles of the third metacarpal and third metatarsal bones of the horse

International Nuclear Information System (INIS)

Riggs, C.M.; Whitehouse, G.H.; Boyde, A.

1999-01-01

This study examined material from Thoroughbred horses, the majority of which had been in race training, for evidence of pathology in the third metacarpal (McIII) and third metatarsal (MtIII) bones which might be related to the occurrence of distal condylar fractures. Whole bone samples were studied and documented by macrophotography prior to macroradiography and computed tomographic (CT) imaging. Microradiographs were made from 100 microm thick mediolateral sections cut perpendicular to the dorsal and palmar/plantar articular surfaces of distal condylar regions of McIII and MtIII. Blocks were prepared for morphological imaging using the backscattered electron mode of scanning electron microscopy (BSE SEM). Linear defects in mineralised articular cartilage and subchondral bone were found in the palmar/plantar aspects of the condylar grooves adjacent to the sagittal ridge. These were closely related to the pattern of densification of the subchondral bone and were associated with intense focal remodelling of the immediately adjacent and subjacent bone. Parasagittal fractures of the condyles originated in similar defects. A unifying hypothesis for the aetiopathogenesis of these fractures is presented

Spleen-preserving distal pancreatectomy in trauma.

Science.gov (United States)

Schellenberg, Morgan; Inaba, Kenji; Cheng, Vincent; Bardes, James M; Lam, Lydia; Benjamin, Elizabeth; Matsushima, Kazuhide; Demetriades, Demetrios

2018-01-01

Traumatic injuries to the distal pancreas are infrequent. Universally accepted recommendations about the need for routine splenectomy with distal pancreatectomy do not exist. The aims of this study were to compare outcomes after distal pancreatectomy and splenectomy versus spleen-preserving distal pancreatectomy, and to define the appropriate patient population for splenic preservation. All patients who underwent distal pancreatectomy (January 1, 2007, to December 31, 2014) were identified from the National Trauma Data Bank. Patients with concomitant splenic injury and those who underwent partial splenectomy were excluded. Demographics, clinical data, procedures, and outcomes were collected. Study groups were defined by surgical procedure: distal pancreatectomy and splenectomy versus spleen-preserving distal pancreatectomy. Baseline characteristics between groups were compared with univariate analysis. Multivariate analysis was performed with logistic and linear regression to examine differences in outcomes. Over the 8-year study period, 2,223 patients underwent distal pancreatectomy. After excluding 1,381 patients with concomitant splenic injury (62%) and 8 (pancreatectomy and splenectomy, those who underwent spleen-preserving distal pancreatectomy were younger (p pancreatectomy (p = 0.017). Complications, mortality, and intensive care unit LOS were not significantly different. In young patients after blunt trauma who are not severely injured, a spleen-preserving distal pancreatectomy should be considered to allow for conservation of splenic function and a shorter hospital LOS. In all other patients, the surgeon should not hesitate to remove the spleen with the distal pancreas. Therapy, level IV.

The descendants of the first quasars in the BlueTides simulation

Science.gov (United States)

Tenneti, Ananth; Di Matteo, Tiziana; Croft, Rupert; Garcia, ThomasJae; Feng, Yu

2018-02-01

Supermassive blackholes with masses of a billion solar masses or more are known to exist up to z = 7. However, the present-day environments of the descendants of first quasars are not well understood and it is not known if they live in massive galaxy clusters or more isolated galaxies at z = 0. We use a dark matter-only realization (BTMassTracer) of the BlueTides cosmological hydrodynamic simulation to study the halo properties of the descendants of the most massive black holes at z = 8. We find that the descendants of the quasars with most massive black holes are not amongst the most massive haloes. They reside in haloes of with group-like (˜1014 M⊙) masses, while the most massive haloes in the simulations are rich clusters with masses ˜1015 M⊙. At z = 0, the distribution of halo masses of these quasar descendants is similar to that of the descendants of least massive black holes, which indicates that they are likely to exist in similar environments. By tracing back to the z = 8 progenitors of the most massive (cluster sized) haloes at z = 0; we find that their most likely black hole mass is less than 107 M⊙; they are clearly not amongst the most massive black holes. For haloes above 1015 M⊙, there is only 20 per cent probability that their z = 8 progenitors hosted a black hole with mass above 107 M⊙.

Performance and physiological effects of different descending strategies for cross-country mountain biking.

Science.gov (United States)

Miller, Matthew C; Macdermid, Paul W; Fink, Phil W; Stannard, Stephen R

2017-04-01

This study investigated the performance-related feasibility and physiological benefits of purposefully eliminating propulsive work while descending in mountain biking and compared values to those measured during road descending. Participants cycled uphill on a road at race pace before descending over three conditions (off-road pedalling; off-road coasting; road coasting). Relatively low power output during off-road pedalling was associated with a greater oxygen uptake (p  .05). Importantly, pedalling did not invoke a performance benefit (p > .05) on the descent used in this study. Significantly greater heart rate and oxygen uptake (both p bike athletes focus on skills to increase descending speed without the addition of pedalling, and that equipment be used to decrease vibrations nearer to those seen on the road.

Comparison of standard laparoscopic distal pancreatectomy with minimally invasive distal pancreatectomy using the da Vinci S system.

Science.gov (United States)

Ito, Masahiro; Asano, Yukio; Shimizu, Tomohiro; Uyama, Ichiro; Horiguchi, Akihiko

2014-01-01

Minimally invasive procedures for pancreatic pathologies are increasingly being used, including distal pancreatectomy. This study aimed to assess the indications for and outcomes of the da Vinci distal pancreatectomy procedure. We reviewed the medical records of patients who underwent pancreatic head resection from April 2009 to September 2013. Four patients (mean age, 52.7 years) underwent da Vinci distal pancreatectomy and 10 (mean age, 68.0 +/- 12.1 years) underwent laparoscopic distal pancreatectomy. The mean surgical duration was 292 +/- 153 min and 306 +/- 29 min, the mean blood loss was 153 +/- 71 mL and 61.7 +/- 72 mL, and the mean postoperative length of stay was 24 +/- 11 days and 14 +/- 3 days in the da Vinci distal pancreatectomy and laparoscopic distal pancreatectomy groups, respectively. One patient who underwent da Vinci distal pancreatectomy developed a pancreatic fistula, while 2 patients in the laparoscopic distal pancreatectomy group developed splenic ischemia and gastric torsion, respectively. Laparoscopic and robotic pancreatic resection were both safe and feasible in selected patients with distal pancreatic pathologies. Further studies are necessary to clarify the role of robotic surgery in the advanced laparoscopic era.

A Case of Advanced Descending Colon Cancer in an Adult Patient with Intestinal Malrotation

Directory of Open Access Journals (Sweden)

Yoshifumi Nakayama

2016-01-01

Full Text Available This report presents an operative case of advanced descending colon cancer in an adult patient with intestinal malrotation. A 63-year-old Japanese male was suffering from left side abdominal pain, abdominal distension, and constipation. An endoscopic examination revealed an advanced tumor in the descending colon. Computed tomography (CT of the abdomen revealed the thickening of the descending colon wall and superior mesenteric vein rotation. An opaque enema detected severe stenosis of the descending colon. An abdominal X-ray examination revealed the dilation of the colon and small intestine with niveau. At the insertion of an ileus tube, the C-loop of the duodenum was observed to be absent and the small intestine was located on the right side of the abdomen. After the decompression of the bowel contents, laparotomy was performed. Descending colon cancer was observed to have directly invaded the left side of the transverse colon. Left hemicolectomy, lymph node dissection, and appendectomy were performed. The patient had an uneventful recovery and was discharged from the hospital on the 16th day after surgery. This report presents a rare operative case of descending colon cancer in an adult patient with intestinal malrotation.

An innovative technique to distalize maxillary molar using microimplant supported rapid molar distalizer

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Meenu Goel

2013-01-01

Full Text Available Introduction: In recent years, enhancements in implants have made their use possible as a mode of absolute anchorage in orthodontic patients. In this paper, the authors have introduced an innovative technique to unilaterally distalize the upper left 1 st molar to obtain an ideal Class I molar relationship from a Class II existing molar relationship with an indigenous designed distalizer. Clinical Innovation: For effective unilateral diatalization of molar, a novel cantilever sliding jig assembly was utilized with coil spring supported by a buccally placed single micro implant. The results showed 3 mm of bodily distalization with 1 mm of intrusion and 2° of distal tipping of upper left 1 st molar in 1.5 months. Discussion: This appliance is relatively easy to insert, well-tolerated, and requires minimal patient cooperation compared to other present techniques of molar distalization. Moreover, it is particularly useful in cases that are Class II on one side and Class I on the other, with a minor midline discrepancy and nominal overjet. Patient acceptance level was reported to be within patients physiological and comfort limits.

Entanglement entropy for descendent local operators in 2D CFTs

International Nuclear Information System (INIS)

Chen, Bin; Guo, Wu-Zhong; He, Song; Wu, Jie-qiang

2015-01-01

We mainly study the Rényi entropy and entanglement entropy of the states locally excited by the descendent operators in two dimensional conformal field theories (CFTs). In rational CFTs, we prove that the increase of entanglement entropy and Rényi entropy for a class of descendent operators, which are generated by L"("−")L̄"("−") onto the primary operator, always coincide with the logarithmic of quantum dimension of the corresponding primary operator. That means the Rényi entropy and entanglement entropy for these descendent operators are the same as the ones of their corresponding primary operator. For 2D rational CFTs with a boundary, we confirm that the Rényi entropy always coincides with the logarithmic of quantum dimension of the primary operator during some periods of the evolution. Furthermore, we consider more general descendent operators generated by ∑d_{_n__i_}_{_n__j_}(∏_iL_−_n__i∏_jL̄_−_n__j) on the primary operator. For these operators, the entanglement entropy and Rényi entropy get additional corrections, as the mixing of holomorphic and anti-holomorphic Virasoro generators enhance the entanglement. Finally, we employ perturbative CFT techniques to evaluate the Rényi entropy of the excited operators in deformed CFT. The Rényi and entanglement entropies are increased, and get contributions not only from local excited operators but also from global deformation of the theory.

Distal renal tubular acidosis

Science.gov (United States)

... this disorder. Alternative Names Renal tubular acidosis - distal; Renal tubular acidosis type I; Type I RTA; RTA - distal; Classical RTA Images Kidney anatomy Kidney - blood and urine flow References Bose A, Monk RD, Bushinsky DA. Kidney ...

Rapid orthodontic treatment after the ridge-splitting technique--a combined surgical-orthodontic approach for implant site development: case report.

Science.gov (United States)

Amato, Francesco; Mirabella, A Davide; Borlizzi, Diego

2012-08-01

This article presents a clinical case of bilateral partial edentulism in the posterior mandible with severe horizontal and moderate vertical bone atrophy. A new technique using rapid orthodontics after ridge splitting is presented. The split-crest technique was carried out using piezosurgical instruments in the first molar and second premolar areas to widen the bone crest and open a channel for tooth movement. Immediately after, orthodontic appliances were used to move the first premolars distally and the second molars mesially into the surgical site. The rationale was to facilitate and accelerate orthodontic movement of the teeth, which is otherwise difficult in a cortical knife-edged ridge. The bone defect was filled with the alveolar bone of the adjacent teeth that were moved into the surgically opened path. Adequate bone volume for implant placement was generated in the first premolar area. Implants were then inserted, and the patient was rehabilitated.

Hybrid Approach of Aortic Diseases: Zone 1 Delivery and Volumetric Analysis on the Descending Aorta

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José Augusto Duncan

Full Text Available Abstract Introduction: Conventional techniques of surgical correction of arch and descending aortic diseases remains as high-risk procedures. Endovascular treatments of abdominal and descending thoracic aorta have lower surgical risk. Evolution of both techniques - open debranching of the arch and endovascular approach of the descending aorta - may extend a less invasive endovascular treatment for a more extensive disease with necessity of proximal landing zone in the arch. Objective: To evaluate descending thoracic aortic remodeling by means of volumetric analysis after hybrid approach of aortic arch debranching and stenting the descending aorta. Methods: Retrospective review of seven consecutive patients treated between September 2014 and August 2016 for diseases of proximal descending aorta (aneurysms and dissections by hybrid approach to deliver the endograft at zone 1. Computed tomography angiography were analyzed using a specific software to calculate descending thoracic aorta volumes pre- and postoperatively. Results: Follow-up was done in 100% of patients with a median time of 321 days (range, 41-625 days. No deaths or permanent neurological complications were observed. There were no endoleaks or stent migrations. Freedom from reintervention was 100% at 300 days and 66% at 600 days. Median volume reduction was of 45.5 cm3, representing a median volume shrinkage by 9.3%. Conclusion: Hybrid approach of arch and descending thoracic aorta diseases is feasible and leads to a favorable aortic remodeling with significant volume reduction.

Distal protection in cardiovascular medicine: current status.

Science.gov (United States)

Ali, Onn Akbar; Bhindi, Ravinay; McMahon, Aisling C; Brieger, David; Kritharides, Leonard; Lowe, Harry C

2006-08-01

Iatrogenic and spontaneous downstream microembolization of atheromatous material is increasingly recognized as a source of cardiovascular morbidity and mortality. Devising ways of reducing this distal embolization using a variety of mechanical means--distal protection--is currently under intense and diverse investigation. This review therefore summarizes the present status of distal protection. It examines the problem of distal embolization, describes the available distal protection devices, reviews those areas of cardiovascular medicine where distal protection devices are being investigated, and discusses potential future developments.

Resection and anastomosis of the descending colon in 43 horses.

Science.gov (United States)

Prange, Timo; Holcombe, Susan J; Brown, Jennifer A; Dechant, Julie E; Fubini, Susan L; Embertson, Rolf M; Peroni, John; Rakestraw, Peter C; Hauptman, Joe G

2010-08-01

To determine (1) the short- (to hospital discharge) and long- (>6 months) term survival, (2) factors associated with short-term survival, and (3) the perioperative course for horses with resection and anastomosis of the descending colon. Multicentered case series. Horses (n=43) that had descending colon resection and anastomosis. Medical records (January 1995-June 2009) of 7 equine referral hospitals were reviewed for horses that had descending colon resection and anastomosis and were recovered from anesthesia. Retrieved data included history, results of clinical and clinicopathologic examinations, surgical findings, postsurgical treatment and complications, and short-term survival (hospital discharge). Long-term survival was defined as survival > or =6 months after hospital discharge. Of 43 horses, 36 (84%) were discharged from the hospital. Twenty-eight of 30 horses with follow-up information survived > or =6 months. No significant associations between perioperative factors and short-term survival were identified. Lesions included strangulating lipoma (n=27), postfoaling trauma (4), infarction (4), intraluminal obstruction (2), and other (6). Common postoperative complications included fever and diarrhea. During hospitalization 7 horses were euthanatized or died because of septic peritonitis (3), endotoxemia (3), and colic and ileus (1). Descending colon resection and anastomosis has a favorable prognosis for hospital discharge and survival > or =6 months. The most common cause of small colon incarceration was strangulating lipoma. Complications include postoperative fever and diarrhea but the prognosis is good after small colon resection and anastomosis.

Variational Ridging in Sea Ice Models

Science.gov (United States)

Roberts, A.; Hunke, E. C.; Lipscomb, W. H.; Maslowski, W.; Kamal, S.

2017-12-01

This work presents the results of a new development to make basin-scale sea ice models aware of the shape, porosity and extent of individual ridges within the pack. We have derived an analytic solution for the Euler-Lagrange equation of individual ridges that accounts for non-conservative forces, and therefore the compressive strength of individual ridges. Because a region of the pack is simply a collection of paths of individual ridges, we are able to solve the Euler-Lagrange equation for a large-scale sea ice field also, and therefore the compressive strength of a region of the pack that explicitly accounts for the macro-porosity of ridged debris. We make a number of assumptions that have simplified the problem, such as treating sea ice as a granular material in ridges, and assuming that bending moments associated with ridging are perturbations around an isostatic state. Regardless of these simplifications, the ridge model is remarkably predictive of macro-porosity and ridge shape, and, because our equations are analytic, they do not require costly computations to solve the Euler-Lagrange equation of ridges on the large scale. The new ridge model is therefore applicable to large-scale sea ice models. We present results from this theoretical development, as well as plans to apply it to the Regional Arctic System Model and a community sea ice code. Most importantly, the new ridging model is particularly useful for pinpointing gaps in our observational record of sea ice ridges, and points to the need for improved measurements of the evolution of porosity of deformed ice in the Arctic and Antarctic. Such knowledge is not only useful for improving models, but also for improving estimates of sea ice volume derived from altimetric measurements of sea ice freeboard.

Cartographies of the Political Camp of Afro-Descendents in Latin America

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Agustín Lao-Montes

2009-07-01

Full Text Available This article lays out, in general terms, what it calls the political camp of Afro-descendents in Latin America. After establishing a series of theoretical and methodological criteria for the historical analysis of black movements in modernity and the Afro-American movements in particular, the article focuses on the emergence of afro-descendant movements in Latin America during the last part of the 1980s. One of the principal arguments is that in the 1990s a political camp of afro-descendents starts to emerge in the region of Latin America based on a series of developments, including the emergence of new social movements that included ethno-racial movements of Afros and indigenous people, events of regional importance like the contra-celebration of 1492 in 1992, the World Conference against Racism 2001 in Durban, South Africa, and the effects of the neoliberal pattern of globalization. The political camp of Afro-descendents is composed not only of social movements, but also of state actors and transnational actors (such as the World Bank and the Ford Foundation. The article concludes with an analysis of the challenges and perspectives of Afro-American politics in general and of Afro-Latin movements in particular considering the current crisis of the modern/colonial world-system.

Mural Thrombus in the Normal-Appearing Descending Thoracic Aorta of a Chronic Smoker

Science.gov (United States)

Habib, Habib; Hsu, Judy; Winchell, Patricia Jo; Daoko, Joseph

2013-01-01

Thrombus formation in an atherosclerotic or aneurysmal descending thoracic aorta is a well-described, frequently encountered vascular condition. In comparison, thrombus formation in a normal-appearing descending thoracic aorta is reported far less often. We describe the case of a 46-year-old woman who had splenic and renal infarctions secondary to embolic showers from a large, mobile thrombus in a morphologically normal proximal descending thoracic aorta. After the patient underwent anticoagulation, stent-grafting, and surgical bypass to correct an arterial blockage caused by the stent-graft, she resumed a relatively normal life. In contrast with other cases of a thrombotic but normal-appearing descending thoracic aorta, this patient had no known malignancy or systemic coagulative disorders; her sole risk factor was chronic smoking. We discuss our patient's case and review the relevant medical literature, focusing on the effect of smoking on coagulation physiology. PMID:24391341

Descending brain neurons in larval lamprey: Spinal projection patterns and initiation of locomotion

Science.gov (United States)

Shaw, Albert C.; Jackson, Adam W.; Holmes, Tamra; Thurman, Suzie; Davis, G.R.; McClellan, Andrew D.

2010-01-01

In larval lamprey, partial lesions were made in the rostral spinal cord to determine which spinal tracts are important for descending activation of locomotion and to identify descending brain neurons that project in these tracts. In whole animals and in vitro brain/spinal cord preparations, brain-initiated spinal locomotor activity was present when the lateral or intermediate spinal tracts were spared but usually was abolished when the medial tracts were spared. We previously showed that descending brain neurons are located in eleven cell groups, including reticulospinal (RS) neurons in the mesenecephalic reticular nucleus (MRN) as well as the anterior (ARRN), middle (MRRN), and posterior (PRRN) rhombencephalic reticular nuclei. Other descending brain neurons are located in the diencephalic (Di) as well as the anterolateral (ALV), dorsolateral (DLV), and posterolateral (PLV) vagal groups. In the present study, the Mauthner and auxillary Mauthner cells, most neurons in the Di, ALV, DLV, and PLV cell groups, and some neurons in the ARRN and PRRN had crossed descending axons. The majority of neurons projecting in medial spinal tracts included large identified Müller cells and neurons in the Di, MRN, ALV, and DLV. Axons of individual descending brain neurons usually did not switch spinal tracts, have branches in multiple tracts, or cross the midline within the rostral cord. Most neurons that projected in the lateral/intermediate spinal tracts were in the ARRN, MRRN, and PRRN. Thus, output neurons of the locomotor command system are distributed in several reticular nuclei, whose neurons project in relatively wide areas of the cord. PMID:20510243

[New anterolateral approach of distal femur for treatment of distal femoral fractures].

Science.gov (United States)

Zhang, Bin; Dai, Min; Zou, Fan; Luo, Song; Li, Binhua; Qiu, Ping; Nie, Tao

2013-11-01

To assess the effectiveness of the new anterolateral approach of the distal femur for the treatment of distal femoral fractures. Between July 2007 and December 2009, 58 patients with distal femoral fractures were treated by new anterolateral approach of the distal femur in 28 patients (new approach group) and by conventional approach in 30 patients (conventional approach group). There was no significant difference in gender, age, cause of injury, affected side, type of fracture, disease duration, complication, or preoperative intervention (P > 0.05). The operation time, intraoperative blood loss, intraoperative fluoroscopy frequency, hospitalization days, and Hospital for Special Surgery (HSS) score of knee were recorded. Operation was successfully completed in all patients of 2 groups, and healing of incision by first intention was obtained; no vascular and nerves injuries occurred. The operation time and intraoperative fluoroscopy frequency of new approach group were significantly less than those of conventional approach group (P 0.05). All patients were followed up 12-36 months (mean, 19.8 months). Bone union was shown on X-ray films; the fracture healing time was (12.62 +/- 2.34) weeks in the new approach group and was (13.78 +/- 1.94) weeks in the conventional approach group, showing no significant difference (t=2.78, P=0.10). The knee HSS score at last follow-up was 94.4 +/- 4.2 in the new approach group, and was 89.2 +/- 6.0 in the conventional approach group, showing significant difference between 2 groups (t=3.85, P=0.00). New anterolateral approach of the distal femur for distal femoral fractures has the advantages of exposure plenitude, minimal tissue trauma, and early function rehabilitation training so as to enhance the function recovery of knee joint.

Ridge regression estimator: combining unbiased and ordinary ridge regression methods of estimation

Directory of Open Access Journals (Sweden)

Sharad Damodar Gore

2009-10-01

Full Text Available Statistical literature has several methods for coping with multicollinearity. This paper introduces a new shrinkage estimator, called modified unbiased ridge (MUR. This estimator is obtained from unbiased ridge regression (URR in the same way that ordinary ridge regression (ORR is obtained from ordinary least squares (OLS. Properties of MUR are derived. Results on its matrix mean squared error (MMSE are obtained. MUR is compared with ORR and URR in terms of MMSE. These results are illustrated with an example based on data generated by Hoerl and Kennard (1975.

Large fault fabric of the Ninetyeast Ridge implies near-spreading ridge formation

Digital Repository Service at National Institute of Oceanography (India)

Sager, W.W.; Paul, C.F.; Krishna, K.S.; Pringle, M.S.; Eisin, A.E.; Frey, F.A.; Rao, D.G.; Levchenko, O.V.

of the high ridge. At 26°S, prominent NE-SW 97 oriented lineations extend southwest from the ridge. Some appear to connect with N-S fracture 98 zone troughs east of NER, implying that the NE-SW features are fracture zone scars formed after 99 the change... to the 105 ridge (Fig. 3). This is especially true for NER south of ~4°S. Where KNOX06RR crossed a 106 gravity lineation, negative gradient features correspond to troughs whereas positive gradient 107 features result from igneous basement highs (Fig. 3...

Emergency Endovascular Treatment of an Acute Traumatic Rupture of the Thoracic Aorta Complicated by a Distal Low-Flow Syndrome

International Nuclear Information System (INIS)

Bruninx, Guy; Wery, Didier; Dubois, Eric; El Nakadi, Badih; Dueren, Eric van; Verhelst, Guy; Delcour, Christian

1999-01-01

We report the case of a patient who suffered major trauma following a motorcycle accident that resulted in multiple fractures, bilateral hemopneumothorax, pulmonary contusions, and an isthmic rupture of the aorta with a pseudoaneurysm compressing the descending aorta. This compression was responsible for distal hypotension and low flow, leading to acute renal insufficiency and massive rhabdomyolysis. Due to the critical clinical status of the patient, which prevented any type of open thoracic surgery, endovascular treatment was performed. An initial stent-graft permitted alleviation of the compression and the re-establishment of normal hemodynamic conditions, but its low position did not allow sufficient coverage of the rupture. A second stent-graft permitted total exclusion of the pseudoaneurysm while preserving the patency of the left subclavian artery

Environmental baseline survey report for West Black Oak Ridge, East Black Oak Ridge, McKinney Ridge, West Pine Ridge and parcel 21D in the vicinity of the East Technology Park, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

King, David A. [Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States). Independent Environmental Assessment and Verification Program

2012-11-29

This environmental baseline survey (EBS) report documents the baseline environmental conditions of five land parcels located near the U.S. Department of Energy?s (DOE?s) East Tennessee Technology Park (ETTP), including West Black Oak Ridge, East Black Oak Ridge, McKinney Ridge, West Pine Ridge, and Parcel 21d. Preparation of this report included the detailed search of federal government records, title documents, aerial photos that may reflect prior uses, and visual inspections of the property and adjacent properties. Interviews with current employees involved in, or familiar with, operations on the real property were also conducted to identify any areas on the property where hazardous substances and petroleum products, or their derivatives, and acutely hazardous wastes may have been released or disposed. In addition, a search was made of reasonably obtainable federal, state, and local government records of each adjacent facility where there has been a release of any hazardous substance or any petroleum product or their derivatives, including aviation fuel and motor oil, and which is likely to cause or contribute to a release of any hazardous substance or any petroleum product or its derivatives, including aviation fuel or motor oil, on the real property. A radiological survey and soil/sediment sampling was conducted to assess baseline conditions of Parcel 21d that were not addressed by the soils-only no-further-investigation (NFI) reports. Groundwater sampling was also conducted to support a Parcel 21d decision. Based on available data West Black Oak Ridge, East Black Oak Ridge, McKinney Ridge, and West Pine Ridge are not impacted by site operations and are not subject to actions per the Federal Facility Agreement (FFA). This determination is supported by visual inspections, records searches and interviews, groundwater conceptual modeling, approved NFI reports, analytical data, and risk analysis results. Parcel 21d data, however, demonstrate impacts from site

Environmental baseline survey report for West Black Oak Ridge, East Black Oak Ridge, McKinney Ridge, West Pine Ridge and parcel 21D in the vicinity of the East Technology Park, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

King, David A.

2012-01-01

This environmental baseline survey (EBS) report documents the baseline environmental conditions of five land parcels located near the U.S. Department of Energy's (DOE's) East Tennessee Technology Park (ETTP), including West Black Oak Ridge, East Black Oak Ridge, McKinney Ridge, West Pine Ridge, and Parcel 21d. Preparation of this report included the detailed search of federal government records, title documents, aerial photos that may reflect prior uses, and visual inspections of the property and adjacent properties. Interviews with current employees involved in, or familiar with, operations on the real property were also conducted to identify any areas on the property where hazardous substances and petroleum products, or their derivatives, and acutely hazardous wastes may have been released or disposed. In addition, a search was made of reasonably obtainable federal, state, and local government records of each adjacent facility where there has been a release of any hazardous substance or any petroleum product or their derivatives, including aviation fuel and motor oil, and which is likely to cause or contribute to a release of any hazardous substance or any petroleum product or its derivatives, including aviation fuel or motor oil, on the real property. A radiological survey and soil/sediment sampling was conducted to assess baseline conditions of Parcel 21d that were not addressed by the soils-only no-further-investigation (NFI) reports. Groundwater sampling was also conducted to support a Parcel 21d decision. Based on available data West Black Oak Ridge, East Black Oak Ridge, McKinney Ridge, and West Pine Ridge are not impacted by site operations and are not subject to actions per the Federal Facility Agreement (FFA). This determination is supported by visual inspections, records searches and interviews, groundwater conceptual modeling, approved NFI reports, analytical data, and risk analysis results. Parcel 21d data, however, demonstrate impacts from site

Optimal graft diameter and location reduce postoperative complications after total arch replacement with long elephant trunk for arch aneurysm.

Science.gov (United States)

Kondoh, Haruhiko; Funatsu, Toshihiro; Toda, Koich; Kainuma, Satoshi; Kuki, Satoru; Taniguchi, Kazuhiro

2011-08-01

Total arch replacement with an elephant trunk is a standard treatment for arch aneurysm, but serious complications, such as paraplegia and peripheral embolization caused by flapping of the elephant trunk, remain. Moreover, dilation of the descending aorta and retrograde flow into the peri-graft space at the distal elephant trunk are frequent problems. We hypothesized that optimal graft diameter and location would reduce complications after total arch replacement with a long elephant trunk by achieving complete thrombosis and minimal dilation of the descending aorta around the elephant trunk. We treated 65 patients with arch aneurysm by total arch replacement with a long elephant trunk anastomosed at the base of the innominate artery. The graft diameter was undersized (10%-20% of the distal aorta's diameter). Elephant trunk length was determined by preoperative computed tomography to locate the distal end at Th6 to Th8. Thrombosis around the elephant trunk, diameter of the descending aorta, and distance between the descending aorta and the graft near the distal end of the elephant trunk were evaluated using computed tomography. The distal end of the elephant trunk was located at Th 8 ± 1. There were no operative deaths, 3 patients (5%) died in the hospital, and 3 patients (5%) experienced spinal cord injury, including 1 in whom permanent paraplegia developed. Computed tomography revealed complete thrombosis around the elephant trunk in 58 patients (89%). The descending aorta did not dilate further, and distance between the descending aorta and the graft progressively decreased. Optimal graft diameter and location minimized postoperative complications, with complete thrombosis and no dilation of the descending aorta around the long elephant trunk in most patients. Copyright © 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

Remedial Investigation Work Plan for Chestnut Ridge Operable Unit 1 (Chestnut Ridge Security Pits) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

1993-09-01

This Remedial Investigation (RI) Work Plan specifically addresses Chestnut Ridge Operable Unit 1, (OU1) which consists of the Chestnut Ridge Security Pits (CRSP). The CRSP are located {approximately}800 ft southeast of the central portion of the Y-12 Plant atop Chestnut Ridge, which is bounded to the northwest by Bear Creek Valley and to the southeast by Bethel Valley. Operated from 1973 to 1988, the CRSP consisted of a series of trenches used for the disposal of classified hazardous and nonhazardous waste materials. Disposal of hazardous waste materials was discontinued in December 1984, while nonhazardous waste disposal ended on November 8, 1988. An RI is being conducted at this site in response to CERCLA regulations. The overall objectives of the RI are to collect data necessary to evaluate the nature and extent of contaminants of concern (COC), support an ecological risk assessment (ERA) and a human health risk assessment (HHRA), support the evaluation of remedial alternatives, and ultimately develop a Record of Decision for the site. The purpose of this Work Plan is to outline RI activities necessary to define the nature and extent of suspected contaminants at Chestnut Ridge OU1. Potential migration pathways also will be investigated. Data collected during the RI will be used to evaluate the overall risk posed to human health and the environment by OU1.

Remedial Investigation Work Plan for Chestnut Ridge Operable Unit 1 (Chestnut Ridge Security Pits) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1993-09-01

This Remedial Investigation (RI) Work Plan specifically addresses Chestnut Ridge Operable Unit 1, (OU1) which consists of the Chestnut Ridge Security Pits (CRSP). The CRSP are located ∼800 ft southeast of the central portion of the Y-12 Plant atop Chestnut Ridge, which is bounded to the northwest by Bear Creek Valley and to the southeast by Bethel Valley. Operated from 1973 to 1988, the CRSP consisted of a series of trenches used for the disposal of classified hazardous and nonhazardous waste materials. Disposal of hazardous waste materials was discontinued in December 1984, while nonhazardous waste disposal ended on November 8, 1988. An RI is being conducted at this site in response to CERCLA regulations. The overall objectives of the RI are to collect data necessary to evaluate the nature and extent of contaminants of concern (COC), support an ecological risk assessment (ERA) and a human health risk assessment (HHRA), support the evaluation of remedial alternatives, and ultimately develop a Record of Decision for the site. The purpose of this Work Plan is to outline RI activities necessary to define the nature and extent of suspected contaminants at Chestnut Ridge OU1. Potential migration pathways also will be investigated. Data collected during the RI will be used to evaluate the overall risk posed to human health and the environment by OU1

Ridge Regression Signal Processing

Science.gov (United States)

Kuhl, Mark R.

1990-01-01

The introduction of the Global Positioning System (GPS) into the National Airspace System (NAS) necessitates the development of Receiver Autonomous Integrity Monitoring (RAIM) techniques. In order to guarantee a certain level of integrity, a thorough understanding of modern estimation techniques applied to navigational problems is required. The extended Kalman filter (EKF) is derived and analyzed under poor geometry conditions. It was found that the performance of the EKF is difficult to predict, since the EKF is designed for a Gaussian environment. A novel approach is implemented which incorporates ridge regression to explain the behavior of an EKF in the presence of dynamics under poor geometry conditions. The basic principles of ridge regression theory are presented, followed by the derivation of a linearized recursive ridge estimator. Computer simulations are performed to confirm the underlying theory and to provide a comparative analysis of the EKF and the recursive ridge estimator.

Preliminary results from the first InRidge cruise to the central Indian Ridge

Digital Repository Service at National Institute of Oceanography (India)

Mukhopadhyay, R.; Murthy, K.S.R.; Iyer, S.D.; Rao, M.M.M.; Banerjee, R.; Subrahmanyam, A.S.; Shirodkar, P.V.; Ghose, I.; Ganesan, P.; Rao, A.K.; Suribabu, A.; Ganesh, C.; Naik, G.P.

stream_size 1 stream_content_type text/plain stream_name Inter_Ridge_News_7_40.pdf.txt stream_source_info Inter_Ridge_News_7_40.pdf.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 ...

Greenland Fracture Zone-East Greenland Ridge(s) revisited: Indications of a C22-change in plate motion?

DEFF Research Database (Denmark)

Døssing, Arne; Funck, T.

2012-01-01

a reinterpretation of the Greenland Fracture Zone -East Greenland Ridge based on new and existing geophysical data. Evidence is shown for two overstepping ridge segments (Segments A and B) of which Segment A corresponds to the already known East Greenland Ridge while Segment B was not detected previously......Changes in the lithospheric stress field, causing axial rift migration and reorientation of the transform, are generally proposed as an explanation for anomalously old crust and/or major aseismic valleys in oceanic ridge-transform-ridge settings. Similarly, transform migration of the Greenland...... Fracture Zone and separation of the 200-km-long, fracture-zone-parallel continental East Greenland Ridge from the Eurasia plate is thought to be related to a major change in relative plate motions between Greenland and Eurasia during the earliest Oligocene (Chron 13 time). This study presents...

Factors influencing the mechanical behaviour of healthy human descending thoracic aorta

International Nuclear Information System (INIS)

Guinea, Gustavo V; Atienza, José M; Rojo, Francisco J; Yiqun, Li; Claes, Els; Elices, Manuel; García-Herrera, Claudio M; Goicolea, José M; García-Montero, Carlos; Burgos, Raúl L; Goicolea, Francisco J

2010-01-01

In recent times, significant effort has been made to understand the mechanical behaviour of the arterial wall and how it is affected by the different vascular pathologies. However, to be able to interpret the results correctly, it is essential that the influence of other factors, such as aging or anisotropy, be understood. Knowledge of mechanical behaviour of the aorta has been customarily constrained by lack of data on fresh aortic tissue, especially from healthy young individuals. In addition, information regarding the point of rupture is also very limited. In this study, the mechanical behaviour of the descending thoracic aorta of 28 organ donors with no apparent disease, whose ages vary from 17 to 60 years, is evaluated. Tensile tests up to rupture are carried out to evaluate the influence of age and wall anisotropy. Results reveal that the tensile strength and stretch at failure of healthy descending aortas show a significant reduction with age, falling abruptly beyond the age of 30. This fact places age as a key factor when mechanical properties of descending aorta are considered

Schwannoma of the descending loop of the hypoglossal nerve: Case report.

Science.gov (United States)

Illuminati, Giulio; Pizzardi, Giulia; Pasqua, Rocco; Palumbo, Piergaspare; Vietri, Francesco

2017-01-01

Schwannomas of the descending loop of the hypoglossal nerve are very rare. They are slow-growing tumors that may masquerade a carotid body tumor. A 60-year-old female was referred for a latero-cervical mass appearing as a chemodectoma at CT-scan. At operation, a 2cm mass arising from the descending loop of the hypoglossal nerve was resected en bloc with the loop itself and a functional lymphadenectomy was associated. Post-operative course was uneventful and the patient is free from disease recurrence at one year follow-up. En bloc resection remains the real curative treatment of Schwannomas, ensuring unlimited freedom from disease, although causing functional impairment which may be significant. Nonetheless recurrence should be prevented as, beside requiring reintervention, it may harbor a malignant evolution towards sarcoma. Schwannomas of the descending lop of the hypoglossal nerve may masquerade a chemodectoma of the carotid bifurcation and can be curatively resected without any functional impairment. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Global survey of lunar wrinkle ridge formation times

Science.gov (United States)

Yue, Z.; Michael, G. G.; Di, K.; Liu, J.

2017-11-01

Wrinkle ridges are a common feature of the lunar maria and record subsequent contraction of mare infill. Constraining the timing of wrinkle ridge formation from crater counts is challenging because they have limited areal extent and it is difficult to determine whether superposed craters post-date ridge formation or have alternatively been uplifted by the deformation. Some wrinkle ridges do allow determination to be made. This is possible where a ridge shows a sufficiently steep boundary or scarp that can be identified as deforming an intersecting crater or the crater obliterates the relief of the ridge. Such boundaries constitute only a small fraction of lunar wrinkle ridge structures yet they are sufficiently numerous to enable us to obtain statistically significant crater counts over systems of structurally related wrinkle ridges. We carried out a global mapping of mare wrinkle ridges, identifying appropriate boundaries for crater identification, and mapping superposed craters. Selected groups of ridges were analyzed using the buffered crater counting method. We found that, except for the ridges in mare Tranquilitatis, the ridge groups formed with average ages between 3.5 and 3.1 Ga ago, or 100-650 Ma after the oldest observable erupted basalts where they are located. We interpret these results to suggest that local stresses from loading by basalt fill are the principal agent responsible for the formation of lunar wrinkle ridges, as others have proposed. We find a markedly longer interval before wrinkle ridge formation in Tranquilitatis which likely indicates a different mechanism of stress accumulation at this site.

Arthroplasty of the distal ulna distal in managing patients with post-traumatic disorders of the distal radioulnar joint: measurement of quality of life

Directory of Open Access Journals (Sweden)

Marcio Aurélio Aita

2015-12-01

Full Text Available ABSTRACT OBJECTIVE: To measure the quality of life and clinical-functional results from patients diagnosed with osteoarthrosis of the distal radioulnar joint who underwent surgical treatment using the technique of total arthroplasty of the ulna, with a total or partial Ascension(r prosthesis of the distal ulna. METHODS: Ten patients were evaluated after 12 months of follow-up subsequent to total or partial arthroplasty of the distal ulna. All of them presented post-traumatic osteoarthrosis and/or chronic symptomatic instability of the distal radioulnar joint. The study was prospective. Seven patients had previously undergone wrist procedures (two cases with Darrach, three with Sauvé-Kapandji and two with ligament reconstruction of the fibrocartilage complex and three presented fractures of the distal ulna that evolved with pain, instability and osteoarthrosis of the distal radioulnar joint. The following were assessed: quality of life (DASH scale; percentage degree of palm grip strength (kgf and pronosupination range of motion in relation to the unaffected side; pain (VAS; return to work; subjective evaluation of radiography; and complications. RESULTS: The patients presented a mean range of motion of 174.5° (normal side: 180°. Quality of life was analyzed by applying the DASH questionnaire and the mean value found was 5.9. The mean pain score using the VAS was 2.3. The mean degree of palm grip strength (kgf was 50.7, which represented 90.7% of the strength on the unaffected side. The complication rate was 10%: this patient presented slight dorsal instability of the ulna and persistent pain, and did not return to work. This patient is still being followed up in the outpatient clinic and occupational therapy sector, with little improvement. He does not wish to undergo a new procedure. The mean length of follow-up was 16.8 months, with a minimum of 10 and maximum of 36 months. CONCLUSION: This concept is subject to the test of time

Best management practices plan for the Chestnut Ridge-Filled Coal Ash Pond at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1996-05-01

The Chestnut Ridge Filled Coal Ash Pond (FCAP) Project has been established to satisfy Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) requirements for the Chestnut Ridge Operable Unit 2. FCAP is on Chestnut Ridge, approximately 0.5 miles south of the Y-12 Plant. A 62-foot high earthen dam across Upper McCoy Branch was constructed in 1955 to create a pond to serve as a settling basin for fly and bottom ashes generated by burning coal at the Y-12 Steam Plant. Ash from the steam was mixed with water to form a slurry and then pumped to the crest of Chestnut Ridge and released through a large pipe to flow across the Sluice Channel area and into the pond. The ash slurry eventually overtopped the dam and flowed along Upper McCoy Branch to Rogers Quarry. The purpose of this document is to provide a site-specific Best Management Practices (BMP) Plan for construction associated with environmental restoration activities at the FCAP Site

Interictal dysfunction of a brainstem descending modulatory center in migraine patients.

Directory of Open Access Journals (Sweden)

Eric A Moulton

Full Text Available The brainstem contains descending circuitry that can modulate nociceptive processing (neural signals associated with pain in the dorsal horn of the spinal cord and the medullary dorsal horn. In migraineurs, abnormal brainstem function during attacks suggest that dysfunction of descending modulation may facilitate migraine attacks, either by reducing descending inhibition or increasing facilitation. To determine whether a brainstem dysfunction could play a role in facilitating migraine attacks, we measured brainstem function in migraineurs when they were not having an attack (i.e. the interictal phase.Using fMRI (functional magnetic resonance imaging, we mapped brainstem activity to heat stimuli in 12 episodic migraine patients during the interictal phase. Separate scans were collected to measure responses to 41 degrees C and noxious heat (pain threshold+1 degrees C. Stimuli were either applied to the forehead on the affected side (as reported during an attack or the dorsum of the hand. This was repeated in 12 age-gender-matched control subjects, and the side tested corresponded to that in the matched migraine patients. Nucleus cuneiformis (NCF, a component of brainstem pain modulatory circuits, appears to be hypofunctional in migraineurs. 3 out of the 4 thermal stimulus conditions showed significantly greater NCF activation in control subjects than the migraine patients.Altered descending modulation has been postulated to contribute to migraine, leading to loss of inhibition or enhanced facilitation resulting in hyperexcitability of trigeminovascular neurons. NCF function could potentially serve as a diagnostic measure in migraine patients, even when not experiencing an attack. This has important implications for the evaluation of therapies for migraine.

Ridge interaction features of the Line Islands

Science.gov (United States)

Konter, J. G.; Koppers, A. A. P.; Storm, L. P.

2016-12-01

The sections of Pacific absolute plate motion history that precede the Hawaii-Emperor and Louisville chains are based on three chains: the Line Islands-Mid-Pacific Mountains, the Hess Rise-Shatsky Rise, and the Marshall Islands-Wake Islands (Rurutu hotspot). Although it has been clear that the Line Islands do not define a simple age progression (e.g. Schlanger et al., 1984), the apparent similarity to the Emperor Seamount geographic trend has been used to extend the overall Hawaii-Emperor track further into the past. However, we show here that plate tectonic reconstructions suggest that the Mid-Pacific Mountains (MPMs) and Line Islands (LIs) were erupted near a mid-ocean ridge, and thus these structures do not reflect absolute plate motion. Moverover, the morphology and geochemistry of the volcanoes show similarities with Pukapuka Ridge (e.g. Davis et al., 2002) and the Rano Rahi seamounts, presumed to have a shallow origin. Modern 40Ar/39Ar ages show that the LIs erupted at various times along the entire volcanic chain. The oldest structures formed within 10 Ma of plate formation. Given the short distance to the ridge system, large aseismic volcanic ridges, such as Necker Ridge and Horizon Guyot may simply reflect a connection between MPMs and the ridge, similar to the Pukapuka Ridge. The Line Islands to the south (including Karin Ridge) define short subchains of elongated seamounts that are widespread, resembling the Rano Rahi seamount field. During this time, the plate moved nearly parallel to the ridge system. The change from few large ridges to many subchains may reflect a change in absolute plate motion, similar to the Rano Rahi field. Here, significant MPMs volcanism is no longer connected to the ridge along plate motion. Similar to Pukapuka vs. Rano Rahi, the difference in direction between plate motion and the closest ridge determines whether larger ridges or smaller seamount subchains are formed. The difference between the largest structures (MPMs and LIs

The Last Descendant of Tycho Brahe Lives in Romania

Science.gov (United States)

Stavinschi, M.

On 24 October 1601 passed away, in the 55th year of his life, the great astronomer Tycho Brahe. Now, four centuries since his death, his last descendant is living in Romania: Lydia Baroness Løvendal-Papae. An encyclopedic culture and training as hers can rarely be found today; she also is an excellent specialist in genealogy and heraldry. She has not only the merit of studying the cosmic symbols in heraldry, but especially that of establishing the genealogical tree of the famous Danish astronomer. She also holds a genealogical record: as the last descendant of the old Danish dynasty, she descends from all European dynasties, including the founders of the Romanian countries. We shall dwell here neither upon the great personality of Tycho Brahe, nor on his role in the modern astronomy. We shall not refer to the Tycho catalogue resulted from the space mission Hipparcos. We shall dwell upon the ancient aristocratic family Brahe. The oldest firm mention goes as far back as in 1364, but there are data enough on the existence of some members of this family in the 13th century. The Brahe family was related to a no less famous family, that of the Barons Løvendal. One of the ancestors of Lydia Baroness Løvendal is the renowned Ulrik Frederik Voldemar, Baron, then Count Lovendal, marshal of France (1700-1755), whose name was assigned to one of the most important boulevards of Paris.

Radiogenic isotopes in enriched mid-ocean ridge basalts from Explorer Ridge, northeast Pacific Ocean

Science.gov (United States)

Cousens, Brian; Weis, Dominique; Constantin, Marc; Scott, Steve

2017-09-01

Extreme gradients in topography related to variations in magma supply are observed on the Southern Explorer Ridge (SER), part of the northern Juan de Fuca ridge system. We report radiogenic isotope (Pb, Sr, Nd, Hf) and geochemical data for twenty-four basalt whole-rock and glass samples collected from the length of the SER and from Explorer Deep, a rift to the north of the SER. Lavas from the SER form a north-south geochemical gradient, dominated by E-MORB at the northern axial high, and range from T-MORB to N-MORB towards the southern deepest part of the ridge. Linear relationships between incompatible element ratios and isotopic ratios in MORB along the ridge are consistent with mixing of magmas beneath the ridge to generate the geographic gradient from E- to N-MORB. The E-MORB have high Sr and Pb, and low Nd and Hf isotopic ratios, typical of enriched mantle that includes a FOZO or HIMU isotopic component. The West Valley and Endeavour segments of the northern Juan de Fuca ridge also include this isotopic component, but the proportion of the FOZO or HIMU component is more extreme in the SER basalts. The FOZO or HIMU component may be garnet-bearing peridotite, or a garnet pyroxenite embedded in peridotite. Recycled garnet pyroxenite better explains the very shallow SER axial high, high Nb/La and La/Sm, and the ;enriched; isotopic compositions.

Two-Port Laparoscopic Descending Colostomy with Separated Stomas for Anorectal Malformations in Newborns.

Science.gov (United States)

Gine, Carlos; Santiago, Saioa; Lara, Alba; Laín, Ana; Lane, Victoria Alison; Wood, Richard J; Levitt, Marc

2016-10-01

Introduction  We describe a two-port laparoscopic technique to create a colostomy in the descending colon with separated stomas for newborns with anorectal malformations. Material and Methods  Six patients with an anorectal malformation underwent this procedure in the early-neonatal period. The surgical technique was performed with two ports, which allows for an accurate inspection of the abdominal contents. The first loop of the sigmoid colon is grasped through the first port and exteriorized while the attachments to the left retroperitoneum and direction of the loop are checked with the scope introduced in the second port. The division of the colon is performed extracorporally, the colon irrigated of meconium, and the distal colon moved to the second port incision. Both stomas are then fixed to the abdominal wall. Results  The time of the procedure ranged from 50 to 90 minutes. A Mullerian duplication was noted in one case. Oral intake was started during the first 12 to 24 hours. No complications were seen during or after the procedure. Conclusions  This technique allows for the precise localization of the colostomy with direct visualization, provides for the inspection of the internal genitalia, eliminates the incision between the two stomas and its complications, allows for painless stoma bag changes immediately after surgery, avoids twisting of the colostomy, and permits a cosmetically pleasing incision at the colostomy closure. Georg Thieme Verlag KG Stuttgart · New York.

Robotic distal pancreatectomy versus conventional laparoscopic distal pancreatectomy: a comparative study for short-term outcomes.

Science.gov (United States)

Lai, Eric C H; Tang, Chung Ngai

2015-09-01

Robotic system has been increasingly used in pancreatectomy. However, the effectiveness of this method remains uncertain. This study compared the surgical outcomes between robot-assisted laparoscopic distal pancreatectomy and conventional laparoscopic distal pancreatectomy. During a 15-year period, 35 patients underwent minimally invasive approach of distal pancreatectomy in our center. Seventeen of these patients had robot-assisted laparoscopic approach, and the remaining 18 had conventional laparoscopic approach. Their operative parameters and perioperative outcomes were analyzed retrospectively in a prospective database. The mean operating time in the robotic group (221.4 min) was significantly longer than that in the laparoscopic group (173.6 min) (P = 0.026). Both robotic and conventional laparoscopic groups presented no significant difference in spleen-preservation rate (52.9% vs. 38.9%) (P = 0.505), operative blood loss (100.3 ml vs. 268.3 ml) (P = 0.29), overall morbidity rate (47.1% vs. 38.9%) (P = 0.73), and post-operative hospital stay (11.4 days vs. 14.2 days) (P = 0.46). Both groups also showed no perioperative mortality. Similar outcomes were observed in robotic distal pancreatectomy and conventional laparoscopic approach. However, robotic approach tended to have the advantages of less blood loss and shorter hospital stay. Further studies are necessary to determine the clinical position of robotic distal pancreatectomy.

An anatomical study of the proximal aspect of the medial femoral condyle to define the proximal-distal condylar length

Directory of Open Access Journals (Sweden)

Chia-Ming Chang

2017-01-01

Full Text Available Objective: Despite its possible role in knee arthroplasty, the proximal-distal condylar length (PDCL of the femur has never been reported in the literature. We conducted an anatomic study of the proximal aspect of the medial femoral condyle to propose a method for measuring the PDCL. Materials and Methods: Inspection of dried bone specimens was carried out to assure the most proximal condylar margin (MPCM as the eligible starting point to measure the PDCL. Simulation surgery was performed on seven pairs of cadaveric knees to verify the clinical application of measuring the PDCL after locating the MPCM. Interobserver reliability of this procedure was also analyzed. Results: Observation of the bone specimens showed that the MPCM is a concavity formed by the junction of the distal end of the supracondylar ridge and the proximal margin of the medial condyle. This anatomically distinctive structure made the MPCM an unambiguous landmark. The cadaveric simulation surgical dissection demonstrated that the MPCM is easily accessed in a surgical setting, making the measurement of the PDCL plausible. The intraclass correlation coefficient was 0.78, indicating good interobserver reliability for this technique. Conclusion: This study has suggested that the PDCL can be measured based on the MPCM in a surgical setting. PDCL measurement might be useful in joint line position management, selection of femoral component sizes, and other applications related to the proximal-distal dimension of the knee. Further investigation is required.

Descending pain modulation and its interaction with peripheral sensitization following sustained isometric muscle contraction in fibromyalgia

DEFF Research Database (Denmark)

Ge, H-Y; Nie, Hongling; Graven-Nielsen, Thomas

2012-01-01

OBJECTIVE: Sustained isometric muscle contraction (fatiguing contraction) recruits segmental and/or extrasegmental descending inhibition in healthy subjects but not in fibromyalgia (FM). We hypothesized that fatiguing contraction may shift descending pain modulation from inhibition towards...

Descending propriospinal neurons mediate restoration of locomotor function following spinal cord injury

Science.gov (United States)

Benthall, Katelyn N.; Hough, Ryan A.

2016-01-01

Following spinal cord injury (SCI) in the lamprey, there is virtually complete recovery of locomotion within a few weeks, but interestingly, axonal regeneration of reticulospinal (RS) neurons is mostly limited to short distances caudal to the injury site. To explain this situation, we hypothesize that descending propriospinal (PS) neurons relay descending drive from RS neurons to indirectly activate spinal central pattern generators (CPGs). In the present study, the contributions of PS neurons to locomotor recovery were tested in the lamprey following SCI. First, long RS neuron projections were interrupted by staggered spinal hemitransections on the right side at 10% body length (BL; normalized from the tip of the oral hood) and on the left side at 30% BL. For acute recovery conditions (≤1 wk) and before axonal regeneration, swimming muscle burst activity was relatively normal, but with some deficits in coordination. Second, lampreys received two spaced complete spinal transections, one at 10% BL and one at 30% BL, to interrupt long-axon RS neuron projections. At short recovery times (3–5 wk), RS and PS neurons will have regenerated their axons for short distances and potentially established a polysynaptic descending command pathway. At these short recovery times, swimming muscle burst activity had only minor coordination deficits. A computer model that incorporated either of the two spinal lesions could mimic many aspects of the experimental data. In conclusion, descending PS neurons are a viable mechanism for indirect activation of spinal locomotor CPGs, although there can be coordination deficits of locomotor activity. NEW & NOTEWORTHY In the lamprey following spinal lesion-mediated interruption of long axonal projections of reticulospinal (RS) neurons, sensory stimulation still elicited relatively normal locomotor muscle burst activity, but with some coordination deficits. Computer models incorporating the spinal lesions could mimic many aspects of the

Descending propriospinal neurons mediate restoration of locomotor function following spinal cord injury.

Science.gov (United States)

Benthall, Katelyn N; Hough, Ryan A; McClellan, Andrew D

2017-01-01

Following spinal cord injury (SCI) in the lamprey, there is virtually complete recovery of locomotion within a few weeks, but interestingly, axonal regeneration of reticulospinal (RS) neurons is mostly limited to short distances caudal to the injury site. To explain this situation, we hypothesize that descending propriospinal (PS) neurons relay descending drive from RS neurons to indirectly activate spinal central pattern generators (CPGs). In the present study, the contributions of PS neurons to locomotor recovery were tested in the lamprey following SCI. First, long RS neuron projections were interrupted by staggered spinal hemitransections on the right side at 10% body length (BL; normalized from the tip of the oral hood) and on the left side at 30% BL. For acute recovery conditions (≤1 wk) and before axonal regeneration, swimming muscle burst activity was relatively normal, but with some deficits in coordination. Second, lampreys received two spaced complete spinal transections, one at 10% BL and one at 30% BL, to interrupt long-axon RS neuron projections. At short recovery times (3-5 wk), RS and PS neurons will have regenerated their axons for short distances and potentially established a polysynaptic descending command pathway. At these short recovery times, swimming muscle burst activity had only minor coordination deficits. A computer model that incorporated either of the two spinal lesions could mimic many aspects of the experimental data. In conclusion, descending PS neurons are a viable mechanism for indirect activation of spinal locomotor CPGs, although there can be coordination deficits of locomotor activity. In the lamprey following spinal lesion-mediated interruption of long axonal projections of reticulospinal (RS) neurons, sensory stimulation still elicited relatively normal locomotor muscle burst activity, but with some coordination deficits. Computer models incorporating the spinal lesions could mimic many aspects of the experimental results

The beach ridges of India: A review

Digital Repository Service at National Institute of Oceanography (India)

Kunte, P.D.; Wagle, B.G.

, and is presented in a consolidated form. Beach ridges of the east and west coast of India are grouped in thirteen-beach ridge complexes based on their association. Review indicates that the beach ridges of India are not older than the Holocene age...

Potassium secretion in mammalian distal colon

DEFF Research Database (Denmark)

Sørensen, Mads Vaarby

2009-01-01

Epithelial organs adjust the „inner milieu“ of the body and are crucial for all homeostatic processes. Epithelial transport of different solutes and water is regulated phenomena. The regulation processes include both long term hormonal regulation and short term local agonist mediated regulation....... This research project is the summary of 3 original papers addressing the functional role of different regulating factors on ion transport in mouse distal colon. The first paper addresses the effect of luminal nucleotides on electrogenic Na+ absorption. The distal colon, like the distal nephron is an aldosterone......-sensitive tissue and participates in the regulation of Na+ excretion. In the distal nephron it was found that luminal nucleotides inhibit ENaC-mediated Na+ absorption. Here it was addressed whether luminal nucleotides regulate Na+ absorption and if so, which of the known luminal P2 receptors are involved. Using...

Selective deficiencies in descending inhibitory modulation in neuropathic rats: implications for enhancing noradrenergic tone.

Science.gov (United States)

Patel, Ryan; Qu, Chaoling; Xie, Jennifer Y; Porreca, Frank; Dickenson, Anthony H

2018-05-31

Pontine noradrenergic neurones form part of a descending inhibitory system that influences spinal nociceptive processing. Weak or absent descending inhibition is a common feature of chronic pain patients. We examined the extent to which the descending noradrenergic system is tonically active, how control of spinal neuronal excitability is integrated into thalamic relays within sensory-discriminative projection pathways, and how this inhibitory control is altered after nerve injury. In vivo electrophysiology was performed in anaesthetised spinal nerve ligated (SNL) and sham-operated rats to record from wide dynamic range neurones in the ventral posterolateral thalamus (VPL). In sham rats, spinal block of α2-adrenoceptors with atipamezole resulted in enhanced stimulus-evoked and spontaneous firing in the VPL, and produced conditioned place avoidance. However, in SNL rats these conditioned avoidance behaviours were absent. Furthermore, inhibitory control of evoked neuronal responses was lost but spinal atipamezole markedly increased spontaneous firing. Augmenting spinal noradrenergic tone in neuropathic rats with reboxetine, a selective noradrenergic reuptake inhibitor, modestly reinstated inhibitory control of evoked responses in the VPL but had no effect on spontaneous firing. In contrast, clonidine, an α2 agonist, inhibited both evoked and spontaneous firing, and exhibited increased potency in SNL rats compared to sham controls. These data suggest descending noradrenergic inhibitory pathways are tonically active in sham rats. Moreover, in neuropathic states descending inhibitory control is diminished, but not completely absent, and distinguishes between spontaneous and evoked neuronal activity. These observations may have implications for how analgesics targeting the noradrenergic system provide relief.

Remedial Investigation Report on Chestnut Ridge Operable Unit 2 (Filled Coal Ash Pond/Upper McCoy Branch) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. Volume 1. Main Text

International Nuclear Information System (INIS)

1994-08-01

This document is a report on the remedial investigation (RI) of Chestnut Ridge Operable Unit (OU) 2 at the Oak Ridge Y-12 Plant. Chestnut Ridge OU 2 consists of Upper McCoy Branch (UMB), the Filled Coal Ash Pond (FCAP), and the area surrounding the Sluice Channel formerly associated with coal ash disposal in the FCAP. Chestnut Ridge OU 2 is located within the U.S. Department of Energy's (DOE's) Oak Ridge Reservation in Anderson County, Tennessee, approximately 24 miles west of Knoxville. The pond is an 8.5-acre area on the southern slope of Chestnut Ridge, 0.5 mile south of the main Y-12 Plant and geographically separated from the Y-12 Plant by Chestnut Ridge. The elevation of the FCAP is ∼ 950 ft above mean sea level (msl), and it is relatively flat and largely vegetated. Two small ponds are usually present at the northeast and northwest comers of the FCAP. The Sluice Channel Area extends ∼1000 ft from the northern margin of the FCAP to the crest of Chestnut Ridge, which has an elevation of ∼1100 ft above msl. The Sluice Channel Area is largely vegetated also. McCoy Branch runs from the top of Chestnut Ridge across the FCAP into Rogers Quarry and out of the quarry where it runs a short distance into Milton Hill Lake at McCoy Embayment, termed UMB. The portion south of Rogers Quarry, within Chestnut Ridge OU 4, is termed Lower McCoy Branch. The DOE Oak Ridge Y-12 Plant disposed of coal ash from its steam plant operations as a slurry that was discharged into an ash retention impoundment; this impoundment is the FCAP. The FCAP was built in 1955 to serve as a settling basin after coal ash slurried over Chestnut Ridge from the Y-12 Plant. The FCAP was constructed by building an earthen dam across the northern tributary of McCoy Branch. The dam was designed to hold 20 years of Y-12 steam plant ash. By July 1967, ash had filled up the impoundment storage behind the dam to within 4 ft of the top

Remedial Investigation Report on Chestnut Ridge Operable Unit 2 (Filled Coal Ash Pond/Upper McCoy Branch) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. Volume 1. Main Text

Energy Technology Data Exchange (ETDEWEB)

1994-08-01

This document is a report on the remedial investigation (RI) of Chestnut Ridge Operable Unit (OU) 2 at the Oak Ridge Y-12 Plant. Chestnut Ridge OU 2 consists of Upper McCoy Branch (UMB), the Filled Coal Ash Pond (FCAP), and the area surrounding the Sluice Channel formerly associated with coal ash disposal in the FCAP. Chestnut Ridge OU 2 is located within the U.S. Department of Energy`s (DOE`s) Oak Ridge Reservation in Anderson County, Tennessee, approximately 24 miles west of Knoxville. The pond is an 8.5-acre area on the southern slope of Chestnut Ridge, 0.5 mile south of the main Y-12 Plant and geographically separated from the Y-12 Plant by Chestnut Ridge. The elevation of the FCAP is {approximately} 950 ft above mean sea level (msl), and it is relatively flat and largely vegetated. Two small ponds are usually present at the northeast and northwest comers of the FCAP. The Sluice Channel Area extends {approximately}1000 ft from the northern margin of the FCAP to the crest of Chestnut Ridge, which has an elevation of {approximately}1100 ft above msl. The Sluice Channel Area is largely vegetated also. McCoy Branch runs from the top of Chestnut Ridge across the FCAP into Rogers Quarry and out of the quarry where it runs a short distance into Milton Hill Lake at McCoy Embayment, termed UMB. The portion south of Rogers Quarry, within Chestnut Ridge OU 4, is termed Lower McCoy Branch. The DOE Oak Ridge Y-12 Plant disposed of coal ash from its steam plant operations as a slurry that was discharged into an ash retention impoundment; this impoundment is the FCAP. The FCAP was built in 1955 to serve as a settling basin after coal ash slurried over Chestnut Ridge from the Y-12 Plant. The FCAP was constructed by building an earthen dam across the northern tributary of McCoy Branch. The dam was designed to hold 20 years of Y-12 steam plant ash. By July 1967, ash had filled up the impoundment storage behind the dam to within 4 ft of the top.

Preliminary Analysis of the Knipovich Ridge Segmentation - Influence of Focused Magmatism and Ridge Obliquity on an Ultraslow Spreading System

Science.gov (United States)

Okino, K.; Curewitz, D.; Asada, M.; Tamaki, K.

2002-12-01

Bathymetry, gravity and deep-tow sonar image data are used to define the segmentation of a 400 km long portion of the ultraslow-spreading Knipovich Ridge in the Norwegian-Greenland Sea, Northeast Atlantic Ocean. Discrete volcanic centers marked by large volcanic constructions and accompanying short wavelength mantle Bouguer anomaly (MBA) lows generally resemble those of the Gakkel Ridge and the easternmost Southwest Indian Ridge (SWIR). These magmatically robust segment centers are regularly spaced about 85-100 km apart along the ridge, and are characterized by accumulated hummocky terrain, high relief, off-axis seamount chains and significant MBA lows. We suggest that these eruptive centers correspond to areas of enhanced magma flux, and that their spacing reflects the geometry of underlying mantle upwelling cells. The large-scale thermal structure of the mantle primarily controls discrete and focused magmatism, and the relatively wide spacing of these segments may reflect cool mantle beneath the ridge. Segment centers along the southern Knipovich Ridge are characterized by lower relief and smaller MBA anomalies than along the northern section of the ridge. This suggests that ridge obliquity is a secondary control on ridge construction on the Knipovich Ridge, as the obliquity changes from 35° to 49° from north to south, respectively, while spreading rate and axial depth remain approximately constant. The increased obliquity may contribute to decreased effective spreading rates, lower upwelling magma velocity and melt formation, and limited horizontal dike propagation near the surface. We also identify small, magmatically weaker segments with low relief, little or no MBA anomaly, and no off axis expression. We suggest that these segments are either fed by lateral melt migration from adjacent magmatically stronger segments or represent smaller, discrete mantle upwelling centers with short-lived melt supply.

Preliminary analysis of the Knipovich Ridge segmentation: influence of focused magmatism and ridge obliquity on an ultraslow spreading system

Science.gov (United States)

Okino, Kyoko; Curewitz, Daniel; Asada, Miho; Tamaki, Kensaku; Vogt, Peter; Crane, Kathleen

2002-09-01

Bathymetry, gravity and deep-tow sonar image data are used to define the segmentation of a 400 km long portion of the ultraslow-spreading Knipovich Ridge in the Norwegian-Greenland Sea, Northeast Atlantic Ocean. Discrete volcanic centers marked by large volcanic constructions and accompanying short wavelength mantle Bouguer anomaly (MBA) lows generally resemble those of the Gakkel Ridge and the easternmost Southwest Indian Ridge. These magmatically robust segment centers are regularly spaced about 85-100 km apart along the ridge, and are characterized by accumulated hummocky terrain, high relief, off-axis seamount chains and significant MBA lows. We suggest that these eruptive centers correspond to areas of enhanced magma flux, and that their spacing reflects the geometry of underlying mantle upwelling cells. The large-scale thermal structure of the mantle primarily controls discrete and focused magmatism, and the relatively wide spacing of these segments may reflect cool mantle beneath the ridge. Segment centers along the southern Knipovich Ridge are characterized by lower relief and smaller MBA anomalies than along the northern section of the ridge. This suggests that ridge obliquity is a secondary control on ridge construction on the Knipovich Ridge, as the obliquity changes from 35° to 49° from north to south, respectively, while spreading rate and axial depth remain approximately constant. The increased obliquity may contribute to decreased effective spreading rates, lower upwelling magma velocity and melt formation, and limited horizontal dike propagation near the surface. We also identify small, magmatically weaker segments with low relief, little or no MBA anomaly, and no off-axis expression. We suggest that these segments are either fed by lateral melt migration from adjacent magmatically stronger segments or represent smaller, discrete mantle upwelling centers with short-lived melt supply.

Comprehensive integrated planning: A process for the Oak Ridge Reservation, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1998-05-01

The Oak Ridge Comprehensive Integrated Plan is intended to assist the US Department of Energy (DOE) and contractor personnel in implementing a comprehensive integrated planning process consistent with DOE Order 430.1, Life Cycle Asset Management and Oak Ridge Operations Order 430. DOE contractors are charged with developing and producing the Comprehensive Integrated Plan, which serves as a summary document, providing information from other planning efforts regarding vision statements, missions, contextual conditions, resources and facilities, decision processes, and stakeholder involvement. The Comprehensive Integrated Plan is a planning reference that identifies primary issues regarding major changes in land and facility use and serves all programs and functions on-site as well as the Oak Ridge Operations Office and DOE Headquarters. The Oak Ridge Reservation is a valuable national resource and is managed on the basis of the principles of ecosystem management and sustainable development and how mission, economic, ecological, social, and cultural factors are used to guide land- and facility-use decisions. The long-term goals of the comprehensive integrated planning process, in priority order, are to support DOE critical missions and to stimulate the economy while maintaining a quality environment

Comprehensive integrated planning: A process for the Oak Ridge Reservation, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-05-01

The Oak Ridge Comprehensive Integrated Plan is intended to assist the US Department of Energy (DOE) and contractor personnel in implementing a comprehensive integrated planning process consistent with DOE Order 430.1, Life Cycle Asset Management and Oak Ridge Operations Order 430. DOE contractors are charged with developing and producing the Comprehensive Integrated Plan, which serves as a summary document, providing information from other planning efforts regarding vision statements, missions, contextual conditions, resources and facilities, decision processes, and stakeholder involvement. The Comprehensive Integrated Plan is a planning reference that identifies primary issues regarding major changes in land and facility use and serves all programs and functions on-site as well as the Oak Ridge Operations Office and DOE Headquarters. The Oak Ridge Reservation is a valuable national resource and is managed on the basis of the principles of ecosystem management and sustainable development and how mission, economic, ecological, social, and cultural factors are used to guide land- and facility-use decisions. The long-term goals of the comprehensive integrated planning process, in priority order, are to support DOE critical missions and to stimulate the economy while maintaining a quality environment.

Seawifs Technical Report Series. Volume 2: Analysis of Orbit Selection for Seawifs: Ascending Versus Descending Node

Science.gov (United States)

Hooker, Stanford B. (Editor); Firestone, Elaine R. (Editor); Gregg, Watson W.

1992-01-01

Due to range safety considerations, the Sea-viewing Wide Field-of-view Sensor (SeaWiFS) ocean color instrument may be required to be launched into a near-noon descending node, as opposed to the ascending node used by the predecessor sensor, the Coastal Zone Color Scanner (CZCS). The relative importance of ascending versus descending near-noon orbits was assessed here to determine if descending node will meet the scientific requirements of SeaWiFS. Analyses focused on ground coverage, local times of coverage, solar and viewing geometries (zenith and azimuth angles), and sun glint. Differences were found in the areas covered by individual orbits, but were not important when taken over a 16 day repeat time. Local time of coverage was also different: for ascending node orbits the Northern Hemisphere was observed in the morning and the Southern Hemisphere in the afternoon, while for descending node orbits the Northern Hemisphere was observed in the afternoon and the Southern in the morning. There were substantial differences in solar azimuth and spacecraft azimuth angles both at equinox and at the Northern Hemisphere summer solstice. Negligible differences in solar and spacecraft zenith angles, relative azimuth angles, and sun glint were obtained at the equinox. However, large differences were found in solar zenith angles, relative azimuths, and sun glint for the solstice. These differences appeared to compensate across the scan, however, an increase in sun glint in descending node over that in ascending node on the western part of the scan was compensated by a decrease on the eastern part of the scan. Thus, no advantage or disadvantage could be conferred upon either ascending node or descending node for noon orbits. Analyses were also performed for ascending and descending node orbits that deviated from a noon equator crossing time. For ascending node, afternoon orbits produced the lowest mean solar zenith angles in the Northern Hemisphere, and morning orbits produced

Union formation and dissolution among immigrants and their descendants in the United Kingdom

Directory of Open Access Journals (Sweden)

Tina Hannemann

2015-08-01

Full Text Available Background: There is a growing literature on the dynamics of immigrant fertility and mixed marriages, but partnership transitions among immigrants and ethnic minorities are little studied. Objective: This study investigates union formation and dissolution among immigrants and their descendants in the UK. Methods: We use data from the Understanding Society study and apply the techniques of event history analysis. We contrast partnership trajectories of various immigrant groups and compare these with those of the 'native' British population. Results: The analysis shows significant differences in partnership formation and dissolution among immigrants and ethnic minorities. Women of Caribbean origin have the highest cohabitation and the lowest marriage rates, whereas cohabitation remains rare among immigrants from South Asia and their descendants, as most of them marry directly. Immigrants from the Caribbean region and their descendants also show higher divorce rates than 'native' British women, whereas women of South Asian origin have a low divorce risk.

Oak Ridge Leadership Computing Facility (OLCF)

Data.gov (United States)

Federal Laboratory Consortium — The Oak Ridge Leadership Computing Facility (OLCF) was established at Oak Ridge National Laboratory in 2004 with the mission of standing up a supercomputer 100 times...

DESCENDING PATHWAYS AND THE HOPPING RESPONSE IN THE RABBIT

NARCIS (Netherlands)

HOBBELEN, JF; GRAMSBERGEN, A; VANHOF, MW

1992-01-01

Descending pathways were studied in 5 adult rabbits by means of HRP, injected in the cervical spinal cord (in C2 and C3) at the right side. Results indicate the existence of pathways from the contralateral motor cortex, bilateral projections from the red nuclei, from the vestibular nuclei and from

US Department of Energy Oak Ridge Operations Environmental Management Public Involvement Plan for the Oak Ridge Reservation

International Nuclear Information System (INIS)

1996-03-01

This document was prepared in accordance with CERCLA requirements for writing community relations plans. It includes information on how the DOE Oak Ridge Operations Office prepares and executes Environmental Management Community relations activities. It is divided into three sections: the public involvement plan, public involvement in Oak Ridge, and public involvement in 1995. Four appendices are also included: environmental management in Oak Ridge; community and regional overview; key laws, agreements, and policy; and principal contacts

InRidge program: Preliminary results from the first cruise

Digital Repository Service at National Institute of Oceanography (India)

Mukhopadhyay, R.; Murthy, K.S.R.; Iyer, S.D.; Rao, M.M.M.; Banerjee, R.; Subrahmanyam, A.S.; Shirodkar, P.V.; Ghose, I.

The first cruise under India's own Ridge research initiative, InRidge collected new data on bathymetry, free-air gravity and magnetic anomalies across the ridge axis between the Vema and Zhivago transform faults in the Central Indian Ridge...

Distal clavicular osteolysis: MR evidence for subchondral fracture

Energy Technology Data Exchange (ETDEWEB)

Kassarjian, Ara; Palmer, William E. [Massachusetts General Hospital, Department of Radiology, Division of Musculoskeletal Radiology, Yawkey Center, Boston, MA (United States); Llopis, Eva [Hospital de la Ribera, Department of Radiology, Valencia (Spain)

2007-01-15

To investigate the association between distal clavicular osteolysis and subchondral fractures of the distal clavicle at MRI. This study was approved by the hospital human research committee, which waived the need for informed consent. Three radiologists retrospectively analyzed 36 shoulder MR examinations in 36 patients with imaging findings of distal clavicular osteolysis. The presence of a subchondral fracture of the distal clavicle, abnormalities of the acromioclavicular joint, rotator cuff tears and labral tears were assessed by MRI. These cases were then compared with 36 age-matched controls. At MRI, 31 of 36 patients (86%) had a subchondral line within the distal clavicular edema, consistent with a subchondral fracture. Of the 36 patients, 32 (89%) had fluid in the acromioclavicular joint, while 27 of 36 patients (75%) had cysts or erosions in the distal clavicle. There were 13 patients (36%) with associated labral tears, while eight patients (22%) had partial-thickness rotator cuff tears. In the control group one of 36 (3%) had a subchondral line (P<0.05), while ten of 36 (28%) had rotator cuff tears and 13 of 36 (36%) had labral tears. These latter two were not statistically significant between the groups. A distal clavicular subchondral fracture is a common finding in patients with imaging evidence of distal clavicular osteolysis. These subchondral fractures may be responsible for the propensity of findings occurring on the clavicular side of the acromioclavicular joint. (orig.)

Distal clavicular osteolysis: MR evidence for subchondral fracture

International Nuclear Information System (INIS)

Kassarjian, Ara; Palmer, William E.; Llopis, Eva

2007-01-01

To investigate the association between distal clavicular osteolysis and subchondral fractures of the distal clavicle at MRI. This study was approved by the hospital human research committee, which waived the need for informed consent. Three radiologists retrospectively analyzed 36 shoulder MR examinations in 36 patients with imaging findings of distal clavicular osteolysis. The presence of a subchondral fracture of the distal clavicle, abnormalities of the acromioclavicular joint, rotator cuff tears and labral tears were assessed by MRI. These cases were then compared with 36 age-matched controls. At MRI, 31 of 36 patients (86%) had a subchondral line within the distal clavicular edema, consistent with a subchondral fracture. Of the 36 patients, 32 (89%) had fluid in the acromioclavicular joint, while 27 of 36 patients (75%) had cysts or erosions in the distal clavicle. There were 13 patients (36%) with associated labral tears, while eight patients (22%) had partial-thickness rotator cuff tears. In the control group one of 36 (3%) had a subchondral line (P<0.05), while ten of 36 (28%) had rotator cuff tears and 13 of 36 (36%) had labral tears. These latter two were not statistically significant between the groups. A distal clavicular subchondral fracture is a common finding in patients with imaging evidence of distal clavicular osteolysis. These subchondral fractures may be responsible for the propensity of findings occurring on the clavicular side of the acromioclavicular joint. (orig.)

Quality assurance project plan for the Chestnut Ridge Fly Ash Pond Stabilization Project at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1996-07-01

The Chestnut Ridge Fly Ash Pond Stabilization (CRFAPS) Project will stabilize a 19-m-high (62-ft-high) earthen embankment across Upper McCoy Branch situated along the southern slope of Chestnut Ridge. This task will be accomplished by raising the crest of the embankment, reinforcing the face of the embankment, removing trees from the face and top of the embankment, and repairing the emergency spillway. The primary responsibilities of the team members are: Lockheed Martin Energy Systems, Inc., (Energy Systems) will be responsible for project integration, technical support, Title 3 field support, environmental oversight, and quality assurance (QA) oversight of the project; Foster Wheeler Environmental Corporation (FWENC) will be responsible for design and home office Title 3 support; MK-Ferguson of Oak Ridge Company (MK-F) will be responsible for health and safety, construction, and procurement of construction materials. Each of the team members has a QA program approved by the US Department of Energy (DOE) Oak Ridge Operations. This project-specific QA project plan (QAPP), which is applicable to all project activities, identifies and integrates the specific QA requirements from the participant's QA programs that are necessary for this project

Volcanism and hydrothermalism on a hotspot-influenced ridge: Comparing Reykjanes Peninsula and Reykjanes Ridge, Iceland

Science.gov (United States)

Pałgan, Dominik; Devey, Colin W.; Yeo, Isobel A.

2017-12-01

Current estimates indicate that the number of high-temperature vents (one of the primary pathways for the heat extraction from the Earth's mantle) - at least 1 per 100 km of axial length - scales with spreading rate and should scale with crustal thickness. But up to present, shallow ridge axes underlain by thick crust show anomalously low incidences of high-temperature activity. Here we compare the Reykjanes Ridge, an abnormally shallow ridge with thick crust and only one high-temperature vent known over 900 km axial length, to the adjacent subaerial Reykjanes Peninsula (RP), which is characterized by high-temperature geothermal sites confined to four volcanic systems transected by fissure swarms with young (Holocene) volcanic activity, multiple faults, cracks and fissures, and continuous seismic activity. New high-resolution bathymetry (gridded at 60 m) of the Reykjanes Ridge between 62°30‧N and 63°30‧N shows seven Axial Volcanic Ridges (AVR) that, based on their morphology, geometry and tectonic regime, are analogues for the volcanic systems and fissure swarms on land. We investigate in detail the volcano-tectonic features of all mapped AVRs and show that they do not fit with the previously suggested 4-stage evolution model for AVR construction. Instead, we suggest that AVR morphology reflects the robust or weak melt supply to the system and two (or more) eruption mechanisms may co-exist on one AVR (in contrast to 4-stage evolution model). Our interpretations indicate that, unlike on the Reykjanes Peninsula, faults on and around AVRs do not cluster in orientation domains but all are subparallel to the overall strike of AVRs (orthogonal to spreading direction). High abundance of seamounts shows that the region centered at 62°47‧N and 25°04‧W (between AVR-5 and -6) is volcanically robust while the highest fault density implies that AVR-1 and southern part of AVR-6 rather undergo period of melt starvation. Based on our observations and interpretations we

Diffuse noxious inhibitory controls and nerve injury: restoring an imbalance between descending monoamine inhibitions and facilitations.

Science.gov (United States)

Bannister, Kirsty; Patel, Ryan; Goncalves, Leonor; Townson, Louisa; Dickenson, Anthony H

2015-09-01

Diffuse noxious inhibitory controls (DNICs) utilize descending inhibitory controls through poorly understood brain stem pathways. The human counterpart, conditioned pain modulation, is reduced in patients with neuropathy aligned with animal data showing a loss of descending inhibitory noradrenaline controls together with a gain of 5-HT3 receptor-mediated facilitations after neuropathy. We investigated the pharmacological basis of DNIC and whether it can be restored after neuropathy. Deep dorsal horn neurons were activated by von Frey filaments applied to the hind paw, and DNIC was induced by a pinch applied to the ear in isoflurane-anaesthetized animals. Spinal nerve ligation was the model of neuropathy. Diffuse noxious inhibitory control was present in control rats but abolished after neuropathy. α2 adrenoceptor mechanisms underlie DNIC because the antagonists, yohimbine and atipamezole, markedly attenuated this descending inhibition. We restored DNIC in spinal nerve ligated animals by blocking 5-HT3 descending facilitations with the antagonist ondansetron or by enhancing norepinephrine modulation through the use of reboxetine (a norepinephrine reuptake inhibitor, NRI) or tapentadol (μ-opioid receptor agonist and NRI). Additionally, ondansetron enhanced DNIC in normal animals. Diffuse noxious inhibitory controls are reduced after peripheral nerve injury illustrating the central impact of neuropathy, leading to an imbalance in descending excitations and inhibitions. Underlying noradrenergic mechanisms explain the relationship between conditioned pain modulation and the use of tapentadol and duloxetine (a serotonin, NRI) in patients. We suggest that pharmacological strategies through manipulation of the monoamine system could be used to enhance DNIC in patients by blocking descending facilitations with ondansetron or enhancing norepinephrine inhibitions, so possibly reducing chronic pain.

Is there Equity in Use of Healthcare Services among immigrants, their descendents, and ethnic Danes?

DEFF Research Database (Denmark)

Nielsen, Signe Smith; Hempler, Nana Folmann; Waldorff, Frans Boch

2012-01-01

Background: Legislation in Denmark explicitly states the right to equal access to healthcare. Nevertheless, inequities may exist; accordingly evidence is needed. Our objective was to investigate whether differences in healthcare utilization in immigrants, their descendents, and ethnic Danes could...... were linked to registries on healthcare utilization. Using Poisson regression models, contacts to hospital, emergency room (ER), general practitioner (GP), specialist in private practice, and dentist were estimated. Analyses were adjusted for health symptoms, sociodemographic factors, and proxies...... of integration. Results: In adjusted analyses, immigrants and their descendents had increased use of ER (multiplicative effect=1.19–5.02 dependent on immigrant and descendent group) and less frequent contact to dentist (multiplicative effect=0.04–0.80 dependent on the group). For hospitalization, GP...

Integration of Descending Command Systems for the Generation of Context-Specific Locomotor Behaviors

Directory of Open Access Journals (Sweden)

Linda H. Kim

2017-10-01

Full Text Available Over the past decade there has been a renaissance in our understanding of spinal cord circuits; new technologies are beginning to provide key insights into descending circuits which project onto spinal cord central pattern generators. By integrating work from both the locomotor and animal behavioral fields, we can now examine context-specific control of locomotion, with an emphasis on descending modulation arising from various regions of the brainstem. Here we examine approach and avoidance behaviors and the circuits that lead to the production and arrest of locomotion.

CASE REPORT Dual (type IV) left anterior descending artery

African Journals Online (AJOL)

about 1.38%. [1,3] This anomaly is seen relatively often with congenital malformations such as complete transposition of the great arteries and tetralogy of Fallot.[2]. When a short or hypoplastic LAD is detected, a differential diagnosis should be sought. There may be a long dominant posterior descending branch of the RCA, ...

Descending thoracic aorta dissection associated with esophageal carcinoma

Directory of Open Access Journals (Sweden)

Kaushik Saha

2013-01-01

Full Text Available The association of aortic dissection with a malignancy is a rare finding and previous reports are usually those of primary aortic sarcomas. A 45-year-old male presented to us with chest pain and dysphagia for 1 month with a background history of obstructive airway disease and uncontrolled hypertension. In this report we present a case of typical descending aorta dissection with associated esophageal carcinoma.

Bilateral anterior thalamic low densities in descending transtentorial herniation

Energy Technology Data Exchange (ETDEWEB)

Nagashima, Chikao; Watanabe, Takao

1985-02-01

Round, well-demarcated, symmetrical low densities in a bilateral thalamus in a case of descending transtentorial herniation due secondarily to acute traumatic left subdural hematoma are reported. An 8-year-old boy, on whom emergency surgery was refused by his parents, showed a marked shift due to the hematoma on admission; this was followed by a low density in the left PCA territory and round, equivocal hypodensities in the anterior thalamus 44 hours post-trauma. The equivocal hypodensities became definite, well-demarcated, round low densities situated symmetrically in the anterior thalamus on the 39th day post-trauma. Akinetic mutism was noted at this time. The symmetrical low densities and the PCA-territory low density persisted as late as the 39th day post-trauma, suggesting infarcts. The downward stretch of the bilateral thalamoperforators, which was effected by a narrowing of the interpeduncular fossa with an approximation of the bilateral perforators, plus a downward shift of the PCA due to descending transtentorial herniation, was assumed to be the mechanism involved. (author).

Petrological systematics of mid-ocean ridge basalts: Constraints on melt generation beneath ocean ridges

Science.gov (United States)

Langmuir, Charles H.; Klein, Emily M.; Plank, Terry

Mid-ocean ridge basalts (MORB) are a consequence of pressure-release melting beneath ocean ridges, and contain much information concerning melt formation, melt migration and heterogeneity within the upper mantle. MORB major element chemical systematics can be divided into global and local aspects, once they have been corrected for low pressure fractionation and interlaboratory biases. Regional average compositions for ridges unaffected by hot spots ("normal" ridges) can be used to define the global correlations among normalized Na2O, FeO, TiO2 and SiO2 contents, CaO/Al2O3 ratios, axial depth and crustal thickness. Back-arc basins show similar correlations, but are offset to lower FeO and TiO2 contents. Some hot spots, such as the Azores and Galapagos, disrupt the systematics of nearby ridges and have the opposite relationships between FeO, Na2O and depth over distances of 1000 km. Local variations in basalt chemistry from slow- and fast-spreading ridges are distinct from one another. On slow-spreading ridges, correlations among the elements cross the global vector of variability at a high angle. On the fast-spreading East Pacific Rise (EPR), correlations among the elements are distinct from both global and slow-spreading compositional vectors, and involve two components of variation. Spreading rate does not control the global correlations, but influences the standard deviations of axial depth, crustal thickness, and MgO contents of basalts. Global correlations are not found in very incompatible trace elements, even for samples far from hot spots. Moderately compatible trace elements for normal ridges, however, correlate with the major elements. Trace element systematics are significantly different for the EPR and the mid-Atlantic Ridge (MAR). Normal portions of the MAR are very depleted in REE, with little variability; hot spots cause large long wavelength variations in REE abundances. Normal EPR basalts are significantly more enriched than MAR basalts from normal

An aerial radiological survey of the Oak Ridge Reservation and surrounding area, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Maurer, R.J.

1989-09-01

An aerial radiological survey of the Oak Ridge Reservation (ORR) and surrounding area in Oak Ridge, Tennessee, was conducted from September 12--29, 1989. The purpose of the survey was to measure and document the site's terrestrial radiological environment for use in effective environmental management and emergency response planning. The aerial survey was flown at an altitude of 91 meters (300 feet) along a series of parallel lines 152 meters (500 feet) apart. The survey encompassed an area of 440 square kilometers (170 square miles) as defined by the Tennessee Valley Authority Map S-16A of the entire Oak Ridge Reservation and adjacent area. The results of the aerial survey are reported as inferred exposure rates at 1 meter above ground level (AGL) in the form of a radiation contour map. Typical background exposure rates were found to vary from 5 to 14 microroentgens per hour (μR/h). The man-made radionuclides, cobalt-60, cesium-137, and protactinium-234m (a radioisotope indicative of depleted uranium), were detected at several facilities on the site. In support of the aerial survey, ground-based exposure rate and soil sample measurements were obtained at several locations within the survey boundary. In addition to the large scale aerial survey, two special flyovers were requested by the Department of Energy. The first request was to conduct a survey of a 1-mile x 2-mile area in south Knoxville, Tennessee. The area had been used previously to store contaminated scrap metals from operations at the Oak Ridge site. The second request was to fly several passes over a 5-mile length of railroad tracks leading from the Oak Ridge Y-12 Plant, north through the city of Oak Ridge. The railroad tracks had been previously used in the transport of cesium-137

Oak Ridge Reservation environmental report for 1991

International Nuclear Information System (INIS)

Mucke, P.C.

1992-10-01

The Oak Ridge Reservation Environmental Report for 1991 is the 21st in a series that began in 1971. The report documents the annual results of a comprehensive program to estimate the impact of the US Department of Energy (DOE) Oak Ridge operations upon human health and the environment. The report is organized into ten sections that address various aspects of effluent monitoring, environmental surveillance, dose assessment, waste management, and quality assurance. A compliance summary gives a synopsis of the status of each facility relative to applicable state and federal regulations. Data are included for the following: Oak Ridge Y-12 Plant; Oak Ridge National Laboratory (ORNL); and Oak Ridge K-25 Site. Effluent monitoring and environmental surveillance programs are intended to serve as effective indicators of contaminant releases and ambient contaminant concentrations that have the potential to result in adverse impacts to human health and the environment

Unilateral maxillary molar distalization with zygoma-gear appliance.

Science.gov (United States)

Kilkis, Dogan; Bayram, Mehmet; Celikoglu, Mevlut; Nur, Metin

2012-08-01

The aim of this study was to present the orthodontic treatment of a 15-year-old boy with a unilateral maxillary molar distalization system, called the zygoma-gear appliance. It consisted of a zygomatic anchorage miniplate, an inner bow, and a Sentalloy closed coil spring (GAC International, Bohemia, NY). A distalizing force of 350 g was used during the distalization period. The unilateral Class II malocclusion was corrected in 5 months with the zygoma-gear appliance. The maxillary left first molar showed distalization of 4 mm with an inclination of 3°. The maxillary premolars moved distally with the help of the transseptal fibers. In addition, there were slight decreases in overjet (-0.5 mm) and maxillary incisor inclination (-1°), indicating no anchorage loss from the zygoma-gear appliance. Preadjusted fixed appliances (0.022 × 0.028-in, MBT system; 3M Unitek, Monrovia, Calif) were placed in both arches to achieve leveling and alignment. After 14 months of unilateral distalization with the zygoma-gear appliance and fixed appliances, Class I molar and canine relationships were established with satisfactory interdigitation of the posterior teeth. Acceptable overjet and overbite were also achieved. This article shows that this new system, the zygoma-gear appliance, can be used for unilateral maxillary molar distalization without anchorage loss. Copyright © 2012 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

Intra-Articular Osteotomy for Distal Humerus Malunion

Directory of Open Access Journals (Sweden)

René K. Marti

2009-01-01

Full Text Available Intra-articular osteotomy is considered in the rare case of malunion after a fracture of the distal humerus to restore humeral alignment and gain a functional arc of elbow motion. Traumatic and iatrogenic disruption of the limited blood flow to the distal end of the humerus resulting in avascular necrosis of capitellum or trochlea is a major pitfall of the this technically challenging procedure. Two cases are presented which illustrate the potential problems of intra-articular osteotomy for malunion of the distal humerus.

Volar plating for distal radius fractures--do not trust the image intensifier when judging distal subchondral screw length.

Science.gov (United States)

Park, Derek H; Goldie, Boyd S

2012-09-01

The use of the volar plate to treat distal radius fractures is increasing but despite the theoretical advantages of a volar approach there have been reports of extensor tendon ruptures due to prominent screw tips protruding past the dorsal cortex. The valley in the intermediate column between Lister tubercle and the sigmoid notch of the distal radius makes it difficult to rely on fluoroscopy to judge screw length. Our aim was to quantify the dimensions of this valley and to demonstrate the danger of relying on intraoperative image intensification fluoroscopy to determine lengths of distal screws. We measured the depth of this valley in the intermediate column of the distal radius in 33 patients with computed tomographic (9 patients) or magnetic resonance image (24 patients) scans of the wrist. There was a consistent valley in all images examined [average 1.8 mm (95% confidence interval, 1.6-2.0 mm)]. Thirty-nine percent of wrists had a valley depth of at least 2 mm. Standard lateral views or rotation of the forearm to obtain oblique views does not identify prominent screw tips; and whatever the rotation of the forearm, screw tips protruding beyond dorsal cortex may look as if it is within the bone when in fact it is out. When drilling we suggest noting the depth at which the drill bit just penetrates dorsal cortex and routinely downsize the distal screw length by 2 mm. We caution against relying on flourosocopy when judging the length of the distal subchondral screws.

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

International Nuclear Information System (INIS)

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

2010-01-01

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

A 5-year comparison of marginal bone level following immediate loading of single-tooth implants placed in healed alveolar ridges and extraction sockets in the maxilla.

Science.gov (United States)

Berberi, Antoine N; Sabbagh, Joseph M; Aboushelib, Moustafa N; Noujeim, Ziad F; Salameh, Ziad A

2014-01-01

The aim of present investigation was to evaluate marginal bone level after 5-year follow-up of implants placed in healed ridges and fresh extraction sockets in maxilla with immediate loading protocol. Thirty-six patients in need of a single-tooth replacement in the anterior maxilla received 42 Astra Tech implants (Astra Tech Implant system™, Dentsply Implants, Mölndal, Sweden). Implants were placed either in healed ridges (group I) or immediately into fresh extraction sockets (group II). Implants were restored and placed into functional loading immediately by using a prefabricated abutment. Marginal bone level relative to the implant reference point was recorded at implant placement, crown cementation, 12, 36, and 60 months following loading using intra-oral radiographs. Measurements were made on the mesial and distal sides of each implant. Overall, two implants were lost from the group II, before final crown cementation: they were excluded from the study. The mean change in marginal bone loss (MBL) after implant placement was 0.26 ± 0.161 mm for 1 year, and 0.26 ± 0.171 mm for 3 years, and 0.21 ± 0.185 mm for 5 years in extraction sockets and was 0.26 ± 0.176 mm for 1 year and 0.21 ± 0.175 mm for 3 years, and 0.19 ± 0.172 mm for 5 years in healed ridges group. Significant reduction of marginal bone was more pronounced in implants inserted in healed ridges (P sockets (P sockets or healed ridges were similar. Functional loading technique by using prefabricated abutment placed during the surgery time seems to maintain marginal bone around implant in both healed and fresh extraction sites.

Dynamical instability produces transform faults at mid-ocean ridges.

Science.gov (United States)

Gerya, Taras

2010-08-27

Transform faults at mid-ocean ridges--one of the most striking, yet enigmatic features of terrestrial plate tectonics--are considered to be the inherited product of preexisting fault structures. Ridge offsets along these faults therefore should remain constant with time. Here, numerical models suggest that transform faults are actively developing and result from dynamical instability of constructive plate boundaries, irrespective of previous structure. Boundary instability from asymmetric plate growth can spontaneously start in alternate directions along successive ridge sections; the resultant curved ridges become transform faults within a few million years. Fracture-related rheological weakening stabilizes ridge-parallel detachment faults. Offsets along the transform faults change continuously with time by asymmetric plate growth and discontinuously by ridge jumps.

Conceptualizing distal drivers in land use competition

DEFF Research Database (Denmark)

Niewhöner, Jörg; Nielsen, Jonas Ø; Gasparri, Gasparri

2016-01-01

This introductory chapter explores the notion of ‘distal drivers’ in land use competition. Research has moved beyond proximate causes of land cover and land use change to focus on the underlying drivers of these dynamics. We discuss the framework of telecoupling within human–environment systems...... as a first step to come to terms with the increasingly distal nature of driving forces behind land use practices. We then expand the notion of distal as mainly a measure of Euclidian space to include temporal, social, and institutional dimensions. This understanding of distal widens our analytical scope...... for the analysis of land use competition as a distributed process to consider the role of knowledge and power, technology, and different temporalities within a relational or systemic analysis of practices of land use competition. We conclude by pointing toward the historical and social contingency of land use...

[Distribution of the male lineages of Genghis Khan's descendants in northern Eurasian populations].

Science.gov (United States)

Derenko, M V; Maliarchuk, B A; Wozniak, M; Denisova, G A; Dambueva, I K; Dorzhu, C M; Grzybowski, T; Zakharov, I A

2007-03-01

Data on the variation of 12 microsatellite loci of Y-chromosome haplogroup C3 were used to screen lineages included in the cluster of Genghis Khan's descendants in 18 northern Eurasian populations (Altaian Kazakhs, Altaians-Kizhi, Teleuts, Khakassians, Shorians, Tyvans, Todjins, Tofalars, Sojots, Buryats, Khamnigans, Evenks, Mongols, Kalmyks, Tajiks, Kurds, Persians, and Russians; the total sample size was 1437 people). The highest frequency of haplotypes from the cluster of the Genghis Khan's descendants was found in Mongols (34.8%). In Russia, this cluster was found in Altaian Kazakhs (8.3%), Altaians (3.4%), Buryats (2.3%), Tyvans (1.9%), and Kalmyks (1.7%).

Fractures of the distal phalanx in the horse

International Nuclear Information System (INIS)

Yovich, J.V.

1989-01-01

Fractures of the distal phalanx are an important cause of lameness referable to the foot. Depending on the fracture configuration and articular involvement, conservative or surgical treatment may be required. Fractures of the distal phalanx have been divided into six categories based on fracture configuration. Discussion of clinical features, management, and prognosis for horses with distal phalangeal fractures is presented for each fracture type

Wrinkle Ridges and Young Fresh Crater

Science.gov (United States)

2002-01-01

(Released 10 May 2002) The Science Wrinkle ridges are a very common landform on Mars, Mercury, Venus, and the Moon. These ridges are linear to arcuate asymmetric topographic highs commonly found on smooth plains. The origin of wrinkle ridges is not certain and two leading hypotheses have been put forth by scientists over the past 40 years. The volcanic model calls for the extrusion of high viscosity lavas along linear conduits. This thick lava accumulated over these conduits and formed the ridges. The other model is tectonic and advocates that the ridges are formed by compressional faulting and folding. Today's THEMIS image is of the ridged plains of Lunae Planum located between Kasei Valles and Valles Marineris in the northern hemisphere of the planet. Wrinkle ridges are found mostly along the eastern side of the image. The broadest wrinkle ridges in this image are up to 2 km wide. A 3 km diameter young fresh crater is located near the bottom of the image. The crater's ejecta blanket is also clearly seen surrounding the sharp well-defined crater rim. These features are indicative of a very young crater that has not been subjected to erosional processes. The Story The great thing about the solar system is that planets are both alike and different. They're all foreign enough to be mysterious and intriguing, and yet familiar enough to be seen as planetary 'cousins.' By comparing them, we can learn a lot about how planets form and then evolve geologically over time. Crinkled over smooth plains, the long, wavy raised landforms seen here are called 'wrinkle ridges,' and they've been found on Mars, Mercury, Venus, and the Moon - that is, on rocky bodies that are a part of our inner solar system. We know from this observation that planets (and large-enough moons) follow similar processes. What we don't know for sure is HOW these processes work. Scientists have been trying to understand how wrinkle ridges form for 40 years, and they still haven't reached a conclusion. That

Oak Ridge Reservation environmental report for 1989

International Nuclear Information System (INIS)

Jacobs, V.A.; Wilson, A.R.

1990-10-01

This two-volume report, the Oak Ridge Reservation Environmental Report for 1989, is the nineteenth in an annual series that began in 1971. It reports the results of a comprehensive, year-round program to monitor the impact of operations at the three major US Department of Energy (DOE) production and research installations in Oak Ridge on the immediate areas' and surrounding region's groundwater and surface waters, soil, air quality, vegetation and wildlife, and through these multiple and varied pathways, the resident human population. Information is presented for the environmental monitoring Quality Assurance (QA) Program, audits and reviews, waste management activities, land special environmental studies. Data are included for the Oak Ridge Y-12 Plant, Oak Ridge National Laboratory (ORNL), and Oak Ridge Gaseous Diffusion Plant (ORGDP). Volume 1 presents narratives, summaries, and conclusions based on environmental monitoring at the three DOE installations and in the surrounding environs during calendar year (CY) 1989. Volume 1 is intended to be a ''stand-alone'' report about the Oak Ridge Reservation (ORR) for the reader who does not want an in-depth review of 1989 data. Volume 2 presents the detailed data from which these conclusions have been drawn and should be used in conjunction with Volume 1

Oak Ridge Reservation environmental report for 1989

Energy Technology Data Exchange (ETDEWEB)

Jacobs, V.A.; Wilson, A.R. (eds.)

1990-10-01

This two-volume report, the Oak Ridge Reservation Environmental Report for 1989, is the nineteenth in an annual series that began in 1971. It reports the results of a comprehensive, year-round program to monitor the impact of operations at the three major US Department of Energy (DOE) production and research installations in Oak Ridge on the immediate areas' and surrounding region's groundwater and surface waters, soil, air quality, vegetation and wildlife, and through these multiple and varied pathways, the resident human population. Information is presented for the environmental monitoring Quality Assurance (QA) Program, audits and reviews, waste management activities, land special environmental studies. Data are included for the Oak Ridge Y-12 Plant, Oak Ridge National Laboratory (ORNL), and Oak Ridge Gaseous Diffusion Plant (ORGDP). Volume 1 presents narratives, summaries, and conclusions based on environmental monitoring at the three DOE installations and in the surrounding environs during calendar year (CY) 1989. Volume 1 is intended to be a stand-alone'' report about the Oak Ridge Reservation (ORR) for the reader who does not want an in-depth review of 1989 data. Volume 2 presents the detailed data from which these conclusions have been drawn and should be used in conjunction with Volume 1.

Alveolar ridge rehabilitation to increase full denture retention and stability

Directory of Open Access Journals (Sweden)

Mefina Kuntjoro

2010-12-01

Full Text Available Background: Atrophic mandibular alveolar ridge generally complicates prostetic restoration expecially full denture. Low residual alveolar ridge and basal seat can cause unstable denture, permanent ulcer, pain, neuralgia, and mastication difficulty. Pre-proshetic surgery is needed to improve denture retention and stability. Augmentation is a major surgery to increase vertical height of the atrophic mandible while vestibuloplasty is aimed to increase the denture bearing area. Purpose: The augmentation and vestibuloplasty was aimed to provide stability and retentive denture atrophic mandibular alveolar ridge. Case: A 65 years old woman patient complained about uncomfortable denture. Clinical evaluate showed flat ridge in the anterior mandible, flabby tissue and candidiasis, while residual ridge height was classified into class IV. Case management: Augmentation using autograph was conducted as the mandible vertical height is less than 15 mm. Autograph was used to achieve better bone quantity and quality. Separated alveolar ridge was conducted from left to right canine region and was elevated 0.5 mm from the previous position to get new ridge in the anterior region. The separated alveolar ridge was fixated by using T-plate and ligature wire. Three months after augmentation fixation appliances was removed vestibuloplasty was performed to increase denture bearing area that can make a stable and retentive denture. Conclusion: Augmentation and vestibuloplasty can improve flat ridge to become prominent.Latar belakang: Ridge mandibula yang atrofi pada umumnya mempersulit pembuatan restorasi prostetik terutama gigi tiruan lengkap (GTL. Residual alveolar ridge dan basal seat yang rendah menyebabkan gigi tiruan menjadi tidak stabil, menimbulkan ulser permanen, nyeri, neuralgia, dan kesulitan mengunyah. Tujuan: Augmentasi dan vestibuloplasti pada ridge mandibula yang atrofi dilakukan untuk menciptakan gigi tiruan yang stabil dan retentive. Kasus: Pasien wanita

Ridge and Furrow Fields

DEFF Research Database (Denmark)

Møller, Per Grau

2016-01-01

Ridge and furrow is a specific way of ploughing which makes fields of systematic ridges and furrows like a rubbing washboard. They are part of an overall openfield system, but the focus in this paper is on the functionality of the fields. There are many indications that agro-technological reasons...... systems and the establishment of basic structures like villages (with churches) and townships and states (in northern Europe). The fields can be considered as a resilient structure lasting for 800 years, along with the same basic physical structures in society....

Posttraumatic osteolysis of the distal clavicula end

International Nuclear Information System (INIS)

Hermanns, P.H.; Beeger, R.; Koetter, D.; Hamburg Univ.

1981-01-01

Posttraumatic osteolysis of bone is rare. Its etiology is unknown. A case of posttraumatic osteolysis of the distal clavicle end is reported. Differentialdiagnostical and ethiological relations are discussed. The literature of posttraumatic osteolysis especially of distal clavicle osteolysis is reported. (orig.) [de

Geology along the Blue Ridge Parkway in Virginia

Science.gov (United States)

Carter, Mark W.; Southworth, C. Scott; Tollo, Richard P.; Merschat, Arthur J.; Wagner, Sara; Lazor, Ava; Aleinikoff, John N.

2017-01-01

Detailed geologic mapping and new SHRIMP (sensitive high-resolution ion microprobe) U-Pb zircon, Ar/Ar, Lu-Hf, 14C, luminescence (optically stimulated), thermochronology (fission-track), and palynology reveal the complex Mesoproterozoic to Quaternary geology along the ~350 km length of the Blue Ridge Parkway in Virginia. Traversing the boundary of the central and southern Appalachians, rocks along the parkway showcase the transition from the para-autochthonous Blue Ridge anticlinorium of northern and central Virginia to the allochthonous eastern Blue Ridge in southern Virginia. From mile post (MP) 0 near Waynesboro, Virginia, to ~MP 124 at Roanoke, the parkway crosses the unconformable to faulted boundary between Mesoproterozoic basement in the core of the Blue Ridge anticlinorium and Neoproterozoic to Cambrian metasedimentary and metavolcanic cover rocks on the western limb of the structure. Mesoproterozoic basement rocks comprise two groups based on SHRIMP U-Pb zircon geochronology: Group I rocks (1.2-1.14 Ga) are strongly foliated orthogneisses, and Group II rocks (1.08-1.00 Ga) are granitoids that mostly lack obvious Mesoproterozoic deformational features.Neoproterozoic to Cambrian cover rocks on the west limb of the anticlinorium include the Swift Run and Catoctin Formations, and constituent formations of the Chilhowee Group. These rocks unconformably overlie basement, or abut basement along steep reverse faults. Rocks of the Chilhowee Group are juxtaposed against Cambrian rocks of the Valley and Ridge province along southeast- and northwest-dipping, high-angle reverse faults. South of the James River (MP 64), Chilhowee Group and basement rocks occupy the hanging wall of the nearly flat-lying Blue Ridge thrust fault and associated splays.South of the Red Valley high-strain zone (MP 144.5), the parkway crosses into the wholly allochthonous eastern Blue Ridge, comprising metasedimentary and meta-igneous rocks assigned to the Wills Ridge, Ashe, and Alligator

A STUDY OF SURGICAL MANAGEMENT OF DISTAL FEMORAL FRACTURES BY DISTAL FEMORAL LOCKING COMPRESSION PLATE OSTEOSYNTHESIS

Directory of Open Access Journals (Sweden)

Dema Rajaiah

2016-08-01

Full Text Available AIMS AND OBJECTIVES To study the fractures of distal end of femur and the mechanism of injury in distal end femur fractures, the advantages and disadvantages of open reduction and internal fixation of distal end femur fractures by distal femoral locking compression plate osteosynthesis and to analyse the outcome in terms of range of Knee motion, time to union, and limb shortening. RESULTS The mean age of patient is 44 years, 85% are males, road traffic accidents account for majority (80%, right side involved in 70%, Muller’s type C fracture is common, good range of movements is seen 90% of cases and union occurred in 95% in 5 months. The results were assessed using Neer’s score, seven (35% patients had excellent results, eight (40% patients had good results, four (20% patients had fair results and one (5% patient had poor result. CONCLUSION From our study, we conclude that DF-LCP is a safe and reliable implant and has shown excellent to satisfactory results in majority of intra-articular fractures (AO type C. Fixation with locking compression plate showed more effectiveness in severely osteoporotic bones, shorter operative stay, faster recovery, faster union rates and excellent functional outcome.

[Descending control of quiet standing and walking: a plausible neurophysiological basis of falls in elderly people].

Science.gov (United States)

Nakajima, Masashi

2011-03-01

Quiet standing and walking are generally considered to be an automatic process regulated by sensory feedback. In our report "Astasia without abasia due to peripheral neuropathy," which was published in 1994, we proposed that forced stepping in patients lacking the ankle torque is a compensatory motor control in order to maintain an upright posture. A statistical-biomechanics approach to the human postural control system has revealed open-loop (descending) control as well as closed-loop (feedback) control in quiet standing, and fractal dynamics in stride-to-stride fluctuations of walking. The descending control system of bipedal upright posture and gait may have a functional link to cognitive domains. Increasing dependence on the descending control system with aging may play a role in falls in elderly people.

Responsibility of parents for misdemeanors committed by their descendants

Directory of Open Access Journals (Sweden)

Ristivojević Branislav R.

2016-01-01

Full Text Available The subject of the authors' attention are certain questions concerning the responsibility for the acts of other persons in the misdemeanor law of the Republic of Serbia. Under certain conditions, if a child or a minor (descendants commits a misdemeanor, instead of him or together with him, other persons can be held responsible as well, foremost his parents who had not exercised due supervision. There is a difference between the responsibility of a parent whose children have committed a misdemeanor and are under 14, and that of a parent whose children are between 14 and 18 years old. Therefore, there is a difference in terms of responsibility of the parent depending on if the person who committed the misdemeanor is, from the perspective of the Misdemeanor Law, a child or a minor. The authors critically analyze the articles of the Misdemeanor Law that concern the responsibility of the parent for the misdemeanors committed by their descendants. In the end, they conclude that the Misdemeanor Law undermines one of the essential legal principle that the 'scope of rights has to correspond to the scope of obligations and responsibility'.

Distal radioulnar joint injuries

Directory of Open Access Journals (Sweden)

Binu P Thomas

2012-01-01

Full Text Available Distal radioulnar joint is a trochoid joint relatively new in evolution. Along with proximal radioulnar joint , forearm bones and interosseous membrane, it allows pronosupination and load transmission across the wrist. Injuries around distal radioulnar joint are not uncommon, and are usually associated with distal radius fractures,fractures of the ulnar styloid and with the eponymous Galeazzi or Essex_Lopresti fractures. The injury can be purely involving the soft tissue especially the triangular fibrocartilage or the radioulnar ligaments.The patients usually present with ulnar sided wrist pain, features of instability, or restriction of rotation. Difficulty in carrying loads in the hand is a major constraint for these patients. Thorough clinical examination to localize point of tenderness and appropriate provocative tests help in diagnosis. Radiology and MRI are extremely useful, while arthroscopy is the gold standard for evaluation. The treatment protocols are continuously evolving and range from conservative, arthroscopic to open surgical methods. Isolated dislocation are uncommon. Basal fractures of the ulnar styloid tend to make the joint unstable and may require operative intervention. Chronic instability requires reconstruction of the stabilizing ligaments to avoid onset of arthritis. Prosthetic replacement in arthritis is gaining acceptance in the management of arthritis.

Glacial modulation of mid-ocean ridge magmatism and anomalous Pacific Antarctic Ridge volcanism during Termination II

Science.gov (United States)

Asimow, P. D.; Lewis, M.; Lund, D. C.; Seeley, E.; McCart, S.; Mudahy, A.

2017-12-01

Glacially-driven sea level rise and fall may modulate submarine volcanism by superposing pressure changes on the tectonic decompression that causes melt production in the mantle below mid-ocean ridges. A number of recent studies have considered whether this effect is recorded in the periodicity of ridge flank bathymetry (Tolstoy, 2015; Crowley et al., 2015) but interpretation of the bathymetric data remains controversial (Goff, 2016; Olive et al., 2016). We have pursued an independent approach using hydrothermal metals in well-dated near-ridge sediment cores. Along the full length of the East Pacific Rise, in areas of the ocean with widely variable biologic productivity, there are large and consistent rises in Fe, Mn, and As concentrations during the last two glacial terminations. We interpret these cores as records of excess hydrothermal flux due to delayed delivery to the axis of excess melt generated by the preceding falls in sea level. Here we discuss the potentially related discovery, in a core near the Pacific Antarctic Ridge (PAR), of a 10 cm thick layer of basaltic ash shards up to 250 mm in size, coincident with the penultimate deglaciation (Termination II). Although the site was 8 km off-axis at the time, the glasses have major element, volatile, and trace element composition consistent with more evolved members of the axial MORB suite from the nearby ridge axis. Their morphologies are typical of pyroclastic deposits created by explosive submarine volcanism (Clague et al., 2009). We propose that a period of low magmatic flux following a sea-level rise caused cooling of crustal magmatic systems, more advanced fractionation in the axial magma chamber, and increases in viscosity and volatile concentration. We hypothesize subsequent arrival of high magmatic flux during Termination II then reactivated the system and triggered an unusually vigorous series of explosive eruptions along this segment of the PAR. Ash layers recording large eruptions such as this one

Mitochondrial DNA mapping of social-biological interactions in Brazilian Amazonian African-descendant populations

Directory of Open Access Journals (Sweden)

Bruno Maia Carvalho

2008-01-01

Full Text Available The formation of the Brazilian Amazonian population has historically involved three main ethnic groups, Amerindian, African and European. This has resulted in genetic investigations having been carried out using classical polymorphisms and molecular markers. To better understand the genetic variability and the micro-evolutionary processes acting in human groups in the Brazilian Amazon region we used mitochondrial DNA to investigate 159 maternally unrelated individuals from five Amazonian African-descendant communities. The mitochondrial lineage distribution indicated a contribution of 50.2% from Africans (L0, L1, L2, and L3, 46.6% from Amerindians (haplogroups A, B, C and D and a small European contribution of 1.3%. These results indicated high genetic diversity in the Amerindian and African lineage groups, suggesting that the Brazilian Amazonian African-descendant populations reflect a possible population amalgamation of Amerindian women from different Amazonian indigenous tribes and African women from different geographic regions of Africa who had been brought to Brazil as slaves. The present study partially mapped the historical biological and social interactions that had occurred during the formation and expansion of Amazonian African-descendant communities.

Descending necrotizing mediastinitis following dental extraction. Radiological features and surgical treatment considerations.

Science.gov (United States)

González-García, Raúl; Risco-Rojas, Roberto; Román-Romero, Leticia; Moreno-García, Carlos; López García, Cipriano

2011-07-01

Descending necrotizing mediastinitis (DNM) following dental extraction is an extremely serious infection with a high mortality rate. Oral infection may rapidly descend into the mediastinum across the retropharyngeal and retrovisceral spaces. Once established, mediastinitis is rapidly followed by sepsis and death. If DNM is suspected cervical and thoracic CT must be carried out urgently. After this, prompt control of the upper airway with tracheostomy, aggressive surgical debridement of the deep cervical spaces and mediastinum, and intravenous broad spectrum antibiotic therapy are mandatory. The present paper reports two new cases of DNM following dental extraction, and focuses on radiological features of abscess progression through the cervical spaces down into the mediastinum. 2010 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Ridge Orientations of the Ridge-Forming Unit, Sinus Meridiani, Mars-A Fluvial Explanation

Science.gov (United States)

Wilkinson, M. Justin; Herridge, A.

2013-01-01

Imagery and MOLA data were used in an analysis of the ridge-forming rock unit (RFU) exposed in Sinus Meridiani (SM). This unit shows parallels at different scales with fluvial sedimentary bodies. We propose the terrestrial megafan as the prime analog for the RFU, and likely for other members of the layered units. Megafans are partial cones of fluvial sediment, with radii up to hundreds of km. Although recent reviews of hypotheses for the RFU units exclude fluvial hypotheses [1], inverted ridges in the deserts of Oman have been suggested as putative analogs for some ridges [2], apparently without appreciating The wider context in which these ridges have formed is a series of megafans [3], a relatively unappreciated geomorphic feature. It has been argued that these units conform to the megafan model at the regional, subregional and local scales [4]. At the regional scale suites of terrestrial megafans are known to cover large areas at the foot of uplands on all continents - a close parallel with the setting of the Meridiani sediments at the foot of the southern uplands of Mars, with its incised fluvial systems leading down the regional NW slope [2, 3] towards the sedimentary units. At the subregional scale the layering and internal discontinuities of the Meridiani rocks are consistent, inter alia, with stacked fluvial units [4]. Although poorly recognized as such, the prime geomorphic environment in which stream channel networks cover large areas, without intervening hillslopes, is the megafan [see e.g. 4]. Single megafans can reach 200,000 km2 [5]. Megafans thus supply an analog for areas where channel-like ridges (as a palimpsest of a prior landscape) cover the intercrater plains of Meridiani [6]. At the local, or river-reach scale, the numerous sinuous features of the RFU are suggestive of fluvial channels. Cross-cutting relationships, a common feature of channels on terrestrial megafans, are ubiquitous. Desert megafans show cemented paleo-channels as inverted

The oligosaccharidic content of the glycoconjugates of the prepubertal descended and undescended testis: lectin histochemical study.

Science.gov (United States)

Gheri, Gherardo; Sgambati, Eleonora; Thyrion, Giorgia D Zappoli; Vichi, Debora; Orlandini, Giovanni E

2004-01-01

The saccharidic content of the glycoconjugates has been studied in the descended the undescended testes of a 8 years old boy. For this purpose, a battery of seven HRP-conjugated lectins (SBA, DBA,PNA,WGA,UEAI, LTA and ConA) was used. D-galactose-N-acetyl-D-galactosamine and alpha-L-fucose sugar residues, which were present in the cytoplasm of the Sertoli cells of the normally positioned prepubertal testis, were not detected in the same cells of the undescended testis. The Leydig's cells of the descended testis appeared characterized by N-acetyl-D-glucosamine which was absent in the rare and atrophic Leydig's cells of the cryptorchid testis. Differences in sugar residues distribution between the descended and the undescended testis were also detected in the lamina propria of the seminiferous tubules. Peritubular myoid cells in the undescended testis only reacted with PNA, after neuraminidase digestion, thus revealing the presence of D-galactose (beta1-->3)-N-acetyl-D-galactosamine and sialic acid. In this study a complete distributional map of the sugar residues of the glycoconjugates in the descended and undescended prepubertal testis is reported.

Contemporary Management of Primary Distal Urethral Cancer

NARCIS (Netherlands)

Traboulsi, S.L.; Witjes, J.A.; Kassouf, W.

2016-01-01

Primary urethral cancer is one of the rare urologic tumors. Distal urethral tumors are usually less advanced at diagnosis compared with proximal tumors and have a good prognosis if treated appropriately. Low-stage distal tumors can be managed successfully with a surgical approach in men or radiation

Distal technologies and type 1 diabetes management.

Science.gov (United States)

Duke, Danny C; Barry, Samantha; Wagner, David V; Speight, Jane; Choudhary, Pratik; Harris, Michael A

2018-02-01

Type 1 diabetes requires intensive self-management to avoid acute and long-term health complications. In the past two decades, substantial advances in technology have enabled more effective and convenient self-management of type 1 diabetes. Although proximal technologies (eg, insulin pumps, continuous glucose monitors, closed-loop and artificial pancreas systems) have been the subject of frequent systematic and narrative reviews, distal technologies have received scant attention. Distal technologies refer to electronic systems designed to provide a service remotely and include heterogeneous systems such as telehealth, mobile health applications, game-based support, social platforms, and patient portals. In this Review, we summarise the empirical literature to provide current information about the effectiveness of available distal technologies to improve type 1 diabetes management. We also discuss privacy, ethics, and regulatory considerations, issues of global adoption, knowledge gaps in distal technology, and recommendations for future directions. Copyright © 2018 Elsevier Ltd. All rights reserved.

Aerodynamic roughness length related to non-aggregated tillage ridges

Directory of Open Access Journals (Sweden)

M. Kardous

2005-11-01

Full Text Available Wind erosion in agricultural soils is dependent, in part, on the aerodynamic roughness length (z₀ produced by tillage ridges. Although previous studies have related z₀ to ridge characteristics (ridge height (RH and spacing (RS, these relationships have not been tested for tillage ridges observed in the North African agricultural fields. In these regions, due to climate and soil conditions, small plowing tools are largely used. Most of these tools produce non-aggregated and closely-spaced small ridges. Thus, experiments were conducted in a 7-m long wind tunnel to measure z₀ for 11 ridge types covering the range of geometric characteristics frequently observed in south Tunisia. Experimental results suggest that RH²/RS is the first order parameter controlling z₀. A strong relationship between z₀ and RH²/RS is proposed for a wide range of ridge characteristics.

Measuring and Comparing Descend in Elite Race Cycling with a Perspective on Real-Time Feedback for Improving Individual Performance

OpenAIRE

Reijne, M.M.; Bregman, D.J.J.; Schwab, A.L.; Espinosa, Hugo G.; Rowlands, David R.; Shepherd, Jonathan; Thiel, David V.

2018-01-01

Descend technique and performance vary among elite racing cyclists and it is not clear what slower riders should do to improve their performance. An observation study was performed of the descending technique of members of a World Tour cycling team and the technique of each member was compared with the fastest descender amongst them. The obtained data gives us guidelines for rider specific feedback in order to improve his performance. The bicycles were equipped with a system that could measur...

Intra-articular osteotomy for distal humerus malunion

NARCIS (Netherlands)

Marti, René K.; Doornberg, Job

2009-01-01

Intra-articular osteotomy is considered in the rare case of malunion after a fracture of the distal humerus to restore humeral alignment and gain a functional arc of elbow motion. Traumatic and iatrogenic disruption of the limited blood flow to the distal end of the humerus resulting in avascular

Distal Communication by Chimpanzees (Pan troglodytes): Evidence for Common Ground?

Science.gov (United States)

Leavens, David A; Reamer, Lisa A; Mareno, Mary Catherine; Russell, Jamie L; Wilson, Daniel; Schapiro, Steven J; Hopkins, William D

2015-01-01

van der Goot et al. (2014) proposed that distal, deictic communication indexed the appreciation of the psychological state of a common ground between a signaler and a receiver. In their study, great apes did not signal distally, which they construed as evidence for the human uniqueness of a sense of common ground. This study exposed 166 chimpanzees to food and an experimenter, at an angular displacement, to ask, "Do chimpanzees display distal communication?" Apes were categorized as (a) proximal or (b) distal signalers on each of four trials. The number of chimpanzees who communicated proximally did not statistically differ from the number who signaled distally. Therefore, contrary to the claim by van der Goot et al., apes do communicate distally. © 2015 The Authors. Child Development © 2015 Society for Research in Child Development, Inc.

ranching pattern of the left anterior descending coronary artery in a ...

African Journals Online (AJOL)

Branching pattern of the left anterior descending coronary artery is important in explaining variations in occurrence of coronary atherosclerosis, informing management strategies for coronary heart disease and interventional cardiology. Data on African populations are, however, scarce. Since coronary heart disease is ...

Papillary Adenocarcinoma of the descending colon in a dog: case report

Directory of Open Access Journals (Sweden)

M.G.P.A. Ferreira

Full Text Available ABSTRACT The aim of this report was to describe the clinical findings and therapeutic management of a case of papillary adenocarcinoma of the descending colon in a Beagle. The patient presented soft stools, haematochezia, tenesmus, and dyschezia. Clinical examination revealed alterations on the ultrasonographic features of the descending colon suggestive of colitis and neoplasia. Following local mass resection, histopathology analysis revealed mild lymphoplasmocytic enteritis and papillary adenocarcinoma of the colon. Enterectomy for tumoral resection and biopsy of locoregional lymph nodes were carried out. Subsequent to the surgical procedure, it was possible to confirm the previous diagnosis and the tumor was classified as intestinal intraluminal papillary adenocarcinoma, with incomplete surgical margins. Adjuvant chemotherapy was performed using carboplatin, cyclophosphamide, and piroxicam, leading to remission of clinical signs and absence of any clinical or imaging alterations compatible with the patient’s previous clinical condition.

Discrete torsion in non-geometric orbifolds and their open-string descendants

International Nuclear Information System (INIS)

Bianchi, Massimo; Morales, Jose F.; Pradisi, Gianfranco

2000-01-01

We discuss some Z N L xZ N R orbifold compactifications of the type IIB superstring to D=4,6 dimensions and their type I descendants. Although the Z N L xZ N R generators act asymmetrically on the chiral string modes, they result into left-right symmetric models that admit sensible unorientable reductions. We carefully work out the phases that appear in the modular transformations of the chiral amplitudes and identify the possibility of introducing discrete torsion. We propose a simplifying ansatz for the construction of the open-string descendants in which the transverse-channel Klein-bottle, annulus and Moebius-strip amplitudes are numerically identical in the proper parametrization of the world-sheet. A simple variant of the ansatz for the Z 2 L xZ 2 R orbifold gives rise to models with supersymmetry breaking in the open-string sector

Calendar year 1995 groundwater quality report for the Chestnut Ridge Hydrogeological Regime, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. 1995 Groundwater quality data and calculated rate of contaminant migration

International Nuclear Information System (INIS)

1996-02-01

This annual groundwater quality report (GWQR) contains groundwater quality data obtained during the 1995 calendar year (CY) at several hazardous and nonhazardous waste management facilities associated with the U.S. Department of Energy (DOE) Y-12 Plant located on the DOE Oak Ridge Reservation (ORR) southeast of Oak Ridge, Tennessee. These sites are located south of the Y-12 Plant in the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime), which is one of three regimes defined for the purposes of groundwater quality monitoring at the Y-12 Plant. The Environmental Management Department of the Y-12 Plant Health, Safety, Environment, and Accountability (HSEA) Organization manages the groundwater monitoring activities in each regime as part of the Y-12 Plant Groundwater Protection Program (GWPP). The U.S. Environmental Protection Agency (EPA) identification number for the Y-12 Plant is TN

Distal displacement of the maxilla and the upper first molar.

Science.gov (United States)

Baumrind, S; Molthen, R; West, E E; Miller, D M

1979-06-01

Data from a sample of 198 Class II cases treated with various appliances which deliver distally directed forces to the maxilla were examined to determine the frequency of absolute distal displacement of the upper first molar and of the maxilla. Analysis revealed that such distal displacement is possible and that it is, in fact, a frequent finding following treatment. Long-range stability of distal displacement was not assessed.

Distal splenorenal shunt with partial spleen resection

Directory of Open Access Journals (Sweden)

Gajin Predrag

2007-01-01

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

Descending pain modulation in irritable bowel syndrome (IBS): a systematic review and meta-analysis.

Science.gov (United States)

Chakiath, Rosemary J; Siddall, Philip J; Kellow, John E; Hush, Julia M; Jones, Mike P; Marcuzzi, Anna; Wrigley, Paul J

2015-12-10

Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder. While abdominal pain is a dominant symptom of IBS, many sufferers also report widespread hypersensitivity and present with other chronic pain conditions. The presence of widespread hypersensitivity and extra-intestinal pain conditions suggests central nervous dysfunction. While central nervous system dysfunction may involve the spinal cord (central sensitisation) and brain, this review will focus on one brain mechanism, descending pain modulation. We will conduct a comprehensive search for the articles indexed in the databases Ovid MEDLINE, Ovid Embase, Ovid PsycINFO and Cochrane Central Register of Controlled Trial (CENTRAL) from their inception to August 2015, that report on any aspect of descending pain modulation in irritable bowel syndrome. Two independent reviewers will screen studies for eligibility, assess risk of bias and extract relevant data. Results will be tabulated and, if possible, a meta-analysis will be carried out. The systematic review outlined in this protocol aims to summarise current knowledge regarding descending pain modulation in IBS. PROSPERO CRD42015024284.

A Case Report of Ridge Augmentation using Onlay Interpositional Graft: An Approach to Improve Prosthetic Prognosis of a Deficit Ridge

Directory of Open Access Journals (Sweden)

Devanand Shetty

2014-01-01

Full Text Available Background: Periodontal therapy has developed beyond the scope of the treatment of periodontal pathoses. Periodontal plastic surgery consists of the reconstructive procedures designed to enhance the both function and esthetics. Deficient ridges pose a severe problem to the restorative dentist in restoring the natural form, function and esthetics of the prosthesis replacing the natural dentition. Depending upon the severity, location of these defects and the prosthetic option chosen, hard and soft tissue ridge augmentation or non-surgical approach or a combination may help to address them. The present clinical report describes a soft tissue ridge augmentation of a localized ridge defect in maxillary aesthetic region using onlay interpositional graft followed by fixed partial denture.

Participation: A Descending Road of the Metaphysical Cognition of Being

Directory of Open Access Journals (Sweden)

Andrzej Maryniarczyk

2016-12-01

Full Text Available When we see in the world the fact that there are many beings, and we indicate that the particular beings exist in a compositional way, we face the task of learning about a new problem: how can we define and determine the relations between beings and between the elements within a being? Although the theory of participation has roots that go back to Plato, and so to a philosophy in which the pluralism of being was rejected and which accepted an identity-based conception of being, participation finds its ontological rational justification only (and ultimately in the pluralistic and compositional conception of being. With the description of participation as a “descending road” in the cognition of being, we are restricting ourselves to the presentation of how participation is understood in realistic metaphysics (while we shall leave aside the history of the question. We will show the aspects of participation that provide a foundation for wisdom-oriented cognition, and we will show the specific character of participation-oriented cognition as a “descending road.”

ENVIRONMENTAL BASELINE SURVEY REPORT FOR WEST BLACK OAK RIDGE, EAST BLACK OAK RIDGE, MCKINNEY RIDGE, WEST PINE RIDGE, AND PARCEL 21D IN THE VICINITY OF THE EAST TENNESSEE TECHNOLOGY PARK, OAK RIDGE, TENNESSEE

Energy Technology Data Exchange (ETDEWEB)

David A. King

2012-11-29

This environmental baseline survey (EBS) report documents the baseline environmental conditions of five land parcels located near the U.S. Department of Energy’s (DOE’s) East Tennessee Technology Park (ETTP), including West Black Oak Ridge, East Black Oak Ridge, McKinney Ridge, West Pine Ridge, and Parcel 21d. The goal is to obtain all media no-further-investigation (NFI) determinations for the subject parcels considering existing soils. To augment the existing soils-only NFI determinations, samples of groundwater, surface water, soil, and sediment were collected to support all media NFI decisions. The only updates presented here are those that were made after the original issuance of the NFI documents. In the subject parcel where the soils NFI determination was not completed for approval (Parcel 21d), the full process has been performed to address the soils as well. Preparation of this report included the detailed search of federal government records, title documents, aerial photos that may reflect prior uses, and visual inspections of the property and adjacent properties. Interviews with current employees involved in, or familiar with, operations on the real property were also conducted to identify any areas on the property where hazardous substances and petroleum products, or their derivatives, and acutely hazardous wastes may have been released or disposed. In addition, a search was made of reasonably obtainable federal, state, and local government records of each adjacent facility where there has been a release of any hazardous substance or any petroleum product or their derivatives, including aviation fuel and motor oil, and which is likely to cause or contribute to a release of any hazardous substance or any petroleum product or its derivatives, including aviation fuel or motor oil, on the real property. A radiological survey and soil/sediment sampling was conducted to assess baseline conditions of Parcel 21d that were not addressed by the soils-only NFI

A 5- Year Comparison of Marginal Bone Level Following Immediate Loading of Single-Tooth Implants Placed in Healed Alveolar Ridges and Extraction Sockets in the Maxilla.

Directory of Open Access Journals (Sweden)

Antoine Nicolas Berberi

2014-01-01

Full Text Available AbstractPurpose: The aim of present investigation was to evaluate marginal bone level after 5-year follow-up of implants placed in healed ridges and fresh extraction sockets in maxilla with immediate loading protocol.Materials and Methods: Thirty-six patients in need of a single tooth replacement in the anterior maxilla received 42 Astra Tech implants (Astra Tech Implant system™, Dentsply Implants, Mölndal, Sweden. Implants were placed in healed ridges (group I or immediately into extraction sockets (group II. Implants were restored and placed into functional loading immediately by using a prefabricated abutment. Marginal bone level relative to the implant reference point was recorded at implant placement, crown cementation, 12, 36 and 60 months following loading using intra-oral radiographs. Measurements were made on the mesial and distal sides of each implantResults: Overall, two implants were lost from the group II, before final crown cementation: they were excluded from the study and all remaining implants osseointegrated successfully after 5 years of functional loading. The mean change in marginal bone loss after implant placement was 0.267±0.161 for one year, and 0.265±0.171 for three years and 0.213±0.185 for five years in extraction sockets and was 0.266±0.176 for one year and 0.219±0.175 for three years and 0.194±0.172 for five years in healed ridges group. Significant reduction of marginal bone loss was more pronounced in implants inserted in healed ridges (P

A Computational Model of a Descending Mechanosensory Pathway Involved in Active Tactile Sensing.

Directory of Open Access Journals (Sweden)

Jan M Ache

2015-07-01

Full Text Available Many animals, including humans, rely on active tactile sensing to explore the environment and negotiate obstacles, especially in the dark. Here, we model a descending neural pathway that mediates short-latency proprioceptive information from a tactile sensor on the head to thoracic neural networks. We studied the nocturnal stick insect Carausius morosus, a model organism for the study of adaptive locomotion, including tactually mediated reaching movements. Like mammals, insects need to move their tactile sensors for probing the environment. Cues about sensor position and motion are therefore crucial for the spatial localization of tactile contacts and the coordination of fast, adaptive motor responses. Our model explains how proprioceptive information about motion and position of the antennae, the main tactile sensors in insects, can be encoded by a single type of mechanosensory afferents. Moreover, it explains how this information is integrated and mediated to thoracic neural networks by a diverse population of descending interneurons (DINs. First, we quantified responses of a DIN population to changes in antennal position, motion and direction of movement. Using principal component (PC analysis, we find that only two PCs account for a large fraction of the variance in the DIN response properties. We call the two-dimensional space spanned by these PCs 'coding-space' because it captures essential features of the entire DIN population. Second, we model the mechanoreceptive input elements of this descending pathway, a population of proprioceptive mechanosensory hairs monitoring deflection of the antennal joints. Finally, we propose a computational framework that can model the response properties of all important DIN types, using the hair field model as its only input. This DIN model is validated by comparison of tuning characteristics, and by mapping the modelled neurons into the two-dimensional coding-space of the real DIN population. This

A comparison between robotic-assisted laparoscopic distal pancreatectomy versus laparoscopic distal pancreatectomy.

Science.gov (United States)

Goh, Brian K P; Chan, Chung Yip; Soh, Hui-Ling; Lee, Ser Yee; Cheow, Peng-Chung; Chow, Pierce K H; Ooi, London L P J; Chung, Alexander Y F

2017-03-01

This study aims to compare the early perioperative outcomes of robotic-assisted laparoscopic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy (LDP). The clinicopathologic features of 45 consecutive patients who underwent minimally-invasive distal pancreatectomy from 2006 to 2015 were retrospectively reviewed. Thirty-nine patients who met our study criteria were included. Eight patients underwent RDP and 31 had LDP. There were 10 (25.6%) open conversions. Six (15.4%) patients had major (> grade 2) morbidities and there was no in-hospital mortality. There were 14 (35.9%) grade A and 9 (23.1%) grade B pancreatic fistulas. Comparison between RDP and LDP demonstrated no significant difference between the patients' baseline characteristics except there was increased frequency of spleen-preserving pancreatectomies (3 (37.5%) vs 25 (80.6%), P=0.016) and splenic-vessel preservation (5 (62.5%) vs 4 (12.9%), P=0.003) in RDP. Comparison between outcomes demonstrated that RDP was associated with a longer median operation time (452.5 (range, 300-685) vs 245 min (range, 85-430), P=0.001) and increased frequency of the procedure completed purely laparoscopically (8 (100%) vs 18 (58.1%), P=0.025). RDP can be safely adopted and is equivalent to LDP in most perioperative outcomes. It is also associated with a decreased frequency of the need for hand-assistance laparoscopic surgery or open conversion but needed a longer operation time. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

A deep structural ridge beneath central India

Science.gov (United States)

Agrawal, P. K.; Thakur, N. K.; Negi, J. G.

A joint-inversion of magnetic satellite (MAGSAT) and free air gravity data has been conducted to quantitatively investigate the cause for Bouguer gravity anomaly over Central Indian plateaus and possible fold consequences beside Himalayan zone in the Indian sub-continent due to collision between Indian and Eurasian plates. The appropriate inversion with 40 km crustal depth model has delineated after discriminating high density and magnetisation models, for the first time, about 1500 km long hidden ridge structure trending NW-SE. The structure is parallel to Himalayan fold axis and the Indian Ocean ridge in the Arabian Sea. A quantitative relief model across a representative anomaly profile confirms the ridge structure with its highest point nearly 6 km higher than the surrounding crustal level in peninsular India. The ridge structure finds visible support from the astro-geoidal contours.

A New Orthodontic Appliance with a Mini Screw for Upper Molar Distalization.

Science.gov (United States)

Ozkalayci, Nurhat; Yetmez, Mehmet

2016-01-01

The aim of this study is to present a new upper molar distalization appliance called Cise distalizer designed as intraoral device supported with orthodontic mini screw for upper permanent molar distalization. The new appliance consists of eight main components. In order to understand the optimum force level, the appliance under static loading is tested by using strain gage measurement techniques. Results show that one of the open coils produces approximately 300 gr distalization force. Cise distalizer can provide totally 600 gr distalization force. This range of force level is enough for distalization of upper first and second molar teeth.

Are immigrants and descendants with ill health more prone to unemployment? Evidence from 18 European countries.

Science.gov (United States)

Heggebø, Kristian

2017-08-01

Previous research has established that both ill health and minority status are associated with unemployment. Less is known, however, about the interplay between having ill health and being from minority background. The present study examines whether immigrants and descendants with ill health are particularly prone to unemployment during an economic downturn in Europe. The European Union Statistics on Income and Living Conditions (EU-SILC) cross-sectional data material is utilized, and linear probability models are estimated. The analysis is run for countries in which the two minority samples are acceptably large (N ≥ 100), resulting in 18 included European countries. The year 2011 is chosen because it is possible to identify both immigrants and descendants in EU-SILC due to a module on intergenerational transfer of disadvantages. The results indicate - as expected - that both ill health and minority status are independently related to higher unemployment likelihood. Immigrants and descendants with ill health, however, are not particularly likely to be unemployed. This finding is robust to a number of sensitivity tests, and the empirical pattern is very similar across the 18 included countries. Both minority status and ill health are associated with high unemployment probability in Europe. However, there does not seem to exist a 'double disadvantage' for immigrants and descendants with ill health, which is in line with a human capital perspective on how employers evaluate potential employees. Both a non-native-sounding name and bad health status are interpreted as a risk factor, but there is no reason to expect ill health to lower the productivity level more if the applicant is a descendant or immigrant.

Metallogenesis along the Indian Ocean Ridge System

Digital Repository Service at National Institute of Oceanography (India)

Banerjee, R.; Ray, Dwijesh

including India. Among these studies majority were concentrated around the Central Indian Ridge and the Southwest Indian Ridge areas, while a few observations were made around the rest of the areas in the IORS. The findings of these studies are discussed...

Laparoscopic versus open distal pancreatectomy for pancreatic cancer.

Science.gov (United States)

Riviere, Deniece; Gurusamy, Kurinchi Selvan; Kooby, David A; Vollmer, Charles M; Besselink, Marc G H; Davidson, Brian R; van Laarhoven, Cornelis J H M

2016-04-04

Surgical resection is currently the only treatment with the potential for long-term survival and cure of pancreatic cancer. Surgical resection is provided as distal pancreatectomy for cancers of the body and tail of the pancreas. It can be performed by laparoscopic or open surgery. In operations on other organs, laparoscopic surgery has been shown to reduce complications and length of hospital stay as compared with open surgery. However, concerns remain about the safety of laparoscopic distal pancreatectomy compared with open distal pancreatectomy in terms of postoperative complications and oncological clearance. To assess the benefits and harms of laparoscopic distal pancreatectomy versus open distal pancreatectomy for people undergoing distal pancreatectomy for pancreatic ductal adenocarcinoma of the body or tail of the pancreas, or both. We used search strategies to search the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Science Citation Index Expanded and trials registers until June 2015 to identify randomised controlled trials (RCTs) and non-randomised studies. We also searched the reference lists of included trials to identify additional studies. We considered for inclusion in the review RCTs and non-randomised studies comparing laparoscopic versus open distal pancreatectomy in patients with resectable pancreatic cancer, irrespective of language, blinding or publication status.. Two review authors independently identified trials and independently extracted data. We calculated odds ratios (ORs), mean differences (MDs) or hazard ratios (HRs) along with 95% confidence intervals (CIs) using both fixed-effect and random-effects models with RevMan 5 on the basis of intention-to-treat analysis when possible. We found no RCTs on this topic. We included in this review 12 non-randomised studies that compared laparoscopic versus open distal pancreatectomy (1576 participants: 394 underwent laparoscopic distal pancreatectomy and 1182

Cervical necrotising fasciitis and descending mediastinitis secondary to unilateral tonsillitis: a case report

Directory of Open Access Journals (Sweden)

Islam Asad

2008-12-01

Full Text Available Abstract Introduction Cervical necrotizing fasciitis is an aggressive infection with high morbidity and mortality. We present a case of cervical necrotizing fasciitis and descending mediastinitis in a healthy young man, caused by unilateral tonsillitis with a successful outcome without aggressive debridement. Case presentation A 41-year-old man was admitted to our unit with a diagnosis of severe acute unilateral tonsillitis. On admission, he had painful neck movements and the skin over his neck was red, hot and tender. Computed tomography scan of his neck and chest showed evidence of cervical necrotizing fasciitis and descending mediastinitis secondary to underlying pharyngeal disease. He was treated with broad-spectrum intravenous antibiotics. His condition improved over the next 3 days but a tender and fluctuant swelling appeared in the suprasternal region. A repeat scan showed the appearance of an abscess extending from the pretracheal region to the upper mediastinum which was drained through a small transverse anterior neck incision. After surgery, the patient's condition quickly improved and he was discharged on the 18th day of admission. Conclusion Less invasive surgical techniques may replace conventional aggressive debridement as the treatment of choice for cervical necrotizing fasciitis and descending necrotizing mediastinitis.

Ridge Waveguide Structures in Magnesium-Doped Lithium Niobate

Science.gov (United States)

Himmer, Phillip; Battle, Philip; Suckow, William; Switzer, Greg

2011-01-01

This work proposes to establish the feasibility of fabricating isolated ridge waveguides in 5% MgO:LN. Ridge waveguides in MgO:LN will significantly improve power handling and conversion efficiency, increase photonic component integration, and be well suited to spacebased applications. The key innovation in this effort is to combine recently available large, high-photorefractive-damage-threshold, z-cut 5% MgO:LN with novel ridge fabrication techniques to achieve high-optical power, low-cost, high-volume manufacturing of frequency conversion structures. The proposed ridge waveguide structure should maintain the characteristics of the periodically poled bulk substrate, allowing for the efficient frequency conversion typical of waveguides and the high optical damage threshold and long lifetimes typical of the 5% doped bulk substrate. The low cost and large area of 5% MgO:LN wafers, and the improved performance of the proposed ridge waveguide structure, will enhance existing measurement capabilities as well as reduce the resources required to achieve high-performance specifications. The purpose of the ridge waveguides in MgO:LN is to provide platform technology that will improve optical power handling and conversion efficiency compared to existing waveguide technology. The proposed ridge waveguide is produced using standard microfabrication techniques. The approach is enabled by recent advances in inductively coupled plasma etchers and chemical mechanical planarization techniques. In conjunction with wafer bonding, this fabrication methodology can be used to create arbitrarily shaped waveguides allowing complex optical circuits to be engineered in nonlinear optical materials such as magnesium doped lithium niobate. Researchers here have identified NLO (nonlinear optical) ridge waveguide structures as having suitable value to be the leading frequency conversion structures. Its value is based on having the low-cost fabrication necessary to satisfy the challenging pricing

Some improved classification-based ridge parameter of Hoerl and ...

African Journals Online (AJOL)

Some improved classification-based ridge parameter of Hoerl and Kennard estimation techniques. ... This assumption is often violated and Ridge Regression estimator introduced by [2]has been identified to be more efficient than ordinary least square (OLS) in handling it. However, it requires a ridge parameter, K, of which ...

Whiplash evokes descending muscle recruitment and sympathetic responses characteristic of startle

Science.gov (United States)

Mang, Daniel WH; Siegmund, Gunter P; Blouin, Jean-Sébastien

2014-01-01

Whiplash injuries are the most common injuries following rear-end collisions. During a rear-end collision, the human muscle response consists of both a postural and a startle response that may exacerbate injury. However, most previous studies only assessed the presence of startle using data collected from the neck muscles and head/neck kinematics. The startle response also evokes a descending pattern of muscle recruitment and changes in autonomic activity. Here we examined the recruitment of axial and appendicular muscles along with autonomic responses to confirm whether these other features of a startle response were present during the first exposure to a whiplash perturbation. Ten subjects experienced a single whiplash perturbation while recording electromyography, electrocardiogram, and electrodermal responses. All subjects exhibited a descending pattern of muscle recruitment, and increasing heart rate and electrodermal responses following the collision. Our results provide further support that the startle response is a component of the response to whiplash collisions. PMID:24932015

A New Orthodontic Appliance with a Mini Screw for Upper Molar Distalization

Directory of Open Access Journals (Sweden)

Nurhat Ozkalayci

2016-01-01

Full Text Available The aim of this study is to present a new upper molar distalization appliance called Cise distalizer designed as intraoral device supported with orthodontic mini screw for upper permanent molar distalization. The new appliance consists of eight main components. In order to understand the optimum force level, the appliance under static loading is tested by using strain gage measurement techniques. Results show that one of the open coils produces approximately 300 gr distalization force. Cise distalizer can provide totally 600 gr distalization force. This range of force level is enough for distalization of upper first and second molar teeth.

the priests and the descendants of levi in the book of malachi

African Journals Online (AJOL)

Fanie Snyman for his hospitality and for all his generous efforts to make my stay ... This interpretation of the descendants of Levi has long since found many ...... 1998. Malachi. A New Translation with Introduction and Commentary. New.

A FUNCTIONAL EVALUATION STUDY OF DISTAL FEMORAL FRACTURES FIXED WITH DISTAL FEMORAL LOCKING PLATE

Directory of Open Access Journals (Sweden)

Manikumar C. J

2017-04-01

Full Text Available BACKGROUND Fractures of the distal femur present considerable challenges in management. Older patients especially women sustain fractures due to osteoporosis. Supracondylar fractures of femur have a bimodal distribution. They account for 6% of all femur fractures and 31% if hip fractures were excluded. Nearly, 50% of distal femur intra-articular fractures are open fractures. Before 1970, most supracondylar fractures were treated nonoperatively; however, difficulties were often encountered including persistent angulatory deformity, knee joint incongruity, loss of knee motion and delayed mobilisation. The trend of open reduction and internal fixation has become evident in recent years with good results being obtained with AO blade plate, dynamic condylar screw, intramedullary supracondylar nail and locking compression plate. Elderly patients and osteoporosis pose difficulty in treating intra-articular fractures of the lower end of femur. Loss of stable fixation is of great concern in these cases. Hence, locking compression plate use has an advantage in these patients. MATERIALS AND METHODS In this study, 20 patients with closed fracture of distal femur were studied. All the cases were treated at the Department of Orthopaedics, Rangaraya Medical College/Government General Hospital, Kakinada, Andhra Pradesh, between November 2013 and November 2015. The method used for fracture fixation was open reduction and internal fixation with distal femoral locking plate. The duration of follow up ranged from 3 months to 24 months. All the fractures in this series were posttraumatic. The patients were functionally evaluated with Neer’s scoring system. 1 RESULTS Twenty distal femoral fractures were treated with distal femoral locking plates. 15 patients were males and 5 patients were females. The median age was 47 years ranging from 28-70 years. 16 of the fractures were caused by road traffic accidents and 2 were due to fall, 2 were due to assault. 12 patients

Design assessment for the Bethel Valley FFA Upgrades at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1995-09-01

This report describes the proposed upgrades to Building 3025 and the Evaporator Area at Oak Ridge National Laboratory. Design assessments, specifications and drawings are provided. Building 3025 is a general purpose research facility utilized by the Materials and Ceramics Division to conduct research on irradiated materials. The Evaporator Area, building 2531, serves as the collection point for all low-level liquid wastes generated at the Oak Ridge National Laboratory

Cost-effectiveness of laparoscopic versus open distal pancreatectomy for pancreatic cancer.

Science.gov (United States)

Gurusamy, Kurinchi Selvan; Riviere, Deniece; van Laarhoven, C J H; Besselink, Marc; Abu-Hilal, Mohammed; Davidson, Brian R; Morris, Steve

2017-01-01

A recent Cochrane review compared laparoscopic versus open distal pancreatectomy for people with for cancers of the body and tail of the pancreas and found that laparoscopic distal pancreatectomy may reduce the length of hospital stay. We compared the cost-effectiveness of laparoscopic distal pancreatectomy versus open distal pancreatectomy for pancreatic cancer. Model based cost-utility analysis estimating mean costs and quality-adjusted life years (QALYs) per patient from the perspective of the UK National Health Service. A decision tree model was constructed using probabilities, outcomes and cost data from published sources. A time horizon of 5 years was used. One-way and probabilistic sensitivity analyses were undertaken. The probabilistic sensitivity analysis showed that the incremental net monetary benefit was positive (£3,708.58 (95% confidence intervals (CI) -£9,473.62 to £16,115.69) but the 95% CI includes zero, indicating that there is significant uncertainty about the cost-effectiveness of laparoscopic distal pancreatectomy versus open distal pancreatectomy. The probability laparoscopic distal pancreatectomy was cost-effective compared to open distal pancreatectomy for pancreatic cancer was between 70% and 80% at the willingness-to-pay thresholds generally used in England (£20,000 to £30,000 per QALY gained). Results were sensitive to the survival proportions and the operating time. There is considerable uncertainty about whether laparoscopic distal pancreatectomy is cost-effective compared to open distal pancreatectomy for pancreatic cancer in the NHS setting.

Geomorphological investigation of multiphase glacitectonic composite ridge systems in Svalbard

Science.gov (United States)

Lovell, Harold; Benn, Douglas I.; Lukas, Sven; Spagnolo, Matteo; Cook, Simon J.; Swift, Darrel A.; Clark, Chris D.; Yde, Jacob C.; Watts, Tom

2018-01-01

Some surge-type glaciers on the High-Arctic archipelago of Svalbard have large glacitectonic composite ridge systems at their terrestrial margins. These have formed by rapid glacier advance into proglacial sediments during the active surge phase, creating multicrested moraine complexes. Such complexes can be formed during single surge advances or multiple surges to successively less-extensive positions. The few existing studies of composite ridge systems have largely relied on detailed information on internal structure and sedimentology to reconstruct their formation and links to surge processes. However, natural exposures of internal structure are commonly unavailable, and the creation of artificial exposures is often problematic in fragile Arctic environments. To compensate for these issues, we investigate the potential for reconstructing composite ridge system formation based on geomorphological evidence alone, focusing on clear morphostratigraphic relationships between ridges within the moraine complex and relict meltwater channels/outwash fans. Based on mapping at the margins of Finsterwalderbreen (in Van Keulenfjorden) and Grønfjordbreen (in Grønfjorden), we show that relict meltwater channels that breach outer parts of the composite ridge systems are in most cases truncated upstream within the ridge complex by an inner pushed ridge or ridges at their ice-proximal extents. Our interpretation of this relationship is that the entire composite ridge system is unlikely to have formed during the same glacier advance but is instead the product of multiple advances to successively less-extensive positions, whereby younger ridges are emplaced on the ice-proximal side of older ridges. This indicates that the Finsterwalderbreen composite ridge system has been formed by multiple separate advances, consistent with the cyclicity of surges. Being able to identify the frequency and magnitude of former surges is important as it provides insight into the past behaviour of

Oak Ridge reservation land-use plan

Energy Technology Data Exchange (ETDEWEB)

Bibb, W. R.; Hardin, T. H.; Hawkins, C. C.; Johnson, W. A.; Peitzsch, F. C.; Scott, T. H.; Theisen, M. R.; Tuck, S. C.

1980-03-01

This study establishes a basis for long-range land-use planning to accommodate both present and projected DOE program requirements in Oak Ridge. In addition to technological requirements, this land-use plan incorporates in-depth ecological concepts that recognize multiple uses of land as a viable option. Neither environmental research nor technological operations need to be mutually exclusive in all instances. Unique biological areas, as well as rare and endangered species, need to be protected, and human and environmental health and safety must be maintained. The plan is based on the concept that the primary use of DOE land resources must be to implement the overall DOE mission in Oak Ridge. This document, along with the base map and overlay maps, provides a reasonably detailed description of the DOE Oak Ridge land resources and of the current and potential uses of the land. A description of the land characteristics, including geomorphology, agricultural productivity and soils, water courses, vegetation, and terrestrial and aquatic animal habitats, is presented to serve as a resource document. Essentially all DOE land in the Oak Ridge area is being fully used for ongoing DOE programs or has been set aside as protected areas.

Calendar year 1993 groundwater quality report for the Chestnut Ridge Hydrogeologic Regime, Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1994-02-01

This annual groundwater report contains groundwater quality data obtained during the 1993 calendar year (CY) at several hazardous and non-hazardous waste-management facilities associated with the US Department of Energy (DOE) Y-12 Plant located on the DOE Oak Ridge Reservation (ORR) southeast of Oak Ridge, Tennessee. These sites are located south of the Y-12 Plant in the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime), which is one of three regimes defined for the purposes of groundwater quality monitoring at the Y-12 Plant. The Environmental Management Department of the Y-12 Plant Health, Safety, Environment, and Accountability Organization manages the groundwater monitoring activities in each regime as part of the Y-12 Plant Groundwater Protection Program (GWPP). The annual groundwater report for the Chestnut Ridge Regime is completed in two-parts; Part 1 (this report) containing the groundwater quality data and Part 2 containing a detailed evaluation of the data. The primary purpose of this report is to serve as a reference for the groundwater quality data obtained each year under the lead of the Y-12 Plant GWPP. However, because it contains information needed to comply with Resource Conservation and Recovery Act (RCRA) interim status assessment monitoring and reporting requirements, this report is submitted to the Tennessee Department of Health and Environment (TDEC) by the RCRA reporting deadline

Urine concentrating mechanism: impact of vascular and tubular architecture and a proposed descending limb urea-Na+ cotransporter

Science.gov (United States)

Dantzler, William H.; Pannabecker, Thomas L.

2012-01-01

We extended a region-based mathematical model of the renal medulla of the rat kidney, previously developed by us, to represent new anatomic findings on the vascular architecture in the rat inner medulla (IM). In the outer medulla (OM), tubules and vessels are organized around tightly packed vascular bundles; in the IM, the organization is centered around collecting duct clusters. In particular, the model represents the separation of descending vasa recta from the descending limbs of loops of Henle, and the model represents a papillary segment of the descending thin limb that is water impermeable and highly urea permeable. Model results suggest that, despite the compartmentalization of IM blood flow, IM interstitial fluid composition is substantially more homogeneous compared with OM. We used the model to study medullary blood flow in antidiuresis and the effects of vascular countercurrent exchange. We also hypothesize that the terminal aquaporin-1 null segment of the long descending thin limbs may express a urea-Na+ or urea-Cl− cotransporter. As urea diffuses from the urea-rich papillary interstitium into the descending thin limb luminal fluid, NaCl is secreted via the cotransporter against its concentration gradient. That NaCl is then reabsorbed near the loop bend, raising the interstitial fluid osmolality and promoting water reabsorption from the IM collecting ducts. Indeed, the model predicts that the presence of the urea-Na+ or urea- Cl− cotransporter facilitates the cycling of NaCl within the IM and yields a loop-bend fluid composition consistent with experimental data. PMID:22088433

Traumatic Distal Ulnar Artery Thrombosis

Directory of Open Access Journals (Sweden)

Ahmet A. Karaarslan

2014-01-01

Full Text Available This paper is about a posttraumatic distal ulnar artery thrombosis case that has occurred after a single blunt trauma. The ulnar artery thrombosis because of chronic trauma is a frequent condition (hypothenar hammer syndrome but an ulnar artery thrombosis because of a single direct blunt trauma is rare. Our patient who has been affected by a single blunt trauma to his hand and developed ulnar artery thrombosis has been treated by resection of the thrombosed ulnar artery segment. This report shows that a single blunt trauma can cause distal ulnar artery thrombosis in the hand and it can be treated merely by thrombosed segment resection in suitable cases.

Distinct subclassification of DRG neurons innervating the distal colon and glans penis/distal urethra based on the electrophysiological current signature.

Science.gov (United States)

Rau, Kristofer K; Petruska, Jeffrey C; Cooper, Brian Y; Johnson, Richard D

2014-09-15

Spinal sensory neurons innervating visceral and mucocutaneous tissues have unique microanatomic distribution, peripheral modality, and physiological, pharmacological, and biophysical characteristics compared with those neurons that innervate muscle and cutaneous tissues. In previous patch-clamp electrophysiological studies, we have demonstrated that small- and medium-diameter dorsal root ganglion (DRG) neurons can be subclassified on the basis of their patterns of voltage-activated currents (VAC). These VAC-based subclasses were highly consistent in their action potential characteristics, responses to algesic compounds, immunocytochemical expression patterns, and responses to thermal stimuli. For this study, we examined the VAC of neurons retrogradely traced from the distal colon and the glans penis/distal urethra in the adult male rat. The afferent population from the distal colon contained at least two previously characterized cell types observed in somatic tissues (types 5 and 8), as well as four novel cell types (types 15, 16, 17, and 18). In the glans penis/distal urethra, two previously described cell types (types 6 and 8) and three novel cell types (types 7, 14, and 15) were identified. Other characteristics, including action potential profiles, responses to algesic compounds (acetylcholine, capsaicin, ATP, and pH 5.0 solution), and neurochemistry (expression of substance P, CGRP, neurofilament, TRPV1, TRPV2, and isolectin B4 binding) were consistent for each VAC-defined subgroup. With identification of distinct DRG cell types that innervate the distal colon and glans penis/distal urethra, future in vitro studies related to the gastrointestinal and urogenital sensory function in normal as well as abnormal/pathological conditions may be benefitted. Copyright © 2014 the American Physiological Society.

[Coarctation of the descending aorta. A rare form of connatal aortic stenosis].

Science.gov (United States)

Stammwitz, E; Schöttler, M; Brix, F; Poser, H L; Langkau, G; Yükseltan, I

1983-07-01

A clinical diagnosis of a coarctation of the aorta was made in a 17-year-old female hypertensive patient. Angiography revealed an atypical stenosis of the descending aorta which was surgically corrected. The causes of aortic stenoses are discussed.

JAG Tearing Technique with Radiofrequency Guide Wire for Aortic Fenestration in Thoracic Endovascular Aneurysm Repair

International Nuclear Information System (INIS)

Ricci, Carmelo; Ceccherini, Claudio; Leonini, Sara; Cini, Marco; Vigni, Francesco; Neri, Eugenio; Tucci, Enrico; Benvenuti, Antonio; Tommasino, Giulio; Sassi, Carlo

2012-01-01

An innovative approach, the JAG tearing technique, was performed during thoracic endovascular aneurysm repair in a patient with previous surgical replacement of the ascending aorta with a residual uncomplicated type B aortic dissection who developed an aneurysm of the descending thoracic aorta with its lumen divided in two parts by an intimal flap. The proximal landing zone was suitable to place a thoracic stent graft. The distal landing zone was created by cutting the intimal flap in the distal third of the descending thoracic aorta with a radiofrequency guide wire and intravascular ultrasound catheter.

Nonunions of the distal tibia treated by reamed intramedullary nailing

NARCIS (Netherlands)

Richmond, Jeffrey; Colleran, Kevin; Borens, Olivier; Kloen, Peter; Helfet, David L.

2004-01-01

The purpose of this study is to determine the efficacy of reamed intramedullary nailing in the treatment of nonunions of the distal one-fourth of the tibia. Nonunions of the distal tibia are particularly difficult to treat given the short distal segment, the proximity to the ankle joint, and the

Genome-wide Ancestry and Demographic History of African-Descendant Maroon Communities from French Guiana and Suriname.

Science.gov (United States)

Fortes-Lima, Cesar; Gessain, Antoine; Ruiz-Linares, Andres; Bortolini, Maria-Cátira; Migot-Nabias, Florence; Bellis, Gil; Moreno-Mayar, J Víctor; Restrepo, Berta Nelly; Rojas, Winston; Avendaño-Tamayo, Efren; Bedoya, Gabriel; Orlando, Ludovic; Salas, Antonio; Helgason, Agnar; Gilbert, M Thomas P; Sikora, Martin; Schroeder, Hannes; Dugoujon, Jean-Michel

2017-11-02

The transatlantic slave trade was the largest forced migration in world history. However, the origins of the enslaved Africans and their admixture dynamics remain unclear. To investigate the demographic history of African-descendant Marron populations, we generated genome-wide data (4.3 million markers) from 107 individuals from three African-descendant populations in South America, as well as 124 individuals from six west African populations. Throughout the Americas, thousands of enslaved Africans managed to escape captivity and establish lasting communities, such as the Noir Marron. We find that this population has the highest proportion of African ancestry (∼98%) of any African-descendant population analyzed to date, presumably because of centuries of genetic isolation. By contrast, African-descendant populations in Brazil and Colombia harbor substantially more European and Native American ancestry as a result of their complex admixture histories. Using ancestry tract-length analysis, we detect different dates for the European admixture events in the African-Colombian (1749 CE; confidence interval [CI]: 1737-1764) and African-Brazilian (1796 CE; CI: 1789-1804) populations in our dataset, consistent with the historically attested earlier influx of Africans into Colombia. Furthermore, we find evidence for sex-specific admixture patterns, resulting from predominantly European paternal gene flow. Finally, we detect strong genetic links between the African-descendant populations and specific source populations in Africa on the basis of haplotype sharing patterns. Although the Noir Marron and African-Colombians show stronger affinities with African populations from the Bight of Benin and the Gold Coast, the African-Brazilian population from Rio de Janeiro has greater genetic affinity with Bantu-speaking populations from the Bight of Biafra and west central Africa. Copyright © 2017 American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.

Oak Ridge low-level waste disposal facility designs

International Nuclear Information System (INIS)

Van Hoesen, S.D.; Jones, L.S.

1991-01-01

The strategic planning process that culuminates in the identification, selection, construction, and ultimate operation of treatment, storage, and disposal facilities for all types of low-level waste (LLW) generated on the Oak Ridge Reservation (ORR) was conducted under the Low-Level Waste Disposal Development and Demonstration (LLWDDD) Program. This program considered management of various concentrations of short half-life radionuclides generated principally at Oak Ridge National Laboratory (ORNL) and long half-life radionuclides (principally uranium) generated at the Oak Ridge Y-12 Plant and the Oak Ridge K-25 Plant. The LLWDDD Program is still ongoing and involves four phases: (1) alternative identification and evaluation, (2) technology demonstration, (3) limited operational implementation, and (4) full operational implementation. This document provides a discussion of these phases

Torsion and volvulus of the transverse and descending colon in a German shepherd dog.

Science.gov (United States)

Halfacree, Z J; Beck, A L; Lee, K C L; Lipscomb, V J

2006-08-01

A German shepherd dog was presented two months after surgery for correction of acute gastric dilatation volvulus. The dog had been diagnosed with exocrine pancreatic insufficiency. Radiographs revealed marked gaseous distension of one loop of intestine with a generalised increase in intestinal gas content. A 360 degrees anticlockwise rotation of the descending and transverse colon, around the longitudinal axis of the mesocolon, was diagnosed at exploratory coeliotomy. The transverse and descending colon appeared uniformly necrotic and an end-to-end colo-colic resection and anastomosis was performed. The dog initially made satisfactory postoperative progress but was euthanased on the third postoperative day after it developed an intestinal intussusception.

[Descending necrotizing mediastinitis: the need for early diagnosis and aggressive treatment

NARCIS (Netherlands)

Schoenmakers, M.C.J.; Marres, H.A.M.; Merkx, M.A.W.; Verhagen, A.F.T.M.; Swieten, H.A. van

2009-01-01

Three patients developed descending necrotizing mediastinitis (DNM): a 44-year-old man due to poor dental status; a 54-year-old women due to a throat infection, 6 weeks after a tooth extraction; and a 30-year-old man a few days after a tooth extraction. Presenting symptoms were dyspnoea, fever,

Lateral ridge split and immediate implant placement in moderately resorbed alveolar ridges: How much is the added width?

Directory of Open Access Journals (Sweden)

Amin Rahpeyma

2013-01-01

Full Text Available Background: Lateral ridge split technique is a way to solve the problem of the width in narrow ridges with adequate height. Simultaneous insertion of dental implants will considerably reduce the edentulism time. Materials and Methods: Twenty-five patients who were managed with ridge splitting technique were enrolled. Thirty-eight locations in both jaws with near equal distribution in quadrants received 82 dental fixtures. Beta Tricalcium phosphate (Cerasorb® was used as biomaterial to fill the intercortical space. Submerged implants were used and 3 months later healing caps were placed. Direct bone measurements before and after split were done with a Collis. Patients were clinically re-evaluated at least 6 months after implant loading. All the data were analyzed by Statistical Package for Social Sciences (SPSS software version 11.5 (SPSS Inc, Chicago Illinois, USA. Frequency of edentulous spaces and pre/post operative bone width was analyzed. Paired t-test was used for statistical analysis. Difference was considered significant if P value was less than 0.05. Results: Mean value for presplit width was 3.2 ± 0.34 mm while post-split mean width was 5.57 ± 0.49 mm. Mean gain in crest ridge after ridge splitting was 2 ± 0.3 mm. Statistical analysis showed significant differences in width before and after operation ((P < 0.05. All implants (n = 82 survived and were in full function at follow up (at least 6 months after implant loading. Conclusion: Ridge splitting technique in both jaws showed the predictable outcomes, if appropriate cases selected and special attention paid to details; then the waiting time between surgery and beginning of prosthodontic treatment can be reduced to 3 month.

Clinical outcomes of laparoscopic surgery for advanced transverse and descending colon cancer: a single-center experience.

Science.gov (United States)

Yamamoto, Masashi; Okuda, Junji; Tanaka, Keitaro; Kondo, Keisaku; Tanigawa, Nobuhiko; Uchiyama, Kazuhisa

2012-06-01

The role of laparoscopic surgery in management of transverse and descending colon cancer remains controversial. The aim of the present study is to investigate the short-term and oncologic long-term outcomes associated with laparoscopic surgery for transverse and descending colon cancer. This cohort study analyzed 245 patients (stage II disease, n = 70; stage III disease, n = 63) who underwent resection of transverse and descending colon cancers, including 200 laparoscopic surgeries (LAC) and 45 conventional open surgeries (OC) from December 1996 to December 2010. Short-term and oncologic long-term outcomes were recorded. The operative time was longer in the LAC group than in the OC group. However, intraoperative blood loss was significantly lower and postoperative recovery time was significantly shorter in the LAC group than in the OC group. The 5-year overall and disease-free survival rates for patients with stage II were 84.9% and 84.9% in the OC group and 93.7% and 90.0% in the LAC group, respectively. The 5-year overall and disease-free survival rates for patients with stage III disease were 63.4% and 54.6% in the OC group and 66.7% and 56.9% in the LAC group, respectively. Use of laparoscopic surgery resulted in acceptable short-term and oncologic outcomes in patients with advanced transverse and descending colon cancer.

Remedial investigation work plan for Chestnut Ridge Operable Unit 4 (Rogers Quarry/Lower McCoy Branch) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

1993-09-01

The Oak Ridge Y-12 Plant includes - 800 acres near the northeast comer of the reservation and adjacent to the city of Oak Ridge (Fig. 1-1). The plant is a manufacturing and developmental engineering facility that produced components for various nuclear weapons systems and provides engineering support to other Energy Systems facilities. More than 200 contaminated sites have been identified at the Y-12 Plant that resulted from past waste management practices. Many of the sites have operable units (OUs) based on priority and on investigative and remediation requirements. This Remedial Investigation RI work plan specifically addresses Chestnut Ridge OU 4. Chestnut Ridge OU 4 consists of Rogers Quarry and Lower McCoy Branch (MCB). Rogers Quarry, which is also known as Old Rogers Quarry or Bethel Valley Quarry was used for quarrying from the late 1940s or early 1950s until about 1960. Since that time, the quarry has been used for disposal of coal ash and materials from Y-12 production operations, including classified materials. Disposal of coal ash ended in July 1993. An RI is being conducted at this site in response to CERCLA regulations. The overall objectives of the RI are to collect data necessary to evaluate the nature and extent of contaminants of concern, support an Ecological Risk Assessment and a Human Health Risk Assessment, support the evaluation of remedial alternatives, and ultimately develop a Record of Decision for the site. The purpose of this work plan is to outline RI activities necessary to define the nature and extent of suspected contaminants at Chestnut Ridge OU 4. Potential migration pathways also will be investigated. Data collected during the RI will be used to evaluate the risk posed to human health and the environment by OU 4.

Measuring and Comparing Descend in Elite Race Cycling with a Perspective on Real-Time Feedback for Improving Individual Performance

Directory of Open Access Journals (Sweden)

M. M. Reijne

2018-02-01

Full Text Available Descend technique and performance vary among elite racing cyclists and it is not clear what slower riders should do to improve their performance. An observation study was performed of the descending technique of members of a World Tour cycling team and the technique of each member was compared with the fastest descender amongst them. The obtained data gives us guidelines for rider specific feedback in order to improve his performance. The bicycles were equipped with a system that could measure: velocity, cadence, pedal power, position, steer angle, 3D orientation, rotational speeds and linear accelerations of the rear frame and brake force front and rear. From our observation study, the brake point and apex position turned out to be distinctive indicators of a fast cornering technique in a descent for a tight, hairpin corner. These two indicators can be used as feedback for a slower rider to improve his descend performance.

Descendant root volume varies as a function of root type: estimation of root biomass lost during uprooting in Pinus pinaster.

Science.gov (United States)

Danjon, Frédéric; Caplan, Joshua S; Fortin, Mathieu; Meredieu, Céline

2013-01-01

Root systems of woody plants generally display a strong relationship between the cross-sectional area or cross-sectional diameter (CSD) of a root and the dry weight of biomass (DWd) or root volume (Vd) that has grown (i.e., is descendent) from a point. Specification of this relationship allows one to quantify root architectural patterns and estimate the amount of material lost when root systems are extracted from the soil. However, specifications of this relationship generally do not account for the fact that root systems are comprised of multiple types of roots. We assessed whether the relationship between CSD and Vd varies as a function of root type. Additionally, we sought to identify a more accurate and time-efficient method for estimating missing root volume than is currently available. We used a database that described the 3D root architecture of Pinus pinaster root systems (5, 12, or 19 years) from a stand in southwest France. We determined the relationship between CSD and Vd for 10,000 root segments from intact root branches. Models were specified that did and did not account for root type. The relationships were then applied to the diameters of 11,000 broken root ends to estimate the volume of missing roots. CSD was nearly linearly related to the square root of Vd, but the slope of the curve varied greatly as a function of root type. Sinkers and deep roots tapered rapidly, as they were limited by available soil depth. Distal shallow roots tapered gradually, as they were less limited spatially. We estimated that younger trees lost an average of 17% of root volume when excavated, while older trees lost 4%. Missing volumes were smallest in the central parts of root systems and largest in distal shallow roots. The slopes of the curves for each root type are synthetic parameters that account for differentiation due to genetics, soil properties, or mechanical stimuli. Accounting for this differentiation is critical to estimating root loss accurately.

[Descending hypoglossal branch-facial nerve anastomosis in treating unilateral facial palsy after acoustic neuroma resection].

Science.gov (United States)

Liang, Jiantao; Li, Mingchu; Chen, Ge; Guo, Hongchuan; Zhang, Qiuhang; Bao, Yuhai

2015-12-15

To evaluate the efficiency of the descending hypoglossal branch-facial nerve anastomosis for the severe facial palsy after acoustic neuroma resection. The clinical data of 14 patients (6 males, 8 females, average age 45. 6 years old) underwent descending hypoglossal branch-facial nerve anastomosis for treatment of unilateral facial palsy was analyzed retrospectively. All patients previously had undergone resection of a large acoustic neuroma. House-Brackmann (H-B) grading system was used to evaluate the pre-, post-operative and follow up facial nerve function status. 12 cases (85.7%) had long follow up, with an average follow-up period of 24. 6 months. 6 patients had good outcome (H-B 2 - 3 grade); 5 patients had fair outcome (H-B 3 - 4 grade) and 1 patient had poor outcome (H-B 5 grade) Only 1 patient suffered hemitongue myoparalysis owing to the operation. Descending hypoglossal branch-facial nerve anastomosis is effective for facial reanimation, and it has little impact on the function of chewing, swallowing and pronunciation of the patients compared with the traditional hypoglossal-facial nerve anastomosis.

Measuring and Comparing Descend in Elite Race Cycling with a Perspective on Real-Time Feedback for Improving Individual Performance

NARCIS (Netherlands)

Reijne, M.M.; Bregman, D.J.J.; Schwab, A.L.; Espinosa, Hugo G.; Rowlands, David R.; Shepherd, Jonathan; Thiel, David V.

2018-01-01

Descend technique and performance vary among elite racing cyclists and it is not clear what slower riders should do to improve their performance. An observation study was performed of the descending technique of members of a World Tour cycling team and the technique of each member was compared with

Orientationally ordered ridge structures of aluminum films on hydrogen terminated silicon

DEFF Research Database (Denmark)

Quaade, Ulrich; Pantleon, Karen

2006-01-01

Films of aluminum deposited onto Si(100) substrates show a surface structure of parallel ridges. On films deposited on oxidized silicon substrates the direction of the ridges is arbitrary, but on films deposited on hydrogen-terminated Si(100) the ridges are oriented parallel to the < 110 > direct......Films of aluminum deposited onto Si(100) substrates show a surface structure of parallel ridges. On films deposited on oxidized silicon substrates the direction of the ridges is arbitrary, but on films deposited on hydrogen-terminated Si(100) the ridges are oriented parallel to the ... > directions on the silicon substrate. The ridge structure appears when the film thickness is above 500 nm, and increasing the film thickness makes the structure more distinct. Anodic oxidation enhances the structure even further. X-ray diffraction indicates that grains in the film have mostly (110) facets...

A 5-year comparison of marginal bone level following immediate loading of single-tooth implants placed in healed alveolar ridges and extraction sockets in the maxilla

Science.gov (United States)

Berberi, Antoine N.; Sabbagh, Joseph M.; Aboushelib, Moustafa N.; Noujeim, Ziad F.; Salameh, Ziad A.

2014-01-01

Purpose: The aim of present investigation was to evaluate marginal bone level after 5-year follow-up of implants placed in healed ridges and fresh extraction sockets in maxilla with immediate loading protocol. Materials and Methods: Thirty-six patients in need of a single-tooth replacement in the anterior maxilla received 42 Astra Tech implants (Astra Tech Implant system™, Dentsply Implants, Mölndal, Sweden). Implants were placed either in healed ridges (group I) or immediately into fresh extraction sockets (group II). Implants were restored and placed into functional loading immediately by using a prefabricated abutment. Marginal bone level relative to the implant reference point was recorded at implant placement, crown cementation, 12, 36, and 60 months following loading using intra-oral radiographs. Measurements were made on the mesial and distal sides of each implant. Results: Overall, two implants were lost from the group II, before final crown cementation: they were excluded from the study. The mean change in marginal bone loss (MBL) after implant placement was 0.26 ± 0.161 mm for 1 year, and 0.26 ± 0.171 mm for 3 years, and 0.21 ± 0.185 mm for 5 years in extraction sockets and was 0.26 ± 0.176 mm for 1 year and 0.21 ± 0.175 mm for 3 years, and 0.19 ± 0.172 mm for 5 years in healed ridges group. Significant reduction of marginal bone was more pronounced in implants inserted in healed ridges (P prefabricated abutment placed during the surgery time seems to maintain marginal bone around implant in both healed and fresh extraction sites. PMID:24550840

Tectonics of ridge-transform intersections at the Kane fracture zone

Science.gov (United States)

Karson, J. A.; Dick, H. J. B.

1983-03-01

The Kane Transform offsets spreading-center segments of the Mid-Atlantic Ridge by about 150 km at 24° N latitude. In terms of its first-order morphological, geological, and geophysical characteristics it appears to be typical of long-offset (>100 km), slow-slipping (2 cm yr-1) ridge-ridge transform faults. High-resolution geological observations were made from deep-towed ANGUS photographs and the manned submersible ALVIN at the ridge-transform intersections and indicate similar relationships in these two regions. These data indicate that over a distance of about 20 km as the spreading axes approach the fracture zone, the two flanks of each ridge axis behave in very different ways. Along the flanks that intersect the active transform zone the rift valley floor deepens and the surface expression of volcanism becomes increasingly narrow and eventually absent at the intersection where only a sediment-covered ‘nodal basin’ exists. The adjacent median valley walls have structural trends that are oblique to both the ridge and the transform and have as much as 4 km of relief. These are tectonically active regions that have only a thin (young volcanics passes laterally into median valley walls with a simple block-faulted character where only volcanic rocks have been found. Along strike toward the fracture zone, the youngest volcanics form linear constructional volcanic ridges that transect the entire width of the fracture zone valley. These volcanics are continuous with the older-looking, slightly faulted volcanic terrain that floors the non-transform fracture zone valleys. These observations document the asymmetric nature of seafloor spreading near ridge-transform intersections. An important implication is that the crust and lithosphere across different portions of the fracture zone will have different geological characteristics. Across the active transform zone two lithosphere plate edges formed at ridge-transform corners are faulted against one another. In the non

Ascending and Descending in Virtual Reality: Simple and Safe System Using Passive Haptics.

Science.gov (United States)

Nagao, Ryohei; Matsumoto, Keigo; Narumi, Takuji; Tanikawa, Tomohiro; Hirose, Michitaka

2018-04-01

This paper presents a novel interactive system that provides users with virtual reality (VR) experiences, wherein users feel as if they are ascending/descending stairs through passive haptic feedback. The passive haptic stimuli are provided by small bumps under the feet of users; these stimuli are provided to represent the edges of the stairs in the virtual environment. The visual stimuli of the stairs and shoes, provided by head-mounted displays, evoke a visuo-haptic interaction that modifies a user's perception of the floor shape. Our system enables users to experience all types of stairs, such as half-turn and spiral stairs, in a VR setting. We conducted a preliminary user study and two experiments to evaluate the proposed technique. The preliminary user study investigated the effectiveness of the basic idea associated with the proposed technique for the case of a user ascending stairs. The results demonstrated that the passive haptic feedback produced by the small bumps enhanced the user's feeling of presence and sense of ascending. We subsequently performed an experiment to investigate an improved viewpoint manipulation method and the interaction of the manipulation and haptics for both the ascending and descending cases. The experimental results demonstrated that the participants had a feeling of presence and felt a steep stair gradient under the condition of haptic feedback and viewpoint manipulation based on the characteristics of actual stair walking data. However, these results also indicated that the proposed system may not be as effective in providing a sense of descending stairs without an optimization of the haptic stimuli. We then redesigned the shape of the small bumps, and evaluated the design in a second experiment. The results indicated that the best shape to present haptic stimuli is a right triangle cross section in both the ascending and descending cases. Although it is necessary to install small protrusions in the determined direction, by

Internal doses in Oak Ridge. The Internet beams

International Nuclear Information System (INIS)

Passchier, W.F.

1997-01-01

A brief overview is given of the information, presented by the Radiation Internal Dose Information Center (RIDIC) of the Oak Ridge Associated Universities in Oak Ridge, TN, USA, via Internet (www.orau.gov/ehsd/ridic.htm)

The Impact of the Organism on Its Descendants

Directory of Open Access Journals (Sweden)

Patrick Bateson

2012-01-01

Full Text Available Historically, evolutionary biologists have taken the view that an understanding of development is irrelevant to theories of evolution. However, the integration of several disciplines in recent years suggests that this position is wrong. The capacity of the organism to adapt to challenges from the environment can set up conditions that affect the subsequent evolution of its descendants. Moreover, molecular events arising from epigenetic processes can be transmitted from one generation to the next and influence genetic mutation. This in turn can facilitate evolution in the conditions in which epigenetic change was first initiated.

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....

The Role of Cannabinoid Receptors in the Descending Modulation of Pain

Directory of Open Access Journals (Sweden)

Francesco Rossi

2010-08-01

Full Text Available The endogenous antinociceptive descending pathway represents a circuitry of the supraspinal central nervous system whose task is to counteract pain. It includes the periaqueductal grey (PAG-rostral ventromedial medulla (RVM-dorsal horn (DH axis, which is the best characterized pain modulation system through which pain is endogenously inhibited. Thus, an alternative rational strategy for silencing pain is the activation of this anatomical substrate. Evidence of the involvement of cannabinoid receptors (CB in the supraspinal modulation of pain can be found in several studies in which intra-cerebral microinjections of cannabinoid ligands or positive modulators have proved to be analgesic in different pain models, whereas cannabinoid receptor antagonists or antisense nucleotides towards CB1 receptors have facilitated pain. Like opioids, cannabinoids produce centrally-mediated analgesia by activating a descending pathway which includes PAG and its projection to downstream RVM neurons, which in turn send inhibitory projections to the dorsal horn of the spinal cord. Indeed, several studies underline a supraspinal regulation of cannabinoids on g-aminobutyric acid (GABA and glutamate release which inhibit and enhance the antinociceptive descending pathway, respectively. Cannabinoid receptor activation expressed on presynaptic GABAergic terminals reduces the probability of neurotransmitter release thus dis-inhibiting the PAG-RVM-dorsal horn antinociceptive pathway. Cannabinoids seem to increase glutamate release (maybe as consequence of GABA decrease and to require glutamate receptor activation to induce antinociception. The consequent outcome is behavioral analgesia, which is reproduced in several pain conditions, from acute to chronic pain models such as inflammatory and neuropathic pain. Taken together these findings would suggest that supraspinal cannabinoid receptors have broad applications, from pain control to closely related central nervous system

Normalization Ridge Regression in Practice I: Comparisons Between Ordinary Least Squares, Ridge Regression and Normalization Ridge Regression.

Science.gov (United States)

Bulcock, J. W.

The problem of model estimation when the data are collinear was examined. Though the ridge regression (RR) outperforms ordinary least squares (OLS) regression in the presence of acute multicollinearity, it is not a problem free technique for reducing the variance of the estimates. It is a stochastic procedure when it should be nonstochastic and it…

Hydrodynamic role of longitudinal ridges in a leatherback turtle swimming

Science.gov (United States)

Bang, Kyeongtae; Kim, Jooha; Lee, Sang-Im; Choi, Haecheon

2015-11-01

The leatherback sea turtle (Dermochelys coriacea), the fastest swimmer and the deepest diver among marine turtles, has five longitudinal ridges on its carapace. These ridges are the most remarkable morphological features distinguished from other marine turtles. To investigate the hydrodynamic role of these ridges in the leatherback turtle swimming, we model a carapace with and without ridges by using three dimensional surface data of a stuffed leatherback turtle in the National Science Museum, Korea. The experiment is conducted in a wind tunnel in the ranges of the real leatherback turtle's Reynolds number (Re) and angle of attack (α). The longitudinal ridges function differently according to the flow condition (i.e. Re and α). At low Re and negative α that represent the swimming condition of hatchlings and juveniles, the ridges significantly decrease the drag by generating streamwise vortices and delaying the main separation. On the other hand, at high Re and positive α that represent the swimming condition of adults, the ridges suppress the laminar separation bubble near the front part by generating streamwise vortices and enhance the lift and lift-to-drag ratio. Supported by the NRF program (2011-0028032).

The role of imaging in diagnosing diseases of the distal radioulnar joint, triangular fibrocartilage complex, and distal ulna.

Science.gov (United States)

Squires, Judy H; England, Eric; Mehta, Kaushal; Wissman, Robert D

2014-07-01

The purpose of this article is to review the anatomy, biomechanics, and multimodality imaging findings of common and uncommon distal radioulnar joint (DRUJ), triangular fibrocartilage complex, and distal ulna abnormalities. The DRUJ is a common site for acute and chronic injuries and is frequently imaged to evaluate chronic wrist pain, forearm dysfunction, and traumatic forearm injury. Given the complex anatomy of the wrist, the radiologist plays a vital role in the diagnosis of wrist pain and dysfunction.

Fertility among descendants of immigrants in Belgium: The role of the partner

NARCIS (Netherlands)

Van Landschoot, L.; de Valk, H.A.G.; Van Bavel, J.

2017-01-01

BACKGROUND Research on the fertility behavior of descendants of immigrants has focused on female characteristics and has largely neglected those of the male partner. One key aspect is whether the partner is of same (endogamous) or of different (exogamous) ethnic origin. Moreover, the male partner

Minimally invasive percutaneous plate fixation of distal tibia fractures.

LENUS (Irish Health Repository)

Bahari, Syah

2007-10-01

We report a series of 42 patients reviewed at a mean of 19.6 months after treatment of distal tibial and pilon fractures using the AO distal tibia locking plate with a minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. Mean time to union was 22.4 weeks. All fractures united with acceptable alignment and angulation. Two cases of superficial infection were noted, with one case of deep infection. Mean SF36 score was 85 and mean AOFAS score was 90 at a mean of 19 months follow-up. We report satisfactory outcomes with the use of the AO distal tibia locking plate in treatment of unstable distal tibial fractures. Eighty-nine percent of the patients felt that they were back to their pre injury status and 95% back to their previous employment.

Equatorial segment of the mid-atlantic ridge

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-12-31

The Equatorial Segment of the Mid-Atlantic Ridge is a part of this mid-oceanic ridge limited by a cluster of fracture zones - Cape Verde, Marathon, Mercury, Vema, Doldrums, Vernadsky and Sierra Leone - in the North, and a similar cluster of fracture zones - St Paul, Romanche and Chain - in the South. During recent decades, following the publication of the 5. edition of the General Bathymetric Chart of the Oceans (GEBCO), there has been a great deal of geological-geophysical research and mapping of the World Ocean. The results have led to the development of a number of theories concerning the essential heterogeneity of the structure of the ocean floor and, in particular, the heterogeneity of the structure and segmentation of mid-oceanic ridges. Research on the nature of such segmentation is of great importance for an understanding of the processes of development of such ridges and oceanic basins as a whole. Chapter 20 is dedicated to the study of the atlantic ocean mantle by using (Th.U)Th, (Th/U)pb and K/Ti systematics 380 refs.

Equatorial segment of the mid-atlantic ridge

International Nuclear Information System (INIS)

1996-01-01

The Equatorial Segment of the Mid-Atlantic Ridge is a part of this mid-oceanic ridge limited by a cluster of fracture zones - Cape Verde, Marathon, Mercury, Vema, Doldrums, Vernadsky and Sierra Leone - in the North, and a similar cluster of fracture zones - St Paul, Romanche and Chain - in the South. During recent decades, following the publication of the 5. edition of the General Bathymetric Chart of the Oceans (GEBCO), there has been a great deal of geological-geophysical research and mapping of the World Ocean. The results have led to the development of a number of theories concerning the essential heterogeneity of the structure of the ocean floor and, in particular, the heterogeneity of the structure and segmentation of mid-oceanic ridges. Research on the nature of such segmentation is of great importance for an understanding of the processes of development of such ridges and oceanic basins as a whole. Chapter 20 is dedicated to the study of the atlantic ocean mantle by using (Th.U)Th, (Th/U)pb and K/Ti systematics

Equatorial segment of the mid-atlantic ridge

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-12-31

The Equatorial Segment of the Mid-Atlantic Ridge is a part of this mid-oceanic ridge limited by a cluster of fracture zones - Cape Verde, Marathon, Mercury, Vema, Doldrums, Vernadsky and Sierra Leone - in the North, and a similar cluster of fracture zones - St Paul, Romanche and Chain - in the South. During recent decades, following the publication of the 5. edition of the General Bathymetric Chart of the Oceans (GEBCO), there has been a great deal of geological-geophysical research and mapping of the World Ocean. The results have led to the development of a number of theories concerning the essential heterogeneity of the structure of the ocean floor and, in particular, the heterogeneity of the structure and segmentation of mid-oceanic ridges. Research on the nature of such segmentation is of great importance for an understanding of the processes of development of such ridges and oceanic basins as a whole. Chapter 20 is dedicated to the study of the atlantic ocean mantle by using (Th.U)Th, (Th/U)pb and K/Ti systematics 380 refs.

Early and late changes in the distal forelimb representation of the supplementary motor area after injury to frontal motor areas in the squirrel monkey.

Science.gov (United States)

Eisner-Janowicz, Ines; Barbay, Scott; Hoover, Erica; Stowe, Ann M; Frost, Shawn B; Plautz, Erik J; Nudo, Randolph J

2008-09-01

Neuroimaging studies in stroke survivors have suggested that adaptive plasticity occurs following stroke. However, the complex temporal dynamics of neural reorganization after injury make the interpretation of functional imaging studies equivocal. In the present study in adult squirrel monkeys, intracortical microstimulation (ICMS) techniques were used to monitor changes in representational maps of the distal forelimb in the supplementary motor area (SMA) after a unilateral ischemic infarct of primary motor (M1) and premotor distal forelimb representations (DFLs). In each animal, ICMS maps were derived at early (3 wk) and late (13 wk) postinfarct stages. Lesions resulted in severe deficits in motor abilities on a reach and retrieval task. Limited behavioral recovery occurred and plateaued at 3 wk postinfarct. At both early and late postinfarct stages, distal forelimb movements could still be evoked by ICMS in SMA at low current levels. However, the size of the SMA DFL changed after the infarct. In particular, wrist-forearm representations enlarged significantly between early and late stages, attaining a size substantially larger than the preinfarct area. At the late postinfarct stage, the expansion in the SMA DFL area was directly proportional to the absolute size of the lesion. The motor performance scores were positively correlated to the absolute size of the SMA DFL at the late postinfarct stage. Together, these data suggest that, at least in squirrel monkeys, descending output from M1 and dorsal and ventral premotor cortices is not necessary for SMA representations to be maintained and that SMA motor output maps undergo delayed increases in representational area after damage to other motor areas. Finally, the role of SMA in recovery of function after such lesions remains unclear because behavioral recovery appears to precede neurophysiological map changes.

Does the lateral intercondylar ridge disappear in ACL deficient patients?

NARCIS (Netherlands)

van Eck, C.F.; Martins, C.A.Q.; Vyas, S.M.; Celentano, U.; van Dijk, C.N.; Fu, F.H.

2010-01-01

The aim of this study was to determine whether there is a difference in the presence of the lateral intercondylar ridge and the lateral bifurcate ridge between patients with sub-acute and chronic ACL injuries. We hypothesized that the ridges would be present less often with chronic ACL deficiency.

The effects of laser radiation on the descendants of irradiated rats

International Nuclear Information System (INIS)

Hernandez, J.W.R.; Barbosa, C.A.A.; Moderno, L.A.O.; Parizzotto, N.A.

1991-01-01

The effects of low energy laser radiation on the descendants of irradiated rats were investigated by comparing natimortality and the frequency of congenital malformations in three experimental and a control group. Natimortality was not significantly different among the groups. However, cardiomegaly, anophtalmia, dilated abdominal viscera, and premature closures of cranial sutures were recorded only in the experimental groups. (author)

Cost-effectiveness of laparoscopic versus open distal pancreatectomy for pancreatic cancer

NARCIS (Netherlands)

Gurusamy, Kurinchi Selvan; Riviere, Deniece; van Laarhoven, C. J. H.; Besselink, Marc; Abu-Hilal, Mohammed; Davidson, Brian R.; Morris, Steve

2017-01-01

A recent Cochrane review compared laparoscopic versus open distal pancreatectomy for people with for cancers of the body and tail of the pancreas and found that laparoscopic distal pancreatectomy may reduce the length of hospital stay. We compared the cost-effectiveness of laparoscopic distal

Mantle Convection beneath the Aegir Ridge, a Shadow in the Iceland Hotspot

Science.gov (United States)

Howell, S. M.; Ito, G.; Breivik, A. J.; Hanan, B. B.; Mjelde, R.; Sayit, K.; Vogt, P. R.

2012-12-01

The Iceland Hotspot has produced extensive volcanism spanning much of the ocean basin between Greenland and Norway, forming one of the world's largest igneous provinces. However, an apparent igneous "shadow" in hotspot activity is located at the fossil Aegir Ridge, which formed anomalously thin crust, despite this ridge being near the Iceland hotspot when it was active. The Aegir Ridge accommodated seafloor spreading northeast of present-day Iceland from the time of continental breakup at ~55 Ma until ~25 Ma, at which point spreading shifted west to the Kolbeinsey Ridge. To address the cause of the anomalously thin crust produced by the Aegir Ridge, we use three-dimensional numerical models to simulate the interaction between a mantle plume beneath the Iceland hotspot, rifting continental lithosphere, and the time-evolving North Atlantic ridge system. Two end-member hypotheses were investigated: (1) Material emanating from the Iceland mantle plume was blocked from reaching the Aegir Ridge by the thick lithosphere of the Jan Mayen Microcontinent as the Kolbeinsey Ridge began rifting it from Greenland at ~30 Ma, just east of the plume center; (2) Plume material was not blocked and did reach the Aegir Ridge, but had already experienced partial melting closer to the hotspot. This material was then unable to produce melt volumes at the Aegir Ridge comparable to those of pristine mantle. To test these hypotheses, we vary the volume flux and viscosity of the plume, and identify which conditions do and do not lead to the Aegir Ridge forming anomalously thin crust. Results show that the combination of plume material being drawn into the lithospheric channels beneath the Reykjanes Ridge and Kolbeinsey Ridge after their respective openings, and the impedance of plume flow by the Jan Mayen Microcontinent (hypothesis 1), can deprive the Aegir Ridge of plume influence. This leads to low crustal thicknesses that are comparable to those observed. We have yet to produce a model

Sex Determination from Fingerprint Ridge Density | Gungadin ...

African Journals Online (AJOL)

This study was conducted with an aim to establish a relationship between sex and fingerprint ridge density. The fingerprints were taken from 500 subjects (250 males and 250 females) in the age group of 18-60 years. After taking fingerprints, the ridges were counted in the upper portion of the radial border of each print for all ...

[Comparison of laparoscopic distal pancreatectomy and open distal pancreatectomy in pancreatic ductal adenocarcinoma].

Science.gov (United States)

Xu, K; Su, J J; Su, M; Yan, L; Feng, J; Xin, X L; Chen, Y L

2017-10-23

Objective: To compare and evaluate the curative effect of laparoscopic distal pancreatectomy(LDP) and traditional open distal pancreatectomy(ODP) in pancreatic ductal adenocarcinoma. Methods: The clinical data of 15 patients treated by LDP and 87 contemporaneous cases treated by ODP from January 2010 to November 2015 was collected, and the curative effect and prognosis of these patients were retrospectively analyzed. Results: The operation time of LDP group was (286.5±48.1) min, significantly longer than that of OPD group(226.6±56.8) min ( P 0.05). In both LDP group and ODP group, none occurred percutaneous drainage, re-admissions, second operation or perioperative death. Conclusions: Compared to ODP, LDP is much safer and more steady in perioperative periodand operation. Patients of pancreatic ductal adenocarcinoma received LDP can acquire more benefit and recovery sooner, and LDP is a safe and effective operative method.

Acute Type II Aortic Dissection with Severe Aortic Regurgitation and Chronic Descending Aortic Dissection in Pregnant Patient with Marfan Syndrome.

Science.gov (United States)

Lee, Seok-Soo; Jung, Tae-Eun; Lee, Dong Hyup

2012-12-01

Aortic dilatation and dissection are severe complications during pregnancy that can be fatal to both the mother and the fetus. The risks of these complications are especially high in pregnant patients with Marfan syndrome; however, incidents of descending aortic dissection are very rare. This case report involves a successful Bentall procedure for and recovery from a rare aortic dissection in a pregnant Marfan patient who developed acute type II aortic dissection with severe aortic regurgitation and chronic descending aortic dissection immediately after Cesarean section. Regular follow-up will be needed to monitor the descending aortic dissection.

Bioinspired design of a ridging shovel with anti-adhesive and drag reducing

Directory of Open Access Journals (Sweden)

Zhijun Zhang

2015-03-01

Full Text Available Learning from the microstructure of the convex (concave and ridging (triangle and arc-shaped shapes of fresh lotus leaves and shark skin, bionic ridging shovels was designed with the characteristics of adhesion and resistance reduction. Ten ridging shovel models were established, and the interaction process with the soil by ANSYS is discussed. Stress analysis results showed that the bionic ridging shovel was more obvious in visbreaking and in the resistance reduction effect. An indoor soil bin experiment with the bionic ridging shovel and the prototype ridging shovel was operated as follows: the ridging resistance of the three types of ridging shovel was tested under the condition of two soil moistures (18.61% and 20.9% and three different ridging speeds (0.68, 0.87, and 1.11 m/s. In this article, the structure, the mechanism, and their relationship to the functions are discussed. The results of this study will be useful in practical application in the field of agricultural machinery toward practical use and industrialization.

Calendar year 1996 annual groundwater monitoring report for the Chestnut Ridge Hydrogeologic Regime at the U.S. Department of Energy Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1997-02-01

This annual monitoring report contains groundwater and surface water monitoring data obtained in the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime) during calendar year (CY) 1996. The Chestnut Ridge Regime encompasses a section of Chestnut Ridge west of Scarboro Road and east of an unnamed drainage feature southwest of the US Department of Energy (DOE) Oak Ridge Y-12 Plant (unless otherwise noted, directions are in reference to the Y-12 Plant administrative grid). The Chestnut Ridge Regime contains several sites used for management of hazardous and nonhazardous wastes associated with plant operations. Groundwater and surface water quality monitoring associated with these waste management sites is performed under the auspices of the Y-12 Plant Groundwater Protection Program (GWPP). Included in this annual monitoring report are the groundwater monitoring data obtained in compliance with the Resource Conservation and Recovery Act (RCRA) Post-Closure Permit for the Chestnut Ridge Regime (post-closure permit) issued by the Tennessee Department of Environment and Conservation (TDEC) in June 1996. Besides the signed certification statement and the RCRA facility information summarized below, condition II.C.6 of the post-closure permit requires annual reporting of groundwater monitoring activities, inclusive of the analytical data and results of applicable data evaluations, performed at three RCRA hazardous waste treatment, storage, or disposal (TSD) units: the Chestnut Ridge Sediment Disposal Basin (Sediment Disposal Basin), the Chestnut Ridge Security Pits (Security Pits), and Kerr Hollow Quarry

Laparoscopic distal pancreatectomy for adenocarcinoma: safe and reasonable?

Science.gov (United States)

Postlewait, Lauren M.

2015-01-01

As a result of technological advances during the past two decades, surgeons now use minimally invasive surgery (MIS) approaches to pancreatic resection more frequently, yet the role of these approaches for pancreatic ductal adenocarcinoma resections remains uncertain, given the aggressive nature of this malignancy. Although there are no controlled trials comparing MIS technique to open surgical technique, laparoscopic distal pancreatectomy for pancreatic adenocarcinoma is performed with increasing frequency. Data from retrospective studies suggest that perioperative complication profiles between open and laparoscopic distal pancreatectomy are similar, with perhaps lower blood loss and fewer wound infections in the MIS group. Concerning oncologic outcomes, there appear to be no differences in the rate of achieving negative margins or in the number of lymph nodes (LNs) resected when compared to open surgery. There are limited recurrence and survival data on laparoscopic compared to open distal pancreatectomy for pancreatic adenocarcinoma, but in the few studies that assess long term outcomes, recurrence rates and survival outcomes appear similar. Recent studies show that though laparoscopic distal pancreatectomy entails a greater operative cost, the associated shorter length of hospital stay leads to decreased overall cost compared to open procedures. Multiple new technologies are emerging to improve resection of pancreatic cancer. Robotic pancreatectomy is feasible, but there are limited data on robotic resection of pancreatic adenocarcinoma, and outcomes appear similar to laparoscopic approaches. Additionally fluorescence-guided surgery represents a new technology on the horizon that could improve oncologic outcomes after resection of pancreatic adenocarcinoma, though published data thus far are limited to animal models. Overall, MIS distal pancreatectomy appears to be a safe and reasonable approach to treating selected patients with pancreatic ductal

Distal finger replantation.

Science.gov (United States)

Scheker, Luis R; Becker, Giles W

2011-03-01

Reconstruction of the fingertip distal to the flexor tendon insertion by replantation remains controversial and technically challenging, but the anatomy of the fingertip has been well described and provides help in surgical planning. The open-book surgical technique is described with potential complications and is illustrated with clinical cases. Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Europan double ridge morphometry as a test of formation models

Science.gov (United States)

Dameron, Ashley C.; Burr, Devon M.

2018-05-01

Double ridges on the Jovian satellite Europa consist of two parallel ridges with a central trough. Although these features are nearly ubiquitous on Europa, their formation mechanism(s) is (are) not yet well-understood. Previous hypotheses for their formation can be divided into two groups based on 1) the expected interior slope angles and 2) the magnitude of interior/exterior slope symmetry. The published hypotheses in the first ("fracture") group entail brittle deformation of the crust, either by diapirism, shear heating, or buckling due to compression. Because these mechanisms imply uplift of near-vertical fractures, their predicted interior slopes are steeper than the angle of repose (AOR) with shallower exterior slopes. The second ("flow") group includes cryosedimentary and cryovolcanic processes - explosive or effusive cryovolcanism and tidal squeezing -, which are predicted to form ridge slopes at or below the AOR. Explosive cryovolcanism would form self-symmetric ridges, whereas effusive cryolavas and cryo-sediments deposited during tidal squeezing would likely not exhibit slope symmetry. To distinguish between these two groups of hypothesized formation mechanisms, we derived measurements of interior slope angle and interior/exterior slope symmetry at multiple locations on Europa through analysis of data from the Galileo Solid State Imaging (SSI) camera. Two types of data were used: i) elevation data from five stereo-pair digital elevation models (DEMs) covering four ridges (580 individual measurements), and ii) ridge shadow length measurements taken on individual images over 40 ridges (200 individual measurements). Our results shows that slopes measured on our DEMs, located in the Cilix and Banded Plains regions, typically fall below the AOR, and slope symmetry is dominant. Two different shadow measurement techniques implemented to calculate interior slopes yielded slope angles that also fall below the AOR. The shallow interior slopes derived from both

The thermal structure of a wind-driven Reynolds ridge

Energy Technology Data Exchange (ETDEWEB)

Phongikaroon, Supathorn; Peter Judd, K.; Smith, Geoffrey B.; Handler, Robert A. [Remote Sensing Division, Naval Research Laboratory, 20375, Washington, DC (United States)

2004-08-01

In this study, we investigate the nature of a Reynolds ridge formed by wind shear. We have simultaneously imaged the water surface, with a deposit of a monolayer of the surfactant, oleyl alcohol, subject to different wind shears, by using a high-resolution infrared (IR) detector and a high-speed (HS) digital camera. The results reveal that the regions around the wind-driven Reynolds ridge, which have subtle manifestations in visual imagery, possess surprisingly complex hydrodynamical and thermal structures when observed in the infrared. The IR measurements reveal a warm, clean region upstream of the ridge, which is composed of the so called fishscale structures observed in earlier investigations. The region downstream of the ridge is composed of colder fluid which forms two counter-rotating cells. A region of intermediate temperature, which we call the mixing (wake) region, forms immediately downstream of the ridge near the channel centerline. By measuring the velocity of the advected fishscales, we have determined a surface drift speed of about 2% of the wind speed. The spanwise length-scale of the structures has also been used to estimate the wind shear. In addition, a comparison of IR and visual imagery shows that the thermal field is a very sensitive indicator of the exact position of the ridge itself. (orig.)

Strongly coupled interaction between a ridge of fluid and an inviscid airflow

KAUST Repository

Paterson, C.

2015-07-01

© 2015 AIP Publishing LLC. The behaviour of a steady thin sessile or pendent ridge of fluid on an inclined planar substrate which is strongly coupled to the external pressure gradient arising from an inviscid airflow parallel to the substrate far from the ridge is described. When the substrate is nearly horizontal, a very wide ridge can be supported against gravity by capillary and/or external pressure forces; otherwise, only a narrower (but still wide) ridge can be supported. Classical thin-aerofoil theory is adapted to obtain the governing singular integro-differential equation for the profile of the ridge in each case. Attention is focused mainly on the case of a very wide sessile ridge. The effect of strengthening the airflow is to push a pinned ridge down near to its edges and to pull it up near to its middle. At a critical airflow strength, the upslope contact angle reaches the receding contact angle at which the upslope contact line de-pins, and continuing to increase the airflow strength beyond this critical value results in the de-pinned ridge becoming narrower, thicker, and closer to being symmetric in the limit of a strong airflow. The effect of tilting the substrate is to skew a pinned ridge in the downslope direction. Depending on the values of the advancing and receding contact angles, the ridge may first de-pin at either the upslope or the downslope contact line but, in general, eventually both contact lines de-pin. The special cases in which only one of the contact lines de-pins are also considered. It is also shown that the behaviour of a very wide pendent ridge is qualitatively similar to that of a very wide sessile ridge, while the important qualitative difference between the behaviour of a very wide ridge and a narrower ridge is that, in general, for the latter one or both of the contact lines may never de-pin.

Distal renal tubular acidosis and hepatic lipidosis in a cat.

Science.gov (United States)

Brown, S A; Spyridakis, L K; Crowell, W A

1986-11-15

Clinical and laboratory evidence of hepatic failure was found in a chronically anorectic cat. Simultaneous blood and urine pH determinations established a diagnosis of distal renal tubular acidosis. The cat did not respond to treatment. Necropsy revealed distal tubular nephrosis and hepatic lipidosis. The finding of distal renal tubular acidosis in a cat with hepatic lipidosis emphasizes the importance of complete evaluation of acid-base disorders in patients.

Site descriptions of environmental restoration units at Oak Ridge National Laboratory, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

Kuhaida, A.J. Jr.; Parker, A.F.

1997-02-01

This report provides summary information on Oak Ridge National Laboratory (ORNL) Environmental Restoration (ER) sites as listed in the Oak Ridge Reservation Federal Facility Agreement (FFA), dated January 1, 1992, Appendix C. The Oak Ridge National Laboratory was built in 1943 as part of the World War II Manhattan Project. The original mission of ORNL was to produce and chemically separate the first gram-quantities of plutonium as part of the national effort to produce the atomic bomb. The current mission of ORNL is to provide applied research and development in support of the U.S. Department of Energy (DOE) programs in nuclear fusion and fission, energy conservation, fossil fuels, and other energy technologies and to perform basic scientific research in selected areas of the physical, life, and environmental sciences. ER is also tasked with clean up or mitigation of environmental impacts resulting from past waste management practices on portions of the approximately 37,000 acres within the Oak Ridge Reservation (ORR). Other installations located within the ORR are the Gaseous Diffusion Plant (K-25) and the Y-12 plant. The remedial action strategy currently integrates state and federal regulations for efficient compliance and approaches for both investigations and remediation efforts on a Waste Area Grouping (WAG) basis. As defined in the ORR FFA Quarterly Report July - September 1995, a WAG is a grouping of potentially contaminated sites based on drainage area and similar waste characteristics. These contaminated sites are further divided into four categories based on existing information concerning whether the data are generated for scoping or remedial investigation (RI) purposes. These areas are as follows: (1) Operable Units (OU); (2) Characterization Areas (CA); (3) Remedial Site Evaluation (RSE) Areas; and (4) Removal Site Evaluation (RmSE) Areas.

Multicenter comparative study of laparoscopic and open distal pancreatectomy using propensity score-matching.

Science.gov (United States)

Nakamura, Masafumi; Wakabayashi, Go; Miyasaka, Yoshihiro; Tanaka, Masao; Morikawa, Takanori; Unno, Michiaki; Tajima, Hiroshi; Kumamoto, Yusuke; Satoi, Sohei; Kwon, Masanori; Toyama, Hirochika; Ku, Yonson; Yoshitomi, Hideyuki; Nara, Satoshi; Shimada, Kazuaki; Yokoyama, Takahide; Miyagawa, Shinichi; Toyama, Yoichi; Yanaga, Katsuhiko; Fujii, Tsutomu; Kodera, Yasuhiro; Tomiyama, Yasuyuki; Miyata, Hiroaki; Takahara, Takeshi; Beppu, Toru; Yamaue, Hiroki; Miyazaki, Masaru; Takada, Tadahiro

2015-10-01

Laparoscopic distal pancreatectomy has been shown to be associated with favorable postoperative outcomes using meta-analysis. However, there have been no randomized controlled studies yet. This study aimed to compare laparoscopic and open distal pancreatectomy using propensity score-matching. We retrospectively collected perioperative data of 2,266 patients who underwent distal pancreatectomy in 69 institutes from 2006-2013 in Japan. Among them, 2,010 patients were enrolled in this study and divided into two groups, laparoscopic distal pancreatectomy and open distal pancreatectomy. Perioperative outcomes were compared between the groups using unmatched and propensity matched analysis. After propensity score-matching, laparoscopic distal pancreatectomy was associated with favorable perioperative outcomes compared with open distal pancreatectomy, including higher rate of preservation of spleen and splenic vessels (P pancreatectomy was associated with more favorable perioperative outcomes than open distal pancreatectomy. © 2015 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

A case of descending colon carcinoma metastasized to left spermatic cord, testis, and epididymis

Science.gov (United States)

Augustin, Herbert; Popper, Helmut; Pummer, Karl

2012-01-01

We report a case of descending colon carcinoma metastasized to the left spermatic cord, testis, and epididymis. A 77-year old male patient underwent a left hemicolectomy for a descending colon cancer. He was referred to our department because of swelling and pain of the left scrotum two years and six months after surgery. High left orchiectomy was performed. Histological examination revealed a metastasis of the colon carcinoma within the spermatic cord and epididymis approaching the testicle. Reports on metastatic cancer of the testis are scarce, because this metastatic cancer is extremely rare. In general, testicular pain is rare in the elderly. We suggest that any elder presenting with testicular pain deserves a complete clinical and diagnostic evaluation. PMID:24578939

Bilateral descending hypothalamic projections to the spinal trigeminal nucleus caudalis in rats.

Directory of Open Access Journals (Sweden)

Khaled Abdallah

Full Text Available Several lines of evidence suggest that the hypothalamus is involved in trigeminal pain processing. However, the organization of descending hypothalamic projections to the spinal trigeminal nucleus caudalis (Sp5C remains poorly understood. Microinjections of the retrograde tracer, fluorogold (FG, into the Sp5C, in rats, reveal that five hypothalamic nuclei project to the Sp5C: the paraventricular nucleus, the lateral hypothalamic area, the perifornical hypothalamic area, the A11 nucleus and the retrochiasmatic area. Descending hypothalamic projections to the Sp5C are bilateral, except those from the paraventricular nucleus which exhibit a clear ipsilateral predominance. Moreover, the density of retrogradely FG-labeled neurons in the hypothalamus varies according to the dorso-ventral localization of the Sp5C injection site. There are much more labeled neurons after injections into the ventrolateral part of the Sp5C (where ophthalmic afferents project than after injections into its dorsomedial or intermediate parts (where mandibular and maxillary afferents, respectively, project. These results demonstrate that the organization of descending hypothalamic projections to the spinal dorsal horn and Sp5C are different. Whereas the former are ipsilateral, the latter are bilateral. Moreover, hypothalamic projections to the Sp5C display somatotopy, suggesting that these projections are preferentially involved in the processing of meningeal and cutaneous inputs from the ophthalmic branch of the trigeminal nerve in rats. Therefore, our results suggest that the control of trigeminal and spinal dorsal horn processing of nociceptive information by hypothalamic neurons is different and raise the question of the role of bilateral, rather than unilateral, hypothalamic control.

Fractures of the bilateral distal radius and scaphoid: a case report

Directory of Open Access Journals (Sweden)

Ozkan Korhan

2008-03-01

Full Text Available Abstract Introduction Bilateral fractures of the distal radius and scaphoid are extremely rare injuries. Case presentation A patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating. Conclusion Rigid internal fixation of distal radius and scaphoid fractures is mandatory to start early active rehabilitation of the wrist without the need for wrist immobilization with a plaster or external skeletal fixation.

Nonsurgical correction of a Class III malocclusion in an adult by miniscrew-assisted mandibular dentition distalization.

Science.gov (United States)

Jing, Yan; Han, Xianglong; Guo, Yongwen; Li, Jingyu; Bai, Ding

2013-06-01

This article reports the successful use of miniscrews in the mandible to treat a 20-year-old Mongolian woman with a chief complaint of anterior crossbite. The patient had a skeletal Class III malocclusion with a mildly protrusive mandible, an anterior crossbite, and a deviated midline. In light of the advantages for reconstruction of the occlusal plane and distal en-masse movement of the mandibular arch, we used a multiloop edgewise archwire in the initial stage. However, the maxillary incisors were in excessive labioversion accompanied by little retraction of the mandibular incisors; these results were obviously not satisfying after 4 months of multiloop edgewise archwire treatment. Two miniscrews were subsequently implanted vertically in the external oblique ridge areas of the bilateral mandibular ramus as skeletal anchorage for en-masse distalization of the mandibular dentition. During treatment, the mandibular anterior teeth were retracted about 4.0 mm without negative lingual inclinations. The movement of the mandibular first molar was almost bodily translation. The maxillary incisors maintained good inclinations by rotating their brackets 180° along with the outstanding performance of the beta-titanium wire. The patient received a harmonious facial balance, an attractive smile, and ideal occlusal relationships. The outcome was stable after 1 year of retention. Our results suggest that the application of miniscrews in the posterior area of the mandible is an effective approach for Class III camouflage treatment. This technique requires minimal compliance and is particularly useful for correcting Class III patients with mild mandibular protrusion and minor crowding. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

Maxillary anterior ridge augmentation with recombinant human bone morphogenetic protein 2.

Science.gov (United States)

Edmunds, Ryan K; Mealey, Brian L; Mills, Michael P; Thoma, Daniel S; Schoolfield, John; Cochran, David L; Mellonig, Jim

2014-01-01

No human studies exist on the use of recombinant human bone morphogenetic protein 2 (rhBMP-2) on an absorbable collagen sponge (ACS) as a sole graft material for lateral ridge augmentation in large ridge defect sites. This series evaluates the treatment outcome of maxillary anterior lateral ridge augmentation with rhBMP-2/ACS. Twenty patients were treated with rhBMP-2/ACS and fixation screws for space maintenance. Cone beam volumetric tomography measurements were used to determine gain in ridge width, and a bone core biopsy was obtained. The mean horizontal ridge gain was 1.2 mm across sites, and every site gained width.

The effects of ridging, row-spacing and seeding rate on carrot yield

Directory of Open Access Journals (Sweden)

S. TAIVALMAA

2008-12-01

Full Text Available Cool, wet spring weather often delays the early growth of carrots (Daucus carota L. in northern Europe. This effect may be partly obviated by sowing in ridges. Many types of ridges are used, but the most suitable for carrot cultivation under the conditions prevailing in northern Europe has yet to be determined. The effects of ridging, seeding rate and sowing system on the yield and visible quality of carrots were therefore studied in the field during three years. The highest yields were recorded for carrots sown in double rows on a narrow ridge. The effect of sowing system on mean root weight differed depending on the ridging regime. The mean weight of roots was higher for carrots cultivated on broad ridges than in other systems. Seeding rate had the most significant effect on mean root weight. For industrial purposes it is recommended that carrots be cultivated on broad ridges in double rows at low seeding rates with irrigation. The optimal cultivation technique for carrots destined for the fresh vegetable market would be narrow ridges sown in double rows at high seeding rates. The ridging system, seeding rate and row spacing did not appear to affect the external quality of roots. More detailed studies should be carried out to establish the effects of abiotic growth factors under different ridging regimes.;

The effects of ridging, row-spacing and seeding rate on carrot yield

Directory of Open Access Journals (Sweden)

Sanna-Liisa Taivalmaa

1997-12-01

Full Text Available Cool, wet spring weather often delays the early growth of carrots (Daucus carota L. in northern Europe. This effect may be partly obviated by sowing in ridges. Many types of ridges are used, but the most suitable for carrot cultivation under the conditions prevailing in northern Europe has yet to be determined. The effects of ridging, seeding rate and sowing system on the yield and visible quality of carrots were therefore studied in the field during three years. The highest yields were recorded for carrots sown in double rows on a narrow ridge. The effect of sowing system on mean root weight differed depending on the ridging regime. The mean weight of roots was higher for carrots cultivated on broad ridges than in other systems. Seeding rate had the most significant effect on mean root weight. For industrial purposes it is recommended that carrots be cultivated on broad ridges in double rows at low seeding rates with irrigation. The optimal cultivation technique for carrots destined for the fresh vegetable market would be narrow ridges sown in double rows at high seeding rates. The ridging system, seeding rate and row spacing did not appear to affect the external quality of roots. More detailed studies should be carried out to establish the effects of abiotic growth factors under different ridging regimes.

Unfaulting the Sardarapat Ridge, Southwest Armenia

Science.gov (United States)

Wetmore, P.; Connor, C.; Connor, L. J.; Savov, I. P.; Karakhanyan, A.

2012-12-01

Armenia is located near the core of contractional deformation associated with the collision between the Arabian and Eurasian tectonic plates. Several studies of this region, including portions of adjacent Georgia, Iran, and Turkey, have indicated that 1-2 mm/yr of intra-plate, north-south shortening is primarily accommodated by a network of E-W trending thrust faults, and NW-trending (dextral) and NE-trending (sinistral) strike-slip faults. One proposed fault in this network, the Sardarapat Fault (SF), was investigated as part of a regional seismic hazard assessment ahead of the installation of a replacement reactor at the Armenian Nuclear Power Plant (ANPP). The SF is primarily defined by the Sardarapat Ridge (SR), which is a WNW-trending, 40-70 m high topographic feature located just north of the Arax River and the Turkey-Armenia border. The stratigraphy comprising this ridge includes alluvium overlying several meters of lacustrine deposits above a crystal-rich basaltic lava flow that yields an Ar-Ar age of 0.9 +/- 0.02 Ma. The alluvial sediments on the ridge contain early Bronze age (3832-3470 BP) artifacts at an elevation 25 m above those of the surrounding alluvial plane. This has lead to the suggestion that the SR is bound to the south (the steepest side) by the SF, which is uplifting the ridge at a rate of 0.7 mm/yr. However, despite the prominence and trend of the ridge there are no unequivocal observations, such as scarps or exposures of fault rocks, to support the existence of the SF. The goal of the investigation of the SR area was to test various models for the formation of the ridge including faulting and combined volcanic and erosional processes. We therefore collected gravimetric, magnetic, magneto-tellurics (MT), and transient electromagnetic (TEM) data across an area of ~400 km2, and used correlations of stratigraphic data from coreholes drilled proximal to the study area to define the geometry of the contact between the basement and basin fill to

Distally based superficial sural artery flap for soft tissue coverage in the distal 2/3 of leg and foot

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Kamath B

2005-01-01

Full Text Available Background: Skin coverage for defects in the lower 2/3 of leg, ankle region and posterior heel has always been a difficult challenge for reconstructive surgeon. Methods: We describe our experience with the distally based superficial sural artery flap coverage in 48 patients with moderate sized defects in these difficult areas. Results: One out of 48 flaps (in 48 patients was lost totally and 3 suffered marginal necrosis which did not require any secondary procedure. These complications could have been avoided by proper selection of cases and refining technical skills. Conclusion: This simple procedure could be an important and versatile tool for any reconstructive surgeon in providing skin coverage in the distal leg and proximal foot. Preservation of major arteries of the lower limb, minimal donor defect, relatively uninjured donor area in compound fracture or poly trauma involving distal leg are some of the advantages of the flap.

The impact of splenectomy on outcomes after distal and total pancreatectomy

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Bramhall Simon

2007-06-01

Full Text Available Abstract Background Several authors advocate spleen preserving distal pancreatectomy, because of the increased complication rate after splenectomy. Methods Postoperative complications and survival after distal and total pancreatectomy, were recorded and retrospectively analyzed according to spleen preservation. Patients, who underwent distal and total pancreatectomy without histologically proven adenocarcinoma, or extrapancreatic disease, were included in the cohort which was divided into splenectomy and no splenectomy groups. Statistical analysis was performed using Fisher's test. Results The study group consisted of 62 patients who underwent distal and total pancreatectomy between 26/11/1987 to 6/1/2006. Splenectomy was performed in 35 out of 62 patients (56.5%, distal pancreatectomy was performed in 49 out of 62 patients (79%. Morbidity rate was 28.6% in splenectomy group and 14.8% in the no splenectomy group (p = 0.235, while 30 days mortality rate was 2.9%; one patient died in the splenectomy group (p = 1. Conclusion Spleen-preservation did not influence the outcomes after distal and total pancreatectomy in our series.

[Ridge preservation with synthetic nanocrystalline hydroxyapatite reduces the severity of gingival invaginations-a prospective clinical study].

Science.gov (United States)

Reichert, Christoph; Wenghoefer, Matthias; Kutschera, Eric; Götz, Werner; Jäger, Andreas

2014-01-01

Gingival invaginations develop after tooth extraction and subsequent orthodontic space closure. Aetiological factors and long-term effects of gingival invaginations on oral health are nearly unknown. In addition, preventive or therapeutic strategies are rare. This prospective clinical study employing the split mouth technique was performed to investigate the effect of extraction socket augmentation with a synthetic nanocrystalline hydroxyapatite (NanoBone(®) Artoss, Rostock, Germany) on the incidence and degree of gingival invaginations. A total of 10 orthodontic patients with need for symmetric premolar extractions offering a total of 28 extractions were included in this trial. The study plan provided one extraction site to be augmented with synthetic nanocrystalline hydroxyapatite (NanoBone(®)), the other served as control. After primary wound healing, space closure was performed under defined biomechanical conditions. After space closure was accomplished, occurrence and degree of gingival invaginations as well as probing depths of the adjacent teeth mesial and distal to the extractions were determined and dental radiographs were taken. The degree of gingival invaginations and probing depths mesial and distal of the extraction were significantly reduced on NanoBone(®) augmented extraction sites. In addition, 70% of the radiographs revealed translucent and hyperdense areas on the intervention side after space closure. Apical root resorption was found in 2 patients on both the NanoBone(®) side and the control side. Ridge preservation with NanoBone(®) appeared to reduce the severity of gingival invaginations. Further investigation on long-term effects is mandatory to eliminate the appearance of adverse effects.

Two-wave propagation in in vitro swine distal ulna

Science.gov (United States)

Mano, Isao; Horii, Kaoru; Matsukawa, Mami; Otani, Takahiko

2015-07-01

Ultrasonic transmitted waves were obtained in an in vitro swine distal ulna specimen, which mimics a human distal radius, that consists of interconnected cortical bone and cancellous bone. The transmitted waveforms appeared similar to the fast waves, slow waves, and overlapping fast and slow waves measured in the specimen after removing the surface cortical bone (only cancellous bone). In addition, the circumferential waves in the cortical bone and water did not affect the fast and slow waves. This suggests that the fast-and-slow-wave phenomenon can be observed in an in vivo human distal radius.

Analysis of transit time flow of the right internal thoracic artery anastomosed to the left anterior descending artery compared to the left internal thoracic artery

Science.gov (United States)

Milani, Rodrigo; de Moraes, Daniela; Sanches, Aline; Jardim, Rodrigo; Lumikoski, Thais; Miotto, Gabriela; Santana, Vitor Hugo; Brofman, Paulo Roberto

2014-01-01

Introduction We evaluated with transit time flow the performance of the right and left thoracic arteries when used as a graft for the left anterior descending artery. Methods Fifty patients undergoing surgery for myocardial revascularization without cardiopulmonary bypass were divided into two groups. In group A patients received graft of right internal mammary artery to the anterior interventricular branch. In group B patients received graft of left internal mammary artery to the same branch. At the end of the operation the flow was assessed by measuring transit time. Results In group A, mean age was 60.6±9.49 years. The average height and weight of the group was 80.4±10.32 kg and 169.2±6.86 cm. The average number of grafts per patient in this group was 3.28±1.49. The mean flow and distal resistance obtained in right internal thoracic artery was 42.1±23.4 ml/min and 2.8±0.9 respectively. In group B, the mean age was 59.8±9.7 years. The average height and weight of this group was 77.7±14.22 kg and 166.0±8.2 cm. The average number of grafts per patient in this group was 3.08 ±0.82. The mean flow and distal resistance observed in this group was 34.2±19.1 ml/min and 2.0±0.7. There were no deaths in this series. Conclusion Right internal mammary artery presented a similar behavior to left internal mammary artery when anastomosed to the anterior interventricular branch of the left coronary artery. There was no statistical difference between the measured flow obtained between both arteries. PMID:25140463

Mid-ocean ridge serpentinite in the Puerto Rico Trench: Accretion, alteration, and subduction of Cretaceous seafloor in the Atlantic Ocean

Science.gov (United States)

Klein, F.; Marschall, H.; Bowring, S. A.; Horning, G.

2016-12-01

Serpentinite is believed to be one of the main carriers of water and fluid mobile elements into subduction zones, but direct evidence for serpentinite subduction has been elusive. The Antilles island arc is one of only two subduction zones worldwide that recycles slow-spreading oceanic lithosphere where descending serpentinite is both exposed by faulting and directly accessible on the seafloor. Here we examined serpentinized peridotites dredged from the North Wall of the Puerto Rico Trench (NWPRT) to assess their formation and alteration history and discuss geological ramifications resulting from their emplacement and subduction. Lithospheric accretion and serpentinization occurred, as indicated by U-Pb geochronology of hydrothermally altered zircon, at the Cretaceous Mid-Atlantic Ridge (CMAR). In addition to lizardite-rich serpentinites with pseudomorphic textures after olivine and pyroxene typical for static serpentinization at slow spreading mid-ocean ridges, recovered samples include non-pseudomorphic antigorite-rich serpentinites that are otherwise typically associated with peridotite at convergent plate boundaries. Antigorite-serpentinites have considerably lower Fe(III)/Fetot and lower magnetic susceptibilities than lizardite-serpentinites with comparable Fetot contents. Rare earth element (REE) contents of lizardite-serpentinites decrease linearly with increasing Fe(III)/Fetot of whole rock samples, suggesting that oxidation during seafloor weathering of serpentinite releases REEs to seawater. Serpentinized peridotites recorded multifaceted igneous and high- to low-temperature hydrothermal processes that involved extensive chemical, physical, and mineralogical modifications of their peridotite precursors with strong implications for our understanding of the accretion, alteration, and subduction of slow-spreading oceanic lithosphere.

Microgravity survey of the Oak Ridge K-25 Site, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Kaufmann, R.D.

1996-05-01

Karst features are known to exist within the carbonate bedrock of the Oak Ridge K-25 Site and may play an important role in groundwater flow and contaminant migration. This report discusses the results of a microgravity survey of the Oak Ridge K-25 Site. The main objective of the survey is to identify areas containing bedrock cavities. Secondary objectives included correlating the observed gravity to the geology and to variations in overburden thickness. The analysis includes 11 profile lines that are oriented perpendicular to the geologic strike and major structures throughout the K-25 Site. The profile lines are modeled in an effort to relate gravity anomalies to karst features such as concentrations of mud-filled cavities. Regolith thickness and density data provided by boreholes constrain the models. Areally distributed points are added to the profile lines to produce a gravity contour map of the site. In addition, data from the K-901 area are combined with data from previous surveys to produce a high resolution map of that site. The K-25 Site is located in an area of folded and faulted sedimentary rocks within the Appalachian Valley and Ridge physiographic province. Paleozoic age rocks of the Rome Formation, Knox Group, and Chickamauga Supergroup underlie the K-25 Site and contain structures that include the Whiteoak Mountain Fault, the K-25 Fault, a syncline, and an anticline. The mapped locations of the rock units and complex structures are currently derived from outcrop and well log analysis

MRI of fractures of the distal radius: comparison with conventional radiographs

International Nuclear Information System (INIS)

Spence, L.D.; Eustace, S.

1998-01-01

Objective. To compare the evaluation of fractures of the distal radius with MRI and conventional radiographs. To demonstrate the ability of MRI to detect unsuspected soft tissue derangement accompanying this common injury. Design and patients. Twenty-one consecutive inpatients admitted following fracture of the distal radius underwent preoperative evaluation with both conventional radiographs and MRI. In each case, analysis was made of both the osseous and soft tissue injury. MRI findings were compared with those identified on conventional radiographs and at subsequent surgical fixation. Results. Of 21 patients with fractures of the distal radius, 20 had extension to the radiocarpal articulation, 14 had distal radio-ulnar joint extension and 5 had avulsion of the ulnar styloid.Occult carpal bone fractures accompanying fracture of the distal radius were identified in two patients: one of the capitate and the other of the second metacarpal base. Ten patients (48%) had associated soft tissue injury: six patients had scapholunate ligament rupture, two patients had disruption of the triangular fibrocartilage, one patient had extensor carpi ulnaris tenosynovitis and one patient had a tear of a dorsal radiocarpal ligament. Of five patients with ulnar styloid avulsions, none had evidence of triangular fibrocartilage tears. Conclusion. MRI affords better evaluation of osseous injury accompanying distal radial fractures than conventional radiographs. Intra-articular soft tissue injury accompanies distal radial fractures in almost 50% of cases. Scapholunate ligament disruption commonly accompanies intra-articular fracture through the lunate facet of the distal radius. Fracture of the ulnar styloid is infrequently associated with tear of the triangular fibrocartilage. (orig.)

MRI of fractures of the distal radius: comparison with conventional radiographs

Energy Technology Data Exchange (ETDEWEB)

Spence, L.D.; Eustace, S. [Medical Center, Boston, MA (United States). Dept. of Radiol.; Savenor, A.; Nwachuku, I.; Tilsley, J. [Department of Orthopedics, Boston Medical Center, Boston, MA 02118 (United States)

1998-05-01

Objective. To compare the evaluation of fractures of the distal radius with MRI and conventional radiographs. To demonstrate the ability of MRI to detect unsuspected soft tissue derangement accompanying this common injury. Design and patients. Twenty-one consecutive inpatients admitted following fracture of the distal radius underwent preoperative evaluation with both conventional radiographs and MRI. In each case, analysis was made of both the osseous and soft tissue injury. MRI findings were compared with those identified on conventional radiographs and at subsequent surgical fixation. Results. Of 21 patients with fractures of the distal radius, 20 had extension to the radiocarpal articulation, 14 had distal radio-ulnar joint extension and 5 had avulsion of the ulnar styloid.Occult carpal bone fractures accompanying fracture of the distal radius were identified in two patients: one of the capitate and the other of the second metacarpal base. Ten patients (48%) had associated soft tissue injury: six patients had scapholunate ligament rupture, two patients had disruption of the triangular fibrocartilage, one patient had extensor carpi ulnaris tenosynovitis and one patient had a tear of a dorsal radiocarpal ligament. Of five patients with ulnar styloid avulsions, none had evidence of triangular fibrocartilage tears. Conclusion. MRI affords better evaluation of osseous injury accompanying distal radial fractures than conventional radiographs. Intra-articular soft tissue injury accompanies distal radial fractures in almost 50% of cases. Scapholunate ligament disruption commonly accompanies intra-articular fracture through the lunate facet of the distal radius. Fracture of the ulnar styloid is infrequently associated with tear of the triangular fibrocartilage. (orig.) With 5 figs., 16 refs.

Young Children's Sibling Relationship Quality: Distal and Proximal Correlates

Science.gov (United States)

Kretschmer, Tina; Pike, Alison

2009-01-01

Background: Relationships within families are interdependent and related to distal environmental factors. Low socioeconomic status (SES) and high household chaos (distal factors) have been linked to less positive marital and parent-child relationships, but have not yet been examined with regard to young children's sibling relationships. The…

Clinical relevance of distal biceps insertional and footprint anatomy

NARCIS (Netherlands)

van den Bekerom, Michel P J; Kodde, Izaäk F.; Aster, Asir; Bleys, Ronald L A W; Eygendaal, Denise

2016-01-01

Purpose: The aim of this review was to present an overview, based on a literature search, of surgical anatomy for distal biceps tendon repairs, based on the current literature. Methods: A narrative review was performed using Pubmed/Medline using key words: Search terms were distal biceps,

Concave distal end of ulna metaphysis alone is not a sign of rickets

Energy Technology Data Exchange (ETDEWEB)

Oestreich, Alan E. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, 5031, Cincinnati, OH (United States)

2015-07-15

Statements have been made in the literature and in legal testimony that misrepresent the radiographic finding of concave distal end of the ulnar metaphysis. To demonstrate that a concave distal end of the ossified ulna in infancy can be normal. Eighty distal wrists of randomly selected infants in the first year of life with radiographic evidence that ruled out rickets were reviewed. In 16 of the cases (20%), mild or moderate concavity of the distal end of the ulna was seen. An intact metaphyseal collar of distal radius or ulna confirmed the absence of radiographic rickets. The finding of 20% of concave distal ulnas in the first year of life confirms the widely acknowledged statements that concave distal end of the ulna alone is not indicative of rickets. Statements to the contrary are not justified. (orig.)

Concave distal end of ulna metaphysis alone is not a sign of rickets

International Nuclear Information System (INIS)

Oestreich, Alan E.

2015-01-01

Statements have been made in the literature and in legal testimony that misrepresent the radiographic finding of concave distal end of the ulnar metaphysis. To demonstrate that a concave distal end of the ossified ulna in infancy can be normal. Eighty distal wrists of randomly selected infants in the first year of life with radiographic evidence that ruled out rickets were reviewed. In 16 of the cases (20%), mild or moderate concavity of the distal end of the ulna was seen. An intact metaphyseal collar of distal radius or ulna confirmed the absence of radiographic rickets. The finding of 20% of concave distal ulnas in the first year of life confirms the widely acknowledged statements that concave distal end of the ulna alone is not indicative of rickets. Statements to the contrary are not justified. (orig.)

A novel model of distal colon cancer in athymic mice Novo modelo de câncer de cólon distal em camundongos atímicos

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Denise Gonçalves Priolli

2012-06-01

Full Text Available PURPOSE: The present a novel adenocarcinoma model in athymic mice. METHODS: Seven athymic mice were used. Colon diversion and distal fistula were made. Adenocarcinoma cells were inoculated in the submucosa of fistula. Tumor growth was monitored daily. Scintigraphy with 99mTc-MIBI was performed to identify the tumor. RESULTS: The model of distal colon cancer is feasible. Tumor detection was possible by both, macroscopically and molecular imaging. All resections demonstrated poorly differentiated tumors. Colon obstruction occurred in one case, similarly to evolution in human tumors of distal colon. CONCLUSION: The proposed model of distal colon cancer is feasible, allows for easy monitoring of tumoral growth by both, macroscopically and molecular imaging, and is suitable for studying the evolution of tumor with implementation of cytotoxic therapy in vivo.OBJETIVO: Apresentar novo modelo de adenocarcinoma distal em camundongos atímicos. MÉTODOS: Foram utilizados sete camundongos atímicos. Desvio do cólon distal e fístula foram feitas. Células de adenocarcinoma foram inoculadas na submucosa da fístula. O crescimento do tumor foi monitorado diariamente. Cintilografia com 99mTc-MIBI foi realizada para identificar o tumor. RESULTADOS: O modelo de câncer de cólon distal é viável. Detecção do tumor foi possível macroscopicamente e por imagem molecular. Todas as ressecções demonstraram tumores pouco diferenciados. Obstrução do cólon ocorreu em um caso, de forma semelhante à evolução em tumores humanos do cólon distal. CONCLUSÃO: O modelo de câncer do cólon distal proposto é viável, permite a monitorização fácil do crescimento tumoral macroscopicamente e por imagem molecular, sendo adequado para o estudo da evolução de tumor com aplicação de terapia citotóxica in vivo.

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

Science.gov (United States)

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

2015-10-01

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

Removal action report on the Building 3001 canal at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1997-05-01

Oak Ridge National Laboratory (ORNL) is a federal facility managed by Lockheed Martin C, Energy Research, Inc., for the U.S. Department of Energy (DOE). ORNL on the Oak Ridge Reservation in East Tennessee at the Anderson and Roane County lines, approximately 38 km (24 miles) west of Knoxville, Tennessee, and 18 km (11 miles) southwest of downtown Oak Ridge. The Oak Ridge Graphite Reactor and its storage and transfer canal are located in Bldg. 3001 in the approximate center of Waste Area Grouping I in the ORNL main complex. 4:1 The Bldg. 3001 Storage Canal is an L-shaped, underground, reinforced-concrete structure running from the back and below the Graphite Reactor in Bldg. 3001 to a location beneath a hot cell in the adjacent Bldg. 3019. The Graphite Reactor was built in 1943 to produce small quantities of plutonium and was subsequently used to produce other isotopes for medical research before it was finally shut down in 1963. The associated canal was used to transport, under water, spent fuel slugs and other isotopes from the back of the reactor to the adjacent Bldg. 31319 hot cell for further processing. During its operation and years subsequent to operation, the canal's concrete walls and floor became contaminated with radioisotopes from the water.This report documents the activities involved with replacing the canal water with a solid, controlled, low-strength material (CLSM) in response to a Comprehensive Environmental Response, Compensation, and Liability Act non-time-critical removal action

Transitions in axial morphology along the Southeast Indian Ridge

Science.gov (United States)

Ma, Ying; Cochran, James R.

1996-07-01

Shipboard bathymetric and magnetic profiles across the Southeast Indian Ridge (SEIR) were analyzed in order to examine the nature of along-axis variations in axial morphology at this intermediate spreading rate ridge. Three types of axial morphology are observed along the SEIR: an axial high, a shallow (200-700 m deep) axial valley and a deep (>1000 m deep) axial valley. An axial high is found to the east of the Australian-Antarctic Discordance (AAD) (east of 128°E) and between 82°E and 104°E. A shallow rift valley is found from 104°E to 114°E and from 82°E westward past the Amerstdam/St. Paul hotspot (ASP) to about 30°S, 75°E. Deep rift valleys are found from 114°E to 128°E in the vicinity of the AAD and from the Indian Ocean Triple Junction (IOTJ) at 25°S, 70°E to about 30°S, 75°E. The transition near 30°S occurs in an area of constant zero-age depth and does not appear to result from an increase in mantle temperature. It could be the result of the rapid increase in spreading rate along that portion of the SEIR. The most likely cause of the other transitions in axial morphology is variations in mantle temperature. The transitions between the different types of axial morphology are well defined and occur over a limited distance. Transitions in axial morphology are accompanied by significant changes in ridge flank topographic roughness. The transitions from axial valleys to axial highs are also accompanied by changes in the amplitude of the seafloor magnetic anomalies. Our observations suggest that there are distinct modes rather than a continuum of axial morphology on the SEIR and that there appears to be a "threshold" mechanism for a rapid change between different states of axial morphology. The ASP has only a limited influence on the SEIR. The ridge axis is marked by an axial valley for the entire distance from the IOTJ up to and past the ASP. The ridge axis becomes shallower as the ASP is approached from the northwest but only by about 300 m over

Accretion mode of oceanic ridges governed by axial mechanical strength

Science.gov (United States)

Sibrant, A. L. R.; Mittelstaedt, E.; Davaille, A.; Pauchard, L.; Aubertin, A.; Auffray, L.; Pidoux, R.

2018-04-01

Oceanic spreading ridges exhibit structural changes as a function of spreading rate, mantle temperature and the balance of tectonic and magmatic accretion. The role that these or other processes have in governing the overall shape of oceanic ridges is unclear. Here, we use laboratory experiments to simulate ridge spreading in colloidal aqueous dispersions whose rheology evolves from purely viscous to elastic and brittle when placed in contact with a saline water solution. We find that ridge shape becomes increasingly linear with spreading rate until reaching a minimum tortuosity. This behaviour is predicted by the axial failure parameter ΠF, a dimensionless number describing the balance of brittle and plastic failure of axial lithosphere. Slow-spreading, fault-dominated and fast-spreading, fluid intrusion-dominated ridges on Earth and in the laboratory are separated by the same critical ΠF value, suggesting that the axial failure mode governs ridge geometry. Values of ΠF can also be calculated for different mantle temperatures and applied to other planets or the early Earth. For higher mantle temperatures during the Archaean, our results preclude the predicted formation of large tectonic plates at high spreading velocity.

Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips

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Alessandro Moro

2017-01-01

Full Text Available The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation.

Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips.

Science.gov (United States)

Moro, Alessandro; Gasparini, Giulio; Foresta, Enrico; Saponaro, Gianmarco; Falchi, Marco; Cardarelli, Lorenzo; De Angelis, Paolo; Forcione, Mario; Garagiola, Umberto; D'Amato, Giuseppe; Pelo, Sandro

2017-01-01

The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation.

Fishtail deformity - a delayed complication of distal humeral fractures in children

Energy Technology Data Exchange (ETDEWEB)

Narayanan, Srikala [Massachusetts General Hospital, Department of Radiology, Division of Pediatric Imaging, Boston, MA (United States); University of Pittsburgh Medical Center, Department of Radiology, Pittsburgh, PA (United States); Shailam, Randheer; Nimkin, Katherine [Massachusetts General Hospital, Department of Radiology, Division of Pediatric Imaging, Boston, MA (United States); Grottkau, Brian E. [Massachusetts General Hospital, Department of Orthopaedics, Pediatric Orthopaedics, Boston, MA (United States)

2015-06-15

Concavity in the central portion of the distal humerus is referred to as fishtail deformity. This entity is a rare complication of distal humeral fractures in children. The purpose of this study is to describe imaging features of post-traumatic fishtail deformity and discuss the pathophysiology. We conducted a retrospective analysis of seven cases of fishtail deformity after distal humeral fractures. Seven children ages 7-14 years (five boys, two girls) presented with elbow pain and history of distal humeral fracture. Four of the seven children had limited range of motion. Five children had prior grade 3 supracondylar fracture treated with closed reduction and percutaneous pinning. One child had a medial condylar fracture and another had a lateral condylar fracture; both had been treated with conservative casting. All children had radiographs, five had CT and three had MRI. All children had a concave central defect in the distal humerus. Other imaging features included joint space narrowing with osteophytes and subchondral cystic changes in four children, synovitis in one, hypertrophy or subluxation of the radial head in three and proximal migration of the ulna in two. Fishtail deformity of the distal humerus is a rare complication of distal humeral fractures in children. This entity is infrequently reported in the radiology literature. Awareness of the classic imaging features can result in earlier diagnosis and appropriate treatment. (orig.)

Fishtail deformity - a delayed complication of distal humeral fractures in children

International Nuclear Information System (INIS)

Narayanan, Srikala; Shailam, Randheer; Nimkin, Katherine; Grottkau, Brian E.

2015-01-01

Concavity in the central portion of the distal humerus is referred to as fishtail deformity. This entity is a rare complication of distal humeral fractures in children. The purpose of this study is to describe imaging features of post-traumatic fishtail deformity and discuss the pathophysiology. We conducted a retrospective analysis of seven cases of fishtail deformity after distal humeral fractures. Seven children ages 7-14 years (five boys, two girls) presented with elbow pain and history of distal humeral fracture. Four of the seven children had limited range of motion. Five children had prior grade 3 supracondylar fracture treated with closed reduction and percutaneous pinning. One child had a medial condylar fracture and another had a lateral condylar fracture; both had been treated with conservative casting. All children had radiographs, five had CT and three had MRI. All children had a concave central defect in the distal humerus. Other imaging features included joint space narrowing with osteophytes and subchondral cystic changes in four children, synovitis in one, hypertrophy or subluxation of the radial head in three and proximal migration of the ulna in two. Fishtail deformity of the distal humerus is a rare complication of distal humeral fractures in children. This entity is infrequently reported in the radiology literature. Awareness of the classic imaging features can result in earlier diagnosis and appropriate treatment. (orig.)

Spontaneous distal rupture of the plantar fascia.

Science.gov (United States)

Gitto, Salvatore; Draghi, Ferdinando

2018-07-01

Spontaneous ruptures of the plantar fascia are uncommon injuries. They typically occur at its calcaneal insertion and usually represent a complication of plantar fasciitis and local treatment with steroid injections. In contrast, distal ruptures commonly result from traumatic injuries. We describe the case of a spontaneous distal rupture of the plantar fascia in a 48-year-old woman with a low level of physical activity and no history of direct injury to the foot, plantar fasciitis, or steroid injections. © 2017 Wiley Periodicals, Inc.

Alveolar Ridge Carcinoma. Two Cases Report

International Nuclear Information System (INIS)

Pupo Triguero, Raul J; Vivar Bauza, Miriam; Alvarez Infante, Elisa

2008-01-01

Two cases with alveolar ridge carcinoma due to prosthetist traumatism are discussed in this paper, after 9 and 10 years of using dental prosthesis. Both patients began with disturbance in the alveolar ridge. The clinical examination and biopsy showed a well differenced carcinoma. The treatment was radical surgery and radiotherapy in the first patient, and conservative surgery with radiotherapy in the second case .The patients had xerostomia after radiotherapy and the woman had difficulties with mastication. The advantages and disadvantages of the treatment were discussed, focused on the prevention and treatment for oral

ORLANDO - Oak Ridge Large Neutrino Detector

International Nuclear Information System (INIS)

Bugg, W.; Cohn, H.; Efremenko, Yu.; Fazely, A.; Gabriel, T.; Kamyshkov, Yu.; Plasil, F.; Svoboda, R.

1999-01-01

We discuss a proposal for construction of an Oak Ridge LArge Neutrino DetectOr (ORLANDO) to search for neutrino oscillations at the Spallation Neutron Source (SNS). A 4 MW SNS is proposed to be built at the Oak Ridge National Laboratory with the first stage to be operative around 2006. It will have two target stations, which makes it possible with a single detector to perform a neutrino oscillation search at two different distances. Initial plans for the placement of the detector and the discovery potential of such a detector are discussed

Minimally Invasive Distal Pancreatectomy: Review of the English Literature.

Science.gov (United States)

Wang, Kai; Fan, Ying

2017-02-01

Recently, the superiority of the minimally invasive approach, which results in a better cosmetic result, faster recovery, and shorter length of hospital stay, is a technique that has been progressively recognized as it has developed. And the minimally invasive approach has been applied to distal pancreatectomy (DP), which is a standard method for the treatment of benign, borderline, and part of malignant lesions of the pancreatic body and tail. This article aims to analyze the types, postoperative recovery, and outcomes of laparoscopic distal pancreatectomy (LDP). A systematic search of the scientific literature was performed using PubMed, EMBASE, online journals, and the Internet for all publications on LDP. Articles were selected if the abstract contained patients who underwent LDP for pancreatic diseases. All selected articles were reviewed and analyzed. If there were no contraindications for LDP, this operation is suitable for benign, borderline, or malignant tumors of the pancreatic body and tail, which should try to be performed with preservation of the spleen. LDP is safe and feasible under some conditions to experienced surgeon. Single-incision laparoscopic distal pancreatectomy (S-LDP) and robotic laparoscopic distal pancreatectomy (R-LDP) perioperative outcomes are similar with conventional multi-incision laparoscopic distal pancreatectomy (C-LDP). And the advantages of S-LDP and R-LDP require further exploration. With the application of enhanced recovery program (ERP), length of hospital stay and costs are reduced. LDP is safe and feasible under some conditions. Compared with open distal pancreatectomy, LDP has a lot of advantages; a trend was observed for LDP to replace traditional open surgery. LDP combined with ERP is expected to become standard in the treatment of pancreatic body and tail lesions.

Surgical treatment of penetrating atherosclerotic ulcer of the descending aorta

Directory of Open Access Journals (Sweden)

Kovačević Pavle

2013-01-01

Full Text Available Introduction. The term “penetrating atherosclerotic ulcer” (PAU of the aorta describes the condition in which ulceration of an aortic atherosclerotic lesion penetrates the internal elastic lamina into media. PAU is a high-risk lesion due to its deleterious effects on the integrity of aortic wall, with potentially fatal outcome. Case report. A patient with intensive, sharp chest pain irradiating to the back but with no signs of myocardial ischemia on an electrocardiogram was referred to our hospital. Transthoracic echocardiography showed no pathological changes of the ascending aorta. However, multislice computed tomography (CT showed an aortic ulcer with varying degree of the subadventitial hemorrhage in the region of the thoracic aorta at the level of Th 8-9. Due to imminent rupture of the penetrating aortic ulcer, the patient was promptly prepared for surgery. A 15 cm long subadventitial hematoma was found intraoperatively in the right posterolateral aspect of the descending aorta, 5 cm above the diaphragm and 7 cm below the origin of the left subclavial artery. The affected segment of the aorta was resected, followed by an inlay aortic reconstruction with a Dacron tube graft of 24 mm. Control CT revealed satisfactory reconstruction of the descending aorta. Conclusion. PAU is a rare, but potentially fatal disease. Open surgery in patients with PAU is an effective treatment strategy, although endovascular treatment options are emerging.

Neural mechanisms of peristalsis in the isolated rabbit distal colon: a neuromechanical loop hypothesis.

Science.gov (United States)

Dinning, Phil G; Wiklendt, Lukasz; Omari, Taher; Arkwright, John W; Spencer, Nick J; Brookes, Simon J H; Costa, Marcello

2014-01-01

Propulsive contractions of circular muscle are largely responsible for the movements of content along the digestive tract. Mechanical and electrophysiological recordings of isolated colonic circular muscle have demonstrated that localized distension activates ascending and descending interneuronal pathways, evoking contraction orally and relaxation anally. These polarized enteric reflex pathways can theoretically be sequentially activated by the mechanical stimulation of the advancing contents. Here, we test the hypothesis that initiation and propagation of peristaltic contractions involves a neuromechanical loop; that is an initial gut distension activates local and oral reflex contraction and anal reflex relaxation, the subsequent movement of content then acts as new mechanical stimulus triggering sequentially reflex contractions/relaxations at each point of the gut resulting in a propulsive peristaltic contraction. In fluid filled isolated rabbit distal colon, we combined spatiotemporal mapping of gut diameter and intraluminal pressure with a new analytical method, allowing us to identify when and where active (neurally-driven) contraction or relaxation occurs. Our data indicate that gut dilation is associated with propagating peristaltic contractions, and that the associated level of dilation is greater than that preceding non-propagating contractions (2.7 ± 1.4 mm vs. 1.6 ± 1.2 mm; P polarized enteric circuits. These produce propulsion of the bolus which activates further anally, polarized enteric circuits by distension, thus closing the neuromechanical loop.

Impact of a Nationwide Training Program in Minimally Invasive Distal Pancreatectomy (LAELAPS)

NARCIS (Netherlands)

de Rooij, Thijs; van Hilst, Jony; Boerma, Djamila; Bonsing, Bert A.; Daams, Freek; van Dam, Ronald M.; Dijkgraaf, Marcel G.; van Eijck, Casper H.; Festen, Sebastiaan; Gerhards, Michael F.; Koerkamp, Bas Groot; van der Harst, Erwin; de Hingh, Ignace H.; Kazemier, Geert; Klaase, Joost; de Kleine, Ruben H.; van Laarhoven, Cornelis J.; Lips, Daan J.; Luyer, Misha D.; Molenaar, I. Quintus; Patijn, Gijs A.; Roos, Daphne; Scheepers, Joris J.; van der Schelling, George P.; Steenvoorde, Pascal; Vriens, Menno R.; Wijsman, Jan H.; Gouma, Dirk J.; Busch, Olivier R.; Hilal, Mohammed Abu; Besselink, Marc G.; de Boer, Marieke T.

2016-01-01

Objective:To study the feasibility and impact of a nationwide training program in minimally invasive distal pancreatectomy (MIDP).Summary of Background Data:Superior outcomes of MIDP compared with open distal pancreatectomy have been reported. In the Netherlands (2005 to 2013) only 10% of distal

The Mozambique Ridge: a document of massive multistage magmatism

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Fischer, Maximilian D.; Uenzelmann-Neben, Gabriele; Jacques, Guillaume; Werner, Reinhard

2017-01-01

The Mozambique Ridge, a prominent basement high in the southwestern Indian Ocean, consists of four major geomorphological segments associated with numerous phases of volcanic activity in the Lower Cretaceous. The nature and origin of the Mozambique Ridge have been intensely debated with one hypothesis suggesting a Large Igneous Province origin. High-resolution seismic reflection data reveal a large number of extrusion centres with a random distribution throughout the southern Mozambique Ridge and the nearby Transkei Rise. Intrabasement reflections emerge from the extrusion centres and are interpreted to represent massive lava flow sequences. Such lava flow sequences are characteristic of eruptions leading to the formation of continental and oceanic flood basalt provinces, hence supporting a Large Igneous Province origin of the Mozambique Ridge. We observe evidence for widespread post-sedimentary magmatic activity that we correlate with a southward propagation of the East African Rift System. Based on our volumetric analysis of the southern Mozambique Ridge we infer a rapid sequential emplacement between ˜131 and ˜125 Ma, which is similar to the short formation periods of other Large Igneous Provinces like the Agulhas Plateau.

Beach ridge sedimentology: field observation and palaeoenvironmental interpretation for Anegada Island, British Virgin Islands.

Science.gov (United States)

Cescon, Anna Lisa; Cooper, J. Andrew G.; Jackson, Derek W. T.

2014-05-01

Beach ridge landforms have been observed in different environments and in settings that range from polar to tropical. Their stratigraphy and sedimentology has received a limited amount of discussion in the literature (Tamura, 2012). In coastal geomorphology a beach ridge can be seen as a transitional deposit between onshore and offshore environments. They are regarded as representing high level wave action along a coastline. In the Caribbean the origin of beach ridges has been variously attributed to one of three extreme wave events: extreme swell, extreme storm or tsunami waves. Beach ridges are arranged in beach ridge plains where there is succession of the landforms and can be several kilometres long. Beach ridge accumulation is not continuous and the coast shows alternating accretion and erosion periods. The use of beach ridges as palaeostorm archives is therefore not straightforward. The temporal continuity of beach ridge formation is being assessed on the beach ridge plains of Anegada, British Virgin Islands (Lesser Antilles). This carbonate platform surrounded by a fringing reef contains two beach ridge plains. There are more than 30 ridges in the Atlantic facing- coast and around 10 in the south, Caribbean- facing coast. The sediments of the modern beaches are dominated by the sand fraction and are 100% biogenic origin due to the isolation of Anegada from terrestrial sediment sources. The beach ridge sections have been studied in different area of Anegada beach ridge plains and present low angle seaward-dipping bedding. The sand fraction is dominant in the stratigraphy with a few intact shells. At only one site were coral pebbles deposited in association with the sand fraction. Aeolian deposits represent the upper part of the beach ridges and reflect the stabilization of the beach ridges with ongoing accretion. The sedimentology of the contemporary beach and dunes will be discussed in terms of their implications for understanding beach ridge genesis and its

Ridge Distance Estimation in Fingerprint Images: Algorithm and Performance Evaluation

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Tian Jie

2004-01-01

Full Text Available It is important to estimate the ridge distance accurately, an intrinsic texture property of a fingerprint image. Up to now, only several articles have touched directly upon ridge distance estimation. Little has been published providing detailed evaluation of methods for ridge distance estimation, in particular, the traditional spectral analysis method applied in the frequency field. In this paper, a novel method on nonoverlap blocks, called the statistical method, is presented to estimate the ridge distance. Direct estimation ratio (DER and estimation accuracy (EA are defined and used as parameters along with time consumption (TC to evaluate performance of these two methods for ridge distance estimation. Based on comparison of performances of these two methods, a third hybrid method is developed to combine the merits of both methods. Experimental results indicate that DER is 44.7%, 63.8%, and 80.6%; EA is 84%, 93%, and 91%; and TC is , , and seconds, with the spectral analysis method, statistical method, and hybrid method, respectively.

One Piece Orbitozygomatic Approach Based on the Sphenoid Ridge Keyhole

DEFF Research Database (Denmark)

Spiriev, Toma; Poulsgaard, Lars; Fugleholm, Kåre

2016-01-01

The one-piece orbitozygomatic (OZ) approach is traditionally based on the McCarty keyhole. Here, we present the use of the sphenoid ridge keyhole and its possible advantages as a keyhole for the one-piece OZ approach. Using transillumination technique the osteology of the sphenoid ridge...... was examined on 20 anatomical dry skull specimens. The results were applied to one-piece OZ approaches performed on freshly frozen cadaver heads. We defined the center of the sphenoid ridge keyhole as a superficial projection on the lateral skull surface of the most anterior and thickest part of the sphenoid...... ridge. It was located 22 mm (standard deviation [SD], 0.22 mm) from the superior temporal line; 10.7 mm (SD, 0.08 mm) posterior and 7.1 mm (SD, 0.22 mm) inferior to the frontozygomatic suture. The sphenoid ridge burr hole provides exposure of frontal, temporal dura as well as periorbita, which...

Significance testing in ridge regression for genetic data

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De Iorio Maria

2011-09-01

Full Text Available Abstract Background Technological developments have increased the feasibility of large scale genetic association studies. Densely typed genetic markers are obtained using SNP arrays, next-generation sequencing technologies and imputation. However, SNPs typed using these methods can be highly correlated due to linkage disequilibrium among them, and standard multiple regression techniques fail with these data sets due to their high dimensionality and correlation structure. There has been increasing interest in using penalised regression in the analysis of high dimensional data. Ridge regression is one such penalised regression technique which does not perform variable selection, instead estimating a regression coefficient for each predictor variable. It is therefore desirable to obtain an estimate of the significance of each ridge regression coefficient. Results We develop and evaluate a test of significance for ridge regression coefficients. Using simulation studies, we demonstrate that the performance of the test is comparable to that of a permutation test, with the advantage of a much-reduced computational cost. We introduce the p-value trace, a plot of the negative logarithm of the p-values of ridge regression coefficients with increasing shrinkage parameter, which enables the visualisation of the change in p-value of the regression coefficients with increasing penalisation. We apply the proposed method to a lung cancer case-control data set from EPIC, the European Prospective Investigation into Cancer and Nutrition. Conclusions The proposed test is a useful alternative to a permutation test for the estimation of the significance of ridge regression coefficients, at a much-reduced computational cost. The p-value trace is an informative graphical tool for evaluating the results of a test of significance of ridge regression coefficients as the shrinkage parameter increases, and the proposed test makes its production computationally feasible.

Torsion of wandering spleen and distal pancreas

International Nuclear Information System (INIS)

Sheflin, J.R.; Lee, C.M.; Kretchmar, K.A.

1984-01-01

Wandering spleen is the term applied to the condition in which a long pedicle allows the spleen to lie in an abnormal location. Torsion of a wandering spleen is an unusual cause of an acute abdomen and is rarely diagnosed preoperatively. Associated torsion of the distal pancreas is even more uncommon. The authors describe a patient with torsion of a wandering spleen and distal pancreas, who was correctly diagnosed, and define the merits of the imaging methods used. The initial examination should be 99 /sup m/Tc-sulfur colloid liner-spleen scanning

Osteoblastoma-like osteosarcoma of the distal tibia

Energy Technology Data Exchange (ETDEWEB)

Abramovici, Luigia; Steiner, German C. [Department of Pathology and Laboratory Medicine, Hospital for Joint Diseases, New York, NY (United States); Kenan, Samuel [Department of Orthopaedic Oncology Surgery, Hospital for Joint Diseases, New York, NY (United States); Hytiroglou, Prodromos [Aristotle University, Thessaloniki (Greece); Rafii, Mahvash [Department of Radiology, Hospital for Joint Diseases, New York, NY (United States)

2002-03-01

We report a case of a 14-year-old boy with an intracompartmental lytic lesion with poorly defined margins in the right distal tibia that was originally treated with curettage and bone grafting. Histologic examination showed an osteoblastic tumor with unusual features, which was found on consultation to be an osteoblastoma-like osteosarcoma, a rare, low-grade variant of osteosarcoma. Subsequently, the patient underwent en bloc resection of the distal tibia, which was replaced with vascularized bone graft and followed by chemotherapy. Two years later, he is alive with lung metastases. (orig.)

Osteoblastoma-like osteosarcoma of the distal tibia

International Nuclear Information System (INIS)

Abramovici, Luigia; Steiner, German C.; Kenan, Samuel; Hytiroglou, Prodromos; Rafii, Mahvash

2002-01-01

We report a case of a 14-year-old boy with an intracompartmental lytic lesion with poorly defined margins in the right distal tibia that was originally treated with curettage and bone grafting. Histologic examination showed an osteoblastic tumor with unusual features, which was found on consultation to be an osteoblastoma-like osteosarcoma, a rare, low-grade variant of osteosarcoma. Subsequently, the patient underwent en bloc resection of the distal tibia, which was replaced with vascularized bone graft and followed by chemotherapy. Two years later, he is alive with lung metastases. (orig.)

Efficiency of local surface plasmon polariton excitation on ridges

DEFF Research Database (Denmark)

Radko, Ilya; Bozhevolnyi, Sergey I.; Boltasseva, Alexandra

2008-01-01

We investigate experimentally and numerically the efficiency of surface plasmon polariton excitation by a focused laser beam using gold ridges. The dependence of the efficiency on geometrical parameters of ridges and wavelength dependence are examined. The experimental measurements accomplished...

Storminess-related rhythmic ridge patterns on the coasts of Estonia

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Ülo Suursaar

2017-11-01

Full Text Available Buried or elevated coastal ridges may serve as archives of past variations in sea level and climate conditions. Sometimes such ridges or coastal scarps appear in patterns, particularly on uplifting coasts with adequate sediment supply. Along the seacoasts of Estonia, where relative-to-geoid postglacial uplift can vary between 1.7 and 3.4 mm/yr, at least 27 areas with rhythmic geomorphic patterns have been identified from LiDAR images and elevation data. Such patterns were mainly found on faster emerging and well-exposed, tideless coasts. These are mostly located at heights between 1 and 21 m above sea level, the formation of which corresponds to a period of up to 7500 years. Up to approximately 150 individual ridges were counted on some cross-shore sections. Ten of these ridge patterns that formed less than 4500 years ago were chosen for detailed characterization and analysis in search of possible forcing mechanisms. Among these more closely studied cases, the mean ridge spacing varied between 19 and 28 m. Using land uplift rates from the late Holocene period, the timespans of the corresponding cross sections were calculated. The average temporal periodicity of the ridges was between 23 and 39 years with a gross mean value of 31 years. Considering the regular nature of the ridges, they mostly do not reflect single extreme events, but rather a decadal-scale periodicity in storminess in the region of the Baltic Sea. Although a contribution from some kind of self-organization process is possible, the rhythmicity in ancient coastal ridge patterns is likely linked to quasi-periodic 25−40-year variability, which can be traced to Estonian long-term sea level records and wave hindcasts, as well as in regional storminess data and the North Atlantic Oscillation index.

Role of thin descending limb urea transport in renal urea handling and the urine concentrating mechanism

Science.gov (United States)

Lei, Tianluo; Zhou, Lei; Layton, Anita T.; Zhou, Hong; Zhao, Xuejian; Bankir, Lise

2011-01-01

Urea transporters UT-A2 and UT-B are expressed in epithelia of thin descending limb of Henle's loop and in descending vasa recta, respectively. To study their role and possible interaction in the context of the urine concentration mechanism, a UT-A2 and UT-B double knockout (UT-A2/B knockout) mouse model was generated by targeted deletion of the UT-A2 promoter in embryonic stem cells with UT-B gene knockout. The UT-A2/B knockout mice lacked detectable UT-A2 and UT-B transcripts and proteins and showed normal survival and growth. Daily urine output was significantly higher in UT-A2/B knockout mice than that in wild-type mice and lower than that in UT-B knockout mice. Urine osmolality in UT-A2/B knockout mice was intermediate between that in UT-B knockout and wild-type mice. The changes in urine osmolality and flow rate, plasma and urine urea concentration, as well as non-urea solute concentration after an acute urea load or chronic changes in protein intake suggested that UT-A2 plays a role in the progressive accumulation of urea in the inner medulla. These results suggest that in wild-type mice UT-A2 facilitates urea absorption by urea efflux from the thin descending limb of short loops of Henle. Moreover, UT-A2 deletion in UT-B knockout mice partially remedies the urine concentrating defect caused by UT-B deletion, by reducing urea loss from the descending limbs to the peripheral circulation; instead, urea is returned to the inner medulla through the loops of Henle and the collecting ducts. PMID:21849488

Use of palatally inserted mini-screw for upper molar distalization: A case series

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Valliollah Arash

2015-09-01

Full Text Available  Abstract Reports have shown that molars can be distalized successfully with virtually no orthodontic anchorage loss with an intraosseous anchorage, even with fully erupted second molars. The purpose of this study was evaluating the effects of mini-screws as skeletal anchorage for upper molar distalization. In this case series, three patients needing maxillary first molar distalization, were selected. mini-screw was inserted in the anterior part of the palate. The screws were anchored to the first premolars by transpalatal arch and immediately loaded (150-160 g by 0.018-inch arch-wire and steel open-coil spring to distalize maxillary molars. The skeletal and dental changes were measured on cephalograms obtained before and after distalization. The amount of first molar distalization in the patients was 4 mm with 2°of tipping, 4 mm with 5°of tipping, and 3.5 mm with 2°of tipping respectively. Upper incisors and first premolars were stable during distalization.       

Descending motor pathways and the spinal motor system. Limbic and non-limbic components

NARCIS (Netherlands)

G. Holstege (Gert)

1990-01-01

textabstractFor a thorough understanding of the descending pathways of the motor system originating in the forebrain, knowledge about the anatomy and function of the structures in the more caudally located parts of the central nervous system is indispensable. In this paper an overview will be

Laparoscopic radical nephroureterectomy: dilemma of the distal ureter.

Science.gov (United States)

Steinberg, Jordan R; Matin, Surena F

2004-03-01

Laparoscopic nephroureterectomy has recently emerged as a safe, minimally invasive approach to upper tract urothelial cancers. The most controversial and challenging feature of laparoscopic nephroureterectomy is the management of the distal ureter. We review the most common methods of managing the distal ureter, with emphasis on contemporary oncologic outcomes, indications, advantages, and disadvantages. There are currently in excess of five different approaches to the lower ureter. These techniques often combine features of endoscopic, laparoscopic, or open management. They include open excision, a transvesical laparoscopic detachment and ligation technique, laparoscopic stapling of the distal ureter and bladder cuff, the "pluck" technique, and ureteral intussusception. Each technique has distinct advantages and disadvantages, differing not only in technical approach, but oncological principles as well. While the existing published data do not overwhelmingly support one approach over the others, the open approach remains one of the most reliable and oncologically sound procedures. The principles of surgical oncology dictate that a complete, en-bloc resection, with avoidance of tumor seeding, remains the preferred treatment of all urothelial cancers. The classical open technique of securing the distal ureter and bladder cuff achieves this principle and has withstood the test of time. Transvesical laparoscopic detachment and ligation is an oncologically valid approach in patients without bladder tumors, but is limited by technical considerations. The laparoscopic stapling technique maintains a closed system but risks leaving behind ureteral and bladder cuff segments. Both transurethral resection of the ureteral orifice (pluck) and intussusception techniques should be approached with caution, as the potential for tumor seeding exists. Additional long-term comparative outcomes are needed to solve the dilemma of the distal ureter.

Simultaneous bilateral distal biceps tendon repair: case report

Directory of Open Access Journals (Sweden)

Thiago Medeiros Storti

Full Text Available ABSTRACT Simultaneous bilateral rupture of the distal biceps tendon is a rare clinical entity, seldom reported in the literature and with unclear therapeutic setting. The authors report the case of a 39-year-old white man who suffered a simultaneous bilateral rupture while working out. When weightlifting with elbows at 90° of flexion, he suddenly felt pain on the anterior aspect of the arms, coming for evaluation after two days. He presented bulging contour of the biceps muscle belly and ecchymosis in the antecubital fossa, extending distally to the medial aspect of the forearm, as well as a marked decrease of supination strength and pain in active elbow flexion. MRI confirmed the rupture with retraction of the distal biceps bilaterally. The authors opted for performing the tendon repairs simultaneously through the double incision technique and fixation to the bicipital tuberosity with anchors. The patient progressed quite well, with full return to labor and sports activities, being satisfied with the result after two years of surgery. In the literature search, few reports of simultaneous bilateral rupture of the distal biceps were retrieved, with only one treated in the acute phase of injury. Therefore, the authors consider this procedure to be a good option to solve this complex condition.

Simultaneous bilateral distal biceps tendon repair: case report.

Science.gov (United States)

Storti, Thiago Medeiros; Paniago, Alexandre Firmino; Faria, Rafael Salomon Silva

2017-01-01

Simultaneous bilateral rupture of the distal biceps tendon is a rare clinical entity, seldom reported in the literature and with unclear therapeutic setting. The authors report the case of a 39-year-old white man who suffered a simultaneous bilateral rupture while working out. When weightlifting with elbows at 90° of flexion, he suddenly felt pain on the anterior aspect of the arms, coming for evaluation after two days. He presented bulging contour of the biceps muscle belly and ecchymosis in the antecubital fossa, extending distally to the medial aspect of the forearm, as well as a marked decrease of supination strength and pain in active elbow flexion. MRI confirmed the rupture with retraction of the distal biceps bilaterally. The authors opted for performing the tendon repairs simultaneously through the double incision technique and fixation to the bicipital tuberosity with anchors. The patient progressed quite well, with full return to labor and sports activities, being satisfied with the result after two years of surgery. In the literature search, few reports of simultaneous bilateral rupture of the distal biceps were retrieved, with only one treated in the acute phase of injury. Therefore, the authors consider this procedure to be a good option to solve this complex condition.

Limited distal organelles and synaptic function in extensive monoaminergic innervation.

Science.gov (United States)

Tao, Juan; Bulgari, Dinara; Deitcher, David L; Levitan, Edwin S

2017-08-01

Organelles such as neuropeptide-containing dense-core vesicles (DCVs) and mitochondria travel down axons to supply synaptic boutons. DCV distribution among en passant boutons in small axonal arbors is mediated by circulation with bidirectional capture. However, it is not known how organelles are distributed in extensive arbors associated with mammalian dopamine neuron vulnerability, and with volume transmission and neuromodulation by monoamines and neuropeptides. Therefore, we studied presynaptic organelle distribution in Drosophila octopamine neurons that innervate ∼20 muscles with ∼1500 boutons. Unlike in smaller arbors, distal boutons in these arbors contain fewer DCVs and mitochondria, although active zones are present. Absence of vesicle circulation is evident by proximal nascent DCV delivery, limited impact of retrograde transport and older distal DCVs. Traffic studies show that DCV axonal transport and synaptic capture are not scaled for extensive innervation, thus limiting distal delivery. Activity-induced synaptic endocytosis and synaptic neuropeptide release are also reduced distally. We propose that limits in organelle transport and synaptic capture compromise distal synapse maintenance and function in extensive axonal arbors, thereby affecting development, plasticity and vulnerability to neurodegenerative disease. © 2017. Published by The Company of Biologists Ltd.

Fractures of the distal radius in children: A retrospective evaluation

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Selma Yazıcı

2012-06-01

Full Text Available Objectives: This study designed to evaluate the resultsof treatment, closed reduction and percutaneous wires, ofthe distal radius fractures in children.Materials and methods: A retrospective analysis wascarried out in children aged between 5-15 years who presentedwith a displaced fracture of the distal radius to ourhospital. They were initially treated with closed reductionand cast immobilization. If the fractures redisplaced treatedby percutaneous Kirschner (K- wire with scope undera general anaesthesia.Results: Totally 104 patients, who have distal radius fractureswere treated by closed reduction and immobilizationin a plaster cast. 13 patient who have distal radiusfractures were treated by closed reduction under generalanaesthesia and fixed by percutaneous Kirschner (K-wire. Patients with impaired the alignment of the fracturein late period were usually completely displaced fractures.(n=5, 4,3%, in early period, completely displaced fractures(n=5, 4,3% are superior to partial displaced fractures(n=2, 1,7%.Conclusion: In our study, when children with distal radiusfracture first come, they were treated by closed reductionand immobilization in a plaster cast. We thought that inredisplaced fractures patients were suitable for the closedreduction with percutaneous wire treatment.

The Atlantis Bank Gabbro Massif, SW Indian Ridge: the Largest Know Exposure of the Lower Crust in the Oceans

Science.gov (United States)

Dick, H. J.; Kvassnes, A. J.; Kinoshita, H.; MacLeod, C. J.; Robinson, P. T.

2017-12-01

Until the discovery of oceanic core complexes little was known and much inferred about the lower ocean crust at slow-spreading ridges. Their study shows the ocean crust isn't simply a uniform layer-cake of pillow lavas, sheeted dikes and gabbros, but is highly variable in thickness, composition and architecture, and even absent over large regions. The 660 km2 Atlantis Bank Gabbro Massif in the rift-mountains of the SW Indian Ridge flanking the Atlantis II Transform is the magmatic end member for ocean core complexes, and best approximates `average' slow-spread crust. Thus it has been a focus for drilling since its discovery in 1986, leading to the current attempt to drill to Moho there (Project SloMo). There are 3 ODP and IODP drill holes on its crest: 1508-m deep Hole 735B, 158-m deep Hole 1105A, and 809.4-m deep Hole U1473. These provide a 200 Kyr view of lower crustal accretion at a slow-spread ocean ridge. Here we extend this view to 2.7 Myr. Mapping and sampling shows the gabbro massif extends nearly the length of a single 2nd order magmatic ridge segment. With numerous inliers of the dike-gabbro transition at numerous locations, and a crust-mantle boundary, traced for 30-km along the transform wall, it would appear to represent a full section of the lower crust. As Moho is at 5.5 ± 1 km mbsf near Hole 735B, and 4.5 km beneath the transform, it is likely a serpentinization front. The crust-mantle boundary was crossed by dives at 4 locations. In each case gabbros at the base of the crust crystallized from melt that had previously fractionated 50% or more from a likely parent. Thus the gabbro massif must be laterally zoned, and the parental mantle melts had to have been emplaced at the center of the paleo-ridge segment, before intruding laterally to the distal end of the complex. Gabbros on a lithospheric flow line down the center of the massif closely resemble those from the drill holes. This shows that while lateral variations in crustal composition and

Melton Valley Storage Tanks Capacity Increase Project, Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1995-04-01

The US Department of Energy (DOE) proposes to construct and maintain additional storage capacity at Oak Ridge National Laboratory (ORNL), Oak Ridge, Tennessee, for liquid low-level radioactive waste (LLLW). New capacity would be provided by a facility partitioned into six individual tank vaults containing one 100,000 gallon LLLW storage tank each. The storage tanks would be located within the existing Melton Valley Storage Tank (MVST) facility. This action would require the extension of a potable water line approximately one mile from the High Flux Isotope Reactor (HFIR) area to the proposed site to provide the necessary potable water for the facility including fire protection. Alternatives considered include no-action, cease generation, storage at other ORR storage facilities, source treatment, pretreatment, and storage at other DOE facilities

The Effects of Ridge Axis Width on Mantle Melting at Mid-Ocean Ridges

Science.gov (United States)

Montesi, L.; Magni, V.; Gaina, C.

2017-12-01

Mantle upwelling in response to plate divergence produces melt at mid-ocean ridges. Melt starts when the solidus is crossed and stops when conductive cooling overcomes heat advection associated with the upwelling. Most mid-ocean ridge models assume that divergence takes place only in a narrow zone that defines the ridge axis, resulting in a single upwelling. However, more complex patterns of divergence are occasionally observed. The rift axis can be 20 km wide at ultraslow spreading center. Overlapping spreading center contain two parallel axes. Rifting in backarc basins is sometimes organized as a series of parallel spreading centers. Distributing plate divergence over several rifts reduces the intensity of upwelling and limits melting. Can this have a significant effect on the expected crustal thickness and on the mode of melt delivery at the seafloor? We address this question by modeling mantle flow and melting underneath two spreading centers separated by a rigid block. We adopt a non-linear rheology that includes dislocation creep, diffusion creep and yielding and include hydrothermal cooling by enhancing thermal conductivity where yielding takes place. The crustal thickness decreases if the rifts are separated by 30 km or more but only if the half spreading rate is between 1 and 2 cm/yr. At melting depth, a single upwelling remains the norm until the separation of the rifts exceeds a critical value ranging from 15 km in the fastest ridges to more than 50 km at ultraslow spreading centers. The stability of the central upwelling is due to hydrothermal cooling, which prevents hot mantle from reaching the surface at each spreading center. When hydrothermal cooling is suppressed, or the spreading centers are sufficiently separated, the rigid block becomes extremely cold and separates two distinct, highly asymmetric upwellings that may focus melt beyond the spreading center. In that case, melt delivery might drive further and further the divergence centers, whereas

Intersphincteric Resection and Coloanal Anastomosis in Treatment of Distal Rectal Cancer

OpenAIRE

Cipe, Gokhan; Muslumanoglu, Mahmut; Yardimci, Erkan; Memmi, Naim; Aysan, Erhan

2012-01-01

In the treatment of distal rectal cancer, abdominoperineal resection is traditionally performed. However, the recognition of shorter safe distal resection line, intersphincteric resection technique has given a chance of sphincter-saving surgery for patients with distal rectal cancer during last two decades and still is being performed as an alternative choice of abdominoperineal resection. The first aim of this study is to assess the morbidity, mortality, oncological, and functional outcomes ...

The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review

Directory of Open Access Journals (Sweden)

Andrew D. Vigotsky

2015-01-01

Full Text Available Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin and may be mediated by the descending modulatory circuit. Therefore, the purpose of this review is to examine the neurophysiological response to different types of manual therapy, in order to better understand the neurophysiological mechanisms behind each therapy’s analgesic effects. It is concluded that different forms of manual therapy elicit analgesic effects via different mechanisms, and nearly all therapies appear to be at least partially mediated by descending modulation. Additionally, future avenues of mechanistic research pertaining to manual therapy are discussed.

Oak Ridge Reservation Site Management Plan for the Environmental Restoration Program

Energy Technology Data Exchange (ETDEWEB)

1994-06-01

This site management plan for the Oak Ridge Reservation (ORR) describes the overall approach for addressing environmental contamination problems at the ORR Superfund site located in eastern Tennessee. The ORR consists of three major US Department of Energy (DOE) installations constructed in the early to mid 1940s as research, development, and process facilities in support of the Manhattan Project. In addition to the three installations -- Oak Ridge National Laboratory (ORNL), the Oak Ridge Y-12 Plant, and the Oak Ridge K-25 Site (formerly the Oak Ridge Gaseous Diffusion Plant) -- the ORR Superfund Site also includes areas outside the installations, land used by the Oak Ridge Associated Universities and waterways that have been contaminated by releases from the DOE installations. To date, {approximately} 400 areas (Appendix A) requiring evaluation have been identified. Cleanup of the ORR is expected to take two to three decades and cost several billion dollars. This site management plan provides a blueprint to guide this complex effort to ensure that the investigation and cleanup activities are carried out in an efficient and cost-effective manner.

Oak Ridge Reservation Site Management Plan for the Environmental Restoration Program

International Nuclear Information System (INIS)

1994-06-01

This site management plan for the Oak Ridge Reservation (ORR) describes the overall approach for addressing environmental contamination problems at the ORR Superfund site located in eastern Tennessee. The ORR consists of three major US Department of Energy (DOE) installations constructed in the early to mid 1940s as research, development, and process facilities in support of the Manhattan Project. In addition to the three installations -- Oak Ridge National Laboratory (ORNL), the Oak Ridge Y-12 Plant, and the Oak Ridge K-25 Site (formerly the Oak Ridge Gaseous Diffusion Plant) -- the ORR Superfund Site also includes areas outside the installations, land used by the Oak Ridge Associated Universities and waterways that have been contaminated by releases from the DOE installations. To date, ∼ 400 areas (Appendix A) requiring evaluation have been identified. Cleanup of the ORR is expected to take two to three decades and cost several billion dollars. This site management plan provides a blueprint to guide this complex effort to ensure that the investigation and cleanup activities are carried out in an efficient and cost-effective manner

Evidence for modulation of pericryptal sheath myofibroblasts in rat descending colon by Transforming Growth Factor β and Angiotensin II.

Directory of Open Access Journals (Sweden)

Pedley Kevin C

2002-02-01

Full Text Available Abstract Background Absorption of water and Na+ in descending colonic crypts is dependent on the barrier function of the surrounding myofibroblastic pericryptal sheath. Here the effects of high and low Na+ diets and exposure to whole body ionising radiation on the growth and activation of the descending colonic pericryptal myofibroblasts are evaluated. In addition the effect of a post-irradiation treatment with the angiotensin converting enzyme inhibitor Captopril was investigated. Methods The levels of Angiotensin II type 1 receptor (AT1, ACE, collagen type IV, transforming growth factor-β type 1 receptor (TGF-βR1, OB cadherin and α-smooth muscle actin in both descending colon and caecum were evaluated, using immunocytochemistry and confocal microscopy, in rats fed on high and low Na+ diets (LS. These parameters were also determined during 3 months post-irradiation with 8Gy from a 60Co source in the presence and absence of the angiotensin converting enzyme inhibitor, Captopril. Results Increases in AT1 receptor (135.6% ± 18.3, P Conclusions These results demonstrate an activation of descending colonic myofibroblasts to trophic stimuli, or irradiation, which can be attenuated by Captopril, indicative of local trophic control by angiotensin II and TGF-β release.

Distal antebrachial fractures in toy-breed dogs

International Nuclear Information System (INIS)

Muir, P.

1997-01-01

Antebrachial fractures account for approximately 17% of all canine fractures, with motor vehicle trauma cited as one of the primary causes. However, antebrachial fractures in toy-breed dogs are often sustained after apparently minimal trauma, such as jumping or falling, and are usually distal. The cause of antebrachial fractures in toy breeds is not well understood. Complications after treatment of distal antebrachial fractures in toy-breed dogs, including delayed union, nonunion, and malunion, are common and are potentially serious because they may necessitate limb amputation. This article reports on distal antebrachial fractures in 26 toy-breed dogs that wee presented to the University of California, Davis, Veterinary Medical Teaching Hospital from April 1987 to March 1996. The author found that (1) these fractures typically occur in growing or adolescent dogs; (2) the presence of complications of union is typically associated with prior treatment using intramedullary pinning or external coaptation; and (3) successful healing of this type of fracture is obtained via rigid stabilization with bone plating in combination with cancellous bone autograft

Descending motor pathways and the spinal motor system. Limbic and non-limbic components

NARCIS (Netherlands)

Holstege, G.

1991-01-01

For a thorough understanding of the descending pathways of the motor system originating in the forebrain, knowledge about the anatomy and function of the structures in the more caudally located parts of the central nervous system is indispensable. In this paper an overview will be presented of these

Ultrasound demonstration of distal biceps tendon bifurcation: normal and abnormal findings

International Nuclear Information System (INIS)

Tagliafico, Alberto; Capaccio, Enrico; Derchi, Lorenzo E.; Martinoli, Carlo; Michaud, Johan

2010-01-01

We demonstrate the US appearance of the distal biceps tendon bifurcation in normal cadavers and volunteers and in those affected by various disease processes. Three cadaveric specimens, 30 normal volunteers, and 75 patients were evaluated by means of US. Correlative MR imaging was obtained in normal volunteers and patients. In all cases US demonstrated the distal biceps tendon shaped by two separate tendons belonging to the short and long head of the biceps brachii muscle. Four patients had a complete rupture of the distal insertion of the biceps with retraction of the muscle belly. Four patients had partial tear of the distal biceps tendon with different US appearance. In two patients the partial tear involved the short head of the biceps brachii tendon, while in the other two patients, the long head was involved. Correlative MR imaging is also presented both in normal volunteers and patients. US changed the therapeutic management in the patients with partial tears involving the LH of the biceps. This is the first report in which ultrasound considers the distal biceps tendon bifurcation in detail. Isolated tears of one of these components can be identified by US. Knowledge of the distal biceps tendon bifurcation ultrasonographic anatomy and pathology has important diagnostic and therapeutic implications. (orig.)

Geophysical investigations over a segment of the Central Indian Ridge, Indian Ocean

Digital Repository Service at National Institute of Oceanography (India)

KameshRaju, K.A.; Ramprasad, T.; Subrahmanyam, C.

Swath bathymetric, gravity, and magnetic studies were carried out over a 55 km long segment of the Central Indian Ridge. The ridge is characterized by 12 to 15 km wide rift valley bounded by steep walls and prominent volcanic constructional ridges...

Nonlinear Forecasting With Many Predictors Using Kernel Ridge Regression

DEFF Research Database (Denmark)

Exterkate, Peter; Groenen, Patrick J.F.; Heij, Christiaan

This paper puts forward kernel ridge regression as an approach for forecasting with many predictors that are related nonlinearly to the target variable. In kernel ridge regression, the observed predictor variables are mapped nonlinearly into a high-dimensional space, where estimation of the predi...

Comparison of the X-ray features between child Hirschsprung alied disease and Hirschsprung disease

International Nuclear Information System (INIS)

Wu Shuochun; Yuan Xinyu; Bai Fengsen; Ma Lishuang; Li Long

2010-01-01

Objective: To compare the X-ray features between Hirschsprung alied disease (HAD) and Hirschsprung disease (HD), and analyze the differentiations. Methods: From December 2004 to December 2009, nineteen cases of HAD, aged from 30 days to 10 years (median, 14 months), received barium enema examinations in our institution. Other 19 cases with HD, also received barium enema examinations, were chosen randomly. They were aged from 42 days to 8 years (median, 8 months). The imaging features of HAD and HD were analyzed retrospectively. The incidence rate of colon stenosis, 'truncation sign' and spasm notch and R/C ratio (the longest diameter of rectum/colon) were calculated and compared between these two groups. In all these cases, diagnosis was confirmed by postoperative histopathology. The position of barium retained was also evaluated. These parameters of both groups were compared by χ 2 and Fisher test. Results: There was statistical significance in the incidence rate of' colon stenosis between HAD (9/19) and HD (18/19) (χ 2 =10.364, P 0.05 for both). R/C ratio was 0.42±0.15 in HAD group and 0.29±0.12 in HD group, and there was statistical significance between them (t=2.892, P<0.01). In HAD group, barium retained in distal sigmoid colon in 1 case (1/19), in distal descending colon in 7 cases (7/19), in distal transverse colon in 1 case (1/19), in total colon in 6 cases (6/19); However, in HD group, barium retained in distal rectum in 3 cases (3/19), in distal sigmoid colon in 13 cases (13/19), in distal descending colon in 3 cases (3/19). Conclusions: There were some differences in the imaging features between HAD and HD though they presented similar clinic experience. HAD cases presented a lower incidence rate of colon stenosis and a higher R/C ratio than HD cases. In HAD cases, the most common site of barium retained is distal descending colon, while in HD cases, it is distal sigmoid colon. (authors)

Locking plates in distal humerus fractures: study of 43 patients

Directory of Open Access Journals (Sweden)

Gupta Rakesh Kumar

2013-08-01

Full Text Available 【Abstract】Objective: The treatment of multi-fragmentary, intraarticular fractures of the distal humerus is difficult, even in young patients with bone of good quality. Small distal fragment, diminished bone mineral quality and increased trauma-associated joint destruction make stable joint reconstruction more problematic. The anatomically preshaped locking plates allow angular stable fixation for these complex fractures. We evaluated functional results of patients treated with open reduction and internal fixation with distal humerus locking plates for complex distal hu-merus fractures. Methods: Forty-three consecutive patients with ar-ticular fractures of the distal humerus were treated by open reduction and internal fixation with AO distal humerus plate system and locking reconstruction plates. Forty patients were available for the final outcome analysis. According to AO/ASIF classification, there were 2 cases of type A2, 4 cases of type A3, 1 case of type B1, 1 case of type B2, 14 cases of type C1, 7 cases of type C2 and 11 cases of type C3. Open reduction with triceps splitting technique was used in all patients. The clinical and radiographic follow-up was performed and outcome measures included pain assessment, range of motion, and Mayo elbow performance score. Results: Forty patients were available for the final outcome analysis. There were 29 males and 11 females with an average age of 38.4 years (18-73 years. Clinical and ra-diological consolidation of the fracture was observed in all cases at an average of 11.6 weeks (9-14 weeks. The average follow-up was 12 months (10-18 months. Using the Mayo elbow performance score the results obtained were graded as excellent or good results in 33 patients (82.5%. One pa-tient had superficial infection, and 4 had myositis ossificans. There were no cases of primary malposition or secondary displacement, implant failure or ulnar neuropathy. Conclusion: Anatomically preshaped distal humerus locking

Site characterization of the West Chestnut Ridge site

International Nuclear Information System (INIS)

Ketelle, R.H.; Huff, D.D.

1984-09-01

This report summarizes the results of investigations performed to date on the West Chestnut Ridge Site, on the Department of Energy (DOE) Oak Ridge Reservation. The investigations performed include geomorphic observations, areal geologic mapping, surficial soil mapping, subsurface investigations, soil geochemical and mineralogical analyses, geohydrologic testing, groundwater fluctuation monitoring, and surface water discharge and precipitation monitoring. 33 references, 32 figures, 24 tables

Multimode Interference: Identifying Channels and Ridges in Quantum Probability Distributions

OpenAIRE

O'Connell, Ross C.; Loinaz, Will

2004-01-01

The multimode interference technique is a simple way to study the interference patterns found in many quantum probability distributions. We demonstrate that this analysis not only explains the existence of so-called "quantum carpets," but can explain the spatial distribution of channels and ridges in the carpets. With an understanding of the factors that govern these channels and ridges we have a limited ability to produce a particular pattern of channels and ridges by carefully choosing the ...

Clinical and non-clinical aspects of distal radioulnar joint instability

NARCIS (Netherlands)

Wijffels, M.; Brink, P.R.G.; Schipper, I.

2012-01-01

Untreated distal radioulnar joint (DRUJ) injuries can give rise to long lasting complaints. Although common, diagnosis and treatment of DRUJ injuries remains a challenge. The articulating anatomy of the distal radius and ulna, among others, enables an extensive range of forearm pronosupination

Theoretical analysis of ridge gratings for long-range surface plasmon polaritons

DEFF Research Database (Denmark)

Søndergaard, Thomas; Bozhevolnyi, Sergey I.; Boltasseva, Alexandra

2006-01-01

Optical properties of ridge gratings for long-range surface plasmon polaritons (LRSPPs) are analyzed theoretically in a two-dimensional configuration via the Lippmann-Schwinger integral equation method. LRSPPs being supported by a thin planar gold film embedded in dielectric are considered...... to be scattered by an array of equidistant gold ridges on each side of the film designed for in-plane Bragg scattering of LRSPPs at the wavelength ~1550 nm. Out-of-plane scattering (OUPS), LRSPP transmission, reflection, and absorption are investigated with respect to the wavelength, the height of the ridges...... peak it is preferable to use longer gratings with smaller ridges compared to gratings with larger ridges, because the former result in a smaller OUPS from the grating facets than the latter. The theoretical analysis and its conclusions are supported with experimental results on the LRSPP reflection...

Inverted Lymphoglandular Polyp in Descending Colon

Directory of Open Access Journals (Sweden)

Shengmei Zhou

2015-01-01

Full Text Available A 47-year-old male with a history of left colon cancer, status post left colon resection for 12 years, presented with rectal bleeding. Colonoscopic examination revealed an 8 mm sessile polyp in the proximal descending colon. Microscopic examination showed that the surface of this polyp was covered with a layer of normal colonic mucosa with focal surface erosion. In the submucosal layer, an intimate admixture of multiple cystically dilated glands and prominent lymphoid aggregates with germinal centers was seen. The glands were lined by columnar epithelium. Immunohistochemical staining showed the glands were positive for CK20 and CDX2 and negative for CK7, with a low proliferative index, mostly consistent with reactive colonic glands. The patient remained asymptomatic after one-year follow-up. A review of the literature shows very rare descriptions of similar lesions, but none fits exactly this pattern. We would designate this inverted lymphoglandular polyp and present this case to raise the awareness of recognizing this unusual histological entity.

Surgical treatment of distal biceps tendon rupture: a case report

Directory of Open Access Journals (Sweden)

Cristina N. Cozma

2017-11-01

Full Text Available Objectives. Distal biceps tendon rupture affects the functional upperextremity movement, impairing supination and flexion strength. According to age, profession and additional risks treatment might be nonoperative or surgical. Methods. We describe the case of a 43 years old male patient who sustained an injury to his right distal biceps and was diagnosed with acute right distal biceps rupture. Surgical treatment was decided and biceps tendon was reinserted to the radius tuberosity using a combination of a cortical button fixation associated with an interference screw. Results. Postoperative functional result was favorable with no complications and with no movement limitation after one month. Conclusions. When possible, distal biceps tendon repair should be realized surgically because this permits restoring of the muscle strength to near normal levels with no loss of motion. Nerve complications are common; therefore the surgery should be realized by experienced upper extremity surgeons.

Wind tunnel experiments on the effects of tillage ridge features on wind erosion horizontal fluxes

Directory of Open Access Journals (Sweden)

M. Kardous

2005-11-01

Full Text Available In addition to the well-known soil factors which control wind erosion on flat, unridged surfaces, two specific processes affect the susceptibility of tillage ridged surfaces to wind erosion: ridge-induced roughness and ridge- trapping efficiency. In order to parameterize horizontal soil fluxes produced by wind over tillage ridges, eight-ridge configurations composed of sandy soil and exhibiting ridge heights to ridge spacing (RH/RS ratios ranging from 0.18 to 0.38 were experimented in a wind tunnel. These experiments are used to develop a parameterization of the horizontal fluxes over tillage ridged surfaces based only on the geometric characteristics of the ridges. Indeed, the key parameters controlling the horizontal flux, namely the friction velocity, threshold friction velocity and the adjustment coefficient, are derived through specific expressions, from ridge heights (RH and ridge spacing (RS. This parameterization was evaluated by comparing the results of the simulations to an additional experimental data set and to the data set obtained by Hagen and Armbrust (1992. In both cases, predicted and measured values are found to be in a satisfying agreement. This parameterization was used to evaluate the efficiency of ridges in reducing wind erosion. The results show that ridged surfaces, when compared to a loose, unridged soil surface, lead to an important reduction in the horizontal fluxes (exceeding 60%. Moreover, the effect of ridges in trapping particles contributes for more than 90% in the flux reduction while the ridge roughness effect is weak and decreases when the wind velocity increases.

Magnetic Anomalies over the Mid-Atlantic Ridge near 27{degrees}N.

Science.gov (United States)

Phillips, J D

1967-08-25

Ten magnetic profiles across the mid-Atlantic ridge near 27 degrees N show trends that are parallel to the ridge axis and symmetrical about the ridge axis. The configuration of magnetic bodies that could account for the pattern supports the Vine and Matthews hypothesis for the origin of magnetic anomalies over oceanic ridges. A polarity-reversal time scale inferred from models for sea-floor spreading in the Pacific-Antarctic ridge and radiometrically dated reversals of the geomagnetic field indicates a spreading rate of 1.25 centimeters per year during the last 6 million years and a rate of 1.65 centimeters per year between 6 and 10 million years ago. A similar analysis of more limited data over the mid-Atlantic ridge near 22 degrees N also indicates a change in the spreading rate. Here a rate of 1.4 centimeters per year appears to have been in effect during the last 5 million years; between 5 and 9 million years ago, an increased rate of 1.7 centimeters per year is indicated. The time of occurrence and relative magnitude of these changes in the spreading rate, about 5 to 6 million years ago and 18 to 27 percent, respectively, accords with the spreading rate change implied for the Juan de Fuca ridge in the northeast Pacific.

Distal protection filter device efficacy with carotid artery stenting: comparison between a distal protection filter and a distal protection balloon.

Science.gov (United States)

Iko, Minoru; Tsutsumi, Masanori; Aikawa, Hiroshi; Matsumoto, Yoshihisa; Go, Yoshinori; Nii, Kouhei; Abe, Gorou; Ye, Iwae; Nomoto, Yasuyuki; Kazekawa, Kiyoshi

2013-01-01

This retrospective study aimed to compare the effectiveness of the embolization prevention mechanism of two types of embolic protection device (EPD)-a distal protection balloon (DPB) and a distal protection filter (DPF). Subjects were 164 patients scheduled to undergo carotid artery stenting: a DPB was used in 82 cases (DPB group) from April 2007 until June 2010, and a DPF was used in 82 cases (DPF group) from July 2010 to July 2011. Rates of positive findings on postoperative diffusion-weighted imaging (DWI) and stroke incidence were compared. Positive postoperative DWI results were found in 34 cases in the DPB group (41.4 %), but in only 22 cases in the DPF group (26.8 %), and there was only a small significant difference within the DPF group. In the DPB group, there was one case of transient ischemic attack (TIA) (1.2 %) and four cases of brain infarction (2 minor strokes, 2 major strokes; 4.9 %), compared to the DFP group with one case of TIA (1.2 %) and no cases of minor or major strokes. In this study, significantly lower rates of occurrence of DWI ischemic lesions and intraoperative embolization were associated with use of the DPF compared to the DPB.

Clinical outcomes of laparoscopic surgery for transverse and descending colon cancers in a community setting.

Science.gov (United States)

Matsuda, Takeru; Fujita, Hirofumi; Kunimoto, Yukihiro; Kimura, Taisei; Hayashi, Tomomi; Maeda, Toshiyuki; Yamakawa, Junichi; Mizumoto, Takuya; Ogino, Kazunori

2013-08-01

The feasibility, safety and oncological outcomes of laparoscopic surgery for transverse and descending colon cancers in a community hospital setting were evaluated. Twenty-six patients with transverse or descending colon cancers who underwent laparoscopic surgery at our hospital were included in this retrospective analysis (group A). Their outcomes were compared with those of 71 patients who underwent laparoscopic surgery for colon cancer at other tumor sites (group B). There were no significant differences between the two groups in terms of operative time, estimated blood loss, postoperative hospital stay and morbidity rate. Extended lymphadenectomy was performed more frequently and the number of harvested lymph nodes was significantly higher in group B than in group A. However, no recurrence developed in group A, while recurrence occurred in four patients from group B. The 3-year disease-free survival rates were 100% for group A and 93.5% for group B. The 3-year overall survival rates were 100% for group A and 91.6% for group B. Laparoscopic surgery for transverse and descending colon cancers can be performed safely with oncological validity in a community hospital setting, provided there is careful selection of the patients and adequate lymphadenectomy considering the clinical stage of their disease. © 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

Site characterization plan for groundwater in Waste Area Grouping 1 at Oak Ridge National Laboratory, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

Lee, R.R.; Curtis, A.H.; Houlberg, L.M.; Purucker, S.T.; Singer, M.L.; Tardiff, M.F.; Wolf, D.A.

1994-07-01

The Waste Area Grouping (WAG) 1 Groundwater Operable Unit (OU) at Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee, is undergoing a site characterization to identify environmental contamination that may be present. This document, Site Characterization Report for Groundwater in Waste Area Grouping I at Oak Ridge National Laboratory, Oak Ridge, Tennessee, identifies areas of concern with respect to WAG 1 groundwater and presents the rationale, justification, and objectives for conducting this continuing site characterization. This report summarizes the operations that have taken place at each of the areas of concern in WAG 1, summarizes previous characterization studies that have been performed, presents interpretations of previously collected data and information, identifies contaminants of concern, and presents an action plan for further site investigations and early actions that will lead to identification of contaminant sources, their major groundwater pathways, and reduced off-site migration of contaminated groundwater to surface water. Site characterization Activities performed to date at WAG I have indicated that groundwater contamination, principally radiological contamination, is widespread. An extensive network of underground pipelines and utilities have contributed to the dispersal of contaminants to an unknown extent. The general absence of radiological contamination in surface water at the perimeter of WAG 1 is attributed to the presence of pipelines and underground waste storage tank sumps and dry wells distributed throughout WAG 1 which remove more than about 40 million gal of contaminated groundwater per year.

Site characterization plan for groundwater in Waste Area Grouping 1 at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Lee, R.R.; Curtis, A.H.; Houlberg, L.M.; Purucker, S.T.; Singer, M.L.; Tardiff, M.F.; Wolf, D.A.

1994-07-01

The Waste Area Grouping (WAG) 1 Groundwater Operable Unit (OU) at Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee, is undergoing a site characterization to identify environmental contamination that may be present. This document, Site Characterization Report for Groundwater in Waste Area Grouping I at Oak Ridge National Laboratory, Oak Ridge, Tennessee, identifies areas of concern with respect to WAG 1 groundwater and presents the rationale, justification, and objectives for conducting this continuing site characterization. This report summarizes the operations that have taken place at each of the areas of concern in WAG 1, summarizes previous characterization studies that have been performed, presents interpretations of previously collected data and information, identifies contaminants of concern, and presents an action plan for further site investigations and early actions that will lead to identification of contaminant sources, their major groundwater pathways, and reduced off-site migration of contaminated groundwater to surface water. Site characterization Activities performed to date at WAG I have indicated that groundwater contamination, principally radiological contamination, is widespread. An extensive network of underground pipelines and utilities have contributed to the dispersal of contaminants to an unknown extent. The general absence of radiological contamination in surface water at the perimeter of WAG 1 is attributed to the presence of pipelines and underground waste storage tank sumps and dry wells distributed throughout WAG 1 which remove more than about 40 million gal of contaminated groundwater per year

Extraction of lead and ridge characteristics from SAR images of sea ice

Science.gov (United States)

Vesecky, John F.; Smith, Martha P.; Samadani, Ramin

1990-01-01

Image-processing techniques for extracting the characteristics of lead and pressure ridge features in SAR images of sea ice are reported. The methods are applied to a SAR image of the Beaufort Sea collected from the Seasat satellite on October 3, 1978. Estimates of lead and ridge statistics are made, e.g., lead and ridge density (number of lead or ridge pixels per unit area of image) and the distribution of lead area and orientation as well as ridge length and orientation. The information derived is useful in both ice science and polar operations for such applications as albedo and heat and momentum transfer estimates, as well as ship routing and offshore engineering.

Detection of genomic instability in descendants of male mice exposed to chronic low-level gamma-radiation using the test 'adaptive response'

International Nuclear Information System (INIS)

Rozanova, O.M.; Zaichkina, S.I.; Akhmadieva, A.; Aptikaeva, G.F.; Klokov, D.J.

2003-01-01

Full text: The goal of the present study was to examine whether the genomic instability can be revealed in vivo using the test 'adaptive response' (AR). Two-month-old BALB/C male mice were subjected to chronic irradiation in the gamma-field with a dose of 0.1 Gy (0.01 Gy/day) and a dose of 0.5 Gy (0.01 and 0.05 Gy/day). Control animals were kept under similar conditions but without irradiation. Fifteen days after the irradiation, males from the irradiated and control groups were mated in separate cages with unirradiated females for 2 weeks. The males, descendants from irradiated and unirradiated parents, at an age of two months were subjected to additional irradiation with a dose of 1.5 Gy. To reveal the genetic instability using the AR test, another group of males, the descendants from irradiated and unirradiated parents, were exposed to acute irradiation by the scheme of AR: with an adapting dose (D1) of 0.1 Gy (0.125 Gy/min) followed after a day by a challenging dose (D2) of 1.5 Gy (0.47 Gy/min). After 28 h, the animals of all groups were killed. Bone marrow specimens for calculating micronuclei (MN) in polychromatophyl erythrocytes (PCE) were prepared. It was found that in descendants that resulted from unirradiated parents and the parents irradiated with a dose of 0.1 Gy, the percentages of PCE with injuries were nearly equal. Upon irradiation of parents with a dose of 0.5 Gy, the percentage of PCE with MN in descendants increased. The examination of radiosensitivity of descendants from irradiated parents showed that the percentage of PCE with MN decreased three-to-fourfold (depending on the dose of irradiation of the parents) compared to descendants from unirradiated parents. If the descendants from exposed parents were irradiated by the scheme of AR, no AR was observed. Thus, the experimental data indicated that, it is possible to detect the transition of gamma-radiation-induced genomic instability in sex cells of male parents into somatic cells of mice (F1

Bear Creek Valley Floodplain Hot Spot Removal Action Project Plan, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1998-01-01

The Bear Creek Valley Floodplain Hot Spot Removal Action Project Plan, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee (Y/ER-301) was prepared (1) to safely, cost-effectively, and efficiently evaluate the environmental impact of solid material in the two debris areas in the context of industrial land uses (as defined in the Bear Creek Valley Feasibility Study) to support the Engineering Evaluation/Cost Assessment and (2) to evaluate, define, and implement the actions to mitigate these impacts. This work was performed under Work Breakdown Structure 1.x.01.20.01.08

Submarine sand ridges and sand waves in the eastern part of the China Sea

Science.gov (United States)

Wu, Ziyin; Li, Shoujun; Shang, Jihong; Zhou, Jieqiong; Zhao, Dineng; Liang, Yuyang

2016-04-01

Integrated with multi-beam and single-beam echo sounding data, as well as historical bathymetric data, submarine bathymetric maps of the eastern part of the China Sea, including the Bohai Sea, Huanghai Sea, and East China Sea, are constructed to systematically study submarine sand ridges and sand waves in the eastern part of the China Sea, combined with high-resolution seismic, sub-bottom profile and borehole data. Submarine sand ridges are extraordinarily developed in the eastern part of the China Sea, and 7 sand ridge areas can be divided from north to south, that is, the Laotieshan Channel sand ridge area in the Bohai Sea, the Korea Bay sand ridge area in the southern Huanghai Sea, the sand ridge area in the eastern Huanghai islands and the Huanghai Troughs, the Jianggang sand ridge area in the western Huanghai Sea, the sand ridge area in the East China Sea shelf, and the sand ridge and sand wave area in the Taiwan Strait and Taiwan Banks. The distribution area of the sand ridges and sand waves covers more than 450,000 km2, wherein ~10,000 km2 in the Bohai Bay, ~200,000 km2 in the Huanghai Sea, ~200,000 km2 in the East China Sea shelf, and ~40,000 km2 in the Taiwan Strait and Taiwan Banks, respectively. The great mass of sand ridges are distributed within water depth of 5-160 m, with a total length of over 160 km and a main width of 5-10 km. The inner structure of the sand ridges presents features of high-angle inclined beddings, with main lithology of sands, sand-mud alternations partly visible, and a small number of mud cores. Dating results indicate that the sand ridges in the eastern part of the China Sea are mainly developed in the Holocene. Sea-level variation dominates the sand ridge evolution in the eastern part of the China Sea since the LGM, and the sand ridges developed in the area of < 60m water depth are appeared in bad activity, meanwhile sand ridges with good activity are still developed in large scale.

Determining the anatomy of the descending palatine artery and pterygoid plates with computed tomography in Class III patients.

Science.gov (United States)

Ueki, Koichiro; Hashiba, Yukari; Marukawa, Kohei; Nakagawa, Kiyomasa; Okabe, Katsuhiko; Yamamoto, Etsuhide

2009-12-01

Understanding the anatomy of the pterygomaxillary junction region helps prevent blood loss in Le Fort I osteotomy. Here, we determined the location of the descending palatine artery and the structure of the pterygomaxillary region. The study group consisted of 82 Japanese patients with mandibular prognathism and asymmetry, with and without maxillary retrognathism or asymmetry. A total of 164 sides were measured and divided into right versus left, men versus women, and bimaxillary osteotomy (B) versus mandibular osteotomy (S). Lateral and frontal cephalograms and computed tomography (CT) were analysed for all patients. The relationship between the cephalometric measurements and the measurements of the descending palatine artery and pterygoid plate (PP) were assessed. There were no significant correlations between measurements of cephalograms and those of the descending palatine artery and PPs. There were significant differences between right and left in lateral plate length (p=0.0014) and thickness of PP (p=0.0047). There were significant differences between men and women in right width of PP (p=0.0034), right thickness of PP (p=0.0063), left posterior length (p=0.0196), and left thickness of PP (p=0.0279). The B group had a shorter anterior length than the S group (right: ppalatine artery and the morphology of the PPs were not significantly associated with any cephalometric measurements. CT examination is necessary to recognize the anatomy of pterygomaxillary region and the exact positions of descending palatine artery before Le Fort I osteotomy.

Descending serotonergic facilitation mediated by spinal 5-HT3 receptors engages spinal rapamycin-sensitive pathways in the rat

Science.gov (United States)

Asante, Curtis O.; Dickenson, Anthony H.

2010-01-01

We have recently reported the importance of spinal rapamycin-sensitive pathways in maintaining persistent pain-like states. A descending facilitatory drive mediated through spinal 5-HT3 receptors (5-HT3Rs) originating from superficial dorsal horn NK1-expressing neurons and that relays through the parabrachial nucleus and the rostroventral medial medulla to act on deep dorsal horn neurons is known be important in maintaining these pain-like states. To determine if spinal rapamycin-sensitive pathways are activated by a descending serotonergic drive, we investigated the effects of spinally administered rapamycin on responses of deep dorsal horn neurons that had been pre-treated with the selective 5-HT3R antagonist ondansetron. We also investigated the effects of spinally administered cell cycle inhibitor (CCI)-779 (a rapamycin ester analogue) on deep dorsal horn neurons from rats with carrageenan-induced inflammation of the hind paw. Unlike some other models of persistent pain, this model does not involve an altered 5-HT3R-mediated descending serotonergic drive. We found that the inhibitory effects of rapamycin were significantly reduced for neuronal responses to mechanical and thermal stimuli when the spinal cord was pre-treated with ondansetron. Furthermore, CCI-779 was found to be ineffective in attenuating spinal neuronal responses to peripheral stimuli in carrageenan-treated rats. Therefore, we conclude that 5-HT3R-mediated descending facilitation is one requirement for activation of rapamycin-sensitive pathways that contribute to persistent pain-like states. PMID:20709148

Wind tunnel experiments on the effects of tillage ridge features on wind erosion horizontal fluxes

Directory of Open Access Journals (Sweden)

M. Kardous

2005-11-01

Full Text Available In addition to the well-known soil factors which control wind erosion on flat, unridged surfaces, two specific processes affect the susceptibility of tillage ridged surfaces to wind erosion: ridge-induced roughness and ridge- trapping efficiency.

In order to parameterize horizontal soil fluxes produced by wind over tillage ridges, eight-ridge configurations composed of sandy soil and exhibiting ridge heights to ridge spacing (RH/RS ratios ranging from 0.18 to 0.38 were experimented in a wind tunnel. These experiments are used to develop a parameterization of the horizontal fluxes over tillage ridged surfaces based only on the geometric characteristics of the ridges. Indeed, the key parameters controlling the horizontal flux, namely the friction velocity, threshold friction velocity and the adjustment coefficient, are derived through specific expressions, from ridge heights (RH and ridge spacing (RS. This parameterization was evaluated by comparing the results of the simulations to an additional experimental data set and to the data set obtained by Hagen and Armbrust (1992. In both cases, predicted and measured values are found to be in a satisfying agreement.

This parameterization was used to evaluate the efficiency of ridges in reducing wind erosion. The results show that ridged surfaces, when compared to a loose, unridged soil surface, lead to an important reduction in the horizontal fluxes (exceeding 60%. Moreover, the effect of ridges in trapping particles contributes for more than 90% in the flux reduction while the ridge roughness effect is weak and decreases when the wind velocity increases.

The importance of the descending monoamine system for the pain experience and its treatment

Science.gov (United States)

Dickenson, Anthony H

2009-01-01

Brainstem and midbrain areas engage descending facilitatory and inhibitory neurones to potentiate or suppress the passage of sensory inputs from spinal loci to the brain. The balance between descending controls, both excitatory and inhibitory, can be altered in various pain states and can critically determine the efficacy of certain analgesic drugs. There is good evidence for a prominent α2 adrenoceptor-mediated inhibitory system and for 5-HT3 receptor-mediated excitatory control of spinal cord activity that originates in supraspinal areas. Given the multiple roles of these transmitters in pain and functions such as sleep, depression, and anxiety, the link between spinal and supraspinal processing of noxious inputs (via the monoamine transmitters) could be pivotal for linking the sensory and affective components of pain and their common co-morbidities, and also may potentially explain differences in pain scores and treatment outcomes in the patient population. PMID:20948695

Geophysical survey work plan for White Wing Scrap Yard (Waste Area Grouping 11) at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1994-02-01

The White Wing Scrap Yard, located on the U.S. Department of Energy's Oak Ridge Reservation, served as an aboveground storage and disposal area for contaminated debris and scrap from the Oak Ridge K-25 Site, the Oak Ridge Y-12 Plant, and the Oak Ridge National laboratory. The site is believed to have been active from the early 1950s until the mid-1960s. A variety of materials were disposed of at the site, including contaminated steel tanks and vehicles. As an interim corrective action, a surface debris removal effort was initiated in November 1993 to reduce the potential threat to human health and the environment from the radionuclide-contaminated debris. Following this removal effort, a geophysical survey will be conducted across the site to locate and determine the lateral extent of buried nonindigenous materials. This survey will provide the data necessary to prepare a map showing areas of conductivity and magnetic intensity that vary from measured background values. These anomalies represent potential buried materials and therefore can be targeted for further evaluation. This work plan outlines the activities necessary to conduct the geophysical survey

Left anterior descending coronary artery dissection during ventricular tachycardia ablation – case report

Directory of Open Access Journals (Sweden)

Kordic Kresimir

2018-03-01

Full Text Available Fascicular left ventricular tachycardia (VT is the second most frequent idiopathic left VT in the setting of a structurally normal heart. Catheter ablation is curative in most patients with low complication rates. We report a case of ostial left anterior descending coronary artery (LAD occlusion during fascicular ventricular tachycardia ablation.

Opportunities for mourning when grief is disenfranchised: descendants of Nazi perpetrators in dialogue with Holocaust survivors.

Science.gov (United States)

Livingston, Kathy

2010-01-01

This article explores the concepts of unmourned and disenfranchised grief as a way to understand the experiences of adult children of Nazi perpetrators, who grew up with cultural norms of grieving alone or in silence. The scholarly literature on descendants of Nazis reflects a group unlikely to warrant empathy or support from others because of the stigma surrounding their family's possible involvement in the Holocaust atrocities. This article uses, as a case study approach, the testimony given by Monika Hertwig, the adult daughter of a high ranking Nazi, who appears in the documentary film, Inheritance. From the perspective of disenfranchised grief, defined as grief that is not socially recognized or supported, the article links Monika's testimony with existing research from in-depth interviews with other descendants of Nazis to suggest that, as a group, they lacked permission to grieve their deceased parents, acknowledgment of their grief, and opportunities to mourn. Based on the theory that the effects of grief can be transgenerational, the disenfranchisement experienced by the "children of the Third Reich" does not have to pass to subsequent generations if opportunities for mourning are made possible and some resolution of grief occurs. Studies have shown that ongoing dialogue groups between Holocaust survivors and descendants of Nazis provide opportunities for mourning to both groups.

Circulation in the region of the Reykjanes Ridge in June-July 2015

Science.gov (United States)

Tillys, Petit; Herle, Mercier; Virginie, Thierry

2017-04-01

The Reykjanes Ridge is a major topographic feature of the North-Atlantic Ocean lying south of Iceland that strongly influences the pathways of the upper and lower limbs of the meridional overturning cell. The circulation in the vicinity of the Reykjanes Ridge is anticyclonic and characterized by a southwestward flow (the East Reykjanes Ridge Current, ERRC) along the eastern flank and a northeastward flow (the Irminger Current, IC) along the western flank. Even if it is admitted that the ERRC feeds the IC through a cross-ridge flow, details and magnitude of this circulation remain unclear. In this study, the circulation in the region of the Reykjanes Ridge was investigated based on ADCP and CTDO2 measurements carried out from the R/V Thalassa during the RREX cruise, which provided a snapshot of the water mass distribution and circulation during summer 2015. One hydrographic section followed the top of the Reykjanes Ridge between Iceland and 50˚ N and three other sections were carried out perpendicularly to the ridge at 62˚ N, 58.5˚ N and 56˚ N. Geostrophic transports were estimated by combining ADCP and hydrographic data. Those observations were used to provide an estimate of the circulation around the Ridge and to discuss the meridional evolutions of the ERRC and IC transports along the Ridge and their connection to the cross-Ridge flows. The section along the top of the Reykjanes Ridge allowed us to describe the cross ridge exchanges. A westward flow crossed the Ridge between Iceland and 53˚ N. Its top to bottom integrated transport was estimated at 17.7 Sv. Two main passages were identified for the westward crossing. A first passage is located near 57˚ N (Bight Fracture Zone, BFZ) in agreement with previous studies. More surprisingly, a second passage is located near 59˚ N. The top-to-bottom transports of those two main flows were estimated at 6.5 and 8 Sv respectively. The IC and ERRC top-to-bottom integrated transports were maximum at 58.5˚ N and

Some Improved Classification-Based Ridge Parameter Of Hoerl And ...

African Journals Online (AJOL)

Of Hoerl And Kennard Estimation Techniques. 1Adewale F. Lukmanand 1Kayode Ayinde. 1 Department of Statistics, ... ordinary least square (OLS) in handling it. However, it requires a ridge parameter, K, of which many have ... handle the problem of multicollinearity. They suggested the addition of ridge parameter K to the ...

Surface radiological investigation of Trench 5 in Waste Area Grouping 7 at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Goff, D.D.

1991-08-01

A surface radiological investigation of areas encompassing Trench 5 on the Oak Ridge Reservation (ORR) was conducted from May 1990 through November 1990. This survey was led by the author, assisted by various members of the Measurement Applications and Development (MAD) group of the Health and Safety Research Division (HASRD) of Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee. The purpose of the investigation was to determine the presence, nature, and extent of surface radiological contamination at Trench 5, the Homogeneous Reactor Experiment fuel wells, and surrounding areas. Based on the data obtained in the field, interim corrective measures were recommended to limit human exposure to radioactivity and to minimize insult to the environment. It should be stressed that this project was not intended to be a complete site characterization but rather to be a preliminary investigation into the potential contamination problem that might exist as a result of past operations at Trench 5

Morphotectonic and petrological variations along the southern Central Indian Ridge

Digital Repository Service at National Institute of Oceanography (India)

Mukhopadhyay, R.; Iyer, S.D.; Ray, Dwijesh; Karisiddaiah, S.M.; Drolia, R.K.

above the DM and Enriched Mantle (EM2) end member and resemble a linear mixing with Indian Ocean pelagic sediments (Fig. 4a, b). By contrast, the isotope data of IOTJ-MORB occupy a distinct field in the radiogenic Pb-Pb and Sr-Pb binary plots... EM, Karsten JL, 1995 Ocean-ridge basalts with convergent-margin geochemical affinities from the Chile Ridge. Nature 374:52-57 Klein EM, Langmuir CH, 1987 Global correlations of ocean ridge basalt chemistry with axial depth and crustal chemistry...

Radiographic study of distal radial physeal closure in thoroughbred horses

International Nuclear Information System (INIS)

Vulcano, L.C.; Mamprim, M.J.; Muniz, L.M.R.; Moreira, A.F.; Luna, S.P.L.

1997-01-01

Monthly radiography was performed to study distal radial physeal closure in ten male and ten female Throughbred horses. The height, thoracic circumference and metacarpus circumference were also measured, Distal radial physeal closure time was sooner in females than males, and took 701 +/- 37 and 748 +/- 55 days respectively

Supracardiac total anomalous pulmonary venous connection with a descending vertical vein.

Science.gov (United States)

Shah, Sejal; Singh, Mukesh; John, Colin; Maheshwari, Sunita

2009-10-01

The commonly used Darling classification for total anomalous pulmonary venous connection (TAPVC) consists of supracardiac, cardiac, infracardiac, and mixed types (Craig et al., Lab Invest 6:44-64, 1967). In supracardiac TAPVC, the common pulmonary vein drains superiorly into the left innominate vein, the superior vena cava, or the azygos vein by way of an ascending vertical vein. We describe a case of supracardiac TAPVC draining into the azygos vein atypically by way of a descending vertical vein.

Distal Embolic Protection for Renal Arterial Interventions

International Nuclear Information System (INIS)

Dubel, Gregory J.; Murphy, Timothy P.

2008-01-01

Distal or embolic protection has intuitive appeal for its potential to prevent embolization of materials generated during interventional procedures. Distal protection devices (DPDs) have been most widely used in the coronary and carotid vascular beds, where they have demonstrated the ability to trap embolic materials and, in some cases, to reduce complications. Given the frequency of chronic kidney disease in patients with renal artery stenosis undergoing stent placement, it is reasonable to propose that these devices may play an important role in limiting distal embolization in the renal vasculature. Careful review of the literature reveals that atheroembolization does occur during renal arterial interventions, although it often goes undetected. Early experience with DPDs in the renal arteries in patients with suitable anatomy suggests retrieval of embolic materials in approximately 71% of cases and renal functional improvement/stabilization in 98% of cases. The combination of platelet inhibition and a DPD may provide even greater benefit. Given the critical importance of renal functional preservation, it follows that everything that can be done to prevent atheroembolism should be undertaken including the use of DPDs when anatomically feasible. The data available at this time support a beneficial role for these devices

Testing models for the formation of the equatorial ridge on Iapetus via crater counting

Science.gov (United States)

Damptz, Amanda L.; Dombard, Andrew J.; Kirchoff, Michelle R.

2018-03-01

Iapetus's equatorial ridge, visible in global views of the moon, is unique in the Solar System. The formation of this feature is likely attributed to a key event in the evolution of Iapetus, and various models have been proposed as the source of the ridge. By surveying imagery from the Cassini and Voyager missions, this study aims to compile a database of the impact crater population on and around Iapetus's equatorial ridge, assess the relative age of the ridge from differences in cratering between on ridge and off ridge, and test the various models of ridge formation. This work presents a database that contains 7748 craters ranging from 0.83 km to 591 km in diameter. The database includes the study area in which the crater is located, the latitude and longitude of the crater, the major and minor axis lengths, and the azimuthal angle of orientation of the major axis. Analysis of crater orientation over the entire study area reveals that there is no preference for long-axis orientation, particularly in the area with the highest resolution. Comparison of the crater size-frequency distributions show that the crater distribution on the ridge appears to be depleted in craters larger than 16 km with an abruptly enhanced crater population less than 16 km in diameter up to saturation. One possible interpretation is that the ridge is a relatively younger surface with an enhanced small impactor population. Finally, the compiled results are used to examine each ridge formation hypothesis. Based on these results, a model of ridge formation via a tidally disrupted sub-satellite appears most consistent with our interpretation of a younger ridge with an enhanced small impactor population.

Contemporary Management of Primary Distal Urethral Cancer.

Science.gov (United States)

Traboulsi, Samer L; Witjes, Johannes Alfred; Kassouf, Wassim

2016-11-01

Primary urethral cancer is one of the rare urologic tumors. Distal urethral tumors are usually less advanced at diagnosis compared with proximal tumors and have a good prognosis if treated appropriately. Low-stage distal tumors can be managed successfully with a surgical approach in men or radiation therapy in women. There are no clear-cut indications for the choice of the most appropriate treatment modality. Organ-preserving modalities have shown effective and should be used whenever they do not compromise the oncological safety to decrease the physical and psychological trauma of dismemberment or loss of sexual/urinary function. Copyright © 2016 Elsevier Inc. All rights reserved.

Fetal topographical anatomy of the female urethra and descending vagina: a histological study of the early human fetal urethra.

Science.gov (United States)

Masumoto, Hiroshi; Rodríguez-Vázquez, Jose Francisco; Verdugo-López, Samuel; Murakami, Gen; Matsubara, Akio

2011-12-20

Which parts of the male urethra correspond to the female urethra? To resolve this question, we need to understand fetal topographical changes in the urethra, its external sphincter and vagina. The vagina joins the mid-course of the primitive urethra and, later "descends" to the vaginal vestibulum. We examined histological sections of 14 female and 4 male mid-term fetuses. The inferior end of the vagina was consistently embedded in the posterior wall of the urethra at 9-12 weeks. The supero-inferior level of the vaginal merging was lower in larger fetuses. Thus, the sequential variation in levels appeared to reflect the process of vaginal descent. However, in spite of penetration of the vaginal end into the posterior urethral wall, we found no sign of destruction of the urethral wall after vaginal descent in the low-merging types. Before vaginal descent, the female external sphincter extended posterolaterally around the urethra. The vaginal descent is classically regarded as a relative topographical change, but it is likely to be a result of elongation of the proximal urethra in the superior side of the vaginal merging. Conversely, the distal urethra is likely to be incorporated into the vaginal vestibulum by 15 weeks. During these processes, most of the female external sphincter seems to be expelled from the original anterior position into the vestibular wall as the urethrovaginal sphincter. The adult female urethra seems to correspond to the male prostatic urethra superior to the prostatic colliculus. Copyright © 2011 Elsevier GmbH. All rights reserved.

Seismic imaging of the Formosa Ridge cold seep site offshore of southwestern Taiwan

Science.gov (United States)

Hsu, Ho-Han; Liu, Char-Shine; Morita, Sumito; Tu, Shu-Lin; Lin, Saulwood; Machiyama, Hideaki; Azuma, Wataru; Ku, Chia-Yen; Chen, Song-Chuen

2017-12-01

Multi-scale reflection seismic data, from deep-penetration to high-resolution, have been analyzed and integrated with near-surface geophysical and geochemical data to investigate the structures and gas hydrate system of the Formosa Ridge offshore of southwestern Taiwan. In 2007, dense and large chemosynthetic communities were discovered on top of the Formosa Ridge at water depth of 1125 m by the ROV Hyper-Dolphin. A continuous and strong BSR has been observed on seismic profiles from 300 to 500 ms two-way-travel-time below the seafloor of this ridge. Sedimentary strata of the Formosa Ridge are generally flat lying which suggests that this ridge was formed by submarine erosion processes of down-slope canyon development. In addition, some sediment waves and mass wasting features are present on the ridge. Beneath the cold seep site, a vertical blanking zone, or seismic chimney, is clearly observed on seismic profiles, and it is interpreted to be a fluid conduit. A thick low velocity zone beneath BSR suggests the presence of a gas reservoir there. This "gas reservoir" is shallower than the surrounding canyon floors along the ridge; therefore as warm methane-rich fluids inside the ridge migrate upward, sulfate carried by cold sea water can flow into the fluid system from both flanks of the ridge. This process may drive a fluid circulation system and the active cold seep site which emits both hydrogen sulfide and methane to feed the chemosynthetic communities.

Global Models of Ridge-Push Force, Geoid, and Lithospheric Strength of Oceanic plates

Science.gov (United States)

Mahatsente, Rezene

2017-12-01

An understanding of the transmission of ridge-push related stresses in the interior of oceanic plates is important because ridge-push force is one of the principal forces driving plate motion. Here, I assess the transmission of ridge-push related stresses in oceanic plates by comparing the magnitude of the ridge-push force to the integrated strength of oceanic plates. The strength is determined based on plate cooling and rheological models. The strength analysis includes low-temperature plasticity (LTP) in the upper mantle and assumes a range of possible tectonic conditions and rheology in the plates. The ridge-push force has been derived from the thermal state of oceanic lithosphere, seafloor depth and crustal age data. The results of modeling show that the transmission of ridge-push related stresses in oceanic plates mainly depends on rheology and predominant tectonic conditions. If a lithosphere has dry rheology, the estimated strength is higher than the ridge-push force at all ages for compressional tectonics and at old ages (>75 Ma) for extension. Therefore, under such conditions, oceanic plates may not respond to ridge-push force by intraplate deformation. Instead, the plates may transmit the ridge-push related stress in their interior. For a wet rheology, however, the strength of young lithosphere (stress may dissipate in the interior of oceanic plates and diffuses by intraplate deformation. The state of stress within a plate depends on the balance of far-field and intraplate forces.

THE STATISTICAL MODEL OF PRESSURE RIDGE MORPHOMETRY ON THE NORTHEAST SHELF OF SAKHALIN ISLAND

Directory of Open Access Journals (Sweden)

E. U. Mironov

2012-01-01

Full Text Available The work presents characteristics on geometry and inner structure of ice ridges investigated at offshore the northeast coast of SakhalinIsland. A formula was obtained which allows one to calculate the ice ridge keel depth by the height of its sail. Plots of the probability distribution density for ice ridge characteristics are given. A model of morphometry of a mean statistical ice ridge was constructed, and its mass is determined. Factors influencing the hydrostatic ice ridge equilibrium are considered.

Active spreading processes at ultraslow mid-ocean ridges: The 1999-2001 seismo-volcanic episode at 85°E Gakkel ridge, Arctic Ocean

Science.gov (United States)

Schlindwein, Vera; Riedel, Carsten; Korger, Edith; Läderach, Christine

2010-05-01

The rate of magma and crustal production at mid-ocean ridges is thought to decrease with decreasing spreading rate. At ultraslow spreading rates below 10-20 mm/y full rate, heat loss by conduction greatly reduces melt production with less melt produced at increasingly greater depths. Gakkel Ridge, the actively spreading mid-ocean ridge in the Arctic Ocean, opens at rates of 14 mm/y in the west decreasing to less than 6 mm/y at its eastern termination and demonstrates that magma production is not only a function of spreading rate. Whereas amagmatic spreading takes place at rates of about 12-10 mm/y, focussed melt production occurs at even lower spreading rates in long-lived discrete volcanic centres. One such centre is the 85°E volcanic complex at eastern Gakkel ridge where in 1999 a teleseismically recorded earthquake swarm consisting of more than 250 earthquakes over 9 months signalled the onset of an active spreading episode. The earthquake swarm is believed to be associated with volcanic activity although no concurrent lava effusion was found. We analysed the teleseismic earthquake swarm together with visual observation and microseismic data recorded at this site in 2001 and 2007 and noted the following characteristics which may be indicative for volcanic spreading events at the still poorly explored ultraslow spreading ridges: - unusual duration: The 1999 earthquake swarm lasted over 9 months rather than a few weeks as observed on faster spreading ridges. In addition, in 2001 seismoacoustic sounds which we interpret as gas discharge in Strombolian eruptions and a giant event plume maintained over more than one year indicate waxing and waning volcanic activity since 1999. - unusual strength: The earthquake swarm was detected at teleseismic distances of more than 1000 km and included 11 events with a magnitude >5. No other confirmed mid-ocean ridge eruption released a comparable seismic moment. Rather than focussing in a narrow area or showing pronounced

Hot subduction: Magmatism along the Hunter Ridge, SW Pacific

International Nuclear Information System (INIS)

Crawford, A.J.; Verbeeten, A.; Danyushevsky, L.V.; Sigurdsson, I.A.; Maillet, P.; Monzier, M.

1997-01-01

The Hunter 'fracture zone' is generally regarded as a transform plate boundary linking the oppositely dipping Tongan and Vanuatu subduction systems. Dredging along the Hunter Ridge and sampling of its northernmost extent, exposed as the island of Kadavu in Fiji, has yielded a diversity of magmatic suites, including arc tholeiites and high-Ca boninites, high-Mg lavas with some affinities to boninites and some affinities to adakites, and true adakitic lavas associated with remarkable low-Fe, high-Na basalts with 8-16 ppm Nb (herein high-Nb basalts). Lavas which show clear evidence of slab melt involvement in their petrogenesis occur at either end of the Hunter Ridge, whereas the arc tholeiites and high-Ca boninites appear to be restricted to the south central part of the ridge. Mineralogical and whole rock geochemical data for each of these suites are summarized, and a tectono-magmatic model for their genesis and distribution is suggested. Trace element features and radiogenic isotope data for the Hunter Ridge lavas indicate compositions analogue to Pacific MORB-like mantle

Crustal structure and tectonics of the Ninetyeast Ridge from seismic and gravity studies

Digital Repository Service at National Institute of Oceanography (India)

Krishna, K.S.; Neprochnov, Y.P.; Rao, D.G.; Grinko, B.N.

Seismic reflection and refraction, gravity, and bathymetric data across and along the central part of the Ninetyeast Ridge were analyzed to determine the crustal structure of the ridge and to understand its tectonics. The ridge in the study area...

One-stage lingual augmented urethroplasty in repair of distal penile ...

African Journals Online (AJOL)

E. Elsayed

Abstract. Objectives: To evaluate the outcome of augmentation of shallow urethral plate by lingual graft in repair of distal penile hypospadias. Patients and methods: Between June 2008 and May 2011, the procedure was performed on 23 patients with mean age 2.3 years (range 1–3). All patients had distal penile ...

Locking plate fixation in distal metaphyseal tibial fractures: series of 79 patients

OpenAIRE

Gupta, Rakesh K.; Rohilla, Rajesh Kumar; Sangwan, Kapil; Singh, Vijendra; Walia, Saurav

2009-01-01

Open reduction and internal fixation in distal tibial fractures jeopardises fracture fragment vascularity and often results in soft tissue complications. Minimally invasive osteosynthesis, if possible, offers the best possible option as it permits adequate fixation in a biological manner. Seventy-nine consecutive adult patients with distal tibial fractures, including one patient with a bilateral fracture of the distal tibia, treated with locking plates, were retrospectively reviewed. The 4.5-...

Holifield Heavy-Ion Research Facility at Oak Ridge

International Nuclear Information System (INIS)

Jones, C.M.

1977-01-01

A new heavy-ion accelerator facility is now under construction at the Oak Ridge National Laboratory. A brief description of the scope and schedule of this project is given, and the new large tandem accelerator, which will be a major element of the facility is discussed in some detail. Several studies which have been made or are in progress in Oak Ridge in preparation for operation of the tandem accelerator are briefly described

Mid Ocean Ridge Processes at Very Low Melt Supply : Submersible Exploration of Smooth Ultramafic Seafloor at the Southwest Indian Ridge, 64 degree E

Science.gov (United States)

Cannat, M.; Agrinier, P.; Bickert, M.; Brunelli, D.; Hamelin, C.; Lecoeuvre, A.; Lie Onstad, S.; Maia, M.; Prampolini, M.; Rouméjon, S.; Vitale Brovarone, A.; Besançon, S.; Assaoui, E. M.

2017-12-01

Mid-ocean ridges are the Earth's most extensive and active volcanic chains. They are also, particularly at slow spreading rates, rift zones, where plate divergence is in part accommodated by faults. Large offset normal faults, also called detachments, are characteristic of slow-spreading ridges, where they account for the widespread emplacement of mantle-derived rocks at the seafloor. In most cases, these detachments occur together with ridge magmatism, with melt injection and faulting interacting to shape the newly formed oceanic lithosphere. Here, we seek to better understand these interactions and their effects on oceanic accretion by studying the end-member case of a ridge where magmatism is locally almost absent. The portion of the Southwest Indian ridge we are studying has an overal low melt supply, focused to discrete axial volcanoes, leaving almost zero melt to intervening sections of the axial valley. One of these nearly amagmatic section of the ridge, located at 64°E, has been the focus of several past cruises (sampling, mapping and seismic experiments). Here we report on the most recent cruise to the area (RV Pourquoi Pas? with ROV Victor; dec-jan 2017), during which we performed high resolution mapping, submersible exploration and sampling of the ultramafic seafloor and of sparse volcanic formations. Our findings are consistent with the flip-flop detachment hypothesis proposed for this area by Sauter et al. (Nature Geosciences, 2013; ultramafic seafloor forming in the footwall of successive detachment faults, each cutting into the footwall of the previous fault, with an opposite polarity). Our observations also document the extent and geometry of deformation in the footwall of a young axial detachment, the role of mass-wasting for the evolution of this detachment, and provide spectacular evidence for serpentinization-related hydrothermal circulation and for spatial links between faults and volcanic eruptions.

Distal vertebral artery reconstruction when managing vertebrobasilar insufficiency

Directory of Open Access Journals (Sweden)

D. M. Galaktionov

2017-11-01

Full Text Available This article presents a literature review devoted to the reconstruction of the distal vertebral artery and a clinical case of successful surgical treatment of a patient suffering from vertebrobasilar insufficiency caused by occlusion of the vertebral artery in a proximal segment. The external carotid artery-distal vertebral artery bypass was performed by using the radial artery.Received 27 February 2017. Revised 25 July 2017. Accepted 3 August 2017.Funding: The study did not have sponsorship.Conflict of interest: The authors declare no conflict of interest. 

Neglected Distal Humeral Epiphyseal Injury - Two Case Reports

Directory of Open Access Journals (Sweden)

Dr. Pankaj Kumar

2008-07-01

Full Text Available Distal humeral epiphyseal separation is an uncommon injury in children, which can be missed or misdiagnosed at initial presentation. Awareness of this injury and appropriate radiological assessment helps in proper management. Neglected cases because of inappropriate diagnosis can result in cubitus varus deformity. Full range of movements of elbow can be achieved if properly diagnosed and managed. We present two cases of neglected distal humeral epiphyseal injury in children that resulted in cubitus varus deformity in one case. Full range of movements was achieved in both cases after proper management.

Distal pancreatectomy and splenectomy: a robotic or LESS approach.

Science.gov (United States)

Ryan, Carrie E; Ross, Sharona B; Sukharamwala, Prashant B; Sadowitz, Benjamin D; Wood, Thomas W; Rosemurgy, Alexander S

2015-01-01

The role and application of robotic surgery are debated, particularly given the expansion of laparoscopy, especially laparoendoscopic single-site (LESS) surgery. This cohort study was undertaken to delineate differences in outcomes between LESS and robotic distal pancreatectomy and splenectomy. With Institutional Review Board approval, patients undergoing LESS or robotic distal pancreatectomy and splenectomy from September 1, 2012, through December 31, 2014, were prospectively observed, and data were collected. The results are expressed as the median, with the mean ± SD. Thirty-four patients underwent a minimally invasive distal pancreatectomy and splenectomy: 18 with robotic and 16 with LESS surgery. The patients were similar in sex, age, and body mass index. Conversions to open surgery and estimated blood loss were similar. There were two intraoperative complications in the group that underwent the robotic approach. Time spent in the operating room was significantly longer with the robot (297 vs 254 minutes, P = .03), although operative duration (i.e., incision to closure) was not longer (225 vs 190 minutes; P = .15). Of the operations studied, 79% were undertaken for neoplastic processes. Tumor size was 3.5 cm for both approaches; R0 resections were achieved in all patients. Length of stay was similar in the two study groups (5 vs 4 days). There was one 30-day readmission after robotic surgery. Patient outcomes are similar with LESS or robotic distal pancreatectomy and splenectomy. Robotic operations require more time in the operating room. Both are safe and efficacious minimally invasive operations that follow similar oncologic principles for similar tumors, and both should be in the surgeon's armamentarium for distal pancreatectomy and splenectomy.

Distal tibiofibular synostosis in a Nigerian: A case report | Owoeye ...

African Journals Online (AJOL)

X-ray of the bones showed an oblique fracture in the distal end of the shaft of fibula which is suggestive of post traumatic tibiofibular synostosis (TFS). Knowledge of distal TFS is important in resolving the puzzle of chronic shin pain of unknown origin and in accurate diagnosis of causes of ankle deformity and malformations.

An aerial radiological survey of the White Oak Creek Floodplain, Oak Ridge Reservation, Oak Ridge, Tennessee: Date of survey: September-October 1986

International Nuclear Information System (INIS)

Fritzsche, A.E.

1987-06-01

An aerial radiological survey was conducted over the White Oak Creek Floodplain of the Oak Ridge Reservation during the period 30 September through 3 October 1986. The survey was performed at the request of the United States Department of Energy (DOE), Oak Ridge Operations Office, by EG and G Energy Measurements, Inc. (EG and G/EM), a contractor of the DOE. The survey results will be utilized in support of the Remedial Action Program being conducted at the site by Martin Marietta Energy Systems, Inc., operator of the Oak Ridge National Laboratory (ORNL). A flight line spacing of 37 meters (120 feet) and a survey altitude of 46 meters (150 feet) yielded the maximum data density and sensitivity achievable by the aerial system, which was greater than that achieved from prior surveys of the entire Oak Ridge Reservation. Isopleth maps of Cs-137, Co-60, Ti-208 implied concentrations, and exposure rates provided an estimate of the location and magnitude of the man-made activity. These maps, overlaid on a current photograph of the area, combine to yield a view of the radiological condition of the White Oak Creek Floodplain. 5 refs., 40 figs., 3 tabs

The Northern Central Indian Ridge: Geology and tectonics of fracture zones-dominated spreading ridge segments

Digital Repository Service at National Institute of Oceanography (India)

Drolia, R.K.; Iyer, S.D.; Chakraborty, B.; Kodagali, V.N.; Ray, Dwijesh; Misra, S.; Andrade, R.; Sarma, K.V.L.N.S.; Rajasekhar, R.P.; Mukhopadhyay, R.

Multi-beam and single-beam bathymetric, gravity and magnetic data, across seven ridge segments (length varying between 37 and 84 km), offset by six transform discontinuities (ranging in dislocation length between 48 and 344 km) of the Northern...

Results of 1995 characterization of Gunite and Associated Tanks at Oak Ridge National Laboratory, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-02-01

This technical memorandum (TM) documents the 1995 characterization of eight underground radioactive waste tanks at Oak Ridge National Laboratory (ORNL). These tanks belong to the Gunite and Associated Tanks (GAAT) operable unit, and the characterization is part of the ongoing GAAT remedial investigation/feasibility study (RI/FS) process. This TM reports both field observations and analytical results; analytical results are also available from the Oak Ridge Environmental Information System (OREIS) data base under the project name GAAT (PROJ-NAME = GAAT). This characterization effort (Phase II) was a follow-up to the {open_quotes}Phase I{close_quotes} sampling campaign reported in Results of Fall 1994 Sampling of Gunite and Associated Tanks at the Oak Ridge National Laboratory, Oak Ridge, Tennessee, ORNL/ER/Sub/87-99053/74, June 1995. The information contained here should be used in conjunction with that in the previous TM. The sampling plan is documented in ORNL Inactive Waste Tanks Sampling and Analysis Plan, ORNL/RAP/LTR-88/24, dated April 1988, as amended by Addendum 1, Revision 2: ORNL Inactive Tanks Sampling and Analysis Plan, DOE/OR/02-1354&D2, dated February 1995. Field team instructions are found in ORNL RI/FS Project Field Work Guides 01-WG-20, Field Work Guide for Sampling of Gunite and Associated Tanks, and 01-WG-21, Field Work Guide for Tank Characterization System Operations at ORNL. The field effort was conducted under the programmatic and procedural umbrella of the ORNL RI/FS Program, and the analysis was in accordance with ORNL Chemical and Analytical Sciences Division (CASD) procedures. The characterization campaign is intended to provide data for criticality safety, engineering design, and waste management as they apply to the GAAT treatability study and remediation. The Department of Energy (DOE) Carlsbad office was interested in results of this sampling campaign and provided funding for certain additional sample collection and analysis.

Dental and skeletal changes after intraoral molar distalization with sectional jig assembly.

Science.gov (United States)

Gulati, S; Kharbanda, O P; Parkash, H

1998-09-01

The present study was conducted on 10 subjects to evaluate dental and skeletal changes after intraoral molar distalization. The maxillary molars were distalized with a sectional jig assembly. Sentalloy open coil springs were used to exert 150 gm of force for a period of 12 weeks. A modified Nance appliance was the main source of anchorage. The pre- and postdistalization records included dental study casts, clinical photographs, and cephalograms. A total of 665 readings recorded from lateral cephalograms and dental casts were subjected to statistical analysis. The mean distal movement of the first molar was 2.78 mm, which was highly significant (o < 0.001). It moved distally at the rate of 0.86 mm/month. There was clinically some distal tipping (3.50 degrees) and distopalatal rotation (2.40 degrees). These changes were statistically significant (p < 0.001). The second molars accompanied the first molars and moved distally by nearly the same amount. There was 1.00 mm increase in the overjet and 2.60 degrees mesial tip of second premolar. The changes in the facial skeleton and dentition bases were minimal and statistically not significant. However, there was clockwise rotation of the mandible of 1.30 degrees that was statistically significant. This was the result of molar extrusion (1.60 mm).

Social Support Contributes to Outcomes following Distal Radius Fractures

Directory of Open Access Journals (Sweden)

Caitlin J. Symonette

2013-01-01

Full Text Available Background. Distal radius fractures are the most common fracture of the upper extremity and cause variable disability. This study examined the role of social support in patient-reported pain and disability at one year following distal radius fracture. Methods. The Medical Outcomes Study Social Support Survey was administered to a prospective cohort of 291 subjects with distal radius fractures at their baseline visit. Pearson correlations and stepwise linear regression models (F-to-remove 0.10 were used to identify whether social support contributes to wrist fracture outcomes. The primary outcome of pain and disability at one year was measured using the Patient Rated Wrist Evaluation. Results. Most injuries were low energy (67.5% and were treated nonoperatively (71.9%. Pearson correlation analysis revealed that higher reported social support correlated with improved Patient Rated Wrist Evaluation scores at 1 year, r(n=181=-0.22, P<0.05. Of the subscales within the Social Support Survey, emotional/informational support explained a significant proportion of the variance in 1-year Patient Rated Wrist Evaluation scores, R2=4.7%, F (1, 181 = 9.98, P<0.05. Conclusion. Lower emotional/informational social support at the time of distal radius fracture contributes a small but significant percentage to patient-reported pain and disability outcomes.

Strains Around Abutment Teeth with Different Attachments Used for Implant-Assisted Distal Extension Partial Overdentures: An In Vitro Study.

Science.gov (United States)

ELsyad, Moustafa Abdou; Omran, Abdelbaset Omar; Fouad, Mohammed Mohammed

2017-01-01

The aim of this study was to evaluate and compare strain around abutment teeth with different attachments used for implant-assisted distal extension partial overdentures (IADEPODs). A mandibular Kennedy class I acrylic model (remaining teeth from first premolar to first premolar) was constructed. A conventional partial denture was constructed over the model (control, group 1). Two laboratory implants were then placed bilaterally in the first molar areas parallel to each other and perpendicular to the residual ridge. Three additional experimental partial overdentures (PODs) were constructed and connected to the implants using ball (group 2), magnetic (group 3), and Locator (group 4) attachments. Three linear strain gauges were bonded buccal, lingual, and distal to the first premolar abutment tooth at the right (loading) and the left (nonloading) sides. For each group, a universal testing device was used to apply a unilateral vertical static load (50 N) on the first molar area, and the strain was recorded using a multichannel digital strainometer. Significant differences between groups and between sites of strain gauges were detected. Strains recorded for all groups were compressive (negative) in nature. Group 1 demonstrated the highest strain, followed by group 3 and group 4; group 2 recorded the lowest strain. For group 2, the highest strain was recoded at the lingual nonloading side. For group 1, group 3, and group 4, the highest strain was recorded at the buccal loading side. Within the limitation of the present study, ball attachments used to retain IADEPODs to the implants were associated with lower strains around abutment teeth than Locator and magnetic attachments. The highest strain was recorded with conventional partial dentures. © 2015 by the American College of Prosthodontists.

Is there equity in use of healthcare services among immigrants, their descendents, and ethnic Danes?

DEFF Research Database (Denmark)

Nielsen, Signe S; Hempler, Nana F; Waldorff, Frans B

2012-01-01

Legislation in Denmark explicitly states the right to equal access to healthcare. Nevertheless, inequities may exist; accordingly evidence is needed. Our objective was to investigate whether differences in healthcare utilisation in immigrants, their descendents, and ethnic Danes could be explaine...

Site descriptions of environmental restoration units at the Oak Ridge K-25 Site, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Goddard, P.L.; Legeay, A.J.; Pesce, D.S.; Stanley, A.M.

1995-11-01

This report, Site Descriptions of Environmental Restoration Units at the Oak Ridge K-25 Site, Oak Ridge, Tennessee, is being prepared to assimilate information on sites included in the Environmental Restoration (ER) Program of the K-25 Site, one of three major installations on the Oak Ridge Reservation (ORR) built during World War III as part of the Manhattan Project. The information included in this report will be used to establish program priorities so that resources allotted to the K-25 ER Program can be best used to decrease any risk to humans or the environment, and to determine the sequence in which any remedial activities should be conducted. This document will be updated periodically in both paper and Internet versions. Units within this report are described in individual data sheets arranged alphanumerically. Each data sheet includes entries on project status, unit location, dimensions and capacity, dates operated, present function, lifecycle operation, waste characteristics, site status, media of concern, comments, and references. Each data sheet is accompanied by a photograph of the unit, and each unit is located on one of 13 area maps. These areas, along with the sub-area, unit, and sub-unit breakdowns within them, are outlined in Appendix A. Appendix B is a summary of information on remote aerial sensing and its applicability to the ER program

Site descriptions of environmental restoration units at the Oak Ridge K-25 Site, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

Goddard, P.L.; Legeay, A.J.; Pesce, D.S.; Stanley, A.M.

1995-11-01

This report, Site Descriptions of Environmental Restoration Units at the Oak Ridge K-25 Site, Oak Ridge, Tennessee, is being prepared to assimilate information on sites included in the Environmental Restoration (ER) Program of the K-25 Site, one of three major installations on the Oak Ridge Reservation (ORR) built during World War III as part of the Manhattan Project. The information included in this report will be used to establish program priorities so that resources allotted to the K-25 ER Program can be best used to decrease any risk to humans or the environment, and to determine the sequence in which any remedial activities should be conducted. This document will be updated periodically in both paper and Internet versions. Units within this report are described in individual data sheets arranged alphanumerically. Each data sheet includes entries on project status, unit location, dimensions and capacity, dates operated, present function, lifecycle operation, waste characteristics, site status, media of concern, comments, and references. Each data sheet is accompanied by a photograph of the unit, and each unit is located on one of 13 area maps. These areas, along with the sub-area, unit, and sub-unit breakdowns within them, are outlined in Appendix A. Appendix B is a summary of information on remote aerial sensing and its applicability to the ER program.

Proximal and distal alignment of normal canine femurs: A morphometric analysis.

Science.gov (United States)

Kara, Mehmet Erkut; Sevil-Kilimci, Figen; Dilek, Ömer Gürkan; Onar, Vedat

2018-05-01

Many researchers are interested in femoral conformation because most orthopaedic problems of the long bones occur in the femur and its joints. The neck-shaft (NSA) and the anteversion (AVA) angles are good predictors for understanding the orientation of the proximal end of the femur. The varus (aLDFA) and procurvatum (CDFA) angles have also been used to understand the orientation of the distal end of the femur. The purposes of this study were to investigate the relationship between the proximal and distal angles of the femur and to compare the distal femoral angles in male and female dogs in order to investigate the sexual dimorphism. The measurements of normal CDFAs, which have not been previously reported, may also provide a database of canine distal femoral morphology. A total of 75 cleaned healthy femora from different breeds or mixed breed of dogs were used. The three-dimensional images were reconstructed from computed tomographic images. The AVA, NSA, aLDFA and CDFA were measured on the 3D images. The correlation coefficients were calculated among the measured angles. The distal femoral angles were also compared between male and female femora. The 95% confidence intervals of the AVA and the NSA were calculated to be 24.22°-29.50° and 144.97°-147.50°, respectively. The 95% confidence intervals of the aLDFA and the CDFA for all studied dogs were 92.62°-94.08° and 89.09°-91.94°, respectively. The NSA showed no correlation with either the aLDFA or CDFA. There was a weak inverse correlation between the AVA and CDFA and a weak positive correlation between the AVA and aLDFA. The differences in the aLDFA and CDFA measurements between male and female dog were not significant. In conclusion, femoral version, regardless of the plane, might have little influence on distal femoral morphology in normal dogs. Besides this, there is no evidence of a sexual dimorphism in the varus and procurvatum angles of the dog distal femur. The data from this study may be used in

Source document for waste area groupings at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Osborne, P.L.; Kuhaida, A.J., Jr.

1996-09-01

This document serves as a source document for Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) and other types of documents developed for and pertaining to Environmental Restoration (ER) Program activities at Oak Ridge National Laboratory (ORNL). It contains descriptions of the (1) regulatory requirements for the ORR ER Program, (2) Oak Ridge Reservation (ORR) ER Program, (3) ORNL site history and characterization, and (4) history and characterization of Waste Area Groupings (WAGS) 1-20. This document was created to save time, effort, and money for persons and organizations drafting documents for the ER Program and to improve consistency in the documents prepared for the program. By eliminating the repetitious use of selected information about the program, this document will help reduce the time and costs associated with producing program documents. By serving as a benchmark for selected information about the ER Program, this reference will help ensure that information presented in future documents is accurate and complete

Oak Ridge Health Studies phase 1 report, Volume 1: Oak Ridge Phase 1 overview

International Nuclear Information System (INIS)

Yarbrough, M.I.; Van Cleave, M.L.; Turri, P.; Daniel, J.

1993-09-01

In July 1991, the State of Tennessee initiated the Health Studies Agreement with the United States Department of Energy to carry out independent studies of possible adverse health effects in people living in the vicinity of the Oak Ridge Reservation. The health studies focus on those effects that could have resulted or could result from exposures to chemicals and radioactivity released at the Reservation since 1942. The major focus of the first phase was to complete a Dose Reconstruction Feasibility Study. This study was designed to find out if enough data exist about chemical and radionuclide releases from the Oak Ridge Reservation to conduct a second phase. The second phase will lead to estimates of the actual amounts or the ''doses'' of various contaminants received by people as a result of off-site releases. Once the doses of various contaminants have been estimated, scientists and physicians will be better able to evaluate whether adverse health effects could have resulted from the releases

Oak Ridge Health Studies phase 1 report, Volume 1: Oak Ridge Phase 1 overview

Energy Technology Data Exchange (ETDEWEB)

Yarbrough, M.I.; Van Cleave, M.L.; Turri, P.; Daniel, J.

1993-09-01

In July 1991, the State of Tennessee initiated the Health Studies Agreement with the United States Department of Energy to carry out independent studies of possible adverse health effects in people living in the vicinity of the Oak Ridge Reservation. The health studies focus on those effects that could have resulted or could result from exposures to chemicals and radioactivity released at the Reservation since 1942. The major focus of the first phase was to complete a Dose Reconstruction Feasibility Study. This study was designed to find out if enough data exist about chemical and radionuclide releases from the Oak Ridge Reservation to conduct a second phase. The second phase will lead to estimates of the actual amounts or the ``doses`` of various contaminants received by people as a result of off-site releases. Once the doses of various contaminants have been estimated, scientists and physicians will be better able to evaluate whether adverse health effects could have resulted from the releases.

Oak Ridge Reservation Physical Characteristics and Natural Resources

Energy Technology Data Exchange (ETDEWEB)

Parr, P.D.; Hughes, J.F.

2006-09-19

The topography, geology, hydrology, vegetation, and wildlife of the Oak Ridge Reservation (ORR) provide a complex and intricate array of resources that directly impact land stewardship and use decisions (Fig. 1). The purpose of this document is to consolidate general information regarding the natural resources and physical characteristics of the ORR. The ORR, encompassing 33,114 acres (13,401 ha) of federally owned land and three Department of Energy (DOE) installations, is located in Roane and Anderson Counties in east Tennessee, mostly within the corporate limits of the city of Oak Ridge and southwest of the population center of Oak Ridge. The ORR is bordered on the north and east by the population center of the city of Oak Ridge and on the south and west by the Clinch River/Melton Hill Lake impoundment. All areas of the ORR are relatively pristine when compared with the surrounding region, especially in the Valley and Ridge Physiographic Province (Fig. 2). From the air, the ORR is clearly a large and nearly continuous island of forest within a landscape that is fragmented by urban development and agriculture. Satellite imagery from 2006 was used to develop a land-use/land-cover cover map of the ORR and surrounding lands (Fig. 3). Following the acquisition of the land comprising the ORR in the early 1940s, much of the Reservation served as a buffer for the three primary facilities: the X-10 nuclear research facility (now known as the Oak Ridge National Laboratory [ORNL]), the first uranium enrichment facility or Y-12 (now known as the Y-12 National Security Complex [Y-12 Complex]), and a gaseous diffusion enrichment facility (now known as the East Tennessee Technology Park [ETTP]). Over the past 60 years, this relatively undisturbed area has evolved into a rich and diverse eastern deciduous forest ecosystem of streams and reservoirs, hardwood forests, and extensive upland mixed forests. The combination of a large land area with complex physical characteristics

Oak Ridge Y-12 Plant groundwater protection program management plan

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-06-01

The Oak Ridge Y- 1 2 Plant (Y-12 Plant) is owned by the United States Department of Energy (DOE) and managed by Lockheed Martin Energy Systems, Inc. (Energy Systems) under contract No. DE-AC05-84OR21400. The Y-12 Plant Groundwater Protection Program (GWPP), which was initiated in 1975, provides for the protection of groundwater resources consistent with Federal, State, and local regulations, and in accordance with DOE orders and Energy Systems policies and procedures. The Y-12 Plant is located in Anderson County, Tennessee, and is within the corporate limits of the City of Oak Ridge. The Y-12 Plant is one of three major DOE complexes that comprise the 37,000-acre Oak Ridge Reservation (ORR) located in Anderson and Roane counties. The Y-12 Plant is located in Bear Creek Valley at an elevation of about 950 feet (ft) above sea level. Bear Creek Valley is bounded on the northwest and southeast, and is isolated from populated areas of Oak Ridge, by parallel ridges that rise about 300 ft above the valley floor. The Y-12 Plant and its fenced buffer area are about 0.6 mile wide by 3.2 miles long and cover approximately 4,900 acres. The main industrialized section encompasses approximately 800 acres.

Oak Ridge Y-12 Plant groundwater protection program management plan

International Nuclear Information System (INIS)

1996-06-01

The Oak Ridge Y- 1 2 Plant (Y-12 Plant) is owned by the United States Department of Energy (DOE) and managed by Lockheed Martin Energy Systems, Inc. (Energy Systems) under contract No. DE-AC05-84OR21400. The Y-12 Plant Groundwater Protection Program (GWPP), which was initiated in 1975, provides for the protection of groundwater resources consistent with Federal, State, and local regulations, and in accordance with DOE orders and Energy Systems policies and procedures. The Y-12 Plant is located in Anderson County, Tennessee, and is within the corporate limits of the City of Oak Ridge. The Y-12 Plant is one of three major DOE complexes that comprise the 37,000-acre Oak Ridge Reservation (ORR) located in Anderson and Roane counties. The Y-12 Plant is located in Bear Creek Valley at an elevation of about 950 feet (ft) above sea level. Bear Creek Valley is bounded on the northwest and southeast, and is isolated from populated areas of Oak Ridge, by parallel ridges that rise about 300 ft above the valley floor. The Y-12 Plant and its fenced buffer area are about 0.6 mile wide by 3.2 miles long and cover approximately 4,900 acres. The main industrialized section encompasses approximately 800 acres

Clinical study for pancreatic fistula after distal pancreatectomy with mesh reinforcement

Directory of Open Access Journals (Sweden)

Akira Hayashibe

2018-05-01

Full Text Available Summary: Background: The purpose of this cohort study was to determine whether distal pancreatectomy with mesh reinforcement can reduce postoperative pancreatic fistula (POPF rates compared with bare stapler. Methods: In total, 51 patients underwent stapled distal pancreatectomy. Out of these, 22 patients (no mesh group underwent distal pancreatectomy with bare stapler and 29 patients (mesh group underwent distal pancreatectomy with mesh reinforced stapler. The risk factor for clinically relevant POPF (grades B and C after distal pancreatectomy was also evaluated. Results: Clinical characteristics were almost similar in both the groups. The days of the mean hospital stay and drainage tube insertion in the mesh group were significantly fewer than those in the no mesh group. The mean level of amylase in the discharge fluid in the mesh group was also significantly lower than that the in no mesh group. The rate of clinically relevant POPF (grades B and C in the mesh group was significantly lower than that in the no mesh group (p=0.016. Univariate analyses of risk factors for POPF (grades B and C revealed that only mesh reinforcement was associated with POPF (grades B and C. Moreover, on multivariate analyses of POPF risk factors with p value<0.2 in univariate analyses by logistic regression, mesh reinforcement was regarded as a significant factor for POPF(grades B and C. Conclusions: The distal pancreatectomy with mesh reinforced stapler was thought to be favorable for the prevention of clinically relevant POPF (grades B and C. Keywords: mesh reinforcement, pancreatic fistula, pancreatic surgery

Oak Ridge Reservation Annual Site environmental report summary for 1994

International Nuclear Information System (INIS)

1995-09-01

This document presents a summary of the information collected for the Oak Ridge Reservation 1994 site environmental report. Topics discussed include: Oak Ridge Reservation mission; ecology; environmental laws; community participation; environmental restoration; waste management; radiation effects; chemical effects; risk to public; environmental monitoring; and radionuclide migration

Oak Ridge National Laboratory site data for safety-analysis report

International Nuclear Information System (INIS)

Fitzpatrick, F.C.

1982-12-01

The Oak Ridge National Laboratory site data contained herein were compiled in support of the United States Department of Energy (USDOE) Oak Ridge Operations Office Order OR 5481.1. That order sets forth assignment of responsibilities for safety analysis and review responsibilities and provides guidance relative to the content and format of safety analysis reports. The information presented in this document is intended for use by reference in individual safety analysis reports where applicable to support accident analyses or the establishment of design bases of significance to safety, and it is applicable only to Oak Ridge National Laboratory facilities in Bethel and Melton Valleys. This information includes broad descriptions of the site characteristics, radioactive waste handling and monitoring practices, and the organization and operating policies at Oak Ridge National Laboratory. The historical background of the Laboratory is discussed briefly and the overall physical situation of the facilities is described in the following paragraphs

Oak Ridge National Laboratory site data for safety-analysis report

Energy Technology Data Exchange (ETDEWEB)

Fitzpatrick, F.C.

1982-12-01

The Oak Ridge National Laboratory site data contained herein were compiled in support of the United States Department of Energy (USDOE) Oak Ridge Operations Office Order OR 5481.1. That order sets forth assignment of responsibilities for safety analysis and review responsibilities and provides guidance relative to the content and format of safety analysis reports. The information presented in this document is intended for use by reference in individual safety analysis reports where applicable to support accident analyses or the establishment of design bases of significance to safety, and it is applicable only to Oak Ridge National Laboratory facilities in Bethel and Melton Valleys. This information includes broad descriptions of the site characteristics, radioactive waste handling and monitoring practices, and the organization and operating policies at Oak Ridge National Laboratory. The historical background of the Laboratory is discussed briefly and the overall physical situation of the facilities is described in the following paragraphs.

Calendar Year 1997 Annual Groundwater Monitoring Report For The Chestnut Ridge Hydrogeologic Regime At The U.S. Department of Energy Y-12 Plant, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

Jones, S.B.

1998-02-01

This report contains the groundwater monitoring data obtained during calendar year (CY) 1997 in compliance with the Resource Conservation and Recovery Act (RCRA) post-closure permit (PCP) for the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime). In July 1997, the Tennessee Department of Environment and Conservation (TDEC) approved modifications to several of the permit conditions that address RCRA pow-closure corrective action groundwater monitoring at the Chestnut Ridge Security Pits (Security Pits), and RCIU4 post-closure detection groundwater monitoring at the Chestnut Ridge Sediment Disposal Basin (Sediment Disposal Basin) and Kerr Hollow Quarry. This report has been prepared in accordance with these modified permit requirements. Also included in this report are the groundwater and surface water monitoring data obtained during CY 1997 for the purposes ofi (1) detection monitoring at nonhazardous solid waste disposal facilities (SWDFS) in accordance with operating permits and applicable regulations, (2) monitoring in accordance with Comprehensive Environmental Response, Compensation, and Recove~ Act Records of Decision (now pefiormed under the Integrated Water Quality Program for the Oak Ridge Reservation), and (3) monitoring needed to comply with U.S. Department of Energy Order 5400.1.

Cost-effectiveness of laparoscopic versus open distal pancreatectomy for pancreatic cancer

NARCIS (Netherlands)

Gurusamy, K.S.; Riviere, D.M.; Laarhoven, C.J.H.M. van; Besselink, M.; Abu-Hilal, M.; Davidson, B.R.; Morris, S.

2017-01-01

BACKGROUND: A recent Cochrane review compared laparoscopic versus open distal pancreatectomy for people with for cancers of the body and tail of the pancreas and found that laparoscopic distal pancreatectomy may reduce the length of hospital stay. We compared the cost-effectiveness of laparoscopic

Sandy berm and beach-ridge formation in relation to extreme sea-levels

DEFF Research Database (Denmark)

Bendixen, Mette; Clemmensen, Lars B; Kroon, Aart

2013-01-01

The formation of berms and their transformation into beach ridges in a micro-tidal environment is coupled to wave run-up and overtopping during extreme sea levels. A straight-forward comparison between extreme sea levels due to storm-surges and active berm levels is impossible in the semi...... prograding spit on the south-eastern Baltic shores of Zealand, Denmark. The modern, sandy beach at this location consists of a beachface with a shallow incipient berm, a mature berm, and a dune-covered beach ridge. It borders a beach-ridge plain to the west, where more than 20 N–S oriented beach ridges...... and swales are present. Measured water-level data from 1991 to 2012 and topographical observations, carried out during fair weather period and during a storm event, provided the basis for a conceptual model exhibiting berm formation and transformation into the local beach-ridge system. The character...

An enhanced structure tensor method for sea ice ridge detection from GF-3 SAR imagery

Science.gov (United States)

Zhu, T.; Li, F.; Zhang, Y.; Zhang, S.; Spreen, G.; Dierking, W.; Heygster, G.

2017-12-01

In SAR imagery, ridges or leads are shown as the curvilinear features. The proposed ridge detection method is facilitated by their curvilinear shapes. The bright curvilinear features are recognized as the ridges while the dark curvilinear features are classified as the leads. In dual-polarization HH or HV channel of C-band SAR imagery, the bright curvilinear feature may be false alarm because the frost flowers of young leads may show as bright pixels associated with changes in the surface salinity under calm surface conditions. Wind roughened leads also trigger the backscatter increasing that can be misclassified as ridges [1]. Thus the width limitation is considered in this proposed structure tensor method [2], since only shape feature based method is not enough for detecting ridges. The ridge detection algorithm is based on the hypothesis that the bright pixels are ridges with curvilinear shapes and the ridge width is less 30 meters. Benefited from GF-3 with high spatial resolution of 3 meters, we provide an enhanced structure tensor method for detecting the significant ridge. The preprocessing procedures including the calibration and incidence angle normalization are also investigated. The bright pixels will have strong response to the bandpass filtering. The ridge training samples are delineated from the SAR imagery in the Log-Gabor filters to construct structure tensor. From the tensor, the dominant orientation of the pixel representing the ridge is determined by the dominant eigenvector. For the post-processing of structure tensor, the elongated kernel is desired to enhance the ridge curvilinear shape. Since ridge presents along a certain direction, the ratio of the dominant eigenvector will be used to measure the intensity of local anisotropy. The convolution filter has been utilized in the constructed structure tensor is used to model spatial contextual information. Ridge detection results from GF-3 show the proposed method performs better compared to the

The Test-Retest Reliability OfTthe Onset Of Core And Vasti Eectromyographic Activity While Ascending And Descending Stairs In Healthy Controls Aand patellofemoral Pain Patients

Directory of Open Access Journals (Sweden)

Mohammad-Ali Sanjari

2011-02-01

Full Text Available Backgroundentity.It is hypothesized to result from abnormal patellar tracking caused by altered motorcontrol. Deficit in neuromotor control of the core may be a remote contributing factor to thedevelopment of PFP. Application of reliable EMG measures would be helpful to handle thistheory. Therefore, the purpose of this study was to determine the test-retest reliability of thecore and vasti EMG onsets, while ascending/descending stairs.: Patellofemoral pain (PFP is a common affliction and complex clinicalMethodsand Core EMG onsets during stair stepping were assessed two times a day. Intraclass correlationcoefficients (ICCs and standard errors of measurement (SEMs were calculated.: Ten males with PFP and ten healthy controls participated in this study. VastiResultsonsets of control cases (ICC 3,1 ≥ 0.70 except Quadratus Lumborum (QL which showeda moderate reliability (ICC for ascending=0.59 and for descending = 0.61. In controls,Vasti in both tasks showed the highest absolute reliability. During ascending, highreliability (ICC ≥ 0.70 in PFP group was demonstrated for all EMG onsets except Gluteusmaximus (GMAX and QL which showed a moderate reliability (ICC = 0.69 and 0.63 respectively.In this group while descending stairs, all EMG onsets showed high relativereliability (ICC ≥ 0.70. Moderate to high absolute reliability was obtained for onset timeswhile ascending/descending stairs in PFP group.: During both ascending/descending, high reliability was found for all EMGConclusionreliability.: Most EMG onsets during stair scending/descending had moderate to high

Intersphincteric Resection and Coloanal Anastomosis in Treatment of Distal Rectal Cancer

Directory of Open Access Journals (Sweden)

Gokhan Cipe

2012-01-01

Full Text Available In the treatment of distal rectal cancer, abdominoperineal resection is traditionally performed. However, the recognition of shorter safe distal resection line, intersphincteric resection technique has given a chance of sphincter-saving surgery for patients with distal rectal cancer during last two decades and still is being performed as an alternative choice of abdominoperineal resection. The first aim of this study is to assess the morbidity, mortality, oncological, and functional outcomes of intersphincteric resection. The second aim is to compare outcomes of patients who underwent intersphincteric resection with the outcomes of patients who underwent abdominoperineal resection.

Valgusdeformitet i anklen som følge af distal fibula-epifysefraktur

DEFF Research Database (Denmark)

Al-Aubaidi, Zaid

2011-01-01

Ankle fracture with involvement of the growth plate is the second most common paediatric fracture after the distal radius. The most common fracture type according to Salter Harris (SH) is type II of the distal tibia combined with green stick of the fibula. Isolated fracture of the distal fibular...... growth plate is not common and as a rule it does not give any growth arrest. We describe a case of isolated fibular fracture SH type II in a ten year-old girl which ended with symptomatic valgus deformity of the ankle. The patient was operated with good results....

Microbial diversity in subseafloor fluids from Explorer Ridge, Northeast Pacific

Science.gov (United States)

Bolton, S.; Huber, J. A.; Embley, R.; Butterfield, D. A.; Baross, J. A.

2003-12-01

The Gorda, Juan de Fuca and Explorer Ridges are first order spreading centers located in the northeast Pacific. While the Gorda and Juan de Fuca Ridges have been extensively sampled for chemical and microbiological analyses, what little is known about the Explorer Ridge is from preliminary observations made in the mid-1980's. A cruise in 2002 revisited the area and discovered vigorous hydrothermal activity at Magic Mountain, a site located outside the primary rift valley. Explorer Ridge is an important site to compare with other well-described vent sites on the Juan de Fuca Ridge. Our research has focused on describing the phylogenetic and physiological diversity of bacteria and archaea in low temperature hydrothermal fluids in an effort to identify subseafloor indicator organisms and to use the physiological characteristics of these organisms to help constrain subseafloor habitat characteristics. We have previously established that there are microbial taxa that are unique to subseafloor habitats associated with diffuse flow fluids at Axial Seamount and at Endeavour both located on the Juan de Fuca Ridge. These included cultured anaerobic, thermophilic and hyperthermophilic heterotrophs, methanogens and sulfur metabolizers. Moreover, results from molecular phylogeny analyses using the 16S rRNA sequences identified a phylogenetically diverse group of bacteria belonging to the epsilon-proteobacteria. While anaerobic hyperthermophiles were cultured from some diffuse-flow vent sites at Explorer, they were less abundant than at Axial Volcano and Endeavour, and curiously, no methanogens were cultured or detected in 16S rRNA clonal libraries. Like Axial, a diverse group of epsilon-proteobacterial clones were found with many similar to those identified from Axial Seamount and other hydrothermal vent sites, although there appears to be some unique species. The overall bacterial diversity at Explorer appears different than at Axial, possibly linked to temperature or chemical

Epidemiology of distal forearm fractures in Oslo, Norway.

Science.gov (United States)

Lofthus, C M; Frihagen, F; Meyer, H E; Nordsletten, L; Melhuus, K; Falch, J A

2008-06-01

The population of Oslo has the highest incidence of hip fracture reported. The present study shows that the overall incidence of distal forearm fractures in Oslo is higher than in other countries and has not changed significantly when comparing the incidence of 1998/99 with 1979. The population of Oslo has the highest incidence of hip fracture reported. The present study reports the incidence of distal forearm fracture in Oslo and the fracture rates of immigrants. Patients aged > or = 20 years resident in Oslo sustaining a distal forearm fracture in a one-year period in 1998/99 were identified using electronic diagnosis registers, patient protocols, and/or X-ray registers of the clinics in Oslo. Medical records were obtained and the diagnosis verified. The age- and sex-specific incidence rates were calculated and compared with those for 1979. Data on immigrant category and country of origin of the patients were obtained. The age-adjusted fracture rates per 10,000 for the age group > or = 50 years were 109.8 and 25.4 in 1998/99 compared with 108.3 and 23.5 in 1979 for women and men, respectively (n.s.). The relative risk of fracture in Asians was 0.72 (95% CI 0.53-1.00) compared with ethnic Norwegians. The overall incidence of distal forearm fractures in Oslo is higher than in other countries and has not changed significantly when comparing the incidence of 1998/99 with 1979. Furthermore, the present data suggest that Asian immigrants in Oslo have a slightly lower fracture risk than ethnic Norwegians.

Autosomal dominant distal myopathy: Linkage to chromosome 14

Energy Technology Data Exchange (ETDEWEB)

Laing, N.G.; Laing, B.A.; Wilton, S.D.; Dorosz, S.; Mastaglia, F.L.; Kakulas, B.A. [Australian Neuromuscular Research Institute, Perth (Australia); Robbins, P.; Meredith, C.; Honeyman, K.; Kozman, H.

1995-02-01

We have studied a family segregating a form of autosomal dominant distal myopathy (MIM 160500) and containing nine living affected individuals. The myopathy in this family is closest in clinical phenotype to that first described by Gowers in 1902. A search for linkage was conducted using microsatellite, VNTR, and RFLP markers. In total, 92 markers on all 22 autosomes were run. Positive linkage was obtained with 14 of 15 markers tested on chromosome 14, with little indication of linkage elsewhere in the genome. Maximum two-point LOD scores of 2.60 at recombination fraction .00 were obtained for the markers MYH7 and D14S64 - the family structure precludes a two-point LOD score {ge} 3. Recombinations with D14S72 and D14S49 indicate that this distal myopathy locus, MPD1, should lie between these markers. A multipoint analysis assuming 100% penetrance and using the markers D14S72, D14S50, MYH7, D14S64, D14S54, and D14S49 gave a LOD score of exactly 3 at MYH7. Analysis at a penetrance of 80% gave a LOD score of 2.8 at this marker. This probable localization of a gene for distal myopathy, MPD1, on chromosome 14 should allow other investigators studying distal myopathy families to test this region for linkage in other types of the disease, to confirm linkage or to demonstrate the likely genetic heterogeneity. 24 refs., 3 figs., 1 tab.

Telecast of Astronaut Neil Armstrong descending ladder to surface of the moon

Science.gov (United States)

1969-01-01

Astronaut Neil A. Armstrong, Apollo 11 commander, descends the ladder of the Apollo 11 Lunar Module prior to making the first step by man on the moon. This view is a black and white reproduction taken from a telecast by the Apollo 11 lunar surface camera during extravehicular activity. The black bar running through the center of the picture is an anamoly in the television ground data system at the Goldstone Tracking Station.

Relevant Factors in the Process of Socialization, Involvement and Belonging of Descendants in Family Businesses

Directory of Open Access Journals (Sweden)

Melquicedec Lozano-Posso

2016-12-01

Full Text Available This research works toward the identification of the factors that comprise the process of socialization, involvement and initial belonging of descendants in family businesses and the key relationships between them. By means of a qualitative detailed study of four cases, complemented by a quantitative survey of 274 Colombian family businesses, the authors generate a new model that takes into account both factors explored in previous research as well as others identified in this study. Findings confirm the specific dependency of each stage on the subsequent ones; socialization influences involvement, which in turn influences the belonging of the descendants to the family business, with a strong presence of factors such as knowledge, leadership, mode, timing, and motivation. Those responsible for the orientation of potential successors may examine these findings in order to optimize their preparation efforts and support of family human resources for the continuity of the business.

Experimental and numerical investigations of coke descending behavior in a coke dry quenching cooling shaft

International Nuclear Information System (INIS)

Feng Yanhui; Zhang Xinxin; Yu Quan; Shi Zhongyin; Liu Zhicheng; Zhang Hu; Liu Huafei

2008-01-01

A viscous flow model based on the Navier-Stokes equation is developed to describe coke descending behavior in the 1/7-scaled-down experimental setup of an actual 75 t/h cooling shaft. It is found that the internal friction due to cokes viscosity significantly influences the descending behavior of cokes in the lower part of the shaft, while the external wall friction dominates the sluggish flow of the cokes in the shaft. An asymptotic friction coefficient expression is proposed for granular mixtures flowing along the shaft wall modified from normal wall tress, and the concept of bulk solid viscosity is introduced to describe the internal friction between coke particles. The results simulated by the present model are compared with those by the potential flow and the kinematic model without friction. The viscous flow model is quite good to simulate the bulk coke flow as the physically important frictions are engaged

Data Sharing Report Characterization of Isotope Row Facilities Oak Ridge National Laboratory Oak Ridge TN

Energy Technology Data Exchange (ETDEWEB)

Weaver, Phyllis C. [Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States)

2013-12-12

The U.S. Department of Energy (DOE) Oak Ridge Office of Environmental Management (EM-OR) requested that Oak Ridge Associated Universities (ORAU), working under the Oak Ridge Institute for Science and Education (ORISE) contract, provide technical and independent waste management planning support using funds provided by the American Recovery and Reinvestment Act (ARRA). Specifically, DOE EM-OR requested ORAU to plan and implement a survey approach, focused on characterizing the Isotope Row Facilities located at the Oak Ridge National Laboratory (ORNL) for future determination of an appropriate disposition pathway for building debris and systems, should the buildings be demolished. The characterization effort was designed to identify and quantify radiological and chemical contamination associated with building structures and process systems. The Isotope Row Facilities discussed in this report include Bldgs. 3030, 3031, 3032, 3033, 3033A, 3034, 3036, 3093, and 3118, and are located in the northeast quadrant of the main ORNL campus area, between Hillside and Central Avenues. Construction of the isotope production facilities was initiated in the late 1940s, with the exception of Bldgs. 3033A and 3118, which were enclosed in the early 1960s. The Isotope Row facilities were intended for the purpose of light industrial use for the processing, assemblage, and storage of radionuclides used for a variety of applications (ORNL 1952 and ORAU 2013). The Isotope Row Facilities provided laboratory and support services as part of the Isotopes Production and Distribution Program until 1989 when DOE mandated their shutdown (ORNL 1990). These facilities performed diverse research and developmental experiments in support of isotopes production. As a result of the many years of operations, various projects, and final cessation of operations, production was followed by inclusion into the surveillance and maintenance (S&M) project for eventual decontamination and decommissioning (D&D). The

Geospatializing The Klang Gate Quartz Ridge in Malaysia: A Technological Perspective

Science.gov (United States)

Azahari Razak, Khamarrul; Mohamad, Zakaria; Zaki Ibrahim, Mohd; Azad Rosle, Qalam; Hattanajmie Abd Wahab, Mohd; Abu Bakar, Rabieahtul; Mohd Akib, Wan Abdul Aziz Wan

2015-04-01

Establishment of inventories on geological heritage, or geoheritage resources is a step forward for a comprehensive geoheritage management leading to a better conservation at national and global levels. Compiling and updating inventory of geoheritage is a tedious process and even so in a tropical environment. Malaysia has a tremendous list of geodiversity and generating its national database is a multi-institutional effort and worthwhile investment. However, producing accurate and reliable characteristics of such landform and spectacular geological features remained elusive. The advanced and modern mapping techniques have revolutionized the mapping, monitoring and modelling of the earth surface processes and landforms. Yet the methods for quantification of geodiversity physical features are not fully utilized in Malaysia for a better understanding its processes and activity. This study provides a better insight into the use of advanced active remote sensing technology for characterizing the forested Quartz Ridge in Malaysia. We have developed the novel method and tested in the Klang Gates Quartz Ridge, Selangor. The granitic country rock made up by quartz mineral is known as the longest quartz ridge in Malaysia and characterized by rugged topography, steep slopes, densely vegetated terrain and also rich-biodiversity area. This study presents an integrated field methodological framework and processing scheme by taking into account the climatic, topographic, geologic, and anthropogenic challenges in an equatorial region. Advanced terrestrial laser scanning system was used to accurately capture, map and model the ridge carried out within a relatively stringent time period. The high frequency Global Navigation Satellite System and modern Total Station coupled with the optical satellite and radar imageries and also advanced spatial analysis were fully utilized in the field campaign and data assessment performed during the recent monsoon season. As a result, the mapping

Oak Ridge Reservation, annual site environmental report for 1993

Energy Technology Data Exchange (ETDEWEB)

1994-11-01

The US DOE currently oversees activities on the Oak Ridge Reservation, a government-owned, contractor-operated facility. Three sites compose the reservation; Y-12, Oak Ridge National Laboratory, and K-25. This document contains a summary of environmental monitoring activities on the Oak Ridge Reservation (ORR) and its surroundings. The results summarized in this report are based on the data collected during calendar year (CY) 1993 and compiled in; Environmental Monitoring in the Oak Ridge Reservation: CY 1993 Results. Annual environmental monitoring on the ORR consists of two major activities: effluent monitoring and environmental surveillance. Effluent monitoring is the collection and analysis of samples or measurements of liquid, gaseous, or airborne effluents for the purpose of characterizing and quantifying contaminants and process stream characteristics, assessing radiation and chemical exposures to members of the public, and demonstrating compliance with applicable standards. Environmental surveillance is the collection and analysis of samples of air, water, soil, foodstuffs, biota, and other media from DOE sites and their environs and the measurement of external radiation for purposes of demonstrating compliance with applicable standards, assessing radiation and chemical exposures to members of the public, and assessing effects, if any, on the local environment.

Oak Ridge Reservation, annual site environmental report for 1993

International Nuclear Information System (INIS)

1994-11-01

The US DOE currently oversees activities on the Oak Ridge Reservation, a government-owned, contractor-operated facility. Three sites compose the reservation; Y-12, Oak Ridge National Laboratory, and K-25. This document contains a summary of environmental monitoring activities on the Oak Ridge Reservation (ORR) and its surroundings. The results summarized in this report are based on the data collected during calendar year (CY) 1993 and compiled in; Environmental Monitoring in the Oak Ridge Reservation: CY 1993 Results. Annual environmental monitoring on the ORR consists of two major activities: effluent monitoring and environmental surveillance. Effluent monitoring is the collection and analysis of samples or measurements of liquid, gaseous, or airborne effluents for the purpose of characterizing and quantifying contaminants and process stream characteristics, assessing radiation and chemical exposures to members of the public, and demonstrating compliance with applicable standards. Environmental surveillance is the collection and analysis of samples of air, water, soil, foodstuffs, biota, and other media from DOE sites and their environs and the measurement of external radiation for purposes of demonstrating compliance with applicable standards, assessing radiation and chemical exposures to members of the public, and assessing effects, if any, on the local environment

Distal Oblique Bundle Reinforcement for Treatment of DRUJ Instability.

Science.gov (United States)

Brink, Peter R G; Hannemann, Pascal F W

2015-08-01

Background Chronic, dynamic bidirectional instability in the distal radioulnar joint (DRUJ) is diagnosed clinically, based on the patient's complaints and the finding of abnormal laxity in the vicinity of the distal ulna. In cases where malunion is ruled out or treated and there are no signs of osteoarthritis, stabilization of the DRUJ may offer relief. To this end, several different techniques have been investigated over the past 90 years. Materials and Methods In this article we outline the procedure for a new technique using a tendon graft to reinforce the distal edge of the interosseous membrane. Description of Technique A percutaneous technique is used to harvest the palmaris longus tendon and to create a tunnel, just proximal to the sigmoid notch, through the ulna and radius in an oblique direction. By overdrilling the radial cortex, the knotted tendon can be pulled through the radius and ulna and the knot blocked at the second radial cortex, creating a strong connection between the radius and ulna at the site of the distal oblique bundle (DOB). The tendon is fixed in the ulna with a small interference screw in full supination, preventing subluxation of the ulna out of the sigmoid notch during rotation. Results Fourteen patients were treated with this novel technique between 2011 and October 2013. The QuickDASH score at 25 months postoperatively (range 16-38 months) showed an improvement of 32 points. Similarly, an improvement of 33 points (67-34 months) was found on the PRWHE. Only one recurrence of chronic, dynamic bidirectional instability in the DRUJ was observed. Conclusion This simple percutaneous tenodesis technique between radius and ulna at the position of the distal edge of the interosseous membrane shows promise in terms of both restoring stability and relieving complaints related to chronic subluxation in the DRUJ.

Proposed plan for the United Nuclear Corporation Disposal Site at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1991-03-01

The US Department of Energy (DOE) in compliance with Section 117(a) of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980, as amended by the Superfund Amendments and Reauthorization Act (SARA) of 1986, is releasing the proposed plan for remedial action at the United Nuclear Corporation (UNC) Disposal Site located at the DOE Oak Ridge Operations (ORO) Y-12 Plant, Oak Ridge, Tennessee. The purpose of this document is to present and solicit for comment to the public and all interested parties the ''preferred plan'' to remediate the UNC Disposal Site. However, comments on all alternatives are invited

Surface radiological investigations along State Highway 95, Lagoon Road, and Melton Valley Drive, Oak Ridge Reservation, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Tiner, P.F.; Uziel, M.S.; Rice, D.E.; Williams, J.K.

1995-08-01

The surface radiological investigation along State Highway 95, Lagoon Road, and Melton Valley Drive at the Oak Ridge Reservation was conducted as part of the Oak Ridge National Laboratory Environmental Restoration Program Surveillance and Maintenance activities. This report was prepared to document results of the investigation and subsequent remedial actions. The report details surface gamma radiation levels including gamma anomalies; surface beta radiation levels including beta anomalies; results of analysis of soil, water, and vegetation samples and smear samples collected from paved surfaces; remediation activities conducted as a result of the survey; and recommendations for further corrective measures

Traumatisk distal humerus-epifysiolyse hos nyfødt

DEFF Research Database (Denmark)

Al-Aubaidi, Zaid; Nielsen, Keld Daubjerg

2010-01-01

Traumatic distal humerus epiphysiolysis (TDHE) is a rare injury in infants with an incidence of about 1:35,000 births. It is primarily a birth injury, but it is also seen in cases of battered child syndrome. Because of its rare occurrence and the diagnostic difficulties, the lesion may be overloo......Traumatic distal humerus epiphysiolysis (TDHE) is a rare injury in infants with an incidence of about 1:35,000 births. It is primarily a birth injury, but it is also seen in cases of battered child syndrome. Because of its rare occurrence and the diagnostic difficulties, the lesion may...

Uses of medicinal plants by Haitian immigrants and their descendants in the Province of Camagüey, Cuba

Science.gov (United States)

Volpato, Gabriele; Godínez, Daimy; Beyra, Angela; Barreto, Adelaida

2009-01-01

Background Haitian migrants played an important role shaping Cuban culture and traditional ethnobotanical knowledge. An ethnobotanical investigation was conducted to collect information on medicinal plant use by Haitian immigrants and their descendants in the Province of Camagüey, Cuba. Methods Information was obtained from semi-structured interviews with Haitian immigrants and their descendants, direct observations, and by reviewing reports of traditional Haitian medicine in the literature. Results Informants reported using 123 plant species belonging to 112 genera in 63 families. Haitian immigrants and their descendants mainly decoct or infuse aerial parts and ingest them, but medicinal baths are also relevant. Some 22 herbal mixtures are reported, including formulas for a preparation obtained using the fruit of Crescentia cujete. Cultural aspects related to traditional plant posology are addressed, as well as changes and adaptation of Haitian medicinal knowledge with emigration and integration over time. Conclusion The rapid disappearance of Haitian migrants' traditional culture due to integration and urbanization suggests that unrecorded ethnomedicinal information may be lost forever. Given this, as well as the poor availability of ethnobotanical data relating to traditional Haitian medicine, there is an urgent need to record this knowledge. PMID:19450279

Miyoshi-type distal muscular dystrophy. Clinical spectrum in 24 Dutch patients

NARCIS (Netherlands)

Linssen, W. H.; Notermans, N. C.; van der Graaf, Y.; Wokke, J. H.; van Doorn, P. A.; Höweler, C. J.; Busch, H. F.; de Jager, A. E.; de Visser, M.

1997-01-01

Miyoshi-type distal muscular dystrophy has now been found to be more frequent outside Japan than was previously thought. We studied 24 Dutch patients with Miyoshi-type distal muscular dystrophy and focused on its clinical expression and natural history, muscle CT-scans and muscle biopsy findings.

Miyoshi-type distal muscular dystrophy. Clinical spectrum in 24 Dutch patients

NARCIS (Netherlands)

W.H.J.P. Linssen (Wim); N.C. Notermans (Nicolette); Y. van der Graaf (Yolanda); J.H.J. Wokke (John); P.A. van Doorn (Pieter); C.J. Höweler (Chris); H.F.M. Busch (Herman); A.E.J. de Jager (Aeiko); M. de Visser (Marianne)

1997-01-01

textabstractMiyoshi-type distal muscular dystrophy has now been found to be more frequent outside Japan than was previously thought. We studied 24 Dutch patients with Miyoshi-type distal muscular dystrophy and focused on its clinical expression and natural history muscle CT-scans and muscle biopsy

Miyoshi-type distal muscular dystrophy - Clinical spectrum in 24 Dutch patients

NARCIS (Netherlands)

Linssen, WHJP; Notermans, NC; VanderGraaf, Y; Wokke, JHJ; VanDoorn, PA; Howeler, CJ; Busch, HFM; DeJager, AEJ; DeVisser, M

1997-01-01

Miyoshi-type distal muscular dystrophy has now been found to be more frequent outside Japan than was previously thought. We studied 24 Dutch patients with Miyoshi-type distal muscular dystrophy and focused on its clinical expression and natural history, muscle CT-scans and muscle biopsy findings.

HIV Distal Neuropathic Pain Is Associated with Smaller Ventral Posterior Cingulate Cortex.

Science.gov (United States)

Keltner, John R; Connolly, Colm G; Vaida, Florin; Jenkinson, Mark; Fennema-Notestine, Christine; Archibald, Sarah; Akkari, Cherine; Schlein, Alexandra; Lee, Jisu; Wang, Dongzhe; Kim, Sung; Li, Han; Rennels, Austin; Miller, David J; Kesidis, George; Franklin, Donald R; Sanders, Chelsea; Corkran, Stephanie; Grant, Igor; Brown, Gregory G; Atkinson, J Hampton; Ellis, Ronald J

2017-03-01

. Despite modern antiretroviral therapy, HIV-associated neuropathy is one of the most prevalent, disabling and treatment-resistant complications of HIV disease. The presence and intensity of distal neuropathic pain is not fully explained by the degree of peripheral nerve damage. A better understanding of brain structure in HIV distal neuropathic pain may help explain why some patients with HIV neuropathy report pain while the majority does not. Previously, we reported that more intense distal neuropathic pain was associated with smaller total cerebral cortical gray matter volumes. The objective of this study was to determine which parts of the cortex are smaller. . HIV positive individuals with and without distal neuropathic pain enrolled in the multisite (N = 233) CNS HIV Antiretroviral Treatment Effects (CHARTER) study underwent structural brain magnetic resonance imaging. Voxel-based morphometry was used to investigate regional brain volumes in these structural brain images. . Left ventral posterior cingulate cortex was smaller for HIV positive individuals with versus without distal neuropathic pain (peak P  = 0.017; peak t = 5.15; MNI coordinates x = -6, y = -54, z = 20). Regional brain volumes within cortical gray matter structures typically associated with pain processing were also smaller for HIV positive individuals having higher intensity ratings of distal neuropathic pain. . The posterior cingulate is thought to be involved in inhibiting the perception of painful stimuli. Mechanistically a smaller posterior cingulate cortex structure may be related to reduced anti-nociception contributing to increased distal neuropathic pain. © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Classification of Distal Fingertip Amputation Based on the Arterial System for Replantation

OpenAIRE

Park, Hyun Chul; Bahar-Moni, Ahmed Suparno; Cho, Sang Hyun; Kim, Sang Soo; Park, Hyun Sik; Ahn, Sang Cheon

2012-01-01

During replantation of distal fingertip amputation, identification of the artery is the most important but time consuming procedure. Depending on the damaged arterial structure, we classified distal fingertip amputations into 4 zones, on the basis of three dimensional concept. Zone 1 injury was defined as damage to the proximal central pulp artery; zone 2 injury, damage to the branch of the central pulp artery; zone 3 injury, damage to the distal central pulp artery; and zone 4 injury, no inj...

Magdalena Ridge Observatory Interferometer: Status Update

National Research Council Canada - National Science Library

Creech-Eakman, M. J; Bakker, E. J; Buscher, D. F; Coleman, T. A; Haniff, C. A; Jurgenson, C. A; Klinglesmith, III, D. A; Parameswariah, C. B; Romero, V. D; Shtromberg, A. V; Young, J. S

2006-01-01

The Magdalena Ridge Observatory Interferometer (MROI) is a ten element optical and near-infrared imaging interferometer being built in the Magdalena mountains west of Socorro, NM at an altitude of 3230 m...

Distal radioulnar joint: functional anatomy, including pathomechanics.

Science.gov (United States)

Haugstvedt, J R; Langer, M F; Berger, R A

2017-05-01

The distal radioulnar joint allows the human to rotate the forearm to place the hand in a desired position to perform different tasks, without interfering with the grasping function of the hand. The ulna is the stable part of the forearm around which the radius rotates; the stability of the distal radioulnar joint is provided by the interaction between ligaments, muscles and bones. The stabilizing structures are the triangular fibrocartilage complex, the ulnocarpal ligament complex, the extensor carpi ulnaris tendon and tendon sheath, the pronator quadratus, the interosseous membrane and ligament, the bone itself and the joint capsule. The purpose of this review article is to present and illustrate the current understanding of the functional anatomy and pathomechanics of this joint.

a comparative study of some robust ridge and liu estimators

African Journals Online (AJOL)

Dr A.B.Ahmed

estimation techniques such as Ridge and Liu Estimators are preferable to Ordinary Least Square. On the other hand, when outliers exist in the data, robust estimators like M, MM, LTS and S. Estimators, are preferred. To handle these two problems jointly, the study combines the Ridge and Liu Estimators with Robust.

Studying the Indian Ocean Ridge System: Agenda for the new century

Digital Repository Service at National Institute of Oceanography (India)

Mukhopadhyay, R.; Iyer, S.D.; Banerjee, R.; Drolia, R.K.

Studies on the Indian Ocean Ridge System, though sporadic, was aimed to map the complete IORS petrologically and tectonically. Three areas are placed for immediate investigation; one in the slow spreading Carlsberg Ridge area, the second, along...

Complete mucosal healing of distal lesions induced by twice-daily budesonide 2-mg foam promoted clinical remission of mild-to-moderate ulcerative colitis with distal active inflammation: double-blind, randomized study.

Science.gov (United States)

Naganuma, Makoto; Aoyama, Nobuo; Tada, Tomohiro; Kobayashi, Kiyonori; Hirai, Fumihito; Watanabe, Kenji; Watanabe, Mamoru; Hibi, Toshifumi

2018-04-01

Budesonide foam is used for the topical treatment of distal ulcerative colitis. This phase III study was performed to confirm mucosal healing and other therapeutic effects of twice-daily budesonide 2-mg foam in patients with mild-to-moderate ulcerative colitis including left-sided colitis and pancolitis. This was a multicenter, randomized, placebo-controlled, double-blind trial. A total of 126 patients with mild-to-moderate ulcerative colitis with active inflammation in the distal colon were randomized to two groups receiving twice-daily budesonide 2 mg/25 ml foam or placebo foam. The primary endpoint was the percentage of complete mucosal healing of distal lesions (endoscopic subscore of 0) at week 6. Some patients continued the treatment through week 12. Drug efficacy and safety were evaluated. The percentages of both complete mucosal healing of distal lesions and clinical remission were significantly improved in the budesonide as compared with the placebo group (p = 0.0003 and p = 0.0035). Subgroup analysis showed similar efficacy of budesonide foam for complete mucosal healing of distal lesions and clinical remission regardless of disease type. The clinical remission percentage tended to be higher in patients achieving complete mucosal healing of distal lesions than in other patients. There were no safety concerns with budesonide foam. This study confirmed for the first time complete mucosal healing with twice-daily budesonide 2-mg foam in mild-to-moderate ulcerative colitis with distal active inflammation. The results also indicated that complete mucosal healing of distal lesions by budesonide foam promotes clinical remission of ulcerative colitis. Clinical trial registration no.: Japic CTI-142704.

Efficiency and safety of percuSurge distal protection device in acute ...

African Journals Online (AJOL)

user

2011-04-25

Apr 25, 2011 ... myocardial infarction. The long-term effects of the distal protection device are still in controversy. The enhanced myocardial efficacy and recovery by aspiration of liberated debris (EMERALD) trial failed to show the effectiveness of the distal protection device in patients with AMI (Yamada and Topol, 2000).

Soil sampling and analysis plan for the Bear Creek Valley Floodplain at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-03-01

This Sampling and Analysis Plan (SAP) for the Bear Creek Valley (BCV) Floodplain presents the approach and rationale for characterizing potentially contaminated soils and sediments of the Bear Creek floodplain and the impact of any contaminants on the floodplain ecosystem. In addition to this SAP, the Remedial Investigation Work Plan for Bear Creek (Y02-S600) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee (ES/ER-19&D2) presents background information pertaining to this floodplain investigation.

In-Process Analysis Program for the Isolock sampler at the Gunite and Associated Tanks, Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1998-05-01

The In-Process Analysis Program documents the requirements for handling, transporting, and analyzing waste slurry samples gathered by the Bristol Isolock slurry sampler from the Gunite and Associated Tanks at Oak Ridge National Laboratory in Oak Ridge, Tennessee. Composite samples will be gathered during sludge retrieval operations, labeled, transported to the appropriate laboratory, and analyzed for physical and radiological characteristics. Analysis results will be used to support occupational exposure issues, basic process control management issues, and prediction of radionuclide flow

Soil sampling and analysis plan for the Bear Creek Valley Floodplain at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1995-03-01

This Sampling and Analysis Plan (SAP) for the Bear Creek Valley (BCV) Floodplain presents the approach and rationale for characterizing potentially contaminated soils and sediments of the Bear Creek floodplain and the impact of any contaminants on the floodplain ecosystem. In addition to this SAP, the Remedial Investigation Work Plan for Bear Creek (Y02-S600) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee (ES/ER-19 ampersand D2) presents background information pertaining to this floodplain investigation

Contaminated scrap metal management on the Oak Ridge Reservation

International Nuclear Information System (INIS)

Hayden, H.W.; Stephenson, M.J.; Bailey, J.K.; Weir, J.R.; Gilbert, W.C.

1993-01-01

Large quantities of scrap metal are accumulating at the various Department of Energy (DOE) installations across the country as a result of ongoing DOE programs and missions in concert with present day waste management practices. DOE Oak Ridge alone is presently storing around 500,000 tons of scrap metal. The local generation rate, currently estimated at 1,400 tons/yr, is expected to increase sharply over the next couple of years as numerous environmental restoration and decommissioning programs gain momentum. Projections show that 775,000 tons of scrap metal could be generated at the K-25 Site over the next ten years. The Y-12 Plant and Oak Ridge National Laboratory (ORNL) have similar potentials. The history of scrap metal management at Oak Ridge and future challenges and opportunities are discussed

Ridge-like lava tube systems in southeast Tharsis, Mars

Science.gov (United States)

Zhao, Jiannan; Huang, Jun; Kraft, Michael D.; Xiao, Long; Jiang, Yun

2017-10-01

Lava tubes are widely distributed in volcanic fields on a planetary surface and they are important means of lava transportation. We have identified 38 sinuous ridges with a lava-tube origin in southeast Tharsis. The lengths vary between 14 and 740 km, and most of them occur in areas with slopes rate, low lava viscosity, and sustained magma supply during a long period. Besides, lava flow inflation is also important in the formation of the ridge-like lava tubes and some associated features. These lava tubes provide efficient lateral pathways for magma transportation over the relatively low topographic slopes in southeast Tharsis, and they are important for the formation of long lava flows in this region. The findings of this study provide an alternative formation mechanism for sinuous ridges on the martian surface.

76 FR 48927 - RidgeWorth Funds and RidgeWorth Capital Management, Inc.; Notice of Application

Science.gov (United States)

2011-08-09

... the best interests of the Fund and its shareholders, and does not involve a conflict of interest from... enter into and materially amend subadvisory agreements without shareholder approval. Applicants: Ridge... hearing. Interested persons may request a hearing by writing to the Commission's Secretary and serving...

Implementation Plan for Liquid Low-Level Radioactive Waste tank systems at Oak Ridge National Laboratory under the Federal Facility Agreement, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1994-09-01

This document summarizes the progress that has been made to date in implementing the plans and schedules for meeting the Federal Facility Agreement (FFA) commitments for the Liquid Low-Level Waste (LLLW) System at Oak Ridge National Laboratory (ORNL). These commitments were initially submitted in ES/ER-17 ampersand Dl, Federal Facility Agreement Plans and Schedules for Liquid Low-Level Radioactive Waste Tank Systems at Oak Ridge National Laboratory, Oak Ridge, Tennessee. Information presented in this document provides a comprehensive summary to facilitate understanding of the FFA compliance program for LLLW tank systems and to present plans and schedules associated with remediation, through the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) process, of LLLW tank systems that have been removed from service. ORNL has a comprehensive program underway to upgrade the LLLW system as necessary to meet the FFA requirements. The tank systems that are removed from service are being investigated and remediated through the CERCLA process. Waste and risk characterizations have been submitted. Additional data will be prepared and submitted to EPA/TDEC as tanks are taken out of service and as required by the remedial investigation/feasibility study (RI/FS) process. The plans and schedules for implementing the FFA compliance program that were submitted in ES/ER-17 ampersand Dl, Federal Facility Agreement Plans and Schedules for Liquid Low-Level Radioactive Waste tanks Systems at Oak Ridge National Laboratory, Oak Ridge, Tennessee, are updated in this document. Chapter 1 provides general background information and philosophies that lead to the plans and schedules that appear in Chaps. 2 through 5

Tratamiento quirúrgico de la falange distal bífida por traumatismo de mano en la infancia Tratamento cirurgico de falange distal bifida pós traumatismo de mão na infância Surgical treatment of distal bifid phalanx post of hand trauma in childhood

Directory of Open Access Journals (Sweden)

F. Passos da Rocha

2011-03-01

Full Text Available La extremidad distal de los dedos es la parte de la mano que más frecuentemente se lesiona. Las principales complicaciones que pueden derivar de ese tipo de lesiones traumáticas incluyen: infecciones, retracciones de la piel, deformidades óseas y amputaciones. El presente artículo tiene como objetivo presentar el tratamiento quirúrgico seguido en un pacientes de 16 años que sufrió traumatismo sobre la falange distal del segundo dedo de la mano derecha a los 2 años de edad, a consecuencia del cual se produjo deformidad ósea y falange bífida asociada a retracción de la piel en el punto de la lesión.A extremidade distal dos dedos é a parte da mão mais freqüentemente lesionada. As principais complicações que podem ocorrer como conseqüências dessas lesões traumáticas incluem: as infecções, as retrações da pele, as deformidades ósseas e as amputações. O presente trabalho tem como objetivo relatar o tratamento cirúrgico de um paciente de 16 anos que sofreu um trauma na falange distal do segundo dedo da mão direita aos dois anos de idade, resultando em deformidade óssea e falange distal bífida associada a retração de pele no local onde ocorreu a lesão.The distal extremity of the fingers of the hand is the most frequently injured. The main complications that can occur as a result of these traumatic injuries include: infections, retraction of the skin, bone deformities and amputations. This article aims to report the surgical treatment of a 16 years old patient who suffered a trauma in the distal phalanx of the second finger of right hand when he was 2 years old, resulting in bone deformity and distal phalanx bifid associated with retraction of the skin at the site where the injury occurred.

Chemical and Mineralogical Characterization of a Hematite-bearing Ridge on Mauna Kea, Hawaii: A Potential Mineralogical Process Analog for the Mount Sharp Hematite Ridge

Science.gov (United States)

Graff, T. G.; Morris, R. V.; Ming, D. W.; Hamilton, J. C.; Adams, M.; Fraeman, A. A.; Arvidson, R. E.; Catalano, J. G.; Mertzman, S. A.

2014-01-01

The Mars Science Laboratory (MSL) rover Curiosity landed in Gale Crater in August 2012 and is currently roving towards the layered central mound known as Mount Sharp [1]. Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) hyperspectral data indicate Mount Sharp contains an 5 km stratigraphic sequence including Fe-Mg smectites, hematite, and hydrated sulfates in the lower layers separated by an unconformity from the overlying anhydrous strata [1,2,3]. Hematite was initially detected in CRISM data to occur in the lower sulfate layers on the north side of the mound [2]. [3] further mapped a distinct hematite detection occurring as part of a 200 m wide ridge that extends 6.5 km NE-SW, approximately parallel with the base of Mount Sharp. It is likely a target for in-situ analyses by Curiosity. We document here the occurrence of a stratum of hematite-bearing breccia that is exposed on the Puu Poliahu cinder cone near the summit of Mauna Kea volcano (Hawaii) (Fig.1). The stratum is more resistant to weathering than surrounding material, giving it the appearance of a ridge. The Mauna Kea hematite ridge is thus arguably a potential terrestrial mineralogical and process analog for the Gale Crater hematite ridge. We are acquiring a variety of chemical and mineralogical data on the Mauna Kea samples, with a focus on the chemical and mineralogical information already available or planned for the Gale hematite ridge.

Math modeling for helicopter simulation of low speed, low altitude and steeply descending flight

Science.gov (United States)

Sheridan, P. F.; Robinson, C.; Shaw, J.; White, F.

1982-01-01

A math model was formulated to represent some of the aerodynamic effects of low speed, low altitude, and steeply descending flight. The formulation is intended to be consistent with the single rotor real time simulation model at NASA Ames Research Center. The effect of low speed, low altitude flight on main rotor downwash was obtained by assuming a uniform plus first harmonic inflow model and then by using wind tunnel data in the form of hub loads to solve for the inflow coefficients. The result was a set of tables for steady and first harmonic inflow coefficients as functions of ground proximity, angle of attack, and airspeed. The aerodynamics associated with steep descending flight in the vortex ring state were modeled by replacing the steady induced downwash derived from momentum theory with an experimentally derived value and by including a thrust fluctuations effect due to vortex shedding. Tables of the induced downwash and the magnitude of the thrust fluctuations were created as functions of angle of attack and airspeed.

Improved voltage performance of the Oak Ridge 25URC tandem accelerator

International Nuclear Information System (INIS)

Meigs, M.J.; Jones, C.M.; Haynes, D.L.; Juras, R.C.; Ziegler, N.F.; Roatz, J.E.; Rathmell, R.D.

1989-01-01

This paper reports on the Oak Ridge 25URC tandem electrostatic accelerator one of two accelerators operated by the Holifield Heavy Ion Research Facility (HHIRF) at the Oak Ridge National Laboratory. Placed into routine service in 1982, the accelerator has provided a wide range of heavy ion beams for research in nuclear and atomic physics. These beams have been provided both directly and after further acceleration by the Oak Ridge Isochronous Cyclotron (ORIC). Show schematically in this paper, the tandem accelerator is a model 25URC Pelletron accelerator

Recovery of distal coronary flow reserve in LAD and LCx after Y-Graft intervention assessed by transthoracic echocardiography

Science.gov (United States)

2010-01-01

Background Y- graft (Y-G) is a graft formed by the Left Internal Mammary Artery (LIMA) connected to the Left Anterior Descending Artery (LAD) and by a free Right Internal Mammary Artery (RIMA) connected to LIMA and to a Marginal artery of Left Circumflex Artery (LCx). Aim of the work was to study the flow of this graft during a six months follow-up to assess whether the graft was able to meet the request of all the left coronary circulation, and to assess whether it could be done by evaluation of coronary flow reserve (CFR). Methods In 13 consecutive patients submitted to Y-G (13 men), CFR was measured in distal LAD and in distal LCx from 1 week after , every two months, up to six months after operation (a total of 8 tests for each patient) by means of transthoracic echocardiography (TTE) and Adenosine infusion (140 mcg/kg/min for 3-6 min). A Sequoia 256, Acuson-Siemens, was used. Contrast was used when necessary (Levovist 300 mg/ml solution at a rate of 0,5-1 ml/min). Max coronary flow diastolic velocity post-/pre-test ≥2 was considered normal CFR. Results Coronary arteriography revealed patency of both branches of Y-G after six months. Accuracy of TTE was 100% for LAD and 85% for LCx. Feasibility was 100% for LAD and 85% for LCx. CFR improved from baseline in LAD (2.21 ± 0.5 to 2.6 ± 0.5, p = 0.03) and in LCx (1.7 ± 1 to 2.12 ± 1, p = 0.05). CFR was under normal at baseline in 30% of patients vs 8% after six months in LAD (p = 0.027), and in 69% of patients vs 30% after six months in LCx (p = 0.066). Conclusion CFR in Y-G is sometimes reduced in both left territories postoperatively but it improves at six months follow-up. A follow-up can be done non-invasively by TTE and CFR evaluation. PMID:20716357

When Is Visual Information Used to Control Locomotion When Descending a Kerb?

OpenAIRE

Buckley, John G.; Timmis, Matthew A.; Scally, Andy J.; Elliott, David B.

2011-01-01

BACKGROUND: Descending kerbs during locomotion involves the regulation of appropriate foot placement before the kerb-edge and foot clearance over it. It also involves the modulation of gait output to ensure the body-mass is safely and smoothly lowered to the new level. Previous research has shown that vision is used in such adaptive gait tasks for feedforward planning, with vision from the lower visual field (lvf) used for online updating. The present study determined when lvf information is ...

Calendar year 1993 groundwater quality report for the Chestnut Ridge Hydrogeologic Regime Y-12 Plant, Oak Ridge, Tennessee. 1993 Groundwater quality data interpretations and proposed program modifications

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-09-01

This groundwater quality report (GWQR) contains an evaluation of the groundwater quality data obtained during the 1993 calendar year (CY) at several hazardous and non-hazardous waste management facilities associated with the US DOE Y-12 Plant located on the DOE Oak Ridge Reservation (ORR) southeast of Oak Ridge, Tennessee. The groundwater quality data are presented in Part 1 of the GWQR submitted by Martin Marietta Energy Systems, Inc. to the Tennessee Department of Environment and Conservation (TDEC) in February 1994. Groundwater quality data evaluated in this report were obtained at several hazardous and non-hazardous waste management sites located within the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime). The Chestnut Ridge Regime encompasses a section of Chestnut Ridge south of the Y-12 Plant and is one of three hydrogeologic regimes defined for the purposes of groundwater quality monitoring at the plant. The Environmental Management Department of the Y-12 Plant Health, Safety, Environment, and Accountability Organization manages the groundwater monitoring activities in each regime as part of the Y-12 Plant Groundwater Protection Program (GWPP). The annual GWQR for the Chestnut Ridge Regime is completed in two parts. Part 1 consists primarily of data appendices and serves as a reference for the groundwater quality data obtained each CY under the lead of the Y-12 Plant GWPP. Because it contains information needed to comply with Resource Conservation and Recovery Act (RCRA) interim status assessment monitoring and reporting requirements, the Part 1 GWQR is submitted to the TDEC by the RCRA reporting deadline (March 1 of the following CY). Part 2 (this report) contains an evaluation of the data with respect to regime-wide groundwater quality, presents the findings and status of ongoing hydrogeologic studies, describes changes in monitoring priorities, and presents planned modifications to the groundwater sampling and analysis activities.

Calendar year 1993 groundwater quality report for the Chestnut Ridge Hydrogeologic Regime Y-12 Plant, Oak Ridge, Tennessee. 1993 Groundwater quality data interpretations and proposed program modifications

International Nuclear Information System (INIS)

1994-09-01

This groundwater quality report (GWQR) contains an evaluation of the groundwater quality data obtained during the 1993 calendar year (CY) at several hazardous and non-hazardous waste management facilities associated with the US DOE Y-12 Plant located on the DOE Oak Ridge Reservation (ORR) southeast of Oak Ridge, Tennessee. The groundwater quality data are presented in Part 1 of the GWQR submitted by Martin Marietta Energy Systems, Inc. to the Tennessee Department of Environment and Conservation (TDEC) in February 1994. Groundwater quality data evaluated in this report were obtained at several hazardous and non-hazardous waste management sites located within the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime). The Chestnut Ridge Regime encompasses a section of Chestnut Ridge south of the Y-12 Plant and is one of three hydrogeologic regimes defined for the purposes of groundwater quality monitoring at the plant. The Environmental Management Department of the Y-12 Plant Health, Safety, Environment, and Accountability Organization manages the groundwater monitoring activities in each regime as part of the Y-12 Plant Groundwater Protection Program (GWPP). The annual GWQR for the Chestnut Ridge Regime is completed in two parts. Part 1 consists primarily of data appendices and serves as a reference for the groundwater quality data obtained each CY under the lead of the Y-12 Plant GWPP. Because it contains information needed to comply with Resource Conservation and Recovery Act (RCRA) interim status assessment monitoring and reporting requirements, the Part 1 GWQR is submitted to the TDEC by the RCRA reporting deadline (March 1 of the following CY). Part 2 (this report) contains an evaluation of the data with respect to regime-wide groundwater quality, presents the findings and status of ongoing hydrogeologic studies, describes changes in monitoring priorities, and presents planned modifications to the groundwater sampling and analysis activities

Summary review of the chemical characterization of liquid and sludge contained in the Old Hydrofracture tanks, Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Francis, C.W.; Herbes, S.E.

1997-02-01

This report presents analytical data developed from samples collected from the five inactive tanks located at the Old Hydrofracture Facility (OHF) at the Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee. The samples were collected during December 1995 and January 1996. The purpose of the sampling and analysis project was (1) to determine whether the tank contents meet ORNL waste acceptance criteria, as specified in the Oak Ridge National Laboratory, Liquid Waste Treatment Systems, Waste Evaluation Criteria; (2) to determine various physical properties of the tank contents that would affect the design of a sludge mobilization system; and (3) to gather information to support a baseline risk assessment. The report focuses on the analytical results used to evaluate the tank contents with regard to nuclear criticality safety requirements and to regulatory waste characterization

Distal vein patch as a form of autologus modification for infragenicular prosthetic bypass.

Science.gov (United States)

Totic, Dragan; Rustempasic, Nedzad; Djedovic, Muhamed; Solakovic, Sid; Vukas, Haris; Aslani, Ilijas; Krvavac, Alma; Rudalija, Dzejra; Ahmetasevic, Alen

2013-01-01

Preferred graft for infragenicular bypass is autologus vein. The problem is when there is not available autologus vein. Literature suggest that in these situations, prosthetic graft with some form of modification of distal anastomosis with autogenic tissue is valuable adjunctive. Frequently used modifications are Miller's cuff, Taylor's patch and St. Mary's boot. Recently, there are reports on "Distal vein patch" as a form of autologus modification which, due to its simplicity and patency rate, attracted attention. The aim of this study was to evaluate benefits of this novel modification by comparing its patencies with other autologus modification of distal anastomosis. Study was performed on 60 patients, diabetics, with critical limb ischemia (CLI). Patients were divided in two groups: Group with distal vein patch modification; and group with some other form modification - control group. Patients were followed at least 22 months. We examined patency of grafts by physical examination or using Color Doppler. For statistical purposes we used KIaplan Meier analysis and curve. Significance was determined by Mann-Whitney, Fisher's exact, Pearsons chi square or Student T test as appropriate. P value less than 0,05 was considered significant. Groups were fairly matched relative to demographics, risk factors, operative intervention and distal anastomosis site. There was not statistical difference in two year primary patency between distal vein patch and control group--50% vs 53% respectivly (X2 = 0,08; p = 0,773). Also, there was not statistically significant difference in extremity survival (77% vs 77%) and patient survival between groups (89% vs 93%; X2 = 2,458; p = 0,117). This study proved equivalent patencies of infragenicular prosthetic bypasses performed using distal vein patch technique as with any other modification of distal anastomosis.

Management and treatment of distal ulcerative colitis

Directory of Open Access Journals (Sweden)

Andrea Calafiore

2013-12-01

Full Text Available Ulcerative colitis (UC is a chronic inflammatory condition that is confined to the colonic mucosa. Its main symptoms include diarrhea, rectal bleeding and abdominal pain. Approximately two-thirds of UC patients have disease confined distal to the splenic flexure, which can be treated effectively with topical therapy. This means the active drug can be delivered directly to the site of inflammation, limiting the systemic absorption and potential side effects. Topical treatment with aminosalicylates is the most effective approach in the treatment of these forms, provided that the formulation reaches the upper margin of the disease. Given this, the suppository formulation is the treatment of choice for proctitis and distal sigmoiditis. Thanks to their proximal spread, enemas, foams and gels represent the treatment of choice for proctosigmoiditis and for distal ulcerative colitis. Oral aminosalicylates are less effective than topical therapies in patients with active disease, while the combination of topical and oral treatment is more effective in patients refractory to topical or oral mono-therapy. Topically administered aminosalicylates play an important role in the maintenance of remission, but the long-term adhesion to therapy is poor. For this reason, the oral formulation is the first-line therapy in the maintenance of remission. Refractory patients can be treated with topical steroids or systemic steroids and TNF-alpha inhibitors in severe forms.

Left ventricular contractile function after distal protection in primary percutaneous coronary intervention Results from the Drug Elution and Distal Protection in ST-Elevation Myocardial Infarction trial

DEFF Research Database (Denmark)

Kofoed, K F; Kelbæk, H; Thuesen, L

2011-01-01

Coronary intervention (PCI) may result in an increased infarct size. We evaluated the effect of distal protection during PCI for ST-segment elevation myocardial infarction (STEMI) on myocardial function.......Coronary intervention (PCI) may result in an increased infarct size. We evaluated the effect of distal protection during PCI for ST-segment elevation myocardial infarction (STEMI) on myocardial function....

Fractures of the distal tibia treated with polyaxial locking plating.

Science.gov (United States)

Gao, Hong; Zhang, Chang-Qing; Luo, Cong-Feng; Zhou, Zu-Bin; Zeng, Bing-Fang

2009-03-01

We evaluated the healing rate, complications, and functional outcomes in 32 adult patients with very short metaphyseal fragments in fractures of the distal tibia treated with a polyaxial locking system. The average distance from the distal extent of the fracture to the tibial plafond was 11 mm. All fractures healed and the average time to union was 14 weeks. Six patients (19%) reported occasional local disturbance over the medial malleolus. There were two cases of postoperative superficial infections and evidence of delayed wound healing. Using the American Orthopaedic Foot and Ankle Society ankle score, the average functional score was 87.3 points (of 100 total possible points). Our results show the polyaxial locking plates, which offer more fixation versatility, may be a reasonable treatment option for distal tibia fractures with very short metaphyseal segments.

Vertebral artery origin stent placement with distal protection: technical and clinical results.

Science.gov (United States)

Qureshi, A I; Kirmani, J F; Harris-Lane, P; Divani, A A; Ahmed, S; Ebrihimi, A; Al Kawi, A; Janjua, N

2006-05-01

To report the feasibility, safety, and 1-month results of performing stent placement for vertebral origin stenosis with the use of a distal protection device. Distal protection devices have been shown to reduce the number of cerebral emboli and subsequent ischemic events when used as adjuncts to percutaneous carotid intervention; however, one case of the use of a distal protection device for vertebral artery has been reported in the literature. We retrospectively determined rates of technical success and 1-month stroke or death associated with stent placement by using distal protection (Filter EX; Boston Scientific, Natick, Mass) in patients with symptomatic vertebral artery origin stenosis. Technical success was defined as successful deployment of distal protection device and stent at target lesion followed by successful retrieval of the device and a final residual stenosis of less than 30%. Other outcomes ascertained included any stroke, death, and semiquantitative assessment of particulate material retained by the filter device. The mean age of the 12 treated patients was 68 years (range, 52-88 years) and the group included 9 men and 3 women. The mean percentage of vertebral artery origin stenosis was 71 +/- 6%. Femoral and radial approaches were used in 9 and 3 cases, respectively. Technical success was achieved in 11 of the 12 patients in whom distal protection device placement was attempted. Postprocedure residual stenosis was 5 +/- 4%. Eight devices held macroscopically visible embolic debris (large and small amounts in 3 and 5 devices, respectively). No stroke or death was observed in the 1-month follow-up. The present study demonstrates the feasibility of performing stent placement for vertebral artery origin stenosis by using a distal protection device. Further studies are required to determine the effectiveness of this approach for vertebral artery origin atherosclerosis.

Model selection in kernel ridge regression

DEFF Research Database (Denmark)

Exterkate, Peter

2013-01-01

Kernel ridge regression is a technique to perform ridge regression with a potentially infinite number of nonlinear transformations of the independent variables as regressors. This method is gaining popularity as a data-rich nonlinear forecasting tool, which is applicable in many different contexts....... The influence of the choice of kernel and the setting of tuning parameters on forecast accuracy is investigated. Several popular kernels are reviewed, including polynomial kernels, the Gaussian kernel, and the Sinc kernel. The latter two kernels are interpreted in terms of their smoothing properties......, and the tuning parameters associated to all these kernels are related to smoothness measures of the prediction function and to the signal-to-noise ratio. Based on these interpretations, guidelines are provided for selecting the tuning parameters from small grids using cross-validation. A Monte Carlo study...

Observation of pressure ridges in SAR images of sea ice: Scattering theory and comparison with observations

Science.gov (United States)

Vesecky, J. F.; Daida, J. M.; Shuchman, R. A.; Onstott, R. H.; Camiso, J. C.

1993-01-01

Ridges and keels (hummocks and bummocks) in sea ice flows are important in sea ice research for both scientific and practical reasons. Sea ice movement and deformation is driven by internal and external stresses on the ice. Ridges and keels play important roles in both cases because they determine the external wind and current stresses via drag coefficients. For example, the drag coefficient over sea ice can vary by a factor of several depending on the fluid mechanical roughness length of the surface. This roughness length is thought to be strongly dependent on the ridge structures present. Thus, variations in ridge and keel structure can cause gradients in external stresses which must be balanced by internal stresses and possibly fracture of the ice. Ridging in sea ice is also a sign of fracture. In a practical sense, large ridges form the biggest impediment to surface travel over the ice or penetration through sea ice by ice-strengthened ships. Ridges also play an important role in the damage caused by sea ice to off-shore structures. Hence, observation and measurement of sea ice ridges is an important component of sea ice remote sensing. The research reported here builds on previous work, estimating the characteristics of ridges and leads in sea ice from SAR images. Our objective is to develop methods for quantitative measurement of sea ice ridges from SAR images. To make further progress, in particular, to estimate ridge height, a scattering model for ridges is needed. Our research approach for a ridge scattering model begins with a survey of the geometrical properties of ridges and a comparison with the characteristics of the surrounding ice. For this purpose we have used airborne optical laser (AOL) data collected during the 1987 Greenland Sea Experiment. These data were used to generate a spatial wavenumber spectrum for height variance for a typical ridge - the typical ridge is the average over 10 large ridges. Our first-order model radar scattering includes

Wetland Survey of Selected Areas in the Oak Ridge Y-12 Plant Area of Responsibilty, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Rosensteel.

1997-01-01

This document was prepared to summarize wetland surveys performed in the Y- 1 2 Plant area of responsibility in June and July 1994. Wetland surveys were conducted in three areas within the Oak Ridge Y- 12 Plant area of responsibility in June and July 1994: the Upper East Fork Poplar Creek (UEFPC) Operable Unit (OU), part of the Bear Creek Valley OU (the upper watershed of Bear Creek from the culvert under Bear Creek Road upstream through the Y-12 West End Environmental Management Area, and the catchment of Bear Creek North Tributary 1), and part of Chestnut Ridge OU 2 (the McCoy Branch area south of Bethel Valley Road). Using the criteria and methods set forth in the Wetlands Delineation Manual, 18 wetland areas were identified in the 3 areas surveyed; these areas were classified according to the system developed by Cowardin. Fourteen wetlands and one wetland/pond area that are associated with disturbed or remnant stream channels and seeps were identified in the UEFPC OU. Three wetlands were identified in the Bear Creek Valley OU portion of the survey area. One wetland was identified in the riparian zone of McCoy Branch in the southern portion of Chestnut Ridge OU 2

Effects of ridge and furrow rainfall harvesting system on Elymus ...

African Journals Online (AJOL)

ARL

2012-05-10

May 10, 2012 ... A ridge-furrow rainfall harvesting system (RFRHS) was designed to increase the available soil water for .... The solar energy passed through the plastic-film and heated up the air and the surface soil of ridge and then the heat was trapped by the greenhouse effect (Zhou et al., 2009). Meanwhile, the.

Classification of distal fingertip amputation based on the arterial system for replantation.

Science.gov (United States)

Park, Hyun Chul; Bahar-Moni, Ahmed Suparno; Cho, Sang Hyun; Kim, Sang Soo; Park, Hyun Sik; Ahn, Sang Cheon

2013-06-01

During replantation of distal fingertip amputation, identification of the artery is the most important but time consuming procedure. Depending on the damaged arterial structure, we classified distal fingertip amputations into 4 zones, on the basis of three dimensional concept. Zone 1 injury was defined as damage to the proximal central pulp artery; zone 2 injury, damage to the branch of the central pulp artery; zone 3 injury, damage to the distal central pulp artery; and zone 4 injury, no injury to the central pulp artery, injury only to the lateral pulp artery. From April 2010 to June 2011, 27 patients were evaluated. Successful replantation was observed in 21 patients. Skin necrosis occurred in six patients. For distal fingertip amputation classification based on the damaged arterial system is an easy method to find out the appropriate artery which should be anastomosed during replantation.

Retrospective success and survival rates of dental implants placed after a ridge preservation procedure.

Science.gov (United States)

Apostolopoulos, Peter; Darby, Ivan

2017-04-01

Ridge preservation is any procedure that takes place at the time of, or shortly after an extraction, to minimise resorption of the ridge and maximise bone formation within the socket. The aim of this project is to investigate the outcome of implant treatment following ridge preservation and compare it to an ungrafted implant control group. Following ethics approval, an electronic and manual search of patient records was conducted, and appropriate cases of implant placement following a ridge preservation procedure were identified. Forty-two patients with 51 implants at ridge-preserved sites were examined by one author (PA) with the following parameters assessed at each implant: pocket probing depth, bleeding on probing, presence/absence of plaque and radiographic bone loss. Clinical and radiographic findings were compared to an ungrafted implant control group and analysed by years in function. There was a 100% survival rate of implants in ridge-preserved sites. In the majority of cases, ridge preservation was performed in the anterior maxilla with a flap raised and the use of deproteinised bovine bone mineral and collagen membrane materials. The mean time in function was 31 (±24) months with a range of 2-102 months. Differences in the mean PPD, BOP, plaque index and radiographic bone loss were not statistically significant between implants at ridge-preserved or ungrafted sites. The overall success rate was around 58% for ungrafted implants and around 51% for implants in ridge-preserved sites. However, this difference was not statistically significant. In this retrospective study, implant placement at ridge-preserved sites was a predictable procedure that led to very high survival rates and similar success rates to implant placement at ungrafted sites. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Curvilinear ridges and related features in southwest Cydonia Mensae, Mars

Science.gov (United States)

Parker, Timothy J.; Schneeberger, Dale M.; Pieri, David C.; Saunders, R. Stephen

1987-01-01

Examined is a region on Mars in southwest Cydonia Mensae (32 deg lat., 17 deg long.) just northwest of the lowland/upland boundary escarpment. The dominant morphological features in this region are the clusters of large massifs and plateau outliers (PI), knobby material (K), and smooth lowland plains (Ps). Surrounding the clusters and linking many isolated knobs is a system of curvilinear ridges and arcuate terrain boundaries which tend to separate the massifs and knobs from the smooth plains. Curvilinear ridges are arcuate to nearly linear and smoother in plan than wrinkle ridges and show no apparent correlation with regional structural grain. They are typically 5 to 10 km long but can range from as little as 2 or 3 km to greater than 50 km long. The widths vary from about 100 m to as much as 2 km. Curvilinear ridges are most numerous within 100 km of the lowland/upland boundary escarpment and are associated with massifs and knobby terrain. Arcuate terrain boundaries appear between units of different apparent albedo or arcuate breaks in slope.

Ridge Width Correlations between Inked Prints and Powdered Latent Fingerprints.

Science.gov (United States)

De Alcaraz-Fossoul, Josep; Barrot-Feixat, Carme; Zapico, Sara C; Mancenido, Michelle; Broatch, Jennifer; Roberts, Katherine A; Carreras-Marin, Clara; Tasker, Jack

2017-10-03

A methodology to estimate the time of latent fingerprint deposition would be of great value to law enforcement and courts. It has been observed that ridge topography changes as latent prints age, including the widths of ridges that could be measured as a function of time. Crime suspects are commonly identified using fingerprint databases that contain reference inked tenprints (flat and rolled impressions). These can be of interest in aging studies as they provide baseline information relating to the original (nonaged) ridges' widths. In practice, the age of latent fingerprints could be estimated following a comparison process between the evidentiary aged print and the corresponding reference inked print. The present article explores possible correlations between inked and fresh latent fingerprints deposited on different substrates and visualized with TiO 2 . The results indicate that the ridge width of flat inked prints is most similar to fresh latent fingerprints , and these should be used as the comparison standard for future aging studies. © 2017 American Academy of Forensic Sciences.

Department of Energy Environmental Management Plan for Oak Ridge Reservation

International Nuclear Information System (INIS)

1984-01-01

The Environmental Program Management Plan for the Oak Ridge Complex was prepared in response to recommendations made at the Congressional hearing held in Oak Ridge on July 11, 1983, to discuss the extent and impact of mercury and other pollutants from DOE's Oak Ridge facilities. While this is a planning document and not a commitment of funds, this effort will help to focus DOE resources toward resolving environmental problems at Oak Ridge in a timely and cost-effective manner. The plan includes: (1) an environmental planning basis; (2) a brief description of the problems and proposed resolutions for each plant; (3) research and development requirements and funding schedules; (4) funding schedule summaries; and (5) continuing analyses and unresolved issues. The planning basis provides the foundation for identifying the environmental problems and their potential resolutions. While applicable environmental standards must be met, there is considerable latitude for interpretation of existing regulations and projection of future requirements. This latitude can have a significant impact on funding and scheduling. 11 figures, 8 tables

Robotic spleen-preserving distal pancreatectomy. A case report.

Science.gov (United States)

Vasilescu, C; Sgarbura, O; Tudor, S; Herlea, V; Popescu, I

2009-01-01

Distal pancreatectomy (DP) is the removal of the pancreatic tissue at the left side of the superior mesenteric vein and it is traditionally approached by an open or laparoscopic exposure. Preservation of the spleen is optional but appears to have a better immunological outcome. We present the case of a 53-year old patient with a 2.4/2.2 tumor located in the tail of the pancreas, with high tumour marker values for whom we decided to perform a robotic spleen-preserving distal pancreatectomy (RSPDP). The postoperative outcome was satisfactory. In conclusion, we recommend this type of approach for small pancreatic tail lesions.

Modified distal shoe appliance--fabrication and clinical performance.

Science.gov (United States)

Gujjar, Kumar Raghav; Indushekar, K R; Amith, H V; Sharma, Shefali Li

2012-01-01

When the primary second molar is prematurely lost, mesial movement and migration of the permanent first molar often occurs. This is one of the most difficult problems of the developing dentition confronted by pediatric dentists. Use of a space maintainer that will guide the permanent first molar into its normal position is indicated. In cases with bilateral premature loss of primary molars, the conventional design of distal shoe poses a variety of problems and, therefore, necessitates a customized design for the eruption guidance of permanent first molars. The purpose of this case report is to discuss an innovative design of a distal shoe appliance, which was used with good clinical results.

A Pitfall in Fixation of Distal Humeral Fractures with Pre-Contoured Locking Compression Plate

Directory of Open Access Journals (Sweden)

Prakash Jayakumar

2015-04-01

Full Text Available Anatomically precontoured locking plates are intended to facilitate the fixation of articular fractures and particularly those associated with osteoporosis. Fractures of the distal humerus are relatively uncommon injuries where operative intervention can be exceptionally challenging. The distal humeral trochlea provides a very narrow anatomical window through which to pass a fixed-angle locking screw, which must also avoid the olecranon, coronoid, and radial fossae. We describe 3 patients (ages 27, 49, and 73 years with a bicolumnar fracture of the distal humerus where very short distal locking screws were used. Intra-articular screw placement was avoided but loss of fixation occurred in two patients and a third was treated with a prolonged period of immobilization. We postulate that fixed-angle screw trajectories may make it difficult for the surgeon to place screws of adequate length in this anatomically confined region, and may lead to insufficient distal fixation. Surgical tactics should include placement of as many screws as possible into the distal fragment, as long as possible, and that each screw pass through a plate without necessarily locking in.

Detailed analysis of a RCRA landfill for the United Nuclear Corporation Disposal Site at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1991-04-01

The purpose of this detailed analysis is to provide a preliminary compilation of data, information, and estimated costs associated with a RCRA landfill alternative for UNC Disposal Site. This is in response to Environmental Protection Agency (EPA) comment No. 6 from their review of a open-quotes Feasibility Study for the United Nuclear Corporation Disposal Site at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee.close quotes

Environmental Compliance and Protection Program Description Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

Bechtel Jacobs

2009-02-26

The objective of the Environmental Compliance and Protection (EC and P) Program Description (PD) is to establish minimum environmental compliance requirements and natural resources protection goals for the Bechtel Jacobs Company LLC (BJC) Oak Ridge Environmental Management Cleanup Contract (EMCC) Contract Number DE-AC05-98OR22700-M198. This PD establishes the work practices necessary to ensure protection of the environment during the performance of EMCC work activities on the US Department of Energy's (DOE's) Oak Ridge Reservation (ORR) in Oak Ridge, Tennessee, by BJC employees and subcontractor personnel. Both BJC and subcontractor personnel are required to implement this PD. A majority of the decontamination and demolition (D and D) activities and media (e.g., soil and groundwater) remediation response actions at DOE sites on the ORR are conducted under the authority of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). CERCLA activities are governed by individual CERCLA decision documents (e.g., Record of Decision [ROD] or Action Memorandum) and according to requirements stated in the Federal Facility Agreement for the Oak Ridge Reservation (DOE 1992). Applicable or relevant and appropriate requirements (ARARs) for the selected remedy are the requirements for environmental remediation responses (e.g., removal actions and remedial actions) conducted under CERCLA.

Genetics Home Reference: distal arthrogryposis type 1

Science.gov (United States)

... 1 is a disorder characterized by joint deformities (contractures) that restrict movement in the hands and feet. ... distal arthrogryposis type 1 . However, researchers speculate that contractures may be related to problems with muscle contraction ...

Palladium catalyzed selective distal C-H olefination of biaryl systems.

Science.gov (United States)

Maity, Soham; Hoque, Ehtasimul; Dhawa, Uttam; Maiti, Debabrata

2016-11-29

Palladium catalyzed selective distal C-H activation with nitrile based templates has been of significant research interest in recent times. In this report, we disclose the distal C-H olefination of biphenyl systems with high regio- and stereo-selectivity and useful synthetic yields. The utility of this method has been demonstrated through its wide olefin scope, its operation at the gram scale and the easy removal/recovery of the directing group.

Phase 2 Sampling Plan for Chestnut Ridge Operable Unit 2 (Filled Coal Ash Pond/Upper McCoy Branch) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1992-08-01

CDM Federal Programs Corporation (CDM Federal) was contracted by Martin Marietta Energy Systems, Inc. to prepare a Phase H Sampling Plan to describe field investigation work necessary to address regulatory agency review comments on the Remedial Investigation of Filled Coal Ash Pond (FCAP)/Upper McCoy Branch, Chestnut Ridge Operable Unit 2 at the Y-12 Plant, conducted by CH2M Hill in 1990. The scope and approach of the field investigation described in this plan specifically focus on deficiencies noted by the regulators in discussions at the comment resolution meeting of May 8, 1992, in Oak Ridge, Tennessee. This Phase II Sampling Plan includes a field sampling plan, a field and laboratory quality assurance project plan, a health and safety plan, a waste management plan, and appendixes providing an update to applicable or relevant and appropriate requirements for this site and field and laboratory testing methods and procedures. To address deficiencies noted by the regulators, the following activities will be conducted: Background surface soil and surface water/sediment samples will be collected based on statistical considerations for comparison to site data. Existing and new data to be collected will be used to support a human health risk assessment that includes the future homesteader scenario. Biological surveys, samples, and measurements will be collected/conducted to augment existing data and support an ecological risk assessment. Another round of groundwater sampling will be conducted, including on-site wells and the wells on Chestnut Ridge downgradient of the Security Pits. Borings will be completed in the FCAP to collect samples from below the surface depth to describe the chemical characteristics and volume of the ash. The volume of ash associated with sluice channel on Chestnut Ridge will be determined. Soil samples will be corrected below the coal ash in the FCAP and adjacent to sluice channel to evaluate soil contamination and migration of contaminants

Increased T2 signal intensity in the distal clavicle: incidence and clinical implications

International Nuclear Information System (INIS)

Fiorella, D.; Helms, C.A.; Speer, K.P.

2000-01-01

Objective. The objectives of the current study were (1) to quantify the incidence of increased T2 signal in the distal clavicle and (2) to assess the clinical significance of this finding in patients with chronic acromioclavicular (AC) joint pain.Design and patients. Eight patients (five male and three female, 15-41 years of age) with disabling shoulder pain localized to the AC joint and marked increased T2 signal in the distal clavicle are presented. These eight patients underwent MR examination over a 25 month period (August 1996 to September 1998). The dictated reports of all shoulder MR examinations conducted over this same time period were reviewed retrospectively for the presence of signal abnormality in the distal cla-vicle. Clinical data and, in five patients, findings at shoulder arthroscopy or open surgery, were correlated with the results of MR imaging. One patient underwent arthroscopy on both shoulders.Results. The selected eight patients each presented clinically with disabling shoulder pain localized to the AC joint. One patient is presented twice, as both shoulders were symptomatic (n=9). Plain film examination (9/9) failed to indicate a structural cause of shoulder pain in any of the patients. MR examination demonstrated abnormally increased T2 signal in the distal clavicle in all nine cases and no other cause for AC joint pain. Three patients responded to a course of conservative therapy. Six experienced refractory pain despite conservative therapy. Resection of the distal clavicle was performed in five of the six cases. All patients who underwent resection of the distal clavicle experienced complete resolution of AC joint pain. A retrospective review of the dictated reports for all shoulder MR imaging examinations performed at out institution over a 25 month period (August 1996 to September 1998; n=761) demonstrated a 12.5% incidence of abnormally increased T2 signal in the distal clav-icle.Conclusions. Increased T2 signal in the distal clavicle

Increased T2 signal intensity in the distal clavicle: incidence and clinical implications

Energy Technology Data Exchange (ETDEWEB)

Fiorella, D.; Helms, C.A. [Dept. of Radiology, Duke Univ., Durham, NC (United States); Speer, K.P. [Dept. of Orthopedic Surgery, Duke Univ., Durham, NC (United States)

2000-12-01

Objective. The objectives of the current study were (1) to quantify the incidence of increased T2 signal in the distal clavicle and (2) to assess the clinical significance of this finding in patients with chronic acromioclavicular (AC) joint pain.Design and patients. Eight patients (five male and three female, 15-41 years of age) with disabling shoulder pain localized to the AC joint and marked increased T2 signal in the distal clavicle are presented. These eight patients underwent MR examination over a 25 month period (August 1996 to September 1998). The dictated reports of all shoulder MR examinations conducted over this same time period were reviewed retrospectively for the presence of signal abnormality in the distal cla-vicle. Clinical data and, in five patients, findings at shoulder arthroscopy or open surgery, were correlated with the results of MR imaging. One patient underwent arthroscopy on both shoulders.Results. The selected eight patients each presented clinically with disabling shoulder pain localized to the AC joint. One patient is presented twice, as both shoulders were symptomatic (n=9). Plain film examination (9/9) failed to indicate a structural cause of shoulder pain in any of the patients. MR examination demonstrated abnormally increased T2 signal in the distal clavicle in all nine cases and no other cause for AC joint pain. Three patients responded to a course of conservative therapy. Six experienced refractory pain despite conservative therapy. Resection of the distal clavicle was performed in five of the six cases. All patients who underwent resection of the distal clavicle experienced complete resolution of AC joint pain. A retrospective review of the dictated reports for all shoulder MR imaging examinations performed at out institution over a 25 month period (August 1996 to September 1998; n=761) demonstrated a 12.5% incidence of abnormally increased T2 signal in the distal clav-icle.Conclusions. Increased T2 signal in the distal clavicle

Site characterization summary report for dry weather surface water sampling upper East Fork Poplar Creek characterization area Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-08-01

This report describes activities associated with conducting dry weather surface water sampling of Upper East Fork Poplar Creek (UEFPC) at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee. This activity is a portion of the work to be performed at UEFPC Operable Unit (OU) 1 [now known as the UEFPC Characterization Area (CA)], as described in the RCRA Facility Investigation Plan for Group 4 at the Oak- Ridge Y-12 Plant, Oak Ridge, Tennessee and in the Response to Comments and Recommendations on RCRA Facility Investigation Plan for Group 4 at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee, Volume 1, Operable Unit 1. Because these documents contained sensitive information, they were labeled as unclassified controlled nuclear information and as such are not readily available for public review. To address this issue the U.S. Department of Energy (DOE) published an unclassified, nonsensitive version of the initial plan, text and appendixes, of this Resource Conservation and Recovery Act (RCRA) Facility Investigation (RFI) Plan in early 1994. These documents describe a program for collecting four rounds of wet weather and dry weather surface water samples and one round of sediment samples from UEFPC. They provide the strategy for the overall sample collection program including dry weather sampling, wet weather sampling, and sediment sampling. Figure 1.1 is a schematic flowchart of the overall sampling strategy and other associated activities. A Quality Assurance Project Plan (QAPJP) was prepared to specifically address four rounds of dry weather surface water sampling and one round of sediment sampling. For a variety of reasons, sediment sampling has not been conducted and has been deferred to the UEFPC CA Remedial Investigation (RI), as has wet weather sampling.

The Oak Ridge Reservation Annual Site Environmental Report, 2007

Energy Technology Data Exchange (ETDEWEB)

Hughes, Joan [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Thompson, Sharon [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Page, David [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2008-09-30

The Oak Ridge Reservation (ORR) consists of three major government-owned, contractor-operated facilities: the Y-12 National Security Complex, Oak Ridge National Laboratory, and East Tennessee Technology Park. The ORR was established in the early 1940s as part of the Manhattan Project, a secret undertaking that produced materials for the first atomic bombs. The reservation’s role has evolved over the years, and it continues to adapt to meet the changing defense, energy, and research needs of the United States. Both the work carried out for the war effort and subsequent research, development, and production activities have involved, and continue to involve, the use of radiological and hazardous materials. The Oak Ridge Reservation Annual Site Environmental Report and supporting data are available at Http://www.ornl.gov/sci/env_rpt or from the project director.

Implementation plan for Liquid Low-Level Radioactive Waste Tank Systems at Oak Ridge National Laboratory under the Federal Facility Agreement, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1994-06-01

Plans and schedules for meeting the Federal Facility Agreement (FFA) commitments for the Liquid Low-Level Waste (LLLW) System at Oak Ridge National Laboratory (ORNL) were initially submitted in ES/ER-17 ampersand D1, Federal Facility Agreement Plans and Schedules for Liquid Low-Level Radioactive Waste Tank Systems at Oak Ridge National Laboratory, Oak Ridge, Tennessee. The information presented in the current document summarizes the progress that has been made to date and provides a comprehensive summary to facilitate understanding of the FFA compliance program for LLLW tank systems and to present the plans and schedules associated with the remediation, through the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) process, of LLLW tank systems that have been removed from service. A comprehensive program is under way at ORNL to upgrade the LLLW system as necessary to meet the FFA requirements. The tank systems that are removed from service are being investigated and remediated through the CERCLA process. Waste and risk characterizations have been submitted. Additional data will be submitted to the US Environmental Protection Agency and the Tennessee Department of Environment and Conservation (EPA/TDEC) as tanks are taken out of service and as required by the remedial investigation/feasibility study (RI/FS) process. The plans and schedules for implementing the FFA compliance program that were originally submitted in ES/ER-17 ampersand D 1, Federal Facility Agreement Plans and Schedules for Liquid Low-Level Radioactive Waste tanks Systems at Oak Ridge National Laboratory, Oak Ridge, Tennessee, are updated in the present document. Chapter I provides general background information and philosophies that lead to the plans and schedules that appear in Chaps. 2 through 5

Resource Management Plan for the Oak Ridge Reservation: Volume 22, Resource information and site analysis for planning on the Oak Ridge Reservation

Energy Technology Data Exchange (ETDEWEB)

Chance, W.W.

1986-12-01

The Department of Energy's (DOE's) Oak Ridge Reservation (ORR) consists of approximately 15,000 ha (37,000 acres) of federally owned lands; it contains three major facilities (Oak Ridge Gaseous Diffusion Plant, Oak Ridge National Laboratory, and the Oak Ridge Y-12 Plant) operated by a single contractor and a number of other facilities operated either by DOE or under contract to others. This report documents the various land use elements, land use constraints (physical, programmatic, and geopolitical), and site potential capabilities and provides current documentation of related data for making land use and site development decisions. The ORR has physical, programmatic, and geopolitical constraints that have been identified, measured, and mapped. The constraints and opportunities map was used to identify developable land areas. Many of these sites have only remote potential for meeting any planned needs for expansion of existing facilities. However, stand-alone research functions or other facilities are possible on these sites. These studied and measured findings lead to the conclusion that extreme care must be taken in the evaluation of future use or disposition of available land. Furthermore, it is time to consider and evaluate the feasibility for renewal. The potential for recycling lands formerly used by programs and functions that have been completed or terminated is very real, considering the age, condition, and obsolescence of these facilities.

Oak Ridge Dose Reconstruction Project Summary Report; Reports of the Oak Ridge Dose Reconstruction, Vol. 7

International Nuclear Information System (INIS)

Widner, Thomas E.; email = twidner@jajoneses.com

1999-01-01

In the early 1990s, concern about the Oak Ridge Reservation's past releases of contaminants to the environment prompted Tennessee's public health officials to pursue an in-depth study of potential off-site health effects at Oak Ridge. This study, the Oak Ridge dose reconstruction, was supported by an agreement between the U.S. Department of Energy (DOE) and the State of Tennessee, and was overseen by a 12-member panel of individuals appointed by Tennessee's Commissioner of Health. The panel requested that the principal investigator for the project prepare the following report, ''Oak Ridge Dose Reconstruction Project Summary Report,'' to serve the following purposes: (1) summarize in a single, less technical report, the methods and results of the various investigations that comprised the Phase II of the dose reconstruction; (2) describe the systematic searching of classified and unclassified historical records that was a vital component of the project; and (3) summarize the less detailed, screening-level assessments that were performed to evaluate the potential health significance of a number of materials, such a uranium, whose priority did not require a complete dose reconstruction effort. This report describes each major step of the dose reconstruction study: (1) the review of thousands of historical records to obtain information relating to past operations at each facility; (2) estimation of the quantity and timing of releases of radioiodines from X-10, of mercury from Y-12, of PCB's from all facilities, and of cesium-137 and other radionuclides from White Oak Creek; (3) evaluation of the routes taken by these contaminants through the environment to nearby populations; and (4) estimation of doses and health risks to exposed groups. Calculations found the highest excess cancer risks for a female born in 1952 who drank goat milk; the highest non-cancer health risk was for children in a farm family exposed to PCBs in and near East Fork Poplar Creek. More detailed

Magma plumbing system and seismicity of an active mid-ocean ridge volcano.

Science.gov (United States)

Schmid, Florian; Schlindwein, Vera; Koulakov, Ivan; Plötz, Aline; Scholz, John-Robert

2017-02-20

At mid-ocean ridges volcanism generally decreases with spreading rate but surprisingly massive volcanic centres occur at the slowest spreading ridges. These volcanoes can host unexpectedly strong earthquakes and vigorous, explosive submarine eruptions. Our understanding of the geodynamic processes forming these volcanic centres is still incomplete due to a lack of geophysical data and the difficulty to capture their rare phases of magmatic activity. We present a local earthquake tomographic image of the magma plumbing system beneath the Segment 8 volcano at the ultraslow-spreading Southwest Indian Ridge. The tomography shows a confined domain of partial melt under the volcano. We infer that from there melt is horizontally transported to a neighbouring ridge segment at 35 km distance where microearthquake swarms and intrusion tremor occur that suggest ongoing magmatic activity. Teleseismic earthquakes around the Segment 8 volcano, prior to our study, indicate that the current magmatic spreading episode may already have lasted over a decade and hence its temporal extent greatly exceeds the frequent short-lived spreading episodes at faster opening mid-ocean ridges.

Issues relating to spent nuclear fuel storage on the Oak Ridge Reservation

International Nuclear Information System (INIS)

Klein, J.A.; Turner, D.W.

1994-01-01

Currently, about 2,800 metric tons of spent nuclear fuel (SNF) is stored in the US, 1,000 kg of SNF (or about 0.03% of the nation's total) are stored at the US Department of Energy (DOE) complex in Oak Ridge, Tennessee. However small the total quantity of material stored at Oak Ridge, some of the material is quite singular in character and, thus, poses unique management concerns. The various types of SNF stored at Oak Ridge will be discussed including: (1) High-Flux Isotope Reactor (HFIR) and future Advanced Neutron Source (ANS) fuels; (2) Material Testing Reactor (MTR) fuels, including Bulk Shielding Reactor (BSR) and Oak Ridge Research Reactor (ORR) fuels; (3) Molten Salt Reactor Experiment (MSRE) fuel; (4) Homogeneous Reactor Experiment (HRE) fuel; (5) Miscellaneous SNF stored in Oak Ridge National Laboratory's (ORNL's) Solid Waste Storage Areas (SWSAs); (6) SNF stored in the Y-12 Plant 9720-5 Warehouse including Health. Physics Reactor (HPRR), Space Nuclear Auxiliary Power (SNAP-) 10A, and DOE Demonstration Reactor fuels

Environmental Monitoring Report - United States Department of Energy, Oak Ridge Facilities, Calendar Year 1984

Energy Technology Data Exchange (ETDEWEB)

Jordan, R.G.

1999-01-01

Each year since 1972, a report has been prepared on the environmental monitoring activities for the DOE facilities in oak Ridge, Tennessee, for the previous calendar year. previously, the individual facilities published quarterly and annual progress reports that contained some environmental monitoring data. The environmental monitoring program for 1984 includes sampling and analysis of air, water from surface streams, groundwater, creek sediment, biota, and soil for both radioactive and nonradioactive (including hazardous) materials. Special environmental studies that have been conducted in the Oak Ridge area are included in this report, primarily as abstracts or brief summaries. The annual report for 1984 on environmental monitoring and surveillance of the Oak Ridge community by Oak Ridge Associated Universities (ORAU) is included as an appendix. A brief description of the topography and climate of the Oak Ridge area and a short description of the three DOE facilities are provided below to enhance the reader's understanding of the direction and contents of the environmental monitoring program for Oak Ridge.

Distal triceps injuries (including snapping triceps): A systematic review of the literature.

Science.gov (United States)

Shuttlewood, Kimberley; Beazley, James; Smith, Christopher D

2017-06-18

To review current literature on types of distal triceps injury and determine diagnosis and appropriate management. We performed a systematic review in PubMed, Cochrane and EMBASE using the terms distal triceps tears and snapping triceps on the 10 th January 2017. We excluded all animal, review, foreign language and repeat papers. We reviewed all papers for relevance and of the papers left we were able to establish the types of distal triceps injury, how these injuries are diagnosed and investigated and the types of management of these injuries including surgical. The results are then presented in a review paper format. Three hundred and seventy-nine papers were identified of which 65 were relevant to distal triceps injuries. After exclusion we had 47 appropriate papers. The papers highlighted 2 main distal triceps injuries: Distal triceps tears and snapping triceps. Triceps tear are more common in males than females occurring in the 4 th -5 th decade of life and often due to a direct trauma but are also strongly associated with weightlifting and American football. The tears are diagnosed by history and clinically with a palpable gap. Diagnosis can be confirmed with the use of ultrasound (US) and magnetic resonance imaging. Treatment depends on type of tear. Partial tears can be treated conservatively with bracing and physio whereas acute tears need repair either open or arthroscopic using suture anchor or bone tunnel techniques with similar success. Chronic tears often need augmenting with tendon allograft or autograft. Snapping triceps are also seen more in men than women but at a mean age of 32 years. They are characterized by a snapping sensation mostly medially and can be associated with ulna nerve subluxation and ulna nerve symptoms. US is the diagnostic modality of choice due to its dynamic nature and to differentiate between snapping triceps tendon or ulna nerve. Treatment is conservative initially with activity avoidance and if that fails surgical

Prediction of facial height, width, and ratio from thumbprints ridge count and its possible applications

Directory of Open Access Journals (Sweden)

Lawan Hassan Adamu

2017-01-01

Full Text Available The fingerprints and face recognition are two biometric processes that comprise methods for uniquely recognizing humans based on certain number of intrinsic physical or behavioral traits. The objectives of the study were to predict the facial height (FH, facial width, and ratios from thumbprints ridge count and its possible applications. This was a cross-sectional study. A total of 457 participants were recruited. A fingerprint live scanner was used to capture the plain thumbprint. The facial photograph was captured using a digital camera. Pearson's correlation analysis was used for the relationship between thumbprint ridge density and facial linear dimensions. Step-wise linear multiple regression analysis was used to predict facial distances from thumbprint ridge density. The result showed that in males the right ulnar ridge count correlates negatively with lower facial width (LFW, upper facial width/upper FH (UFW/UFH, lower FH/FH (LFH/FH, and positively with UFH and UFW/LFW. The right and left proximal ridge counts correlate with LFW and UFH, respectively. In males, the right ulnar ridge count predicts LFW, UFW/LFW, UFW/UFH, and LFH/FH. Special upper face height I, LFW, height of lower third of the face, UFW/LFW was predicted by right radial ridge counts. LFH, height of lower third of the face, and LFH/FH were predicted from left ulnar ridge count whereas left proximal ridge count predicted LFW. In females only, the special upper face height I was predicted by right ulnar ridge count. In conclusion, thumbprint ridge counts can be used to predict FH, width, ratios among Hausa population. The possible application of fingerprints in facial characterization for used in human biology, paleodemography, and forensic science was demonstrated.

New geological-geophysical data on the structure of the Ninetyeast Ridge

Digital Repository Service at National Institute of Oceanography (India)

Levchenko, O.V.; Sager, W.W.; Frey, F.A.; Pringle, M.S.; Krishna, K.S.; Rao, D.G.; Gauntlett, E.; Mervine, E.E.; Marinova, Y.G.; Piotrowski, A.A.; Paul, S.F.; Huang, S.; Eisin, A.E.

The Ninetyeast (or East Indian) Ridge is one of the longest aseismic volcanic ridges in the World Ocean and one of the longest linear structures of the Earth. It is 200 km wide on average, and it extends in the meridional direction via the entire...

Action memorandum for the Waste Area Grouping 1 Tank WC-14 removal action at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1994-11-01

This action memorandum documents approval for a Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended (CERCLA), time-critical action. The action will remove radiologically contaminated water from Tank WC-14. The water contains a polychlorinated biphenyl (PCB) at a level below regulatory concern. Tank WC-14 is located in the Waste Area Grouping (WAG) 1 WC-10 Tank Farm at the Oak Ridge National Laboratory (ORNL), Oak Ridge, Tennessee. Contaminated sludge remaining in the tank after removal of the liquid will be the subject of a future action

Nontraumatic osteonecrosis of the distal pole of the scaphoid

Directory of Open Access Journals (Sweden)

Bhavuk Garg

2011-01-01

Full Text Available Post traumatic osteonecrosis of distal pole of scaphoid is very rare. We present a case of 34 years old male, drill operator by occupation with nontraumatic osteonecrosis of distal pole of the scaphoid. The patient was managed conservatively and was kept under regular follow-up every three months. The patient was also asked to change his profession. Two years later, the patient had no pain and had mild restriction of wrist movements (less than 15 degrees in either direction. The radiographs revealed normal density of the scaphoid suggesting revascularization.

Reconstructing paleo-discharge from geometries of fluvial sinuous ridges on Earth and Mars

Science.gov (United States)

Hayden, A.; Lamb, M. P.; Mohrig, D. C.; Williams, R. M. E.; Myrow, P.; Ewing, R. C.; Cardenas, B. T.; Findlay, C. P., III

2017-12-01

Sinuous, branching networks of topographic ridges resembling river networks are common across Mars, and show promise for quantifying ancient martian surface hydrology. There are two leading formation mechanisms for ridges with a fluvial origin. Inverted channels are ridges that represent casts (e.g., due to lava fill) of relict river channel topography, whereas exhumed channel deposits are eroded remnants of a more extensive fluvial deposit, such as a channel belt. The inverted channel model is often assumed on Mars; however, we currently lack the ability to distinguish these ridge formation mechanisms, motivating the need for Earth-analog study. To address this issue, we studied the extensive networks of sinuous ridges in the Ebro basin of northeast Spain. The Ebro ridges stand 3-15 meters above the surrounding plains and are capped by a cliff-forming sandstone unit 3-10 meters thick and 20-50 meters in breadth. The caprock sandstone bodies contain bar-scale cross stratification, point-bar deposits, levee deposits, and lenses of mudstone, indicating that these are channel-belt deposits, rather than casts of channels formed from lateral channel migration, avulsion and reoccupation. In plan view, ridges form segments branching outward to the north resembling a distributary network; however, crosscutting relationships indicate that ridges cross at different stratigraphic levels. Thus, the apparent network in planview reflects non-uniform exhumation of channel-belt deposits from multiple stratigraphic positions, rather than an inverted coeval river network. As compared to the inverted channel model, exhumed fluvial deposits indicate persistent fluvial activity over geologic timescales, indicating the potential for long-lived surface water on ancient Mars.

Coral-rubble ridges as dynamic coastal features - short-term reworking and weathering processes

Science.gov (United States)

Spiske, Michaela

2016-02-01

A coral-rubble ridge built by storm waves at Anegada (British Virgin Islands) underwent remarkable changes in shape and weathering in a 23-month period. The ridge is located along the island's north shore, in the lee of a fringing reef and a reef flat. This coarse-clast ridge showed two major changes between March 2013, when first examined, and February 2015, when revisited. First, a trench dug in 2013, and intentionally left open for further examination, was found almost completely infilled in 2015, and the ridge morphology was modified by slumping of clasts down the slope and by reworking attributable to minor storm waves. In size, composition and overall condition, most of the clasts that filled the trench resemble reworked clasts from the ridge itself; only a small portion had been newly brought ashore. Second, a dark gray patina formed on the whitish exteriors of the carbonate clasts that had been excavated in 2013. These biologically weathered, darkened clasts had become indistinguishable from clasts that had been at the ridge surface for a much longer time. The findings have two broader implications. First, coastal coarse-clast ridges respond not solely to major storms, but also to tropical storms or minor hurricanes. The modification and reworking of the ridge on Anegada most probably resulted from hurricane Gonzalo which was at category 1-2 as it passed about 60 km north of the island in October 2014. Second, staining of calcareous clasts by cyanobacteria in the supralittoral zone occurs within a few months. In this setting, the degree of darkening quickly saturates as a measure of exposure age.

High resolution bathymetric and sonar images of a ridge southeast of Terceira Island (Azores plateau)

Science.gov (United States)

Lourenço, N.; Miranda, J. M.; Luis, J.; Silva, I.; Goslin, J.; Ligi, M.

2003-04-01

The Terceira rift is a oblique ultra-slow spreading system where a transtensive regime results from differential movement between Eurasian and African plates. So far no classical ridge segmentation pattern has here been observed. The predominant morphological features are fault controlled rhombic shaped basins and volcanism related morphologies like circular seamounts and volcanic ridges. We present SIMRAD EM300 (bathymetry + backscatter) images acquired over one of these ridges located SE of Terceira Island, during the SIRENA cruise (PI J. Goslin), which complements previous TOBI mosaics performed over the same area during the AZZORRE99 cruise (PI M. Ligi). The ridge presents a NW-SE orientation, it is seismically active (a seismic crisis was documented in 1997) and corresponds to the southern branch of a V shape bathymetric feature enclosing the Terceira Island and which tip is located west of the Island near the 1998 Serreta ridge eruption site. NE of the ridge, the core of the V, corresponds to the North Hirondelle basin. All this area corresponds mainly to Brunhes magnetic epoch. The new bathymetry maps reveal a partition between tectonic processes, centred in the ridge, and volcanism present at the bottom of the North Hirondelle basin. The ridge high backscatter surface is cut by a set of sub-parallel anastomosed normal faults striking between N130º and N150º. Some faults present horse-tail terminations. Fault splays sometimes link to neighbour faults defining extensional duplexes and fault wedge basins and highs of rhombic shape. The faulting geometry suggests that a left-lateral strike slip component should be present. The top of the ridge consists on an arched demi-.horst, and it is probably a volcanic structure remnant (caldera system?), existing prior to onset of the tectonic stage in the ridge. Both ridge flanks display gullies and mass wasting fans at the base of the slope. The ridge vicinities are almost exclusively composed of a grayish homogeneous

CT virtual reality in the preoperative workup of malunited distal radius fractures: preliminary results

International Nuclear Information System (INIS)

Rieger, Michael; Gruber, Hannes; Jaschke, Werner R.; Gabl, Markus; Mallouhi, Ammar

2005-01-01

Our objective was to evaluate the usefulness of CT virtual preoperative planning in the surgical repositioning of malunited distal radius fracture. Eleven patients with malunited distal radius fracture underwent multislice CT of both wrists. A preoperative workup was performed in a virtual reality environment created from the CT data sets. Virtual planning comprised three main procedures, carrying out the virtual osteotomy of the radius, prediction of the final position of the distal radius after osteotomy and computer-assisted manufacturing of a repositioning device, which was later placed at the surgical osteotomy site to reposition objectively the distal radius fragment before fixation with the osteosynthesis. All patients tolerated the surgical procedure well. During surgery, the orthopedic surgeons were not required in any of the cases to alter the position of the distal radius that was determined by the repositioning device. At postoperative follow-up, the anatomic relationship of the distal radius was restored (radial inclination, 21.4 ; volar tilt, 10.3 ; ulnar variance, 0.5 mm). Clinically, a significant improvement of pronation (P=0.012), supination (P=0.01), flexion (P=0.001) and extension (P=0.006) was achieved. Pain decreased from 54 to 7 points. CT virtual reality is a valuable adjunct for the preoperative workup and surgical reposition of malunited distal radius fractures. (orig.)

MINIMUM INCISION PERCUTANEOUS PLATE OSTEOSYNTHESIS FOR DISTAL FIBULAR FRACTURES: A PROSPECTIVE STUDY

Directory of Open Access Journals (Sweden)

Ramkumar Reddy

2015-09-01

Full Text Available Distal fibular fractures are usually communitted and most of the times osteoporotic especially if they are occurring in females and in geriatric age group. These fractures are usu ally associated with other fractures, which necessitates them to be fixed accurately. Owing to the fact that distal fragment is subcutaneous with scanty soft tissue over bone, which pose these fracture fixations become difficult by open methods in view of wound healing. A prospective study of 26 patients with distal fibular fractures were treated with MIPPO with hook plate were healed with less complications and better outcome. With this background we suggest a minimally invasive incision over proximal frag ment where sufficient soft tissue cover is present. From there pushing the special hook plate subperiosteally to distal fragment, hooking the tip of fibula and fixing the proximal fragment after reduction gives a simple and effective stable fixation

Distal insertions of the semimembranosus tendon: MR imaging with anatomic correlation

Energy Technology Data Exchange (ETDEWEB)

Maeseneer, Michel de [Universitair Ziekenhuis Brussel, Department of Radiology, Jette, Brussels (Belgium); Vrije Universiteit Brussel, Department of Experimental Anatomy, Brussels (Belgium); Shahabpour, Maryam; Milants, Annemieke; Ridder, Filip de; Mey, Johan de [Universitair Ziekenhuis Brussel, Department of Radiology, Jette, Brussels (Belgium); Lenchik, Leon [Wake Forest University, Department of Radiology, Winston-Salem, NC (United States); Cattrysse, Erik [Vrije Universiteit Brussel, Department of Experimental Anatomy, Brussels (Belgium)

2014-06-15

The purpose of this study is to investigate the distal insertions of the semimembranosus tendon with MR imaging, correlated with findings in cadavers. Four fresh cadaveric specimens were studied with 3-T MR imaging. Sequences included proton density (PD) sequences (TE, 13; TR, 4957; FOV, 170 x 170; matrix, 424 x 413; NA, 2; slice thickness, 2.5 mm) in the axial, coronal, and sagittal planes and 3D fast field echo (FFE) sequences (TR 9.4; TE 6.9; FOV, 159 x 105; matrix, 200 x 211; NA, 2; slice thickness, 0.57 mm). One specimen was dissected and three specimens were sectioned with a bandsaw in the axial, coronal, and sagittal plane. The sections were photographed and correlated with MR images. To standardize the analysis, the semimembranosus muscle and tendon were assessed at seven levels for the axial sections, and at three levels for the coronal and sagittal sections. Anatomic dissection revealed six insertions of the distal semimembranosus tendon: direct arm, anterior arm, posterior oblique ligament extension, oblique popliteal ligament extension, distal tibial expansion (popliteus aponeurosis), and meniscal arm. Axial MR images showed five of six insertions: direct arm, anterior arm, oblique popliteal ligament extension, posterior oblique ligament extension, and distal tibial expansion. Sagittal MR images showed four of six insertions: direct arm, anterior arm, oblique popliteal ligament arm, and distal tibial expansion. Sagittal MR images were ideal for showing the direct arm insertion, but were less optimal than the axial images for showing the other insertions. The anterior arm was seen but volume averaging was present with the gracilis tendon. Coronal MR images optimally revealed the anterior arm, although magic angle artifact was present at its posterior aspect. The common semimembranosus tendon and meniscal arm were also well depicted. The division in anterior arm, direct arm, and oblique popliteal ligament arm was poorly seen on coronal images due to

Data sharing report characterization of population 7: Personal protective equipment, dry active waste, and miscellaneous debris, surveillance and maintenance project Oak Ridge National Laboratory Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

Harpenau, Evan M. [Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States)

2013-10-10

The U.S. Department of Energy (DOE) Oak Ridge Office of Environmental Management (EM-OR) requested that Oak Ridge Associated Universities (ORAU), working under the Oak Ridge Institute for Science and Education (ORISE) contract, provide technical and independent waste management planning support under the American Recovery and Reinvestment Act (ARRA). Specifically, DOE EM-OR requested that ORAU plan and implement a sampling and analysis campaign targeting certain URS|CH2M Oak Ridge, LLC (UCOR) surveillance and maintenance (S&M) process inventory waste. Eight populations of historical and reoccurring S&M waste at the Oak Ridge National Laboratory (ORNL) have been identified in the Waste Handling Plan for Surveillance and Maintenance Activities at the Oak Ridge National Laboratory, DOE/OR/01-2565&D2 (WHP) (DOE 2012) for evaluation and processing to determine a final pathway for disposal. Population 7 (POP 7) consists of 56 containers of aged, low-level and potentially mixed S&M waste that has been staged in various locations around ORNL. Several of these POP 7 containers primarily contain personal protective equipment (PPE) and dry active waste (DAW), but may contain other miscellaneous debris. This data sharing report addresses the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) specified waste in a 13-container subpopulation (including eight steel boxes, three 55-gal drums, one sealand, and one intermodal) that lacked sufficient characterization data for possible disposal at the Environmental Management Waste Management Facility (EMWMF) using the approved Waste Lot (WL) 108.1 profile.

Variability of footprint ridge density and its use in estimation of sex in forensic examinations.

Science.gov (United States)

Krishan, Kewal; Kanchan, Tanuj; Pathania, Annu; Sharma, Ruchika; DiMaggio, John A

2015-10-01

The present study deals with a comparatively new biometric parameter of footprints called footprint ridge density. The study attempts to evaluate sex-dependent variations in ridge density in different areas of the footprint and its usefulness in discriminating sex in the young adult population of north India. The sample for the study consisted of 160 young adults (121 females) from north India. The left and right footprints were taken from each subject according to the standard procedures. The footprints were analysed using a 5 mm × 5 mm square and the ridge density was calculated in four different well-defined areas of the footprints. These were: F1 - the great toe on its proximal and medial side; F2 - the medial ball of the footprint, below the triradius (the triradius is a Y-shaped group of ridges on finger balls, palms and soles which forms the basis of ridge counting in identification); F3 - the lateral ball of the footprint, towards the most lateral part; and F4 - the heel in its central part where the maximum breadth at heel is cut by a perpendicular line drawn from the most posterior point on heel. This value represents the number of ridges in a 25 mm(2) area and reflects the ridge density value. Ridge densities analysed on different areas of footprints were compared with each other using the Friedman test for related samples. The total footprint ridge density was calculated as the sum of the ridge density in the four areas of footprints included in the study (F1 + F2 + F3 + F4). The results show that the mean footprint ridge density was higher in females than males in all the designated areas of the footprints. The sex differences in footprint ridge density were observed to be statistically significant in the analysed areas of the footprint, except for the heel region of the left footprint. The total footprint ridge density was also observed to be significantly higher among females than males. A statistically significant correlation

Enhanced micronucleus formation in the descendants of {gamma}-ray-irradiated tobacco cells: Evidence for radiation-induced genomic instability in plant cells

Energy Technology Data Exchange (ETDEWEB)

Yokota, Yuichiro, E-mail: yokota.yuichiro@jaea.go.jp [Life Science and Biotechnology Division, Quantum Beam Science Directorate, Japan Atomic Energy Agency, 1233 Watanuki-machi, Takasaki, Gunma 370-1292 (Japan); Funayama, Tomoo; Hase, Yoshihiro [Life Science and Biotechnology Division, Quantum Beam Science Directorate, Japan Atomic Energy Agency, 1233 Watanuki-machi, Takasaki, Gunma 370-1292 (Japan); Hamada, Nobuyuki [Radiation Safety Research Center, Nuclear Technology Research Laboratory, Central Research Institute of Electric Power Industry, 2-11-1 Iwado-kita, Komae, Tokyo 201-8511 (Japan); Kobayashi, Yasuhiko; Tanaka, Atsushi; Narumi, Issay [Life Science and Biotechnology Division, Quantum Beam Science Directorate, Japan Atomic Energy Agency, 1233 Watanuki-machi, Takasaki, Gunma 370-1292 (Japan)

2010-09-10

Ionizing radiation-induced genomic instability has been documented in various end points such as chromosomal aberrations and mutations, which arises in the descendants of irradiated mammalian or yeast cells many generations after the initial insult. This study aimed at addressing radiation-induced genomic instability in higher plant tobacco cells. We thus investigated micronucleus (MN) formation and cell proliferation in tobacco cells irradiated with {gamma}-rays and their descendants. In {gamma}-irradiated cells, cell cycle was arrested at G{sub 2}/M phase at around 24 h post-irradiation but released afterward. In contrast, MN frequency peaked at 48 h post-irradiation. Almost half of 40 Gy-irradiated cells had MN at 48 h post-irradiation, but proliferated as actively as sham-irradiated cells up to 120 h post-irradiation. Moreover, the descendants that have undergone at least 22 generations after irradiation still showed a two-fold MN frequency compared to sham-irradiated cells. This is the direct evidence for radiation-induced genomic instability in tobacco cells.

Enclavado endomedular en fracturas del tercio distal de la tibia

OpenAIRE

Arroquy, Damian; Chahla, Jorge; Gomez Rodriguez, Gustavo; Cid Casteulani, Alberto; Svarzchtein, Santiago; Gomez, Diego; Pesciallo, Cesar

2015-01-01

Objetivo: Describir los resultados obtenidos con el enclavado endomedular acerrojado en pacientes con fractura del tercio distal de la tibia. Materiales y Métodos: Se incluyeron pacientes con fracturas desplazadas del tercio distal de la tibia, tratadas con clavo endomedular. La muestra incluyo 35 pacientes. El tiempo de seguimiento posoperatorio fue de 29.2 meses. Se evaluaron el tiempo de consolidacion, la consolidacion viciosa y las complicaciones. Los resultados funcionales se determinaro...

Robotic versus Laparoscopic Distal Pancreatectomy: A Meta-Analysis of Short-Term Outcomes.

Science.gov (United States)

Zhou, Jia-Yu; Xin, Chang; Mou, Yi-Ping; Xu, Xiao-Wu; Zhang, Miao-Zun; Zhou, Yu-Cheng; Lu, Chao; Chen, Rong-Gao

2016-01-01

To compare the safety and efficacy of robotic-assisted distal pancreatectomy (RADP) and laparoscopic distal pancreatectomy (LDP). A literature search of PubMed, EMBASE, and the Cochrane Library database up to June 30, 2015 was performed. The following key words were used: pancreas, distal pancreatectomy, pancreatic, laparoscopic, laparoscopy, robotic, and robotic-assisted. Fixed and random effects models were applied. Study quality was assessed using the Newcastle-Ottawa Scale. Seven non-randomized controlled trials involving 568 patients met the inclusion criteria. Compared with LDP, RADP was associated with longer operating time, lower estimated blood loss, a higher spleen-preservation rate, and shorter hospital stay. There was no significant difference in transfusion, conversion to open surgery, R0 resection rate, lymph nodes harvested, overall complications, severe complications, pancreatic fistula, severe pancreatic fistula, ICU stay, total cost, and 30-day mortality between the two groups. RADP is a safe and feasible alternative to LDP with regard to short-term outcomes. Further studies on the long-term outcomes of these surgical techniques are required. To date, there is no consensus on whether laparoscopic or robotic-assisted distal pancreatectomy is more beneficial to the patient. This is the first meta-analysis to compare laparoscopic and robotic-assisted distal pancreatectomy. We found that robotic-assisted distal pancreatectomy was associated with longer operating time, lower estimated blood loss, a higher spleen-preservation rate, and shorter hospital stay. There was no significant difference in transfusion, conversion to open surgery, overall complications, severe complications, pancreatic fistula, severe pancreatic fistula, ICU stay, total cost, and 30-day mortality between the two groups.

Blowhole colostomy for the urgent management of distal large bowel obstruction.

Science.gov (United States)

Kasten, Kevin R; Midura, Emily F; Davis, Bradley R; Rafferty, Janice F; Paquette, Ian M

2014-05-01

Complete obstruction of the distal colon or rectum often presents as a surgical emergency. This study evaluated the efficacy of blowhole colostomy versus transverse loop colostomy for the emergent management of distal large intestinal obstruction. Retrospective chart review of all colostomy procedures (CPT 44320) performed for complete distal large bowel obstruction during the past 6 y in a university hospital practice was undertaken. Blowhole was compared with loop colostomy with a primary endpoint of successful colonic decompression. One hundred forty-one patients underwent colostomy creation during the study period. Of these, 61 were completed for acute obstruction of the distal colon or rectum (19 blowhole versus 42 loop colostomy). No differences between study groups were seen in age, gender, body mass index, malnutrition, American Society of Anesthesiology class, time to liquid or regular diet, 30-d or inhospital mortality, or rates of complications. Patients undergoing blowhole colostomy had significantly higher cecal diameters at diagnosis (9.14 versus 7.31 cm, P = 0.0035). Operative time was shorter in blowhole procedures (43 versus 51 min, P = 0.017). Postoperative length of stay was significantly shorter for blowhole colostomy (6 versus 8 d, P = 0.014). The primary endpoint of successful colonic decompression was met in all colostomy patients. Diverting blowhole colostomy is a safe, quick, and effective procedure for the urgent management of distal colonic obstruction associated with obstipation and massive distention. Copyright © 2014 Elsevier Inc. All rights reserved.

A System with Intelligent Editing for Extracting Ridge and Ravine Terrain Features

National Research Council Canada - National Science Library

Schmidt, Greg; Swan, J. E., II; Rosenblum, Lawrence; Tomlin, Erik B; Overby, Derek

2005-01-01

We describe a system for extracting ridges and ravines from elevation data. The application context is a map-based military planning tool, which allows users to select ridges and ravines by simple mouse clicks...

Clinical management of highly resorbed mandibular ridge without fibrous tissue

Directory of Open Access Journals (Sweden)

Veeramalai N Devaki

2012-01-01

Full Text Available Alveolar ridge atrophy poses a clinical challenge toward the fabrication of successful prosthesis. Resorption of mandibular denture bearing areas results in unstable non-retentive dentures associated with pain and discomfort. This article describes rehabilitation procedure of a patient with resorbed ridge with maximal areas of coverage to improve support and neutral zone arrangement of teeth to improve stability of denture.

Phase 2 confirmatory sampling data report, Lower East Fork Poplar Creek, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-01-01

A Remedial Investigation of East Fork Poplar Creek (EFPC) concluded that mercury is the principal contaminant of concern in the EFPC floodplain. The highest concentrations of mercury were found to be in a visually distinct black layer of soil that typically lies 15 to 30 cm (6 to 12 in.) below the surface. Mercury contamination was found to be situated in distinct areas along the floodplain, and generally at depths > 20 cm (8 in.) below the surface. In accordance with Comprehensive, Environmental Response, Compensation, and Liability Act (CERCLA), a feasibility study was prepared to assess alternatives for remediation, and a proposed plan was issued to the public in which a preferred alternative was identified. In response to public input, the plan was modified and US Department of Energy (DOE) issued a Record of Decision in 1995 committing to excavating all soil in the EFPC floodplain exceeding a concentration of 400 parts per million (ppm) of mercury. The Lower East Fork Poplar Creek (LEFPC) remedial action (RA) focuses on the stretch of EFPC flowing from Lake Reality at the Y-12 Plant, through the city of Oak Ridge, to Poplar Creek on the Oak Ridge Reservation (ORR) and its associated floodplain. Specific areas were identified that required remediation at the National Oceanographic and Atmospheric Administration (NOAA) Site along Illinois Avenue and at the Bruner Site along the Oak Ridge Turnpike. The RA was conducted in two separate phases. Phase 2, conducted from February to October 1997, completed the remediation efforts at the NOAA facility and fully remediated the Bruner Site. During both phases, data were collected to show that the remedial efforts performed at the NOAA and Bruner sites were successful in implementing the Record of Decision and had no adverse impact on the creek water quality or the city of Oak Ridge publicly owned treatment works.

Phase II confirmatory sampling data report, Lower East Fork Poplar Creek, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1998-01-01

A Remedial Investigation of East Fork Poplar Creek (EFPC) concluded that mercury is the principal contaminant of concern in the EFPC floodplain. The highest concentrations of mercury were found to be in a visually distinct black layer of soil that typically lies 15 to 30 cm (6 to 12 in.) below the surface. Mercury contamination was found to be situated in distinct areas along the floodplain, and generally at depths > 20 cm (8 in.) below the surface. In accordance with Comprehensive, Environmental Response, Compensation, and Liability Act (CERCLA), a feasibility study was prepared to assess alternatives for remediation, and a proposed plan was issued to the public in which a preferred alternative was identified. In response to public input, the plan was modified and US Department of Energy (DOE) issued a Record of Decision in 1995 committing to excavating all soil in the EFPC floodplain exceeding a concentration of 400 parts per million (ppm) of mercury. The Lower East Fork Poplar Creek (LEFPC) remedial action (RA) focuses on the stretch of EFPC flowing from Lake Reality at the Y-12 Plant, through the city of Oak Ridge, to Poplar Creek on the Oak Ridge Reservation (ORR) and its associated floodplain. Specific areas were identified that required remediation at the National Oceanographic and Atmospheric Administration (NOAA) Site along Illinois Avenue and at the Bruner Site along the Oak Ridge Turnpike. The RA was conducted in two separate phases. Phase 2, conducted from February to October 1997, completed the remediation efforts at the NOAA facility and fully remediated the Bruner Site. During both phases, data were collected to show that the remedial efforts performed at the NOAA and Bruner sites were successful in implementing the Record of Decision and had no adverse impact on the creek water quality or the city of Oak Ridge publicly owned treatment works

Fluvial Channel Networks as Analogs for the Ridge-Forming Unit, Sinus Meridiani, Mars

Science.gov (United States)

Wilkinson, M. J.; du Bois, J. B.

2010-01-01

Fluvial models have been generally discounted as analogs for the younger layered rock units of Sinus Meridiani. A fluvial model based on the large fluvial fan provides a possibly close analog for various features of the sinuous ridges of the etched, ridge-forming unit (RFU) in particular. The close spacing of the RFU ridges, their apparently chaotic orientations, and their organization in dense networks all appear unlike classical stream channel patterns. However, drainage patterns on large fluvial fans low-angle, fluvial aggradational features, 100s of km long, documented worldwide by us provide parallels. Some large fan characteristics resemble those of classical floodplains, but many differences have been demonstrated. One major distinction relevant to the RFU is that channel landscapes of large fans can dominate large areas (1.2 million km2 in one S. American study area). We compare channel morphologies on large fans in the southern Sahara Desert with ridge patterns in Sinus Meridiani (fig 1). Stream channels are the dominant landform on large terrestrial fans: they may equate to the ubiquitous, sinuous, elongated ridges of the RFU that cover areas region wide. Networks of convergent/divergent and crossing channels may equate to similar features in the ridge networks. Downslope divergence is absent in channels of terrestrial upland erosional landscapes (fig. 1, left), whereas it is common to both large fans (fig. 1, center) and RFU ridge patterns (fig 1, right downslope defined as the regional NW slope of Sinus Meridiani). RFU ridge orientation, judged from those areas apparently devoid of impact crater control, is broadly parallel with the regional slope (arrow, fig. 1, right), as is mean orientation of major channels on large fans (arrow, fig. 1, center). High densities per unit area characterize fan channels and martian ridges reaching an order of magnitude higher than those in uplands just upstream of the terrestrial study areas fig. 1. In concert with

Penetrating Atherosclerotic Ulcer of the Descending Thoracic Aorta: Treatment by Endovascular Stent-Graft

International Nuclear Information System (INIS)

Murgo, Salvatore; Dussaussois, Luc; Golzarian, Jafar; Cavenaile, Jean Christophe; Abada, Hicham Tarik; Ferreira, Jose; Struyven, Julien

1998-01-01

Purpose: To present four cases of penetrating ulcer of the descending thoracic aorta treated by transfemoral insertion of an endoluminal stent-graft. Methods: Four patients with penetrating aortic ulcers were reviewed. Three cases were complicated by rupture, false aneurysm, or retrograde dissection. All patients were treated by endovascular stent-graft and were followed by helical computed tomography (CT). Results: Endovascular stent-graft deployment was successful in all patients. However, in one case we observed a perigraft leak that spontaneously disappeared within the first month, and two interventions were needed for another patient. Following treatment, one episode of transient spinal ischemia was observed. The 30-day survival rate was 100%, but one patient died from pneumonia with cardiac failure 34 days after the procedure. In one patient, helical CT performed at 3 months showed a false aneurysm independent of the first ulcer. This patient refused any further treatment and suddenly died at home (unknown cause) after a 6-month follow-up period. Conclusion: Transluminal placement of endovascular stent-grafts for treatment of penetrating ulcers of the descending thoracic aorta appears to be a possible alternative to classical surgery. After treatment, follow-up by CT is essential to detect possible complications of the disease

Geophysical Investigation of Upper Mantle Anomalies of the Australian-Antarctic Ridge

Science.gov (United States)

Park, S. H.; Choi, H.; Kim, S. S.; Lin, J.

2017-12-01

Australian-Antarctic Ridge (AAR) is situated between the Pacific-Antarctic Ridge (PAR) and Southeast Indian Ridge (SEIR), extending eastward from the Australian-Antarctic Discordance (AAD). Much of the AAR has been remained uncharted until 2011 because of its remoteness and harsh weather conditions. Since 2011, four multidisciplinary expeditions initiated by the Korea Polar Research Institute (KOPRI) have surveyed the little-explored eastern ends of the AAR and investigated the tectonics, geochemistry, and hydrothermal activity of this intermediate spreading system. Recent isotope studies using the new basalt samples from the AAR have led to the new hypothesis of the Southern Ocean mantle domain (SOM), which may have originated from the super-plume activity associated with the Gondwana break-up. In this study, we characterize the geophysics of the Southern Ocean mantle using the newly acquired shipboard bathymetry and available geophysical datasets. First, we computed residual mantle Bouguer gravity anomalies (RMBA), gravity-derived crustal thickness, and residual topography along the AAR in order to obtain a geological proxy for regional variations in magma supply. The results of these analyses revealed that the southern flank of the AAR is associated with shallower seafloor, more negative RMBA, thicker crust, and/or less dense mantle in comparison to the conjugate northern flank. Furthermore, this north-south asymmetry becomes more prominent toward the central ridge segments of the AAR. Interestingly, the along-axis depths of the entire AAR are significantly shallower than the neighboring ridge systems and the global ridges of intermediate spreading rates. Such shallow depths are also correlated with regional negative geoid anomalies. Furthermore, recent mantle tomography models consistently showed that the upper mantle (< 250 km) below the AAR has low S-wave velocities, suggesting that it may be hotter than the nearby ridges. Such regional-scale anomalies of the

Geomorphic clues to the Martian volatile inventory: Landslides

Science.gov (United States)

Pieri, D.; Kirkpatrick, A.

1984-01-01

Eight landslide locales were selected in Valles Marineris for preliminary geomorphological mapping. Four main suites of morphological features were identified. In four order outward from the head scarp they are: (1) large ridges in head area, transverse to movement direction, probably slump blocks or pieces of wall that fell or toppled, possibly backward rotated; (2) smaller ridges, convex toward distal edge of slides, many with lobate pattern, some possibly step like scarps rather than ridges; (3) thin, sheet like debris cover, forms discrete fan shaped lobe with edge scarps unconfined; and (4) low transverse, continuous ridges (possibly folds) found at distal edge of slides, where debris appears to have encountered obstructions (e.g., opposing canyon walls), but not all confined slides exhibit this feature. Any one landslide can possess all or some of these features. Slides in the western Valles Marineris are more complex and show more variety than those in the eastern part.

European temperature responses to blocking and ridge regional patterns

Science.gov (United States)

Sousa, Pedro M.; Trigo, Ricardo M.; Barriopedro, David; Soares, Pedro M. M.; Santos, João A.

2018-01-01

Blocking occurrence and its impacts on European temperature have been studied in the last decade. However, most previous studies on blocking impacts have focused on winter only, disregarding its fingerprint in summer and differences with other synoptic patterns that also trigger temperature extremes. In this work, we provide a clear distinction between high-latitude blocking and sub-tropical ridges occurring in three sectors of the Euro-Atlantic region, describing their climatology and consequent impacts on European temperature during both winter and summer. Winter blocks (ridges) are generally associated to colder (warmer) than average conditions over large regions of Europe, in some areas with anomalies larger than 5 °C, particularly for the patterns occurring in the Atlantic and Central European sectors. During summer, there is a more regional response characterized by above average temperature for both blocking and ridge patterns, especially those occurring in continental areas, although negative temperature anomalies persist in southernmost areas during blocking. An objective analysis of the different forcing mechanisms associated to each considered weather regime has been performed, quantifying the importance of the following processes in causing the temperature anomalies: horizontal advection, vertical advection and diabatic heating. While during winter advection processes tend to be more relevant to explain temperature responses, in summer radiative heating under enhanced insolation plays a crucial role for both blocking and ridges. Finally, the changes in the distributions of seasonal temperature and in the frequencies of extreme temperature indices were also examined for specific areas of Europe. Winter blocking and ridge patterns are key drivers in the occurrence of regional cold and warm extreme temperatures, respectively. In summer, they are associated with substantial changes in the frequency of extremely warm days, but with different signatures in

Work plan for the High Ranking Facilities Deactivation Project at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1996-03-01

The High Ranking Facilities Deactivation Project (HRFDP), commissioned by the US Department of Energy Nuclear Materials and Facility Stabilization Program, is to place four primary high-risk surplus facilities with 28 associated ancillary facilities at Oak Ridge National Laboratory in a safe, stable, and environmentally sound condition as rapidly and economically as possible. The facilities will be deactivated and left in a condition suitable for an extended period of minimized surveillance and maintenance (S and M) prior to decontaminating and decommissioning (D and D). These four facilities include two reactor facilities containing spent fuel. One of these reactor facilities also contains 55 tons of sodium with approximately 34 tons containing activated sodium-22, 2.5 tons of lithium hydride, approximately 100 tons of potentially contaminated lead, and several other hazardous materials as well as bulk quantities of contaminated scrap metals. The other two facilities to be transferred include a facility with a bank of hot cells containing high levels of transferable contamination and also a facility containing significant quantities of uranyl nitrate and quantities of transferable contamination. This work plan documents the objectives, technical requirements, and detailed work plans--including preliminary schedules, milestones, and conceptual FY 1996 cost estimates--for the Oak Ridge National Laboratory (ORNL). This plan has been developed by the Environmental Restoration (ER) Program of Lockheed Martin Energy Systems (Energy Systems) for the US Department of Energy (DOE) Oak Ridge Operations Office (ORO)