Sample records for incised valley fill

  1. Stratigraphic architecture of back-filled incised-valley systems: Pennsylvanian-Permian lower Cutler beds, Utah, USA (United States)

    Wakefield, Oliver J. W.; Mountney, Nigel P.


    The Pennsylvanian to Permian lower Cutler beds collectively form the lowermost stratigraphic unit of the Cutler Group in the Paradox Basin, southeast Utah. The lower Cutler beds represent a tripartite succession comprising lithofacies assemblages of aeolian, fluvial and shallow-marine origin, in near equal proportion. The succession results from a series of transgressive-regressive cycles, driven by repeated episodes of climatic variation and linked changes in relative sea-level. Relative sea-level changes created a number of incised-valleys, each forming through fluvial incision during lowered base-level. Aeolian dominance during periods of relative sea-level lowstand aids incised-valley identification as the erosive bounding surface juxtaposes incised-valley infill against stacked aeolian faces. Relative sea-level rises resulted in back-flooding of the incised-valleys and their infill via shallow-marine and estuarine processes. Back-flooded valleys generated marine embayments within which additional local accommodation was exploited. Back-filling is characterised by a distinctive suite of lithofacies arranged into a lowermost, basal fill of fluvial channel and floodplain architectural elements, passing upwards into barform elements with indicators of tidal influence, including inclined heterolithic strata and reactivation surfaces. The incised-valley fills are capped by laterally extensive and continuous marine limestone elements that record the drowning of the valleys and, ultimately, flooding and accumulation across surrounding interfluves (transgressive surface). Limestone elements are characterised by an open-marine fauna and represent the preserved expression of maximum transgression.

  2. Transgressive systems tract development and incised-valley fills within a quaternary estuary-shelf system: Virginia inner shelf, USA (United States)

    Foyle, A.M.; Oertel, G.F.


    High-frequency Quaternary glacioeustasy resulted in the incision of six moderate- to high-relief fluvial erosion surfaces beneath the Virginia inner shelf and coastal zone along the updip edges of the Atlantic continental margin. Fluvial valleys up to 5 km wide, with up to 37 m of relief and thalweg depths of up to 72 m below modern mean sea level, cut through underlying Pleistocene and Mio-Pliocene strata in response to drops in baselevel on the order of 100 m. Fluvially incised valleys were significantly modified during subsequent marine transgressions as fluvial drainage basins evolved into estuarine embayments (ancestral generations of the Chesapeake Bay). Complex incised-valley fill successions are bounded by, or contain, up to four stacked erosional surfaces (basal fluvial erosion surface, bay ravinement, tidal ravinement, and ebb-flood channel-base diastem) in vertical succession. These surfaces, combined with the transgressive oceanic ravinement that generally caps incised-valley fills, control the lateral and vertical development of intervening seismic facies (depositional systems). Transgressive stratigraphy characterizes the Quaternary section beneath the Virginia inner shelf where six depositional sequences (Sequences I-VI) are identified. Depositional sequences consist primarily of estuarine depositional systems (subjacent to the transgressive oceanic ravinement) and shoreface-shelf depositional systems; highstand systems tract coastal systems are thinly developed. The Quaternary section can be broadly subdivided into two parts. The upper part contains sequences consisting predominantly of inner shelf facies, whereas sequences in the lower part of the section consist predominantly of estuarine facies. Three styles of sequence preservation are identified. Style 1, represented by Sequences VI and V, is characterized by large estuarine systems (ancestral generations of the Chesapeake Bay) that are up to 40 m thick, have hemicylindrical wedge geometries

  3. Sedimentary architecture and chronostratigraphy of a late Quaternary incised-valley fill: A case study of the late Middle and Late Pleistocene Rhine system in the Netherlands (United States)

    Peeters, J.; Busschers, F. S.; Stouthamer, E.; Bosch, J. H. A.; Van den Berg, M. W.; Wallinga, J.; Versendaal, A. J.; Bunnik, F. P. M.; Middelkoop, H.


    This paper describes the sedimentary architecture, chronostratigraphy and palaeogeography of the late Middle and Late Pleistocene (Marine Isotope Stage/MIS 6-2) incised Rhine-valley fill in the central Netherlands based on six geological transects, luminescence dating, biostratigraphical data and a 3D geological model. The incised-valley fill consists of a ca. 50 m thick and 10-20 km wide sand-dominated succession and includes a well-developed sequence dating from the Last Interglacial: known as the Eemian in northwest Europe. The lower part of the valley fill contains coarse-grained fluvio-glacial and fluvial Rhine sediments that were deposited under Late Saalian (MIS 6) cold-climatic periglacial conditions and during the transition into the warm Eemian interglacial (MIS 5e-d). This unit is overlain by fine-grained fresh-water flood-basin deposits, which are transgressed by a fine-grained estuarine unit that formed during marine high-stand. This ca. 10 m thick sequence reflects gradual drowning of the Eemian interglacial fluvial Rhine system and transformation into an estuary due to relative sea-level rise. The chronological data suggests a delay in timing of regional Eemian interglacial transgression and sea-level high-stand of several thousand years, when compared to eustatic sea-level. As a result of this glacio-isostatic controlled delay, formation of the interglacial lower deltaic system took only place for a relative short period of time: progradation was therefore limited. During the cooler Weichselian Early Glacial period (MIS 5d-a) deposition of deltaic sediments continued and extensive westward progradation of the Rhine system occurred. Major parts of the Eemian and Weichselian Early Glacial deposits were eroded and buried as a result of sea-level lowering and climate cooling during the early Middle Weichselian (MIS 4-3). Near complete sedimentary preservation occurred along the margins of the incised valley allowing the detailed reconstruction presented

  4. A 1-D morphodynamic model of postglacial valley incision (United States)

    Tunnicliffe, Jon F.; Church, Michael


    Chilliwack River is typical of many Cordilleran valley river systems that have undergone dramatic Holocene degradation of valley fills that built up over the course of Pleistocene glaciation. Downstream controls on base level, mainly blockage of valleys by glaciers, led to aggradation of significant glaciofluvial and glaciolacustrine valley fills and fan deposits, subsequently incised by fluvial action. Models of such large-scale, long-term degradation present a number of important challenges since the evolution of model parameters, such as the rate of bedload transport and grain size characteristics, are governed by the nature of the deposit. Sediment sampling in the Chilliwack Valley reveals a complex sequence of very coarse to fine textural modes. We present a 1-D numerical morphodynamic model for the river-floodplain system tailored to conditions in the valley. The model is adapted to dynamically adjust channel width to optimize sediment transporting capacity and to integrate relict valley fill material as the channel incises through valley deposits. Sensitivity to model parameters is studied using four principal criteria: profile concavity, rate of downstream grain size fining, bed surface sand content, and the timescale to equilibrium. Model results indicate that rates of abrasion and coarsening of the grain size distributions exert the strongest controls on all of the interrelated model performance criteria. While there are a number of difficulties in satisfying all model criteria simultaneously, results indicate that 1-D models of valley bottom sedimentary systems can provide a suitable framework for integrating results from sediment budget studies and chronologies of sediment evacuation established from dating.

  5. Holocene valley-floor deposition and incision in a small drainage basin in western Colorado, USA (United States)

    Jones, Lawrence S.; Rosenburg, Margaret; Figueroa, Maria del Mar; McKee, Kathleen; Haravitch, Ben; Hunter, Jenna


    The valley floor of a 33.9 km 2 watershed in western Colorado experienced gradual sedimentation from before ˜ 6765 to ˜ 500 cal yr BP followed by deep incision, renewed aggradation, and secondary incision. In contrast, at least four terraces and widespread cut-and-fill architecture in the valley floor downstream indicate multiple episodes of incision and deposition occurred during the same time interval. The upper valley fill history is atypical compared to other drainages in the Colorado Plateau. One possible reason for these differences is that a bedrock canyon between the upper and lower valley prevented headward erosion from reaching the upper valley fill. Another possibility is that widespread, sand-rich, clay-poor lithologies in the upper drainage limited surface runoff and generally favored alluviation, whereas more clay-rich lithologies in the lower drainage resulted in increased surface runoff and more frequent incision. Twenty-two dates from valley fill charcoal indicate an approximate forest fire recurrence interval of several hundred years, similar to that from other studies in juniper-piñon woodlands. Results show that closely spaced vertical sampling of alluvium in headwater valleys where linkages between hillslope processes and fluvial activity are relatively direct can provide insight about the role of fires in alluvial chronologies of semi-arid watersheds.

  6. From incision to infill: What a Late Quaternary valley system records? (United States)

    Maselli, V.; Asioli, A.; Trincardi, F.; Ceregato, A.; Rizzetto, F.; Taviani, M.


    Erosional sequence boundaries and incised valleys buried in modern continental shelves represent the response of alluvial and coastal systems to Quaternary sea level oscillations. The study of the processes leading to valley incision reveals, at both regional and global scales, the influence of tectonics and eustatism on the evolution of fluvial landforms in coastal plains, while the sedimentary infill of the valley may represents one of the best archives to investigate past environmental changes. Although the time registered in the stratigraphic record represents only a small portion of the geological history, informations about the processes governing the evolution of past landscapes can be quantified by looking to erosional surfaces, where much of the time is condensed. The Manfredonia Incised Valley (southern Adriatic Sea), is a very interesting case of valley as it formed during a single episode of incision related to the last glacial sea level fall and was completely filled during the post-glacial sea level rise. The inverse-funnel shape of the incision, and its confinement toward the mid-inner shelf reveal the impact of the step-wise sea level fall on preexisting coastal morphologies, in particular during the MIS5-4 and MIS3-2 transitions. The 45 m thick sedimentary succession filling the valley recorded the post-glacial sea level rise, as revealed by the upward transition from fluvial to shallow-marine deposits, and the impact of base level and high-frequency climate change on river to coastal systems. The upper 15 m of infill, in particular, consist of multiple bayhead delta progradations occurred synchronously to the formation of sapropel S1, and represent the very-shallow water equivalent of the cm-thick sapropel layers accumulated offshore in the deeper southern Adriatic basin.

  7. Large-scale single incised valley from a small catchment basin on the western Adriatic margin (central Mediterranean Sea) (United States)

    Maselli, Vittorio; Trincardi, Fabio


    The Manfredonia Incised Valley (MIV) is a huge erosional feature buried below the Apulian shelf, on the western side of the Adriatic margin. The incision extends more than 60 km eastward, from the Tavoliere Plain to the outer shelf, not reaching the shelf edge. High-resolution chirp sonar profiles allow reconstruction of the morphology of the incision and its correlation at regional scale. The MIV records a single episode of incision, induced by the last glacial-interglacial sea level fall that forced the rivers draining the Tavoliere Plain to advance basinward, reaching their maximum extent at the peak of the Last Glacial Maximum. The valley was filled during a relatively short interval of about 10,000 yr during the Late Pleistocene-Holocene sea level rise and almost leveled-off at the time of maximum marine ingression, possibly recording the short-term climatic fluctuations that occurred. The accommodation space generated by the lowstand incision was exploited during the following interval of sea level rise by very high rates of sediment supply that allowed the preservation of up to 45 m of valley fill. High-resolution chirp sonar profiles highlight stratal geometries that are consistent with a typical transgressive valley fill of an estuary environment, including bay-head deltas, central basin and distal barrier-island deposits, organized in a backstepping configuration. The highest complexity of the valley fill is reached in the shallowest and most proximal area, where a kilometric prograding wedge formed during a period dominated by riverine input, possibly connected to high precipitation rates. Based on the depth of the valley margins during this interval, the fill was likely isochronous with the formation of sapropel S1 in the Mediterranean region and may have recorded significant fluctuations within the hydrological cycle.

  8. Proglacial vs postglacial depostional environments, the opposing processes that filled the southern North Sea tunnel valleys

    DEFF Research Database (Denmark)

    Moreau, Julien; Huuse, Mads

    ­belt fashion. The formation of the 'backsets' would have been enhanced by supercooling due to the pressure drop during the upward flow of the water from the deepest part of the valleys towards the ice margin, freezing and thus capturing the sediments on the adverse slope. Recently this model has been...... challenged by new observations on the architecture of the valleys and their infill sediments which appear to show many similarities in common with deltaic clinoforms observed in the pre­glacial succession of the southern North Sea. The new model states that the incision and the filling of the valleys...

  9. Groundwater salinity influenced by Holocene seawater trapped in incised valleys in the Red River delta plain (United States)

    Larsen, Flemming; Tran, Long Vu; van Hoang, Hoan; Tran, Luu Thi; Christiansen, Anders Vest; Pham, Nhan Quy


    Salty and brackish groundwater has been observed at least 100 km inland in some aquifers contained within Quaternary delta plains. This phenomenon limits access to fresh groundwater resources, particularly in the densely populated deltas of Southeast Asia. However, the causes of inland salinity are unclear. Here we present borehole and geophysical data that show that in the Red River delta plain of Vietnam, salty and brackish groundwater primarily occurs in incised valleys that were formed during sea-level lowstands during the Pleistocene. During the mid-Holocene, these valleys were filled with fine-grained marine deposits containing trapped seawater. We conduct groundwater flow simulations that show that the age, thickness, and permeability of the marine sediments are the primary controls on the leaching of salty porewater into the freshwater aquifer. We find that salty groundwater originating from this trapped seawater is still present in Holocene-aged sediments with low permeability, and affects groundwater salinity in adjacent aquifers. In contrast, trapped seawater from all Pleistocene-aged sediments has been leached. We identify a number of brackish to saline delta aquifers elsewhere in Asia and throughout the world that have a similar sedimentary history, and thus are likely to be influenced by this leaching process.

  10. Optimal decentralized valley-filling charging strategy for electric vehicles

    International Nuclear Information System (INIS)

    Zhang, Kangkang; Xu, Liangfei; Ouyang, Minggao; Wang, Hewu; Lu, Languang; Li, Jianqiu; Li, Zhe


    Highlights: • An implementable charging strategy is developed for electric vehicles connected to a grid. • A two-dimensional pricing scheme is proposed to coordinate charging behaviors. • The strategy effectively works in decentralized way but achieves the systematic valley filling. • The strategy allows device-level charging autonomy, and does not require a bidirectional communication/control network. • The strategy can self-correct when confronted with adverse factors. - Abstract: Uncoordinated charging load of electric vehicles (EVs) increases the peak load of the power grid, thereby increasing the cost of electricity generation. The valley-filling charging scenario offers a cheaper alternative. This study proposes a novel decentralized valley-filling charging strategy, in which a day-ahead pricing scheme is designed by solving a minimum-cost optimization problem. The pricing scheme can be broadcasted to EV owners, and the individual charging behaviors can be indirectly coordinated. EV owners respond to the pricing scheme by autonomously optimizing their individual charge patterns. This device-level response induces a valley-filling effect in the grid at the system level. The proposed strategy offers three advantages: coordination (by the valley-filling effect), practicality (no requirement for a bidirectional communication/control network between the grid and EV owners), and autonomy (user control of EV charge patterns). The proposed strategy is validated in simulations of typical scenarios in Beijing, China. According to the results, the strategy (1) effectively achieves the valley-filling charging effect at 28% less generation cost than the uncoordinated charging strategy, (2) is robust to several potential affecters of the valley-filling effect, such as (system-level) inaccurate parameter estimation and (device-level) response capability and willingness (which cause less than 2% deviation in the minimal generation cost), and (3) is compatible with

  11. The glacially overdeepened trough of the Salzach Valley, Austria: Bedrock geometry and sedimentary fill of a major Alpine subglacial basin (United States)

    Pomper, Johannes; Salcher, Bernhard C.; Eichkitz, Christoph; Prasicek, Günther; Lang, Andreas; Lindner, Martin; Götz, Joachim


    Overdeepened valleys are unambiguous features of glacially sculpted landscapes. They result from erosion at the bed of the glacier and their size and shape is determined by ice dynamics and the characteristics of the underlying bedrock. Major overdeepened valleys representing vertical bedrock erosion of several hundreds of meters are characteristic features of many trunk valleys in the formerly glaciated parts of the Alpine mountain belt. The thick sedimentary fill usually hinders attempts to unravel bedrock geometry, formation history and fill characteristics. Based on reflection seismic data and core-logs from multiple deep drillings we construct a detailed bedrock model of the Lower Salzach Valley trough, one of the largest overdeepened valleys in the European Alps. The analysed overdeepened structure characterized by a strongly undulating topography. Two reaches of enhanced erosion can be identified and are suggested to be related to variations in bedrock erodibility and a triple glacier confluence. The sedimentary fill shows clear characteristics of rapid infilling and subaqueous fan delta deposits indicate a strong influence of tributary streams. Associated surface lowering of the valley floor had a major impact on tributary stream incision but also on the available ice accumulation area at subsequent glaciations. The extent to which fills of earlier glaciations have been preserved from erosion during the last glacial maximum remains ambiguous and demands further exploration. To our knowledge the presented bedrock model is one of the best defined of any major overdeepened trunk valley.

  12. Influence of system controls on the Late Quaternary geomorphic evolution of a rapidly-infilled incised-valley system: The lower Manawatu valley, North Island New Zealand (United States)

    Clement, Alastair J. H.; Fuller, Ian C.


    The Manawatu incised-valley estuary was rapidly infilled between 12,000-4700 cal. yr BP. A combination of empirical measurements of sedimentation rates, a reconstruction of relative sea-level (RSL) change, and digital elevation models of key surfaces within the Holocene sedimentary fill of the valley were integrated to produce a numerical model to investigate the influence of the system controls of sea-level change, sediment flux, and accommodation space on the rapid infilling history of the palaeo-estuary. The numerical model indicates that sediment flux into the palaeo-estuary was greatest during the Holocene marine transgression between 12,000-8000 years BP. The average rate of sediment deposition in the estuary during this period was 1.0 M m3 yr- 1. This rapid rate of sedimentation was controlled by the rate of accommodation space creation, as regulated by the rate of sea-level rise and the antecedent configuration of the valley. By the time sea levels stabilised c. 7500 cal. yr BP, the palaeo-estuary had been substantively infilled. Limited accommodation space resulted in rapid infilling of the central basin, though sediment flux into the estuary between 7100 and 4500 cal. yr BP was at a lower rate of 234,000 m3 yr- 1. The limited accommodation space also influenced hydrodynamic conditions in the estuarine central basin, driving export of fine-grained sediment from the estuary. Once the accommodation space of the estuarine basin was infilled sediment bypassed the system, with a consequent reduction in the sedimentation rate in the valley. More accurate partitioning of the sources of sediment driving the infilling is necessary to quantify sediment bypassing. Post-depositional lowering of RSL index points from the valley is driven by neotectonics and sediment compaction.

  13. The Effects of Mountaintop Mines and Valley Fills on Aquatic ... (United States)

    This report assesses the state of the science on the environmental impacts of mountaintop mines and valley fills (MTM-VF) on streams in the Central Appalachian Coalfields. Our review focused on the aquatic impacts of mountaintop removal coal mining, which, as its name suggests, involves removing all or some portion of the top of a mountain or ridge to expose and mine one or more coal seams. The excess overburden is disposed of in constructed fills in small valleys or hollows adjacent to the mining site. MTM-VF lead directly to five principal alterations of stream ecosystems: (1) springs, intermittent streams, and small perennial streams are permanently lost with the removal of the mountain and from burial under fill, (2) concentrations of major chemical ions are persistently elevated downstream, (3) degraded water quality reaches levels that are acutely lethal to standard laboratory test organisms, (4) selenium concentrations are elevated, reaching concentrations that have caused toxic effects in fish and birds and (5) macroinvertebrate and fish communities are consistently and significantly degraded. This report assesses the state of the science on the environmental impacts of Mountaintop Mines and Valley Fills (MTM-VF) on streams in the Central Appalachian Coalfields. The draft report will be externally peer reviewed by EPA's Science Advisory Board in early 2010.

  14. Catastrophic valley fills record large Himalayan earthquakes, Pokhara, Nepal (United States)

    Stolle, Amelie; Bernhardt, Anne; Schwanghart, Wolfgang; Hoelzmann, Philipp; Adhikari, Basanta R.; Fort, Monique; Korup, Oliver


    Uncertain timing and magnitudes of past mega-earthquakes continue to confound seismic risk appraisals in the Himalayas. Telltale traces of surface ruptures are rare, while fault trenches document several events at best, so that additional proxies of strong ground motion are needed to complement the paleoseismological record. We study Nepal's Pokhara basin, which has the largest and most extensively dated archive of earthquake-triggered valley fills in the Himalayas. These sediments form a 148-km2 fan that issues from the steep Seti Khola gorge in the Annapurna Massif, invading and plugging 15 tributary valleys with tens of meters of debris, and impounding several lakes. Nearly a dozen new radiocarbon ages corroborate at least three episodes of catastrophic sedimentation on the fan between ∼700 and ∼1700 AD, coinciding with great earthquakes in ∼1100, 1255, and 1344 AD, and emplacing roughly >5 km3 of debris that forms the Pokhara Formation. We offer a first systematic sedimentological study of this formation, revealing four lithofacies characterized by thick sequences of mid-fan fluvial conglomerates, debris-flow beds, and fan-marginal slackwater deposits. New geochemical provenance analyses reveal that these upstream dipping deposits of Higher Himalayan origin contain lenses of locally derived river clasts that mark time gaps between at least three major sediment pulses that buried different parts of the fan. The spatial pattern of 14C dates across the fan and the provenance data are key to distinguishing these individual sediment pulses, as these are not evident from their sedimentology alone. Our study demonstrates how geomorphic and sedimentary evidence of catastrophic valley infill can help to independently verify and augment paleoseismological fault-trench records of great Himalayan earthquakes, while offering unparalleled insights into their long-term geomorphic impacts on major drainage basins.

  15. Changes in biodiversity and ecosystem function downstream from mountaintop removal and valley fill coal mining (United States)

    Mountaintop removal and valley fill coal mining has altered the physicochemical landscape of the Central Appalachian region in the U.S. Increased specific conductance and levels of component ions downstream from valley fill sites are toxic to aquatic life and can negatively impa...

  16. Impacts from valley fill design and age on water quality in mountaintop mined watersheds (United States)

    Ross, M. R.; Lindberg, T. T.; Voss, K.; Bernhardt, E. S.


    Mountaintop mining (MTM) for coal is the strongest driver of landscape disturbance throughout central Appalachia. The MTM process removes mountain ridges and deposits the resulting spoil into adjacent valleys. Recent research has shown that streams receiving waters from these valley fills exhibit consistent increases in the concentrations of base cations (Ca2+, Mg2+), metals, and anions (HCO3-SO42-) that correlate strongly with an increase in conductivity. Together, these chemical changes degrade the aquatic ecosystems downstream of valley fills and impair the ecosystem services they provide by extirpating sensitive macro-invertebrate taxa and toxicity to fish. Nearly 50% of the variability in conductivity and individual ion species concentration can be explained simply by the positive correlation between percent of catchment area mined and solute concentration. Yet, there is a wide range of valley fill size (0.25-225 hectares), age (1-40 years old), and design (from completely re-contoured landscapes to untouched, dumped spoil material) which may further explain observed patterns in water quality and biogeochemistry in MTM-impacted streams. For this study we asked the question: Do fill construction techniques and fill age predict patterns of stream water quality as measured by ion and metal concentration? To answer this question, we used a synoptic dataset collected from 30 valley fills in the Hobet mining complex in southern West Virginia and a comprehensive dataset collected by the West Virginia Department of Environmental Protection. We show that conductivity and ion concentrations are predicted better by valley fill size (p value valley fill age (statistically insignificant). These results suggest that impacts from MTM on aquatic ecosystems and the ecosystem services they provide may last over long time scales (>50 years), and that trends of expanding valley fill size over the 2000's may have disproportionately negative impacts on the streams impacted by these

  17. Sedimentology and reservoir heterogeneity of a valley-fill deposit-A field guide to the Dakota Sandstone of the San Rafael Swell, Utah (United States)

    Kirschbaum, Mark A.; Schenk, Christopher J.


    Valley-fill deposits form a significant class of hydrocarbon reservoirs in many basins of the world. Maximizing recovery of fluids from these reservoirs requires an understanding of the scales of fluid-flow heterogeneity present within the valley-fill system. The Upper Cretaceous Dakota Sandstone in the San Rafael Swell, Utah contains well exposed, relatively accessible outcrops that allow a unique view of the external geometry and internal complexity of a set of rocks interpreted to be deposits of an incised valley fill. These units can be traced on outcrop for tens of miles, and individual sandstone bodies are exposed in three dimensions because of modern erosion in side canyons in a semiarid setting and by exhumation of the overlying, easily erodible Mancos Shale. The Dakota consists of two major units: (1) a lower amalgamated sandstone facies dominated by large-scale cross stratification with several individual sandstone bodies ranging in thickness from 8 to 28 feet, ranging in width from 115 to 150 feet, and having lengths as much as 5,000 feet, and (2) an upper facies composed of numerous mud-encased lenticular sandstones, dominated by ripple-scale lamination, in bedsets ranging in thickness from 5 to 12 feet. The lower facies is interpreted to be fluvial, probably of mainly braided stream origin that exhibits multiple incisions amalgamated into a complex sandstone body. The upper facies has lower energy, probably anastomosed channels encased within alluvial and coastal-plain floodplain sediments. The Dakota valley-fill complex has multiple scales of heterogeneity that could affect fluid flow in similar oil and gas subsurface reservoirs. The largest scale heterogeneity is at the formation level, where the valley-fill complex is sealed within overlying and underlying units. Within the valley-fill complex, there are heterogeneities between individual sandstone bodies, and at the smallest scale, internal heterogeneities within the bodies themselves. These

  18. Incised channel fills containing conifers indicate that seasonally dry vegetation dominated Pennsylvanian tropical lowlands (United States)

    Falcon-Lang, H. J.; Nelson, W.J.; Elrick, S.; Looy, C.V.; Ames, P.R.; DiMichele, W.A.


    The idea that the Pennsylvanian tropical lowlands were temporally dominated by rainforest (i.e., the Coal Forest) is deeply ingrained in the literature. Here we challenge two centuries of research by suggesting that this concept is based on a taphonomic artifact, and that seasonally dry vegetation dominated instead. This controversial finding arises from the discovery of a new middle Pennsylvanian (Moscovian) fossil plant assemblage in southeast Illinois, United States. The assemblage, which contains xerophytic walchian conifers, occurs in channels incised into a calcic Vertisol below the Baker Coal. These plants grew on seasonally dry tropical lowlands inferred to have developed during a glacial phase. This xerophytic flora differs markedly from that of the typical clubmoss-dominated Coal Forest developed during deglaciation events. Although preserved only very rarely, we argue that such xerophytic floras were temporally as dominant, and perhaps more dominant, than the iconic Coal Forests, which are overrepresented in the fossil record due to taphonomic megabias. These findings require the iconography of Pennsylvanian tropical lowlands to be redrawn. ?? 2009 Geological Society of America.

  19. Hydrogeology of a drift-filled bedrock valley near Lino Lakes, Anoka County, Minnesota (United States)

    Winter, T.C.; Pfannkuch, H.O.


    The bedrock surface of east-central Minnesota is dissected by an intricate network of valleys. Outside the bedrock valley at site B, 3 mi (4. 8 km) from site A, 100 ft (30 m) of drift overlies the bedrock surface. Observation wells were installed at the two sites to determine the vertical ground-water movement between the various aquifer units and the lateral movement between the two sites. An aquifer test of the lowest valley-fill aquifer at site A showed that the observation well completed in the same aquifer as the pumping well responded immediately; whereas a lag of about 100 min occurred between the lower valley fill and uppermost body of sand and gravel. This indicates that the hydraulic connection between these two layers is poor at the immediate site. Test results show that the lower sand-and-gravel aquifer has a transmissivity between 14,000 and 27,000 ft2/d (1,300 and 2,500 m2/d). Although the hydraulic gradient is vertically downward in the valley, much of the drift fill is poorly permeable. This suggests that the quantity of downward-percolating water reaching the lowest valley-fill aquifer is relatively small at the test site. Because valley cut through a number of bedrock aquifers in the region, they could potentially be an important avenue of contamination from land-surface waste. In addition, the vast network of bedrock valleys in the Twin Cities area might cause contaminants to disseminate rather rapidly throughout a large area.

  20. Autogenic entrenchment patterns and terraces due to coupling with lateral erosion in incising alluvial channels (United States)

    Malatesta, Luca C.; Prancevic, Jeffrey P.; Avouac, Jean-Philippe


    The abandonment of terraces in incising alluvial rivers can be used to infer tectonic and climatic histories. A river incising into alluvium erodes both vertically and laterally as it abandons fill-cut terraces. We argue that the input of sediment from the valley walls during entrenchment can alter the incision dynamics of a stream by promoting vertical incision over lateral erosion. Using a numerical model, we investigate how valley wall feedbacks may affect incision rates and terrace abandonment as the channel becomes progressively more entrenched in its valley. We postulate that erosion of taller valley walls delivers large pulses of sediment to the incising channel, potentially overwhelming the local sediment transport capacity. Based on field observations, we propose that these pulses of sediment can form talus piles that shield the valley wall from subsequent erosion and potentially force progressive channel narrowing. Our model shows that this positive feedback mechanism can enhance vertical incision relative to 1-D predictions that ignore lateral erosion. We find that incision is most significantly enhanced when sediment transport rates are low relative to the typical volume of material collapsed from the valley walls. The model also shows a systematic erosion of the youngest terraces when river incision slows down. The autogenic entrenchment due to lateral feedbacks with valley walls should be taken into account in the interpretation of complex-response terraces.

  1. 75 FR 18499 - The Effects of Mountaintop Mines and Valley Fills on Aquatic Ecosystems of the Central... (United States)


    ... (2) the Programmatic Environmental Impact Statement (PEIS) on Mountaintop Mining/Valley Fills in...,'' is to assess the state of the science on the ecological impacts of Mountaintop Mining and Valley Fill... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION...

  2. Impact of valley fills on streamside salamanders in southern West Virginia (United States)

    Wood, Petra Bohall; Williams, Jennifer M.


    Valley fills associated with mountaintop-removal mining bury stream headwaters and affect water quality and ecological function of reaches below fills. We quantified relative abundance of streamside salamanders in southern West Virginia during 2002 in three streams below valley fills (VFS) and in three reference streams (RS). We surveyed 36 10- × 2-m stream transects, once in summer and fall, paired by order and structure. Of 2,343 salamanders captured, 66.7% were from RS. Total salamanders (adults plus larvae) were more abundant in RS than VFS for first-order and second-order reaches. Adult salamanders had greater abundance in first-order reaches of RS than VFS. Larval salamanders were more abundant in second-order reaches of RS than VFS. No stream width or mesohabitat variables differed between VFS and RS. Only two cover variables differed. Silt cover, greater in VFS than RS first-order reaches, is a likely contributor to reduced abundance of salamanders in VFS. Second-order RS had more boulder cover than second-order VFS, which may have contributed to the higher total and larval salamander abundance in RS. Water chemistry assessments of our VFS and RS reported elevated levels of metal and ion concentrations in VFS, which can depress macroinvertebrate populations and likely affect salamander abundance. Valley fills appear to have significant negative effects on stream salamander abundance due to alterations in habitat structure, water quality and chemistry, and macroinvertebrate communities in streams below fills.

  3. SH waves scattering from a partially filled semi-elliptic alluvial valley (United States)

    Tsaur, Deng-How; Hsu, Ming-Sheng


    The scattering of SH waves induced by a partially filled semi-elliptic alluvial valley is explored via the region-point-matching technique (RPMT). Appropriate radial and angular Mathieu functions are well utilized to express the antiplane displacement fields. With the aid of the coordinate-transformed relation, which is intended as a substitute for the addition theorem (involving multiple summations of Mathieu functions), the application of the RPMT facilitates the rapid construction of simultaneous equations. Enforcement of zero-stress conditions on the curved valley surface and continuity conditions on the soil-bedrock interface leads to the determination of unknown coefficients. Comparisons with published data for several limiting cases (e.g. those pertaining to the truncated semi-circular canyon, the partially filled semi-circular alluvial valley, the totally empty semi-elliptic canyon and the fully filled semi-elliptic alluvial valley) show good agreement. Effects of pertinent parameters on steady-state surface motions are demonstrated. Transient changes in surface displacement amplitude are also included.

  4. Links between river incision, landslide activity, organic material erosion, and plant species diversity in an Andean Valley (United States)

    Clark, K. E.; West, A.; Hilton, R. G.; Malhi, Y.; Asner, G. P.; Silman, M.; Saatchi, S. S.; Quesada, C.; Farfan Rios, W.; Martin, R.; New, M. G.


    Landslides are fundamental agents shaping mountain landscapes and environments. This study identifies spatial heterogeneity in landslide occurrence in a tropical montane cloud forest of the Kosñipata Valley, in the eastern Andes of Peru, and explores implications of this observed variability. It takes advantage of a change in incision associated with a major river knickpoint to (i) provide empirical evidence for the hypothesized role of landslides in landform evolution, and (ii) reveal important links to the evolution of the biosphere. In the Kosñipata River catchment, we have determined forest landslide occurrence over a 25-year period using satellite images from 1988 to 2012. Landslide activity increases dramatically above an observed threshold slope angle. As a result of this threshold, enhanced river incision downstream of a knickpoint at ~1700m has led to higher landslide rates because it steepens hillslopes. As a consequence of spatially heterogeneous landslide distribution, the lowest elevations in the Kosñipata see greatest forest disturbance, and consequently highest rates of mobilization of organic material. The resulting variability in the source area of organic material is important for determining the characteristics of biomarkers delivered to rivers, and for influencing the potential fate of associated organic carbon. Increased disturbance may also explain co-variation of landslide rates with plant species richness, pointing to a possible link between erosional processes and biodiversity, although other climatic and ecological changes with elevation also probably influence diversity. Altogether, the results of this study suggest the non-equilibrium Kosñipata landscape is characterized by predicted heterogeneity in hillslope failure that may also introduce variability in sources of sedimentary carbon and in biodiversity.

  5. Coalescing Debris-Fill Complexes in Headwater Valleys of the Oregon Coast Range (United States)

    Lancaster, S. T.; Grant, G. E.


    Headwater streams are important links in the sediment transport chain connecting production from steep uplands to supply in downstream, fish-bearing channels. In headwater basins that are forested and where debris flows are common, debris-flow deposition forms valley-spanning dams of wood, boulders, or both, and significant volumes of sediment are stored behind these dams. In three headwater streams (basin areas of approximately 2 sq. km) in the Oregon Coast Range, the following data were collected: (a) longitudinal channel profiles; (b) locations and heights of debris dams; (c) sediment storage volumes; and (d) exposed bank stratigraphy. In all three basins, these data indicate a zone of concentrated mainstem debris-flow deposition where stream gradients first decrease to approximately 10%. Deposits in this zone do not form fans per se but, rather, comprise coalescing debris-fill complexes. These complexes have large unit storage volumes (defined as valley-floor sediment storage volume per upstream contributing area), and because coalescing debris-fill complexes are formed in headwater valleys with relatively low bankfull discharge, these complexes represent a buffer between episodic sediment input from the hillslopes and continual sediment output to fish-bearing streams. An empirical model of susceptibility to debris-flow inundation is based on hypothesized landslide susceptibility, an observed relationship between debris-flow runout length and elevation change between source and deposit, and tributary junction angles and corroborates the occurrence of coalescing debris-fill complexes where greater debris-flow susceptibility arises and is attributable to multiple sources, e.g., tributaries and main stem. Field data and simulation modeling indicate that debris-flow deposition in these complexes is sensitive to wood volume and depositional history: Entraining wood from valley floors and spreading over prior deposits decrease debris-flow velocities and favor

  6. Hydrogeology of Valley-Fill Aquifers and Adjacent Areas in Eastern Chemung County, New York (United States)

    Heisig, Paul M.


    The extent, hydrogeologic framework, and potential well yields of valley-fill aquifers within a 151-square-mile area of eastern Chemung County, New York, were investigated, and the upland distribution of till thickness over bedrock was characterized. The hydrogeologic framework of these valleyfill aquifers was interpreted from multiple sources of surficial and subsurface data and an interpretation of the origin of the glacial deposits, particularly during retreat of glacial ice from the region. Potential yields of screened wells are based on the hydrogeologic framework interpretation and existing well-yield data, most of which are from wells finished with open-ended well casing.

  7. The impact of mountaintop mining with valley fills on runoff timing and pathways, Elk Valley, British Columbia (United States)

    Shatilla, N. J.; Carey, S. K.


    Mountaintop mining with valley fills (MTM/VF) has been a major contributor to the global increase in surface mining over the last 30 years. It is especially widespread throughout central Appalachia and the Elk Valley, British Columbia. This form of mining operation strips upper elevations of vegetation and soil, explosives are used to break up rocks to access buried coal, and waste-rock (spoil) is pushed into adjacent valleys where it buries existing streams. While considerable research on downstream water quality impacts has been conducted, there is limited information on the changes in physical hydrology and predominant runoff pathways in catchments affected by MTM/VF. As part of a larger program assessing elevated levels of Se in the Elk Valley, this study documents the impact of coal spoils on runoff response and flow pathways using two adjacent catchments, each approximately 10 km2 in size. One catchment has 180 x109 m3 of spoil covering about 40% of its surface area (West Line Creek - WLC), while the other is devoid of any spoil cover (Dry Creek - DC). Each of these watersheds has had hydrometric stations operating since 2011, where concurrent measurements of specific conductance are conducted at 15-minute intervals. Stable isotopes of 2H and 18O were collected using a series of precipitation gauges as of May 2012. In addition, stable isotopes, major ions and DOC have been monitored at the outlet daily over the same time period, with higher recording frequencies during precipitation events. Preliminary results indicate that flows in WLC are less flashy with more gradual hydrograph responses and recessions than DC due to the large storage capacity of spoils. However, there is little impact of spoils on overall discharge volumes on a seasonal or annual basis. Two-component hydrograph separation using stable isotopes suggests that greater portions of stream water are derived from 'old water' in the spoil-affected catchment. More notably, coal spoils have a major

  8. Unraveling the Quaternary river incision in the Moselle valley (Rhenish Massif, Germany): new insights from cosmogenic nuclide dating (10Be/26Al) of the Main Terrace complex (United States)

    Rixhon, Gilles; Cordier, Stéphane; Harmand, Dominique; May, Simon Matthias; Kelterbaum, Daniel; Dunai, Tibor; Binnie, Steven; Brückner, Helmut


    Throughout the whole river network of the Rhenish Massif, the terrace complex of the so-called Main Terrace forms the morphological transition between a wide upper palaeovalley (plateau valley) and a deeply incised lower valley. The youngest level of this Main Terrace complex (YMT), directly located at the edge of the incised valley, represents a dominant geomorphic feature in the terrace flight; it is often used as a reference level to identify the start of the main middle Pleistocene incision episode (Demoulin & Hallot, 2009). The latter probably reflects the major tectonic pulse that affected the whole Massif and was related to an acceleration of the uplift rates (Demoulin & Hallot, 2009). The Main terraces are particularly well preserved in the lower Moselle valley and are characterized by a constant absolute elevation of their base along a 150 km-long reach. Despite that various hypotheses have been proposed to explain this horizontality (updoming, faulting...), all studies assumed an age of ca. 800 ka for the YMT, mainly based on the questionable extrapolation of palaeomagnetic data obtained in the Rhine valley. Therefore, a reliable chronological framework is still required to unravel the spatio-temporal characteristics of the Pleistocene evolution of the Moselle valley. In this study, we apply cosmogenic nuclide dating (10Be/26Al) to fluvial sediments pertaining to the Main Terrace complex or to the upper Middle Terraces. Several sites along the lower Moselle were sampled following two distinct sampling strategies: (i) depth profiles where the original terrace (palaeo-)surface is well preserved and did not experience much postdepositional burial (e.g., loess cover); and (ii) the isochron technique where the sediment thickness exceeds 3 m. Cosmogenic nuclide ages recently obtained for three rivers in the Meuse catchment in the western Rhenish Massif demonstrated that the Main Terraces were younger than expected and their abandonment was diachronic along the

  9. Morphology of the last subaerial unconformity on a shelf: insights into transgressive ravinement and incised valley occurrence in the Gulf of Cádiz (United States)

    Lobo, F. J.; García, M.; Luján, M.; Mendes, I.; Reguera, M. I.; Van Rooij, D.


    The main aim of this study is to explore the spatial patterns of the shelf-scale erosional unconformity related to the last glacial maximum (LGM), particularly in terms of the role of underlying geology and the presumed primary influence of sea-level changes. This involved a detailed mapping of the most recent and widespread erosional shelf surface in a sector of the northern margin of the Gulf of Cádiz (northeast Atlantic Ocean) located adjacent to a major fluvial source. A dense network of high-resolution seismic profiles collected in the 1990s and 2013 off the Guadiana River revealed two distinct geomorphological domains on the LGM shelf-scale subaerial surface. The outer domain exhibits a widespread occurrence of erosional truncations, with a rugged, erosional pattern over the most distal shelf setting that evolves landward into a planar unconformity. The inner domain is more extensive and is characterized by the common occurrence of highly reflective, localized mounded seismic facies that laterally evolve into an irregular surface and in places may develop a channelized morphology. Significant fluvial incision is limited to a major straight valley and a secondary distributary channel. A distinct partition of the lowstand surface is documented, and attributed to a well-marked lithological change. A coarse-grained inner shelf comprises underlying lithified coastal deposits, whereas a fine-grained outer shelf is regarded as the uppermost expression of regressive prodeltaic wedges. The influence of regional indurated surfaces is also expressed in (1) the pattern of erosion, this being more patchy on the inner shelf due to lateral changes of erodibility, whereas on the outer shelf it shows laterally continuous bands, owing to different modes of transgressive ravinement; (2) the spatial and temporal variability of fluvial incision. Inner shelf armoring by indurated deposits prevents reoccupation of previously incised valleys.

  10. Reinterpretation of the Quaternary sedimentary infill of the Ría de Vigo, NW Iberian Peninsula, as a compound incised valley (United States)

    Martínez-Carreño, N.; García-Gil, S.


    Seismic data have been used to investigate the stratigraphy of the Galician rias for more than two decades. Here, we present a new interpretation of the sedimentary infill of an incised valley (Ría de Vigo, NW Iberian Peninsula), based on high-resolution seismic profiles, core sediment analysis, and radiocarbon 14C data. The new data indicate that the stratigraphic architecture of the Galician rias result from multiple incision/infill phases and, therefore, they are reclassified as compound rather than simple incised valleys. Seven seismic units were identified: one of Tertiary age (U1), four of Pleistocene age (U2-U5) which are interpreted as 4th-order sequences deposited between MIS 11 and MIS 2, and Late Pleistocene (U6) and Holocene (U7) units corresponding with post-glacial sedimentation. The sedimentary infill overlies a highly faulted irregular granitic and metamorphic basement; the inherited morphology is shown to be important for controlling the pathway and evolution of the fluvial network as well as preservation of the sedimentary deposits during several glacial/interglacial cycles. The presence of a rocky barrier at the mouth of the ria is a distinctive feature that conditions sedimentation and exchange of sediment between the ria and the adjacent shelf. For the first time, faults and tilted blocks affecting Late Pleistocene (MIS 3) deposits have been identified. The new data presented here provide the opportunity to reconstruct the evolution of the sedimentary infill of a ria, with especially high-resolution during the last post-glacial transgression.

  11. Nature of the Lowstand Surface on the Gulf of Cádiz Shelf and the Guadiana Incised-Valley System: Preliminary Results from the LASEA 2013 Cruise (United States)

    Lobo, F.; Lebreiro, S.; Antón, L.; Delivet, S.; Espinosa, S.; Fernández-Puga, M. C.; García, M.; Ibáñez, J.; Luján, M.; Mendes, I.; Reguera, M. I.; Sevillano, P.; Sinde, C.; Van Rooij, D.; Zarandona, P.


    The LASEA 2013 cruise was executed in August 2013 in the northern margin of the Gulf of Cádiz, with the main goal of collecting data from the Guadiana River-influenced shelf, in order to: (1) study changes affecting the entire drainage basin; (2) correlate shelf unit sequences with the upper slope sedimentary record, composed dominantly of contourite deposits in specific stretches of the margin. As a first approach, attention is paid to the most obvious sedimentary manifestation of the influence of the river on the shelf domain, represented by the Guadiana incised-valley system. The database comprises both geophysical and sedimentological records. Geophysical data include multibeam bathymetry, TOPAS profiles and single-channel Sparker seismic profiles. Sedimentological data include sediment cores collected with gravity- and vibro-corer devices. The lowstand erosional surface was mapped across the shelf. The lowstand surface exhibits two clearly contrasting patterns. In the outer shelf the surface isrepresented by an erosional truncation that can be planar or irregular. The lowstand surface is much more difficult to follow in the inner shelf, due to the amalgamation of erosional surfaces and the frequent stacking of coarse-grained deposits. Incised valleys are recognized at shallow waters (20-30 m) the most significant of them is at least 1.5 km wide in the most proximal (recognized) section, decreasing seawards in width. The internal architecture of the valley exhibits the intercalation of laterally prograding sediment bodies and high-amplitude, subparallel configurations laterally related to valley margin prograding wedges. The internal facies architecture suggests a transition from relatively high-energy fluvial to proximal estuarine environment to a lower-energy estuarine depositional environment. Thus, the study of the valley extension into the shelf is expected to provide clues for the recent reorganization of the entire fluvial system, during the course of

  12. Structural and functional characteristics of natural and constructed channels draining a reclaimed mountaintop removal and valley fill coal mine (United States)

    Mountaintop removal and valley fill (MTR/VF) coal mining has altered the landscape of the Central Appalachian region in the United States. The goals of this study were to 1) compare the structure and function of natural and constructed stream channels in forested and MTR/VF catch...

  13. The Effects of Mountaintop Mines and Valley Fills on Aquatic Ecosystems of the Central Appalachian Coalfields (External Review Draft) (United States)

    This report assesses the state of the science on the environmental impacts of mountaintop mines and valley fills (MTM-VF) on streams in the Central Appalachian Coalfields. Our review focused on the aquatic impacts of mountaintop removal coal mining, which, as its name suggests, ...

  14. Export of detritus and invertebrate from headwater streams: linking mountaintop removal and valley fill coal mining to downstream receiving waters (United States)

    Mountaintop removal and valley fill (MTR/VF) coal mining has resulted in large scale alteration of the topography, reduced forest productivity, and burial of headwater streams in the U.S. Central Appalachians. Although MTR/VF coal mining has occurred for several decades and the ...

  15. Impacts of Mountaintop Removal and Valley Fill Coal Mining on C and N Processing in Terrestrial Soils and Headwater Streams. (United States)

    We measured C and N cycling indicators in Appalachian watersheds impacted by mountaintop removal and valley fill (MTR/VF) coal mining, and in nearby forested watersheds. These watersheds include ephemeral, intermittent, and perennial stream reaches, and the length of time since d...

  16. Long-Term Impacts on Macroinvertebrates Downstream of Reclaimed Mountaintop Mining Valley Fills in Central Appalachia (United States)

    Pond, Gregory J.; Passmore, Margaret E.; Pointon, Nancy D.; Felbinger, John K.; Walker, Craig A.; Krock, Kelly J. G.; Fulton, Jennifer B.; Nash, Whitney L.


    Recent studies have documented adverse effects to biological communities downstream of mountaintop coal mining and valley fills (VF), but few data exist on the longevity of these impacts. We sampled 15 headwater streams with VFs reclaimed 11-33 years prior to 2011 and sampled seven local reference sites that had no VFs. We collected chemical, habitat, and benthic macroinvertebrate data in April 2011; additional chemical samples were collected in September 2011. To assess ecological condition, we compared VF and reference abiotic and biotic data using: (1) ordination to detect multivariate differences, (2) benthic indices (a multimetric index and an observed/expected predictive model) calibrated to state reference conditions to detect impairment, and (3) correlation and regression analysis to detect relationships between biotic and abiotic data. Although VF sites had good instream habitat, nearly 90 % of these streams exhibited biological impairment. VF sites with higher index scores were co-located near unaffected tributaries; we suggest that these tributaries were sources of sensitive taxa as drifting colonists. There were clear losses of expected taxa across most VF sites and two functional feeding groups (% scrapers and %shredders) were significantly altered. Percent VF and forested area were related to biological quality but varied more than individual ions and specific conductance. Within the subset of VF sites, other descriptors (e.g., VF age, site distance from VF, the presence of impoundments, % forest) had no detectable relationships with biological condition. Although these VFs were constructed pursuant to permits and regulatory programs that have as their stated goals that (1) mined land be reclaimed and restored to its original use or a use of higher value, and (2) mining does not cause or contribute to violations of water quality standards, we found sustained ecological damage in headwaters streams draining VFs long after reclamation was completed.

  17. Long-term impacts on macroinvertebrates downstream of reclaimed mountaintop mining valley fills in Central Appalachia. (United States)

    Pond, Gregory J; Passmore, Margaret E; Pointon, Nancy D; Felbinger, John K; Walker, Craig A; Krock, Kelly J G; Fulton, Jennifer B; Nash, Whitney L


    Recent studies have documented adverse effects to biological communities downstream of mountaintop coal mining and valley fills (VF), but few data exist on the longevity of these impacts. We sampled 15 headwater streams with VFs reclaimed 11-33 years prior to 2011 and sampled seven local reference sites that had no VFs. We collected chemical, habitat, and benthic macroinvertebrate data in April 2011; additional chemical samples were collected in September 2011. To assess ecological condition, we compared VF and reference abiotic and biotic data using: (1) ordination to detect multivariate differences, (2) benthic indices (a multimetric index and an observed/expected predictive model) calibrated to state reference conditions to detect impairment, and (3) correlation and regression analysis to detect relationships between biotic and abiotic data. Although VF sites had good instream habitat, nearly 90 % of these streams exhibited biological impairment. VF sites with higher index scores were co-located near unaffected tributaries; we suggest that these tributaries were sources of sensitive taxa as drifting colonists. There were clear losses of expected taxa across most VF sites and two functional feeding groups (% scrapers and %shredders) were significantly altered. Percent VF and forested area were related to biological quality but varied more than individual ions and specific conductance. Within the subset of VF sites, other descriptors (e.g., VF age, site distance from VF, the presence of impoundments, % forest) had no detectable relationships with biological condition. Although these VFs were constructed pursuant to permits and regulatory programs that have as their stated goals that (1) mined land be reclaimed and restored to its original use or a use of higher value, and (2) mining does not cause or contribute to violations of water quality standards, we found sustained ecological damage in headwaters streams draining VFs long after reclamation was completed.

  18. Valley-scale morphology drives differences in fluvial sediment budgets and incision rates during contrasting flow regimes (United States)

    Weber, M. D.; Pasternack, G. B.


    High-resolution topographic surveys using LiDAR and multibeam sonar can be used to characterize and quantify fluvial change. This study used repeat surveys to explore how topographic change, fluvial processes, sediment budgets, and aggradation and incision rates vary across spatial scales and across two contrasting decadal flow regimes in a regulated gravel/cobble river. A novel method for quantifying digital elevation model uncertainty was developed and applied to a topographic change detection analysis from 2006/2008 to 2014. During this period, which had four modest 3-5 year floods, most sediment was laterally redistributed through bank erosion and channel migration. Erosion primarily occurred in the floodplain (97,000 m3), terraces (80,000 m3), and lateral bars (58,000 m3); while deposition occurred in the adjacent pools (73,000 m3), fast glides (48,000 m3), and runs (36,000 m3). In contrast, significantly higher magnitude and longer duration floods from 1999 to 2006/2008 caused sediment to be displaced longitudinally, with the upstream reaches exporting sediment and the downstream reaches aggrading. The river maintained floodplain connectivity during both periods, despite different processes dominating the type of connectivity. Larger floods promoted overbank scour and avulsion, while smaller floods promoted bank erosion and lateral migration. This study explores and illustrates how the geomorphic response to contrasting flood regimes in a nonuniform river is highly dependent on which landforms are controlling hydraulics.

  19. Natural heat storage in a brine-filled solar pond in the Tully Valley of central New York (United States)

    Hayhurst, Brett; Kappel, William M.


    The Tully Valley, located in southern Onondaga County, New York, has a long history of unusual natural hydrogeologic phenomena including mudboils (Kappel, 2009), landslides (Tamulonis and others, 2009; Pair and others, 2000), landsurface subsidence (Hackett and others, 2009; Kappel, 2009), and a brine-filled sinkhole or “Solar pond” (fig. 1), which is documented in this report. A solar pond is a pool of salty water (brine) which stores the sun’s energy in the form of heat. The saltwater naturally forms distinct layers with increasing density between transitional zones (haloclines) of rapidly changing specific conductance with depth. In a typical solar pond, the top layer has a low salt content and is often times referred to as the upper convective zone (Lu and others, 2002). The bottom layer is a concentrated brine that is either convective or temperature stratified dependent on the surrounding environment. Solar insolation is absorbed and stored in the lower, denser brine while the overlying halocline acts as an insulating layer and prevents heat from moving upwards from the lower zone (Lu and others, 2002). In the case of the Tully Valley solar pond, water within the pond can be over 90 degrees Fahrenheit (°F) in late summer and early fall. The purpose of this report is to summarize observations at the Tully Valley brine-filled sinkhole and provide supplemental climate data which might affect the pond salinity gradients insolation (solar energy).

  20. Detection of cretaceous incised-valley shale for resource play, Miano gas field, SW Pakistan: Spectral decomposition using continuous wavelet transform (United States)

    Naseer, Muhammad Tayyab; Asim, Shazia


    Unconventional resource shales can play a critical role in economic growth throughout the world. The hydrocarbon potential of faults/fractured shales is the most significant challenge for unconventional prospect generation. The continuous wavelet transforms (CWT) of spectral decomposition (SD) technology is applied for shale gas prospects on high-resolution 3D seismic data from the Miano area in the Indus platform, SW Pakistan. Schmoker' technique reveals high-quality shales with total organic carbon (TOC) of 9.2% distributed in the western regions. The seismic amplitude, root-mean-square (RMS), and most positive curvature attributes show limited ability to resolve the prospective fractured shale components. The CWT is used to identify the hydrocarbon-bearing faulted/fractured compartments encased within the non-hydrocarbon bearing shale units. The hydrocarbon-bearing shales experience higher amplitudes (4694 dB and 3439 dB) than the non-reservoir shales (3290 dB). Cross plots between sweetness, 22 Hz spectral decomposition, and the seismic amplitudes are found more effective tools than the conventional seismic attribute mapping for discriminating the seal and reservoir elements within the incised-valley petroleum system. Rock physics distinguish the productive sediments from the non-productive sediments, suggesting the potential for future shale play exploration.

  1. Using Seismic Refraction and Ground Penetrating Radar (GPR) to Characterize the Valley Fill in Beaver Meadows, Rocky Mountain National Park (United States)

    Kramer, N.; Harry, D. L.; Wohl, E. E.


    This study is one of the first to use near surface geophysical techniques to characterize the subsurface stratigraphy in a high alpine, low gradient valley with a past glacial history and to obtain a preliminary grasp on the impact of Holocene beaver activity. Approximately 1 km of seismic refraction data and 5 km of GPR data were collected in Beaver Meadows, Rocky Mountain National Park. An asymmetric wedge of sediment ranging in depth from 0-20 m transverse to the valley profile was identified using seismic refraction. Complementary analysis of the GPR data suggests that the valley fill can be subdivided into till deposited during the Pleistocene glaciations and alluvium deposited during the Holocene. Two main facies were identified in the GPR profiles through pattern recognition. Facie Fd, which consists of chaotic discontinuous reflectors with an abundance of diffractions, is interpreted to be glacial till. Facie Fc, which is a combination of packages of complex slightly continuous reflectors interfingered with continuous horizontal to subhorizontal reflectors, is interpreted to be post-glacial alluvium and includes overbank, pond and in-channel deposits. Fc consistently overlies Fd throughout the study area and is no more than 7 m thick in the middle of the valley. The thickness of Holocene sedimentation (fill identified in the seismic refraction survey (0-20 m). A subfacie of Fc, Fch, which has reflectors with long periods was identified within Fc and is interpreted to be ponded sediments. The spatial distribution of facie Fch, along with: slight topographical features resembling buried beaver dams, a high abundance of fine sediment including silts and clays, historical records of beavers, and the name "Beaver Meadows" all suggest that Holocene beaver activity played a large role in sediment accumulation at this site, despite the lack of surficial relict beaver dams containing wood.

  2. Hydrogeology of the Ramapo River-Woodbury Creek valley-fill aquifer system and adjacent areas in eastern Orange County, New York (United States)

    Heisig, Paul M.


    The hydrogeology of the valley-fill aquifer system and surrounding watershed areas was investigated within a 23-mile long, fault-controlled valley in eastern Orange County, New York. Glacial deposits form a divide within the valley that is drained to the north by Woodbury Creek and is drained to the south by the Ramapo River. Surficial geology, extent and saturated thickness of sand and gravel aquifers, extent of confining units, bedrock-surface elevation beneath valleys, major lineaments, and the locations of wells for which records are available were delineated on an interactive map.

  3. Geologic evolution of the lower Connecticut River valley: Influence of bedrock geology, glacial deposits, and sea level (United States)

    Stone, Janet R.; Lewis, Ralph S.


    This fieldtrip illustrates the character of the lower Connecticut River bedrock valley, in particular its depth, and the lithology and structure of bedrock units it crosses. It examines the character and distribution of the glaciodeltaic terraces that partially fill the valley and discusses the depth of postglacial incision into them.

  4. Hydrogeology of, and ground-water flow in, a valley-fill and carbonate-rock aquifer system near Long Valley in the New Jersey Highlands (United States)

    Nicholson, R.S.; McAuley, S.D.; Barringer, J.L.; Gordon, A.D.


    The hydrogeology of and ground-water flow in a valley-fill and carbonate-rock aquifer system were evaluated by using numerical-modeling techniques and geochemical interpretations to address concerns about the adequacy of the aquifer system to meet increasing demand for water. The study was conducted during 1987-90 by the U.S. Geological Survey, in cooperation with the New Jersey Department of Environmental Protection and Energy. The effects of recent and anticipated ground-water withdrawals on water levels, stream base flows, and water budgets were estimated. Simulation results indicate that recent withdrawals of 4.7 million gallons per day have resulted in water-level declines of up to 35 feet. Under conditions of increases in withdrawals of 121 percent, water levels would decline up to an additional 28 feet. The magnitude of predicted average base-flow depletion, when compared with historic low flows, indicates that projected increases in withdrawals may substantially deplete seasonal low flow of Drakes Brook and South Branch Raritan River. Results of a water-budget analysis indicate that the sources of water to additional supply wells would include leakage from the overlying valley-fill aquifer and induced leakage of surface water into the aquifer system. Results of water-quality analyses indicate that human activities are affecting the quality of the ground water. With the exception of an elevated iron concentration in water from one well, concentrations of inorganic constituents in water from 75 wells did not exceed New Jersey primary or secondary drinking-water regulations. Volatile organic compounds were detected in water from several wells; in two samples, concentrations of specific compounds exceeded drinking-water regulations.

  5. Electronic Raman signatures of valley polarization, shell filling in graphene quantum dots (United States)

    Apalkov, V.; Chakraborty, T.


    Our theoretical studies of inelastic light scattering from few-electron graphene quantum dots indicate that the electronic Raman spectrum is governed both by the inter-electron Coulomb interaction and single-particle excitations. The spectral features depend on the number of electrons in the quantum dot (QD) and importantly, on the valley polarization. A closed-shell QD shows different properties in polarized and depolarized geometries. The intensity of the polarized Raman peaks is suppressed for closed-shell systems. We also show how Raman spectroscopy in graphene quantum dots can probe both single-particle and collective many-particle charge-density-type excitations.

  6. Hydrogeology of the Susquehanna River valley-fill aquifer system in the Endicott-Vestal area of southwestern Broome County, New York (United States)

    Randall, Allan D.; Kappel, William M.


    The village of Endicott, New York, and the adjacent town of Vestal have historically used groundwater from the Susquehanna River valley-fill aquifer system for municipal water supply, but parts of some aquifers in this urban area suffer from legacy contamination from varied sources. Endicott would like to identify sites distant from known contamination where productive aquifers could supply municipal wells with water that would not require intensive treatment. The distribution or geometry of aquifers within the Susquehanna River valley fill in western Endicott and northwestern Vestal are delineated in this report largely on the basis of abundant borehole data that have been compiled in a table of well records.

  7. Geohydrology and Water Quality of the Valley-Fill Aquifer System in the Upper Sixmile Creek and West Branch Owego Creek Valleys in the Town of Caroline, Tompkins County, New York (United States)

    Miller, Todd S.


    In 2002, the U.S. Geological Survey, in cooperation with the Town of Caroline and Tompkins County Planning Department, began a study of the valley-fill aquifer system in upper Sixmile Creek and headwaters of West Branch Owego Creek valleys in the Town of Caroline, NY. The purpose of the study is to provide geohydrologic data to county and town planners as they develop a strategy to manage and protect their water resources. The first aquifer reach investigated in this series is in the Town of Caroline and includes the upper Sixmile Creek valley and part of West Branch Owego Creek valley. The portions of the valley-fill aquifer system that are comprised of saturated coarse-grained sediments including medium to coarse sand and sandy gravel form the major aquifers. Confined sand and gravel units form the major aquifers in the western and central portions of the upper Sixmile Creek valley, and an unconfined sand and gravel unit forms the major aquifer in the eastern portion of the upper Sixmile Creek valley and in the headwaters of the West Branch Owego Creek valley. The valley-fill deposits are thinnest near the edges of the valley where they pinch out along the till-mantled bedrock valley walls. The thickness of the valley fill in the deepest part of the valley, at the western end of the study area, is about 100 feet (ft); the thickness is greater than 165 ft on top of the Valley Heads Moraine in the central part of the valley. An estimated 750 people live over and rely on groundwater from the valley-fill aquifers in upper Sixmile Creek and West Branch Owego Creek valleys. Most groundwater withdrawn from the valley-fill aquifers is pumped from wells with open-ended 6-inch diameter casings; the remaining withdrawals are from shallow dug wells or cisterns that collect groundwater that discharges to springs (especially in the Brooktondale area). The valley-fill aquifers are the sources of water for about 200 households, several apartment complexes, two mobile home parks

  8. Tributary trunk stream relations in a cut-and-fill landscape: a case study from Wolumla catchment, New South Wales, Australia (United States)

    Brierley, Gary J.; Fryirs, Kirstie


    At the time of European settlement of the south coast of New South Wales, Australia, in the mid-nineteenth century, river courses were discontinuous throughout Wolumla catchment. Within a few decades of settlement, intact valley fills had been transformed into incised channels along trunk streams. This induced associated patterns of secondary incision into tributary valley fills. Three of the primary subcatchments in Wolumla catchment became fully incised, while an upland swamp and a floodout (i.e., sand sheet deposits atop an intact valley floor) remain in mid-catchment of the fourth subcatchment. Of the 70 lower order tributaries which join the trunk streams in the four subcatchments, 27 have incised (12 of which are discontinuously incised). Incision of tributary streams in Wolumla catchment cannot be explained by subcatchment area and slope relations. The position of the trunk stream channel within the valley floor trough is the key determinant of whether or not tributary streams have incised. Changes to river morphology since European settlement have altered the linkage of tributary streams to the trunk stream, impacting directly on the within-catchment transfer of water and sediment.

  9. Incision of the Jezero Crater Outflow Channel by Fluvial Sediment Transport (United States)

    Holo, S.; Kite, E. S.


    Jezero crater, the top candidate landing site for the Mars 2020 rover, once possessed a lake that over-spilled and eroded a large outflow channel into the Eastern rim. The Western deltaic sediments that would be the primary science target of the rover record a history of lake level, which is modulated by the inflow and outflow channels. While formative discharges for the Western delta exist ( 500 m3/s), little work has been done to see if these flows are the same responsible for outflow channel incision. Other models of the Jezero outflow channel incision assume that a single rapid flood (incision timescales of weeks), with unknown initial hydraulic head and no discharge into the lake (e.g. from the inflow channels or the subsurface), incised an open channel with discharge modulated by flow over a weir. We present an alternate model where, due to an instability at the threshold of sediment motion, the incision of the outflow channel occurs in concert with lake filling. In particular, we assume a simplified lake-channel-valley system geometry and that the channel is hydraulically connected to the filling/draining crater lake. Bed load sediment transport and water discharge through the channel are quantified using the Meyer-Peter and Mueller relation and Manning's law respectively. Mass is conserved for both water and sediment as the lake level rises/falls and the channel incises. This model does not resolve backwater effects or concavity in the alluvial system, but it does capture the non-linear feedbacks between lake draining, erosion rate, channel flow rate, and slope relaxation. We identify controls on incision of the outflow channel and estimate the time scale of outflow channel formation through a simple dynamical model. We find that the observed 300m of channel erosion can be reproduced in decades to centuries of progressive bed load as the delta forming flows fill the lake. This corresponds to time scales on the order of or smaller than the time scale

  10. Delta growth and river valleys: the influence of climate and sea level changes on the South Adriatic shelf (Mediterranean Sea) (United States)

    Maselli, V.; Trincardi, F.; Asioli, A.; Ceregato, A.; Rizzetto, F.; Taviani, M.


    Incised valleys across continental margins represent the response of fluvial systems to changes in their equilibrium dynamics, mainly driven by base level fall forced by glacial-eustatic cycles. The Manfredonia Incised Valley formed during the last glacial sea level lowstand, when most of the southern Adriatic shelf was sub-aerially exposed but the outer shelf remained under water. The pronounced upstream deepening of the valley is ascribed to river incision of the MIS5e highstand coastal prism and related subaqueous clinoform under the influence of MIS5-4 sea level fluctuations, while the downstream shallowing and narrowing mainly reflects the impact of increased rates of sea level fall at the MIS3-2 transition on a flatter mid-outer shelf. Until 15 ka BP, the valley fed an asymmetric delta confined to the mid-outer shelf, testifying that continental and deep marine systems remained disconnected during the lowstand. Sea level rise reached the inner shelf during the Early Holocene, drowning the valley and leading to the formation of a sheltered embayment confined toward the land: at this time part of the incision remained underfilled with a marked bathymetric expression. This mini-basin was rapidly filled by sandy bayhead deltas, prograding from both the northern and southern sides of the valley. In this environment, protected by marine reworking and where sediment dispersal was less effective, the accommodation space was reduced and autogenic processes forced the formation of multiple and coalescing delta lobes. Bayhead delta progradations occurred in few centuries, between 8 and 7.2 ka cal BP, confirming the recent hypothesis that in this area the valley was filled during the formation of sapropel S1. This proximal valley fill, representing the very shallow-water equivalent of the cm-thick sapropel layers accumulated offshore in the deeper southern Adriatic basin, is of key importance in following the signature of the sapropel in a facies-tract ideally from the

  11. The influence of faults in basin-fill deposits on land subsidence, Las Vegas Valley, Nevada, USA (United States)

    Burbey, Thomas


    The role of horizontal deformation caused by pumping of confined-aquifer systems is recognized as contributing to the development of earth fissures in semiarid regions, including Las Vegas Valley, Nevada. In spite of stabilizing water levels, new earth fissures continue to develop while existing ones continue to lengthen and widen near basin-fill faults. A three-dimensional granular displacement model based on Biot's consolidation theory (Biot, MA, 1941, General theory of three-dimensional consolidation. Jour. Applied Physics 12:155-164) has been used to evaluate the nature of displacement in the vicinity of two vertical faults. The fault was simulated as (1) a low-permeability barrier to horizontal flow, (2) a gap or structural break in the medium, but where groundwater flow is not obstructed, and (3) a combination of conditions (1) and (2). Results indicate that the low-permeability barrier greatly enhances horizontal displacement. The fault plane also represents a location of significant differential vertical subsidence. Large computed strains in the vicinity of the fault may suggest high potential for failure and the development of earth fissures when the fault is assumed to have low permeability. Results using a combination of the two boundaries suggest that potential fissure development may be great at or near the fault plane and that horizontal deformation is likely to play a key role in this development. Résumé. On considère que la déformation horizontale provoquée par un pompage dans un aquifère captif joue un rôle dans le développement des fissures du sol en régions semi-arides, comme la vallée de Las Vegas (Nevada). Malgré des niveaux d'eau stabilisés, de nouvelles fissures du sol continuent de se développer en longueur et en largeur au voisinage de failles dans les bassins sédimentaires. Un modèle de déplacement granulaire tri-dimensionnel, basé sur la théorie de la consolidation de Biot (Biot, M A, 1941, General theory of three

  12. Incision of Licus Vallis, Mars, From Multiple Lake Overflow Floods (United States)

    Goudge, Timothy A.; Fassett, Caleb I.


    Licus Vallis is a large valley (>350 km long, >2 km wide, and >150 m deep) that heads at the outlet breach of an 30 km diameter impact crater. We present observations of the geomorphology and topography of this paleolake outlet valley and associated tributary valleys to constrain the history of incision of the Licus Vallis system. Licus Vallis has an abrupt increase in gradient by a factor of approximately 4 along its longitudinal profile, and a knickpoint that drops 200 m over a reach of 2 km approximately 12 km downstream from the valley head. We also describe a set of paired terraces within Licus Vallis, which are continuous for tens of kilometers and define an interior valley >2 km in width. We interpret the geomorphology of Licus Vallis as recording at least two discrete, major episodes of valley incision, both driven by lake overflow floods. The main portion of Licus Vallis formed by overflow flooding from a large ( 103-104 km2) lake contained in an intercrater basin. Subsequently, overflow flooding from a lake within the 30 km diameter impact crater reactivated Licus Vallis, forming a major knickpoint at the valley head and establishing the upstream section of the valley at a lower slope. Farther down the valley, this flood event incised an interior valley bounded by paired terraces. Regional tributary valleys that feed Licus Vallis also have prominent knickpoints, which have retreated farthest for downstream valleys. We conclude that these knickpoints record successive waves of incision that swept up Licus Vallis during lake overflow flooding, with erosion in the main trunk of the valley (from overflow floods) significantly outpacing erosion in the tributary valleys (from regional surface runoff). These observations of Licus Vallis illustrate how lake overflow floods may have provided an important control on the pace of landscape evolution on Mars.

  13. Simulation of a valley-fill aquifer system to delineate flow paths, contributing areas, and traveltime to wellfields in southwestern Broome County, New York (United States)

    Wolcott, Stephen W.; Coon, William F.


    A valley-fill aquifer system that extends along a 14-mile reach of the Susquehanna River valley in southwestern Broome County, N.Y., is a major source of water supply to local municipalities and industries, but is highly susceptible to contamination from human activities. Protection of ground-water supplies requires accurate delineation of the areas that are the sources of water pumped by wells. A previously developed two-layer steady-state ground-water flow model of the aquifer system was upgraded with an improved method of simulating stream-aquifer interactions, then recalibrated and coupled to a particle-tracking program. Three-dimensional, ground-water flow modeling coupled with particle tracking is the most reliable method of simulating groundwater flow paths in multiaquifer systems such as this; it also allows delineation of contributing areas to well.elds. A primary advantage of three-dimensional particle-tracking analysis is that it shows the complexities of the flow paths in each aquifer.Model and particle tracking analyses indicate that groundwater frequently follows convoluted three-dimensional flow paths. The contributing areas of individual supply wells in this aquifer system each has a unique flow pattern and shape. Results of the model simulation indicate that recharge from precipitation, rivers, and tributaries contribute 35 percent, 29 percent, and 25 percent, respectively to the aquifer system and that pumpage from supply wells accounts for 67 percent of the discharge from the aquifer system. Particle-tracking results indicate that the simulated contributing areas to the 24 supply wells includes most of the valley floor.

  14. Ultrasonic extraction of arsenic and selenium from rocks associated with mountaintop removal/valley fills coal mining: Estimation of bioaccessible concentrations. (United States)

    Pumure, I; Renton, J J; Smart, R B


    Ultrasonic extraction (UE) was used to estimate the total bioaccessible fractions of arsenic and selenium released from rocks associated with mountaintop removal/valley fill coal mining. The combined readily bioaccessible amounts of arsenic and selenium in water soluble, exchangeable and NaOH fractions can be extracted from the solid phase within a 20 or 25 min application of 200 W cm(-2) ultrasound energy in nanopure water for selenium and arsenic, respectively. Application of a two-way ANOVA predicted that there are no significant differences (p0.001, n=12) in the extracted arsenic and selenium concentrations between the combined bioaccessible and ultrasonic extracts. The mechanisms for the UE of arsenic and selenium are thought to involve the formation of secondary minerals on the particle surfaces which eventually dissolve with continued sonication. This is supported by the presence of transient Si-O stretching and OH absorption and bending ATR-FTIR peaks at 795.33 cm(-1), 696.61 cm(-1) and 910.81 cm(-1). The subsequent dissolution of secondary minerals is followed by the release of chemical species that include selenium and arsenic. Release rates decrease after the ultrasound energy elastic limit for the particles is reached. Selenium and arsenic are bound differently within the rock lattice because no selenium was detected in the acid soluble fraction and no arsenic was found in the exchangeable fraction. However, selenium was found in the exchangeable fraction and arsenic was found in the acid soluble fraction. The characterization of coal associated rocks is essential to the design of methodologies and procedures that can be used to control the release of arsenic and selenium from valley fills. Published by Elsevier Ltd.


    Kingston meadow, located in the Toiyabe Range, is one of many wet meadow complexes threatened by rapid channel incision in the mountain ranges of the central Great Basin. Channel incision can lower the baselevel for groundwater discharge and de-water meadow complexes resulting in...

  16. Quantifying incision rates since the early Miocene: novelties, potentialities and limitations (United States)

    Sartégou, A.; Braucher, R.; Blard, P. H.; Bourlès, D. L.; Zimmermann, L.; Tibari, B.; Voinchet, P.; Bahain, J. J.; Sorriaux, P.; Leanni, L.; Team, A.


    The rates and chronologies of valley incision are closely modulated by the tectonic uplift of active mountain ranges and were controlled by repeated climate changes during the Quaternary. The Pyrenees are a continental collision between the Iberian and Eurasian plates induced a double vergence orogen, which has been considered as a mature mountain range in spite of significant seismicity and evidence of neotectonics. Nevertheless, recent studies indicate that the range may have never reached a steady state. One option for resolving this controversy is to quantify the incision rates since the Miocene by reconstructing the vertical movement of geometric markers. However, the few available ages from the Pyrenean terrace systems do not exceed the middle Pleistocene. To enlarge the time span of this dataset, we studied alluvium-filled horizontal epiphreatic passages in limestone karstic networks, which represent former valley floors. They record the transient position of former local base levels during the process of valley deepening. We used various suitable geochronological methods (26Al/10Be, 10Be/21Ne, ESR and OSL burial durations on quartz) on intrakarstic alluvial deposits from three valleys of the central and eastern Pyrenees, as well as on a recent analogue. In the Pyrenean context, under particular conditions, these geochronometers allow us to document incision processes since 16-13 Ma, and to study influences of external forcing and eustatism. In comparison with other studies, it appears that incision rates are higher in the central Pyrenees and for the Spanish slope. However, the density of horizontal levels on an altimetric range, the geodynamical and paleoclimatic contexts, the reorganization of the drainage networks can make the filling stories of the networks more complex than expected. Indeed, these radiometric approaches may be limited when some formations are reworked inside and/or outside the karst. The validity of dosimetric methods in a mountainous

  17. Groundwater Quality, Age, and Probability of Contamination, Eagle River Watershed Valley-Fill Aquifer, North-Central Colorado, 2006-2007 (United States)

    Rupert, Michael G.; Plummer, Niel


    The Eagle River watershed is located near the destination resort town of Vail, Colorado. The area has a fastgrowing permanent population, and the resort industry is rapidly expanding. A large percentage of the land undergoing development to support that growth overlies the Eagle River watershed valley-fill aquifer (ERWVFA), which likely has a high predisposition to groundwater contamination. As development continues, local organizations need tools to evaluate potential land-development effects on ground- and surface-water resources so that informed land-use and water management decisions can be made. To help develop these tools, the U.S. Geological Survey (USGS), in cooperation with Eagle County, the Eagle River Water and Sanitation District, the Town of Eagle, the Town of Gypsum, and the Upper Eagle Regional Water Authority, conducted a study in 2006-2007 of the groundwater quality, age, and probability of contamination in the ERWVFA, north-central Colorado. Ground- and surface-water quality samples were analyzed for major ions, nutrients, stable isotopes of hydrogen and oxygen in water, tritium, dissolved gases, chlorofluorocarbons (CFCs), and volatile organic compounds (VOCs) determined with very low-level laboratory methods. The major-ion data indicate that groundwaters in the ERWVFA can be classified into two major groups: groundwater that was recharged by infiltration of surface water, and groundwater that had less immediate recharge from surface water and had elevated sulfate concentrations. Sulfate concentrations exceeded the USEPA National Secondary Drinking Water Regulations (250 milligrams per liter) in many wells near Eagle, Gypsum, and Dotsero. The predominant source of sulfate to groundwater in the Eagle River watershed is the Eagle Valley Evaporite, which is a gypsum deposit of Pennsylvanian age located predominantly in the western one-half of Eagle County.

  18. Probability of Elevated Volatile Organic Compound (VOC) Concentrations in Groundwater in the Eagle River Watershed Valley-Fill Aquifer, Eagle County, North-Central Colorado, 2006-2007 (United States)

    Rupert, Michael G.; Plummer, Niel


    This raster data set delineates the predicted probability of elevated volatile organic compound (VOC) concentrations in groundwater in the Eagle River watershed valley-fill aquifer, Eagle County, North-Central Colorado, 2006-2007. This data set was developed by a cooperative project between the U.S. Geological Survey, Eagle County, the Eagle River Water and Sanitation District, the Town of Eagle, the Town of Gypsum, and the Upper Eagle Regional Water Authority. This project was designed to evaluate potential land-development effects on groundwater and surface-water resources so that informed land-use and water management decisions can be made. This groundwater probability map and its associated probability maps was developed as follows: (1) A point data set of wells with groundwater quality and groundwater age data was overlaid with thematic layers of anthropogenic (related to human activities) and hydrogeologic data by using a geographic information system to assign each well values for depth to groundwater, distance to major streams and canals, distance to gypsum beds, precipitation, soils, and well depth. These data then were downloaded to a statistical software package for analysis by logistic regression. (2) Statistical models predicting the probability of elevated nitrate concentrations, the probability of unmixed young water (using chlorofluorocarbon-11 concentrations and tritium activities), and the probability of elevated volatile organic compound concentrations were developed using logistic regression techniques. (3) The statistical models were entered into a GIS and the probability map was constructed.

  19. Probability of Elevated Nitrate Concentrations in Groundwater in the Eagle River Watershed Valley-Fill Aquifer, Eagle County, North-Central Colorado, 2006-2007 (United States)

    Rupert, Michael G.; Plummer, Niel


    This raster data set delineates the predicted probability of elevated nitrate concentrations in groundwater in the Eagle River watershed valley-fill aquifer, Eagle County, North-Central Colorado, 2006-2007. This data set was developed by a cooperative project between the U.S. Geological Survey, Eagle County, the Eagle River Water and Sanitation District, the Town of Eagle, the Town of Gypsum, and the Upper Eagle Regional Water Authority. This project was designed to evaluate potential land-development effects on groundwater and surface-water resources so that informed land-use and water management decisions can be made. This groundwater probability map and its associated probability maps was developed as follows: (1) A point data set of wells with groundwater quality and groundwater age data was overlaid with thematic layers of anthropogenic (related to human activities) and hydrogeologic data by using a geographic information system to assign each well values for depth to groundwater, distance to major streams and canals, distance to gypsum beds, precipitation, soils, and well depth. These data then were downloaded to a statistical software package for analysis by logistic regression. (2) Statistical models predicting the probability of elevated nitrate concentrations, the probability of unmixed young water (using chlorofluorocarbon-11 concentrations and tritium activities), and the probability of elevated volatile organic compound concentrations were developed using logistic regression techniques. (3) The statistical models were entered into a GIS and the probability map was constructed.

  20. Retrieval of Compositional End-Members From Mars Exploration Rover Opportunity Observations in a Soil-Filled Fracture in Marathon Valley, Endeavour Crater Rim (United States)

    Stein, N. T.; Arvidson, R. E.; O'Sullivan, J. A.; Catalano, J. G.; Guinness, E. A.; Politte, D. V.; Gellert, R.; VanBommel, S. J.


    The Opportunity rover investigated a gentle swale on the rim of Endeavour crater called Marathon Valley where a series of bright planar outcrops are cut into polygons by fractures. A wheel scuff performed on one of the soil-filled fracture zones revealed the presence of three end-members identified on the basis of Pancam multispectral imaging observations covering 0.4 to 1 μm: red and dark pebbles, and a bright soil clod. Multiple overlapping Alpha Particle X-ray Spectrometer (APXS) measurements were collected on three targets within the scuff zone. The field of view of each APXS measurement contained various proportions of the Pancam-based end-members. Application of a log maximum likelihood method for retrieving the composition of the end-members using the 10 APXS measurements shows that the dark pebble end-member is compositionally similar to average Mars soil, with slightly elevated S and Fe. In contrast, the red pebble end-member exhibits enrichments in Al and Si and is depleted in Fe and Mg relative to average Mars soil. The soil clod end-member is enriched in Mg, S, and Ni. Thermodynamic modeling of the soil clod end-member composition indicates a dominance of sulfate minerals. We hypothesize that acidic fluids in fractures leached and oxidized the basaltic host rock, forming the red pebbles, and then evaporated to leave behind sulfate-cemented soil.

  1. Plio-Quaternary river incision rates inferred from burial dating (Al-26/Be-10) of in cave-deposited alluvium in the Meuse catchment (E Belgium): new insights into the uplift history of the Ardennes massif (United States)

    Rixhon, Gilles; Bourlès, Didier; Braucher, Régis; Peeters, Alexandre; Demoulin, Alain


    Although the Late Cenozoic uplift of the intraplate Variscan Ardennes/Rhenish massif (N Europe) has been long studied, its causes, shape and timing are still under debate (Demoulin & Hallot, 2009). This is mainly due to the scarcity of reliable ages for uplift markers, such as Quaternary terrace staircases along the deeply-incised valleys or Late Tertiary planation surfaces. In parallel, multi-level cave systems in limestone rocks, wherein abandoned phreatic passages filled with alluvium represent former phases of fluvial base-level stability, record the history of regional river incision (Anthony & Granger, 2007). Here, we present new burial ages (Al-26/Be-10) from fluvial gravels washed in a multi-level cave system developed in Devonian limestones of the lower Ourthe valley (main Ardennian tributary of the Meuse). Our results highlight a significant increase of incision rates from the Middle Pleistocene on, and allow reconstructing the incision history in the northern part of the Ardennes over the last 3.4 Ma. These long-term incision rates derived from burial ages are then discussed in relation to the existing studies dealing with river incision and/or tectonic uplift of the Ardennes/Rhenish massif (e.g. Demoulin & Hallot, 2009; Rixhon et al., 2011). Our cosmogenic nuclide ages thus enlarge the data pool required to explore the spatio-temporal characteristics of the drainage system's incision response to combined tectonic and climatic signals. References Anthony, D., Granger, D.E., 2007. A new chronology for the age of Appalachian erosional surfaces determined by cosmogenic nuclides in cave sediments. Earth Surf. Process. Landforms 32, 874-887 Demoulin, A., Hallot, E., 2009. Shape and amount of the Quaternary uplift of the western Rhenish shield and the Ardennes (western Europe). Tectonophysics 474, 696-708. Rixhon, G., et al., 2011. Quaternary river incision in NE Ardennes (Belgium): Insights from Be-10/Al-26 dating of rive terraces. Quaternary Geochronology 6

  2. Comparison of primary total hip replacements performed with a standard incision or a mini-incision. (United States)

    Woolson, Steven T; Mow, Christopher S; Syquia, Jose Fernando; Lannin, John V; Schurman, David J


    Primary total hip replacement performed through an incision that is a minimally invasive technique. Proponents have claimed that mini-incision techniques reduce blood loss, transfusion requirements, postoperative pain, and the length of the hospital stay compared with standard techniques through a longer incision. However, we are aware of no well-designed comparison study that supports these claims. The purpose of the present study was to compare the short-term results of a mini-incision with a standard incision technique for total hip replacement. A consecutive series of patients who underwent 135 primary unilateral total hip replacements (fifty with use of a mini-incision [a standard incision) by three surgeons at one hospital were studied. Each surgeon selected patients to have a mini-incision procedure and performed a standard approach in the remaining patients. A posterior approach was used for all procedures. In-hospital data were collected retrospectively, and the initial postoperative radiographs were analyzed. Because of the selection process, the patients who had a mini-incision had both a significantly lower average body-mass index (p = 0.008) and a lower average score on the American Society of Anesthesiologists rating (p = 0.006), indicating that they were thinner and healthier than the patients who had a standard incision. With the numbers of patients available, no significant differences were found between the groups with respect to the average surgical time, intraoperative blood loss, in-hospital transfusion rate, length of hospital stay, or the patients' disposition after discharge. The mini-incision group was found to have a significantly higher risk of a wound complication (p = 0.02), a higher percentage of acetabular component malposition (p = 0.04), and poor fit and fill of femoral components inserted without cement (p = 0.0036). There was no evidence that the mini-incision technique resulted in less bleeding or less trauma to the soft tissues

  3. Drainage basins and channel incision on Mars (United States)

    Aharonson, Oded; Zuber, Maria T.; Rothman, Daniel H.; Schorghofer, Norbert; Whipple, Kelin X.


    Measurements acquired by the Mars Orbiter Laser Altimeter on board the Mars Global Surveyor indicate that large drainage systems on Mars have geomorphic characteristics inconsistent with prolonged erosion by surface runoff. We find the topography has not evolved to an expected equilibrium terrain form, even in areas where runoff incision has been previously interpreted. By analogy with terrestrial examples, groundwater sapping may have played an important role in the incision. Longitudinally flat floor segments may provide a direct indication of lithologic layers in the bedrock, altering subsurface hydrology. However, it is unlikely that floor levels are entirely due to inherited structures due to their planar cross-cutting relations. These conclusions are based on previously unavailable observations, including extensive piece-wise linear longitudinal profiles, frequent knickpoints, hanging valleys, and small basin concavity exponents.

  4. Alopecia Following Bicoronal Incisions. (United States)

    Kadakia, Sameep; Badhey, Arvind; Ashai, Sara; Lee, Thomas S; Ducic, Yadranko


    Multiple techniques may be used to perform bicoronal incisions, and alopecia is a known postoperative complication of this procedure. To date, no large studies exist comparing alopecia outcomes among bicoronal incision techniques with and without the use of Raney clips. To determine (1) whether postoperative alopecia is more common when bicoronal incisions are performed with monopolar cautery, Colorado microdissection tip cautery, or traditional cold steel and (2) whether this outcome is affected by the use of Raney clips. This retrospective study of postoperative alopecia included 505 patients undergoing bicoronal incisions in a single head and neck surgery practice from 1997 to 2015 with a minimum follow-up of 1 year. Patients with preexisting baldness as well as patients not following up for the minimum period were excluded. All data analysis took place between 1997 and 2015. Maximum alopecia width was measured in the postoperative period and compared among the technique groups both with and without Raney clip use. Raney clip duration as a product of surgery length was also compared. A total of 505 patients (301 male, 204 female) ranging in age from 3 to 97 years were included in the study (median age, 53.9 years). Of these, 236 underwent bicoronal incisions to approach the skull base, 78 to treat chronic frontal sinusitis unresponsive to endoscopic management or frontal sinus mucocele, 143 for trauma, and 48 for craniofacial surgery. For 173 patients, the cold steel technique was used for both skin and subcutaneous incision, 102 of whom needed Raney clips. For 161 patients, cold steel technique was used for skin incisions and monopolar cautery for subcutaneous incision; 81 of these patients required Raney clips. For 171 patients, Colorado tip microdissection cautery was used for both skin and subcutaneous incision, with Raney clips used in 66 of these patients. Incisions made with cold steel for both skin and subcutaneous tissue, regardless of Raney clip use

  5. The mandibular incisive foramen.


    Serman, N J


    An anatomical variant in the region of the mental foramen is discussed. In these cases the inferior alveolar nerve divides into its two terminal branches only after it has exited through the mental foramen. The incisive nerve thus commences outside the mandible, and has a short extra-osseous course before it enters the mandible through a separate foramen on the same horizontal plane. For the distance between these two foramina there is no nerve supply within the mandible. The groove between t...

  6. Selenium in ecosystems within the mountaintop coal mining and valley-fill region of southern West Virginia-assessment and ecosystem-scale modeling (United States)

    Presser, Theresa S.


    Coal and associated waste rock are among environmental selenium (Se) sources that have the potential to affect reproduction in fish and aquatic birds. Ecosystems of southern West Virginia that are affected by drainage from mountaintop coal mines and valleys filled with waste rock in the Coal, Gauley, and Lower Guyandotte watersheds were assessed during 2010 and 2011. Sampling data from earlier studies in these watersheds (for example, Upper Mud River Reservoir) and other mining-affected watersheds also are included to assess additional hydrologic settings and food webs for comparison. Basin schematics give a comprehensive view of sampled species and Se concentration data specific to location and date. Food-web diagrams document the progression of Se trophic transfer across suspended particulate material, invertebrates, and fish for each site to serve as the basis for developing an ecosystem-scale model to predict Se exposure within the hydrologic conditions and food webs of southern West Virginia. This approach integrates a site-specific predator’s dietary exposure pathway into modeling to ensure an adequate link to Se toxicity and, thus, to species vulnerability. Site-specific fish abundance and richness data in streams documented various species of chub, shiner, dace, darters, bass, minnow, sunfish, sucker, catfish, and central stoneroller (Campostoma anomalum), mottled sculpin (Cottus bairdii), and least brook lamprey (Lampetra aepyptera). However, Se assessment species for streams, and hence, model species for streams, were limited to creek chub (Semotilus atromaculatus) and central stoneroller. Both of these species of fish are generally considered to have a high tolerance for environmental stress based on traditional comparative fish community assessment, with creek chub being present at all sites. Aquatic insects (mayfly, caddisfly, stonefly, dobsonfly, chironomid) were the main invertebrates sampled in streams. Collection of suspended particulate material

  7. The inverted Batman incision: a new incision in transcolumellar incision for open rhinoplasty. (United States)

    Nakanishi, Yuji; Nagasao, Tomohisa; Shimizu, Yusuke; Miyamoto, Junpei; Fukuta, Keizo; Kishi, Kazuo


    Columellar and nostril shapes often present irregularity after transcolumellar incision for open rhinoplasty, because of the contracture of the incised wound. The present study introduces a new technique to prevent this complication, and verifies its efficacy in improving cosmetic appearance. In our new method, a zig-zag incision with three small triangular flaps is made on the columella and in the pericolumellar regions of the bilateral nostril rims. Since the shape of the incision resembles the contour of an inverted "batman", we term our new method the "Inverted Batman" incision. To verify the effectiveness of the Inverted Batman incision, aesthetic evaluation was conducted for 21 patients operated on using the conventional transcolumellar incision (Conventional Group) and 19 patients operated on using the Inverted Batman incision (Inverted Batman Group). The evaluation was performed by three plastic surgeons, using a four-grade scale to assess three separate items: symmetry of bilateral soft triangles, symmetry of bilateral margins of the columella, and evenness of the columellar surface. The scores of the two groups for these three items were compared using a non-parametric test (Mann-Whitney U-test). With all three items, the Inverted Batman group patients present higher scores than Conventional Group patients. The Inverted Batman incision is effective in preserving the correct anatomical structure of the columella, soft triangle, and nostril rims. Hence, we recommend the Inverted Batman incision as a useful technique for open rhinoplasty.

  8. The fourth incision: a cosmetic autopsy incision technique. (United States)

    Patowary, Amarjyoti


    Autopsy procedure includes thorough external examination as well as internal examination including opening of all the body cavities for proper visualization of all the visceral organs. As such, there remains incision marks with stitches which harts the sentiment of the already traumatized relatives of the deceased. Moreover, it looks odd especially in cases of otherwise healthy dead bodies. So, autopsy incisions should be such that, we can get maximum possible visualization of the body cavities, particularly the thorax and abdomen, and at the same time the incision as well as the stitch marks are also hidden. This article is aimed to describe few modifications in the autopsy incisions for opening the thorax and abdomen and also proper visualization of the neck structures during autopsy where the incisions and the stitches are kept hidden.

  9. A regression model for the temporal development of soil pipes and associated gullies in the alluvial-fill valley of the Rio Puerco, central New Mexico (United States)

    Condit, C. D.; Elston, W. E.


    On Mars, the association of gullied escarpments and chaotic terrain is evidence for failure and scarp retreat of poorly consolidated materials. Some martian gullies have no surface outlets and may have drained through subterranean channels. Similar features, though on a much smaller scale, can be seen in alluvium along terrestrial river banks in semiarid regions, such as the Rio Puerco Valley of central New Mexico. Many of the escarpments along the Rio Puerco are developing through formation of collapse gullies, which drain through soil pipes. Gully development can be monitored on aerial photographs taken in 1935, 1962, and 1980. A regression model was developed to quantify gully evolution over a known time span. Soil pipes and their associated collapse gullies make recognizable signatures on the air photos. The areal extent of this signature can be normalized to the scarp length of each pipe-gully system, which makes comparisons between systems possible.

  10. Probability of Unmixed Young Groundwater (defined using chlorofluorocarbon-11 concentrations and tritium activities) in the Eagle River Watershed Valley-Fill Aquifer, Eagle County, North-Central Colorado, 2006-2007 (United States)

    Rupert, Michael G.; Plummer, Niel


    This raster data set delineates the predicted probability of unmixed young groundwater (defined using chlorofluorocarbon-11 concentrations and tritium activities) in groundwater in the Eagle River watershed valley-fill aquifer, Eagle County, North-Central Colorado, 2006-2007. This data set was developed by a cooperative project between the U.S. Geological Survey, Eagle County, the Eagle River Water and Sanitation District, the Town of Eagle, the Town of Gypsum, and the Upper Eagle Regional Water Authority. This project was designed to evaluate potential land-development effects on groundwater and surface-water resources so that informed land-use and water management decisions can be made. This groundwater probability map and its associated probability maps were developed as follows: (1) A point data set of wells with groundwater quality and groundwater age data was overlaid with thematic layers of anthropogenic (related to human activities) and hydrogeologic data by using a geographic information system to assign each well values for depth to groundwater, distance to major streams and canals, distance to gypsum beds, precipitation, soils, and well depth. These data then were downloaded to a statistical software package for analysis by logistic regression. (2) Statistical models predicting the probability of elevated nitrate concentrations, the probability of unmixed young water (using chlorofluorocarbon-11 concentrations and tritium activities), and the probability of elevated volatile organic compound concentrations were developed using logistic regression techniques. (3) The statistical models were entered into a GIS and the probability map was constructed.

  11. Rates and Form of Fluvial-System Response to Climate Variability Over Decadal to Holocene Timescales - Cuyama Valley, California (United States)

    Delong, S. B.


    Fluvial-system response to climatic perturbation over multiple timescales is well-preserved in Cuyama Valley, southern California. Here we present analysis of rates and forms of 1) aggradation, 2) incision, and 3) lateral erosion over decadal to Holocene timescales. After deposition of a >12m thick alluvial unit (P-H) (dated at ~10,800 14C yrs BP) at the Pleistocene-Holocene climatic transition, the Cuyama River incised and eroded laterally, removing the P-H fill from all but the widest reach of the Cuyama Valley. Alluvium from between ~10,000 14C yrs BP and ~2,000 14C yrs BP has not been observed in the main valley. If aggradation did occur during this time it was subsequently removed by incision and lateral erosion. ~9-12m of aggradation has occurred since ~2,000 14C yrs BP along a 35km reach. Aggradation initiated before 1691 14C yrs BP, which corresponds to a wet-dry climatic transition recorded at nearby Soda Lake after ~2100 cal yrs BP Subsequently, at least one episode of floodplain degradation punctuated an overall aggradational regime that continued until recent arroyo cutting initiated in the downstream reaches. A minimum age estimate for the initiation of arroyo cutting is 469 14C yrs BP Incision has propagated upstream at an average rate of ~100m/yr. Anecdotal evidence indicates that the Cuyama River reached its base level of erosion (indicated by exposed bedrock channel-bed) only within the last century. The dominant mode of the fluvial system at present is lateral erosion. GIS analysis of remote sensing data capture patterns of lateral erosion that have occurred between 1989 and 2002 removing up to 100m of bank material in localized areas. Analysis of streamflow data indicate that this erosion was dominantly a result of El Niño flooding in February of 1998, a 25-yr flood event that resulted in loss of human life and agricultural land in Cuyama Valley. Response of the fluvial system to well-constrained triggers appears generally well-preserved in the

  12. Single incision pediatric endoscopic surgery: advantages of relatively large incision

    International Nuclear Information System (INIS)

    Yilmaz, E.; Afsarlar, E.; Karaman, I.


    To describe Single Incision Pediatric Endoscopic Surgery (SIPES) performed on children with various diagnoses, emphasizing its advantages. Study Design: An observational case series. Place and Duration of Study: Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Child Health Hospital, Ankara, Turkey, from January 2011 to November 2014. Methodology: A review of patient charts was conducted in which SIPES was preferred as the surgical procedure. Patient demographics, operative details, operative time, clinical outcomes, postoperative pain and cosmesis were analyzed. Results: SIPES was performed on 45 patients (21 girls, 24 boys). Thirty-three appendectomies, 5 varicocelectomies, 3 oophorectomies, 2 ovarian and one paratubal cyst excision, and one fallopian tube excision were performed. All except one procedures were performed through our standard 2cm umbilical vertical or smile incision. In 18 cases, abdominal irrigation/aspiration was easily performed through the existing larger incision, as is done with open surgical technique. None of the patients had early postoperative shoulder/back pain since complete disinflation of CO/sub 2/ could be ensured. All of the patients/parents were satisfied with the cosmesis. Conclusion: SIPES has the advantages of limiting the surgical scar to within the umbilicus and providing easy disinflation of CO/sub 2/, allowing intraabdominal cleaning and extraction of large volume tissue samples through a single large umbilical incision. (author)

  13. Transscleral tunnel incision related arterial hemorrhage in 23-gauge Vitrectomy: case report. (United States)

    Liu, Bingqian; Li, Yonghao; Li, Tao; Lin, Ying; Ma, Wei; Lu, Lin


    Transscleral tunnel incisions are commonly made to avoid postoperative leakage in small gauge sutureless vitrectomy. We present an unreported intraoperative complication, tunnel incision related arterial hemorrhage from sclerotomy, in 23-gauge (23G) vitrectomy. Two cases of intraocular arterial hemorrhage from superonasal sclerotomy were observed at the beginning of vitrectomy. The bleeding filled the vitreous cavity quickly and gushed out from the incision port after the involved supronasal cannula was removed. The active bleeding seemed not to stop spontaneously. We controlled the active bleeding by relocating the involved cannula, elevating the intraocular pressure and compressing the sclera wound. Post-operative intraocular hemorrhage from the sclerotomy was not found in any of the two cases. We suggest that the bleeding was from injured ciliary artery when the incision crossed 3 or 9 o'clock accidently. Surgeons might avoid this complication by locating the superior incisions away from the horizontal axis, and should be aware the proper management.

  14. Incision for pleural tissue biopsy (image) (United States)

    ... open pleural biopsy, a small piece of the pleural tissue is removed through a surgical incision in the chest. After the sample is obtained, a chest tube is placed and the incision is closed with ...

  15. Climate-driven sediment aggradation and incision phases since the Late Pleistocene in the NW Himalaya, India (United States)

    Dey, Saptarshi; Thiede, Rasmus C.; Schildgen, Taylor F.; Wittmann, Hella; Bookhagen, Bodo; Scherler, Dirk; Jain, Vikrant; Strecker, Manfred R.


    Deciphering the response of sediment routing systems to climatic forcing is fundamental for understanding the impacts of climate change on landscape evolution and depositional systems. In the Sub-Himalaya, late Pleistocene to Holocene alluvial fills and fluvial terraces record periodic fluctuations of sediment supply and transport capacity on timescale of 103 to 105 years, most likely related to past climatic fluctuations. To evaluate the climatic control on sediment supply and transport capacity, we analyze remnant alluvial fans and terraces in the Kangra Basin of the northwestern Sub-Himalaya. Based on field observations and OSL and CRN-dating, we recognized two sedimentary cycles with major sediment aggradation and subsequent re-incision phases. The large one developed over the entire last glacial period with ˜200 m high alluvial fan (AF1) and the second one during the latest Pleistocene/Holocene with ˜50 m alluvial fan (AF2) and its re-incision . Surface-exposure dating of six terrace levels with in-situ cosmogenic nuclides (10Be) indicates the onset of channel abandonment and ensuing incision phases. Two terrace surfaces from the highest level (T1) sculpted into the oldest-preserved AF1 dates back to 48.9 ± 4.1 ka and 42.1 ± 2.7 ka (2σ error). T2 surfaces sculpted into the remnants of AF1 have exposure ages of 16.8 ± 2 ka and 14.1 ± 0.9 ka, while terraces sculpted into the late Pleistocene- Holocene fan (AF2) provide ages of 8.4± 0.8 ka, 6.6± 0.7 ka, 4.9± 0.4 ka and 3.1± 0.3 ka. Together with previously-published ages on the timing of aggradation, we find a correlation between variations in sediment transport with oxygen-isotope records from regions affected by Indian Summer Monsoon. During stronger monsoon phases and post-LGM glacial retreat manifested by increased sediment delivery (moraines and hillslope-derived) to the trunk streams, causing aggradation in the basin; whereas, weakened monsoon phases characterized by reduced sediment

  16. Filled Craters (United States)


    11 May 2006 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows adjacent impact craters located north-northwest of the Acheron Fossae region of Mars. The two craters are of similar size and formed by meteor impacts. However, one is much more filled than the other, indicating that it is older. The surface of the material in the older, partially-filled crater has a texture similar to the crater's surroundings. The southern (bottom) crater is bowl-shaped and is also partially-filled, however, the filling material seems to be limited to the southern half of the crater. Location near: 44.6oN, 128.4oW Image width: 3 km (1.9 mi) Illumination from: lower left Season: Northern Winter

  17. Valley Fever (United States)

    Valley Fever is a disease caused by a fungus (or mold) called Coccidioides. The fungi live in the soil ... from person to person. Anyone can get Valley Fever. But it's most common among older adults, especially ...

  18. Cave levels as proxies for measuring post-orogenic uplift: Evidence from cosmogenic dating of alluvium-filled caves in the French Pyrenees (United States)

    Calvet, M.; Gunnell, Y.; Braucher, R.; Hez, G.; Bourlès, D.; Guillou, V.; Delmas, M.; Aster Team


    The rates and chronology of valley incision in mountain ranges have been studied in various parts of the globe, but the causes of river incision are often blurred because tectonic, climatic, and sea level-related forcing signals are difficult to distinguish from one another. The Têt River limestone gorge in the Eastern Pyrenees, which displays multiple cave levels containing datable alluvial deposits, provides an opportunity for clarifying this debate. Horizontal epiphreatic passages in limestone can be used as substitutes for fluvial terraces because they correspond to former valley floors and, therefore, also record the position of former local base levels. In the Têt canyon, the passages are filled with quartz-rich sand and gravel sequences that can be dated by 26Al/10Be burial dating. The canyon has cut into a Middle Miocene pediment system-now forming a raised plateau at 1250-1500 m-and displays nine cave levels over a vertical height of 1 km. One alluvial fill sequence in a cave at + 270 m above datum (i.e., the local river bed) yielded a weighted mean age of 5.14 ± 0.41 Ma; another, situated at + 110 m above datum, yielded weighted mean ages of 2.23 ± 0.230 Ma and 1.20 ± 0.286 Ma. The data convert to a mean incision rate of 52 m·Ma- 1 since the beginning of the Pliocene, and involved an acceleration to 92 m·Ma- 1 during the Quaternary. Pre-burial catchment denudation rates range from 35 to 7 m·Ma- 1, and these also doubled during the early Quaternary. It is concluded that: (i) valley incision into the Miocene pediment has been occurring since 5, probably 10 Ma; (ii) there is no evidence of a Messinian canyon in the Villefranche gorge, strongly suggesting through various additional indicators that interference of the Messinian Salinity Crisis with the canyon incision history was minimal; (iii) valley deepening was not a steady process, and recorded periods of stability around 1-2 Ma and perhaps 6-5 Ma; and (iv) the terraced network of epiphreatic cave

  19. A field guide for the assessment of erosion, sediment transport, and deposition in incised channels of the southwestern United States (United States)

    Parker, John T.C.


    Deeply incised channels, commonly called arroyos, are a typical feature of the dry alluvium-filled valleys of the southwestern United States. Unlike many geological processes that operate over millions of years, the formation of many miles of arroyos is one that took place in a little more than a century. Most arroyos in the region began to form in the late 19th century. Because dry landscapes change so quickly, they present society with special problems. Rapid expansion of channels by headcut migration, deepening, and widening causes loss of productive agricultural and commercial lands and threatens infrastructure such as roads, bridges, and buildings. High rates of sedimentation shorten the life of reservoirs, clog culverts, and fill stream channels to the extent that they can no longer contain streamflow within their banks. This report presents an explanation of erosional and depositional processes in desert landscapes, especially those characterized by incised channels, for the use of those who use, manage, and live on such lands. The basic principles of erosion, sediment transport, and deposition are presented including the formation of sediment, the forces that erode and transport it, the forces that resist its erosion and transport, and the conditions that cause it to be deposited. The peculiarities of sedimentation processes in the Southwest include the infrequent and variable precipitation, the geological setting, and the sparseness of vegetation. A classification system for incised channels that is intended for users who do not necessarily have a background in fluvial hydrology has been developed and is presented in this report. The classification system is intended to enable a user to classify a reach of channel quickly on the basis of field observations. The system is based on the shape and condition of channels and on the sedimentation processes that are predominantly responsible for those conditions. Because those processes are controlled by

  20. Modelling the Effects of Sea-level, Climate Change, Geology, and Tectonism on the Morphology of the Amazon River Valley and its Floodplain (United States)

    Aalto, R. E.; Cremon, E.; Dunne, T.


    How continental-scale rivers respond to climate, geology, and sea level change is not well represented in morphodynamic models. Large rivers respond to influences less apparent in the form and deposits of smaller streams, as the huge scales require long time periods for changes in form and behavior. Tectonic deformation and excavation of resistant deposits can affect low gradient continental-scale rivers, thereby changing flow pathways, channel slope and sinuosity, along-stream patterns of sediment transport capacity, channel patterns, floodplain construction, and valley topography. Nowhere are such scales of morphodynamic response grander than the Amazon River, as described in papers by L.A.K. Mertes. Field-based understanding has improved over the intervening decades, but mechanistic models are needed to simulate and synthesize key morphodynamic components relevant to the construction of large river valleys, with a focus on the Amazon. The Landscape-Linked Environmental Model (LLEM) utilizes novel massively parallel computer architectures to simulate multiple-direction flow, sediment transport, deposition, and incision for exceptionally large (30-80 million nodes per compute unit) lowland dispersal systems. LLEM represents key fluvial processes such as bed and bar deposition, lateral and vertical erosion/incision, levee and floodplain construction, floodplain hydrology, `badlands dissection' of weak sedimentary deposits during falling sea level, tectonic and glacial-isostatic deformation, and provides a 3D record of created stratigraphy and underlying bedrock. We used LLEM to simulate the development of the main valley of the Amazon over the last million years, exploring the propagation of incision waves and system dissection during glacial lowstands, followed by rapid valley filling and extreme lateral mobility of channels during interglacials. We present metrics, videos, and 3D fly-throughs characterizing how system development responds to key assumptions

  1. Three versus four radial keratotomy incisions. (United States)

    Melles, G R; Go, A T; Beekhuis, W H; van Rij, G; Binder, P S


    Radial keratotomy (RK) is currently performed with four or eight semi-radial incisions. To evaluate the effect of a theoretically more stable three-incision RK pattern, centripetal incisions were made in 16 human donor eyes (eight pairs), using a double-edged diamond blade set to 90% of central pachymetry and a 3.5 mm optical clear zone. Intraocular pressure was maintained at 15 mm Hg during surgery and while keratometry readings were made. One randomly selected eye of each pair had three radial incisions made at 12, 4 and 8 o'clock; the other eye had four radial incisions at 12, 3, 6, and 9 o'clock. Corneal flattening was 6.08 diopters (D) with four incisions and 4.84 D with three incisions (P less than .05). Astigmatism increased 0.44 D and 0.69 D, respectively (P greater than .1). Histologically measured mean incision depth (77.4%) did not differ significantly between the groups (P greater than .1). This study shows that 80% of the effect of a four-incision RK pattern can be obtained with a theoretically more stable three-incision pattern.

  2. One hour of catastrophic landscape change in the upper Rhine River valley 9400 years ago (United States)

    Clague, John; von Poschinger, Andreas; Calhoun, Nancy


    The Flims rockslide, which happened about 9400 years ago in the eastern Swiss Alps, is the largest postglacial terrestrial landslide in Europe. The landslide and the huge secondary mass flow it induced completely changed the floor and lower slopes of the Vorderrhein valley over a distance of several tens of kilometres, probably in one hour or less. The landslide began with the sudden detachment of 10-12 km3 of Jurassic and Cretaceous limestone from the north wall of the Vorderrhein valley. The detached rock mass rapidly fragmented as it accelerated and then struck the Rhein valley floor and the opposing valley wall. Tongues of debris traveled up and down the Vorderrhein. The impact liquefied approximately 1 km3 of valley-fill sediments, mainly fluvial and deltaic gravel and sand. The liquefied sediment moved as a slurry - the Bonaduz gravel - tens of kilometres downvalley from the impact site, carrying huge fragments of rockslide debris that became stranded on the valley floor, forming hills termed 'tumas'. Part of the flow was deflected by a cross-valley barrier and flowed 16 km up the Hinterrhein valley (the main tributary of the Vorderrhein), carrying tumas with it. Bonaduz gravel is >65 m thick and fines upward from massive sandy cobble gravel at its base to silty sand at its top. Sedimentologic and geomorphic evidence indicates that the liquefied sediment was transported as a hyperconcentated flow, possibly above a basal carpet of coarse diamictic sediment that behaved as a debris flow. The large amount of water involved in the Bonaduz flow indicates that at least part of the Flims rockslide entered a former lake in Vorderrhein valley. The rockslide debris impounded the Vorderrhein and formed Lake Ilanz, which persisted for decades or longer before the dam was breached in series of outburst floods. These floods further changed the valley floor below the downstream limit of the landslide. Today, Vorderrhein flows in a spectacular 8-km-long gorge incised up to

  3. Modified tubularized incised plate urethroplasty

    Directory of Open Access Journals (Sweden)

    Shivaji Mane


    Full Text Available Aim: To share our experience of doing tubularized incised plate urethroplasty with modifications. Materials and Methods: This is a single surgeon personal series from 2004 to 2009. One hundred patients of distal hypospadias were subjected for Snodgrass urethroplasty with preputioplasty. The age range was 1 to 5 year with mean age of 2.7 years. Selection criteria were good urethral plate, without chordee and torsion needing complete degloving. Main technical modification from original Snodgrass procedure was spongioplasty, preputioplasty, and dorsal slit when inability to retract prepuce during surgery. Results: Average follow-up period is 23 months. Seven (7% patients developed fistula and one patient had complete preputial dehiscence. Phimosis developed in three (3% patients and required circumcision. Dorsal slit was required in seven patients. One patient developed meatal stenosis in postoperative period. All other patients are passing single urinary stream and have cosmesis that is acceptable. Conclusions: Modified tubularized incised plate urethroplasty with preputioplasty effectively gives cosmetically normal looking penis with low complications.

  4. Eccentricity-driven fluvial fill terrace formation in the southern-central Andes, NW Argentina (United States)

    Tofelde, Stefanie; Savi, Sara; Wickert, Andrew D.; Wittmann, Hella; Alonso, Ricardo; Strecker, Manfred R.; Schildgen, Taylor F.


    Across the world, fill-terrace formation in glaciated catchments has been linked to variable sediment production and river discharge over glacial-interglacial cycles. Little is known, however, how variability in global climate may have affected rainfall patterns and associated surface-processes on multi-millennial timescales in regions far from major glaciers and ice sheets, and how those changes might be reflected in the landscape. Here, we investigate the timing of fluvial fill terrace planation and abandonment in the Quebrada del Toro, an intermontane basin located in the Eastern Cordillera of the southern-central Andes of NW Argentina. Fluvial fills in the valley reach more than 150 m above the current river level. Sculpted into the fills, we observe at least 5 terrace levels with pronounced differences in their extent and preservation. We sampled four TCN (in situ 10Be) depth profiles to date the abandonment of the most extensive terrace surfaces in locations, where subsequent overprint by erosion and deposition was not pronounced. We interpret unexpectedly low 10Be concentrations at shallow depths and surface samples to be related to aeolian input, causing surface inflation. Correcting the depth profiles for inflation results in a reduction of the terrace surface ages by up to 70 ka. The inflation-corrected ages fall within the late Pleistocene (~140 - 370 ka) and suggest a potential link to orbital eccentricity (~100 ka) cycles. The studied fills in the Toro Basin document successive episodes of incision, punctuated by periods of lateral planation and possible partial re-filling. We propose climate cycles as a potentially-dominant factor in forming these terraces. To our knowledge, none of the previously studied fluvial terraces in the Andes date back more than 2 glacial cycles, thus making the Quebrada del Toro an important archive of paleoenvironmental conditions over longer timescales.

  5. Signatures of Late Pleistocene fluvial incision in an Alpine landscape (United States)

    Leith, Kerry; Fox, Matthew; Moore, Jeffrey R.


    Uncertainty regarding the relative efficacy of fluvial and glacial erosion has hindered attempts to quantitatively analyse the Pleistocene evolution of alpine landscapes. Here we show that the morphology of major tributaries of the Rhone River, Switzerland, is consistent with that predicted for a landscape shaped primarily by multiple phases of fluvial incision following a period of intense glacial erosion after the mid-Pleistocene transition (∼0.7 Ma). This is despite major ice sheets reoccupying the region during cold intervals since the mid-Pleistocene. We use high-resolution LiDAR data to identify a series of convex reaches within the long-profiles of 18 tributary channels. We propose these reaches represent knickpoints, which developed as regional uplift raised tributary bedrock channels above the local fluvial baselevel during glacial intervals, and migrated upstream as the fluvial system was re-established during interglacial periods. Using a combination of integral long-profile analysis and stream-power modelling, we find that the locations of ∼80% of knickpoints in our study region are consistent with that predicted for a fluvial origin, while the mean residual error over ∼100 km of modelled channels is just 26.3 m. Breaks in cross-valley profiles project toward the elevation of former end-of-interglacial channel elevations, supporting our model results. Calculated long-term uplift rates are within ∼15% of present-day measurements, while modelled rates of bedrock incision range from ∼1 mm/yr for low gradient reaches between knickpoints to ∼6-10 mm/yr close to retreating knickpoints, typical of observed rates in alpine settings. Together, our results reveal approximately 800 m of regional uplift, river incision, and hillslope erosion in the lower half of each tributary catchment since 0.7 Ma.

  6. Valleys, facies, and sequence stratigraphy of the Ferron Notom Delta, Capital Reef, Utah (United States)

    Li, Weiguo

    The Turonian-Coniacian Ferron Sandstone is the first significant elastic tongue prograding from the thin-skinned Sevier Orogenic belts into the western interior foreland basin after the Greenhorn sea-level maxima. The Ferron Notom Delta, one of the Ferron wedges, is exposed three dimensionally in the Henry Mountains region, Utah. This dissertation attempts to: (1) subdivide the complex in a sequence stratigraphic perspective, and (2) evaluate the existing nonmarine sequence stratigraphic and delta asymmetry models. A large amount of integrated sedimentological and ichnological data shows that the 100-160 m thick complex consists of 6 sequences, 18 parasequence sets, and 43 parasequences. Without this extensive data control, this stratal complexity could not be resolved, resulting in huge correlations uncertainties. Incised valleys are developed in the younger two sequences. The youngest valley system within SQ1 is a compound incised valley, containing two nested valleys, each of which consists of amalgamated fluvial sandstones in the lower part, grading upward into heterolithic tidal/tidal-fluvial facies, and finally capped by more fluvial facies. There is a change in fluvial style from meandering into braided across the boundary of these two valleys. These observations support the existing nonmarine sequence stratigraphy models. Facies within the fluvial-deltaic complex are diverse, ranging from river-dominated to storm/wave-dominated. Sedimentological analysis within parasequence 6 recognized a clear along-strike facies transition from sandy shoreface in the north, into heterolithic river-dominated delta-front facies southeastward, and into wave/storm-reworked facies further southeastward. Ichnogenera correspondingly show distinct along-strike changes from a robust and healthy archetypal Cruziana to Skolithos ichnofacies in the north into a suite characterized by horizontal, morphologically simple, facies-crossing structures of the suppressed Skolithos and

  7. Precipitation and Runoff Simulations of the Carson Range and Pine Nut Mountains, and Updated Estimates of Ground-Water Inflow and the Ground-Water Budgets for Basin-Fill Aquifers of Carson Valley, Douglas County, Nevada, and Alpine County, California (United States)

    Jeton, Anne E.; Maurer, Douglas K.


    Recent estimates of ground-water inflow to the basin-fill aquifers of Carson Valley, Nevada, and California, from the adjacent Carson Range and Pine Nut Mountains ranged from 22,000 to 40,000 acre-feet per year using water-yield and chloride-balance methods. In this study, watershed models were developed for watersheds with perennial streams and for watersheds with ephemeral streams in the Carson Range and Pine Nut Mountains to provide an independent estimate of ground-water inflow. This report documents the development and calibration of the watershed models, presents model results, compares the results with recent estimates of ground-water inflow to the basin-fill aquifers of Carson Valley, and presents updated estimates of the ground-water budget for basin-fill aquifers of Carson Valley. The model used for the study was the Precipitation-Runoff Modeling System, a physically based, distributed-parameter model designed to simulate precipitation and snowmelt runoff as well as snowpack accumulation and snowmelt processes. Geographic Information System software was used to manage spatial data, characterize model drainages, and to develop Hydrologic Response Units. Models were developed for * Two watersheds with gaged perennial streams in the Carson Range and two watersheds with gaged perennial streams in the Pine Nut Mountains using measured daily mean runoff, * Ten watersheds with ungaged perennial streams using estimated daily mean runoff, * Ten watershed with ungaged ephemeral streams in the Carson Range, and * A large area of ephemeral runoff near the Pine Nut Mountains. Models developed for the gaged watersheds were used as index models to guide the calibration of models for ungaged watersheds. Model calibration was constrained by daily mean runoff for 4 gaged watersheds and for 10 ungaged watersheds in the Carson Range estimated in a previous study. The models were further constrained by annual precipitation volumes estimated in a previous study to provide

  8. Single-incision total laparoscopic hysterectomy

    Directory of Open Access Journals (Sweden)

    Sinha Rakesh


    Full Text Available Single-incision laparoscopic surgery is an alternative to conventional multiport laparoscopy. Single-access laparoscopy using a transumbilical port affords maximum cosmetic benefits because the surgical incision is hidden in the umbilicus. The advantages of single-access laparoscopic surgery may include less bleeding, infection, and hernia formation and better cosmetic outcome and less pain. The disadvantages and limitations include longer surgery time, difficulty in learning the technique, and the need for specialized instruments. Ongoing refinement of the surgical technique and instrumentation is likely to expand its role in gynecologic surgery in the future. We perform single-incision total laparoscopic hysterectomy using three ports in the single transumbilical incision.

  9. Single Incision Laparoscopic Splenectomy: Our First Experiences

    Directory of Open Access Journals (Sweden)

    Umut Barbaros


    Full Text Available Objective: Most laparoscopic surgeons have attempted to reduce incisional morbidity and improve cosmetic outcomes by using less and smaller trocars. Single incision laparoscopic splenectomy is a new laparoscopic procedure. Herein we would like to present our experiences.Material and Methods: Between January 2009 and June 2009, data of the 7 patients who underwent single incision laparoscopic splenectomy were evaluated retrospectively.Results: There were 7 patients (5 females and 2 males with a mean age of 29.9 years. The most common splenectomy indication was idiopathic thrombocytopenic purpura. Single incision laparoscopic splenectomy was performed successfully in 6 patients. In one patient the operation was converted to an open procedure.Conclusion: With surgeons experienced in minimally invasive surgery, single incision laparoscopic splenectomy could be performed successfully. However, in order to demonstrate the differneces between standard laparoscopic splenectomy and SILS splenetomy, prospective randomized comparative studies are required.

  10. Valley Fever (United States)

    ... loss Headache Valley fever Symptoms & causes Diagnosis & treatment Advertisement Mayo Clinic does not endorse companies or products. ... a Job Site Map About This Site Twitter Facebook Google YouTube Pinterest Mayo Clinic is a not- ...

  11. Mast Quadrant-assisted Minimally Invasive Modified Transforaminal Lumbar Interbody Fusion: Single Incision Versus Double Incision

    Directory of Open Access Journals (Sweden)

    Xin-Lei Xia


    Full Text Available Background: The concept of minimally invasive techniques is to make every effort to reduce tissue damage. Certainly, reducing skin incision is an important part of these techniques. This study aimed to investigate the clinical feasibility of Mast Quadrant-assisted modified transforaminal lumbar interbody fusion (TLIF with a small single posterior median incision. Methods: During the period of March 2011 to March 2012, 34 patients with single-segment degenerative lumbar disease underwent the minimally invasive modified TLIF assisted by Mast Quadrant with a small single posterior median incision (single incision group. The cases in this group were compared to 37 patients with single-segment degenerative lumbar disease in the double incision group. The perioperative conditions of patients in these two groups were statistically analyzed and compared. The Oswestry Disability Index (ODI scores, Visual Analog Scale (VAS scores, and sacrospinalis muscle damage evaluation indicators before operation and 3, 12 months postoperation were compared. Results: A total of 31 and 35 cases in the single incision and double incision groups, respectively, completed at least 12 months of systemic follow-up. The differences in perioperative conditions between the two groups were not statistically significant. The incision length of the single incision group was significantly shorter than that of the double incision group (P < 0.01. The ODI and VAS scores of patients in both groups improved significantly at 3 and 12 months postoperation. However, these two indicators at 3 and 12 months postoperation and the sacrospinalis muscle damage evaluation indicators at 3 months postoperation did not differ significantly between the two groups (P ≥ 0.05. Conclusions: Mast Quadrant-assisted modified TLIF with a small single posterior median incision has excellent clinical feasibility compared to minimally invasive TLIF with a double paramedian incision.

  12. DNA Methylation Modulates Nociceptive Sensitization after Incision.

    Directory of Open Access Journals (Sweden)

    Yuan Sun

    Full Text Available DNA methylation is a key epigenetic mechanism controlling DNA accessibility and gene expression. Blockade of DNA methylation can significantly affect pain behaviors implicated in neuropathic and inflammatory pain. However, the role of DNA methylation with regard to postoperative pain has not yet been explored. In this study we sought to investigate the role of DNA methylation in modulating incisional pain and identify possible targets under DNA methylation and contributing to incisional pain. DNA methyltranferase (DNMT inhibitor 5-Aza-2'-deoxycytidine significantly reduced incision-induced mechanical allodynia and thermal sensitivity. Aza-2'-deoxycytidine also reduced hindpaw swelling after incision, suggesting an anti-inflammatory effect. Global DNA methylation and DNMT3b expression were increased in skin after incision, but none of DNMT1, DNMT3a or DNMT3b was altered in spinal cord or DRG. The expression of proopiomelanocortin Pomc encoding β-endorphin and Oprm1 encoding the mu-opioid receptor were upregulated peripherally after incision; moreover, Oprm1 expression was further increased under DNMT inhibitor treatment. Finally, local peripheral injection of the opioid receptor antagonist naloxone significantly exacerbated incision-induced mechanical hypersensitivity. These results suggest that DNA methylation is functionally relevant to incisional nociceptive sensitization, and that mu-opioid receptor signaling might be one methylation regulated pathway controlling sensitization after incision.

  13. Single scrotal incision orchiopexy - a systematic review

    Directory of Open Access Journals (Sweden)

    Hugo Fabiano Fernandes Novaes


    Full Text Available Objective To conduct a systematic review on single scrotal incision orchiopexy. Materials and Methods A search was performed using Pubmed, through which 16 articles were selected out of a total of 133. The following conditions were considered exclusion criteria: other surgical methods such as an inguinal procedure or a laparoscopic approach, retractile testes, or patients with previous testicular or inguinal surgery. Results A total of 1558 orchiopexy surgeries initiated with a transcrotal incision were analyzed. Patients' ages ranged between 5 months and 21 years. Thirteen studies used high scrotal incisions, and low scrotal incisions were performed in the remainder of the studies. In 55 cases (3.53%, there was a need for inguinal incision. Recurrence was observed in 9 cases, testicular atrophy in 3, testicular hypotrophy in 2, and surgical site infections in 13 cases. High efficacy rates were observed, varying between 88% and 100%. Conclusions Single scrotal incision orchiopexy proved to be an effective technique and is associated with low rates of complications.

  14. A small incision technique facilitates pterygium removal

    Directory of Open Access Journals (Sweden)

    Shu Zhang


    Full Text Available AIM: To verify the advantages of an improved protocol for pterygium surgery(small incision removalover a conventional protocol of this surgery.METHODS: Totally 40 primary pterygium cases were divided into two groups(n=20 eachaccording to the protocols: small incision removal versus conventional removal. In our small incision removal, group 1, the pterygium body was cut open with a small incision firstly, through which the conjunctiva was separated from the underlying degenerated Tenon's layer; while in the conventional protocol, group 2, the whole head of pterygium was taken down before the separation. Then the head of pterygium was torn down in our protocol using a forceps instead of cutting it down with a blade, which was facilitated by a special corneal epithelial flap formation method. Surgery time, pain score and corneal wound healing were measured to provide objective comparison of outcome between the two protocols. RESULTS: In the group using small incision removal, the average surgery time was 7.72min(or 48.9%shorter than that of the control group using conventional protocol(PPCONCLUSION: The small incision pterygium removal protocol was easier to perform and resulted in a better outcome than the conventional protocol.

  15. Hydrogen Filling Station

    Energy Technology Data Exchange (ETDEWEB)

    Boehm, Robert F; Sabacky, Bruce; Anderson II, Everett B; Haberman, David; Al-Hassin, Mowafak; He, Xiaoming; Morriseau, Brian


    future. Project partners also conducted a workshop on hydrogen safety and permitting. This provided an opportunity for the various permitting agencies and end users to gather to share experiences and knowledge. As a result of this workshop, the permitting process for the hydrogen filling station on the Las Vegas Valley Water District’s land was done more efficiently and those who would be responsible for the operation were better educated on the safety and reliability of hydrogen production and storage. The lessons learned in permitting the filling station and conducting this workshop provided a basis for future hydrogen projects in the region. Continuing efforts to increase the working pressure of electrolysis and efficiency have been pursued. Research was also performed on improving the cost, efficiency and durability of Proton Exchange Membrane (PEM) hydrogen technology. Research elements focused upon PEM membranes, electrodes/catalysts, membrane-electrode assemblies, seals, bipolar plates, utilization of renewable power, reliability issues, scale, and advanced conversion topics. Additionally, direct solar-to-hydrogen conversion research to demonstrate stable and efficient photoelectrochemistry (PEC) hydrogen production systems based on a number of optional concepts was performed. Candidate PEC concepts included technical obstacles such as inefficient photocatalysis, inadequate photocurrent due to non-optimal material band gap energies, rapid electron-hole recombination, reduced hole mobility and diminished operational lifetimes of surface materials exposed to electrolytes. Project Objective 1: Design, build, operate hydrogen filling station Project Objective 2: Perform research and development for utilizing solar technologies on the hydrogen filling station and convert two utility vehicles for use by the station operators Project Objective 3: Increase capacity of hydrogen filling station; add additional vehicle; conduct safety workshop; develop a roadmap for

  16. Abdominal incisions in General Surgery: a review | Ajao | Annals of ...

    African Journals Online (AJOL)

    There is this wrong notion that the only standard abdominal incision is the midline incision. Cases have been seen in which an abdominal incision extends from the xyphoid process to the symphysis pubis just to remove a perforated appendix! It is also not unusual to see a groin incision together with a lower abdominal ...

  17. Laparoscopic cholecystectomy with two mini cosmetic incisions. (United States)

    Tavassoli, Alireza; Noorshafiee, Sajad


    Minimally invasive surgery gained popularity between general surgeons especially laparoscopic four-port cholecystectomy. By introducing different methods such as NOTES and SILS, the costs elevated with its cosmetics. We aim to study a new technique of laparoscopic cholecystectomy by two incisions with best cosmetics, and same quality and lower cost as conventional four-port laparoscopic cholecystectomy and make a comparison between them. In a double-blind clinical trial from December 2012 to September 2014, patients with cholelithiasis who presented to general surgery clinic and candidate for laparoscopic cholecystectomy were studied. Half of patients underwent double-incision laparoscopic cholecystectomy and other half underwent conventional four-port laparoscopic cholecystectomy. The mean age and BMI were higher in double-incision and four-port group, respectively, but not statistically different. Also male to female ratio was 6:1 in double-incision group and 9:1 in four-port group, and they were not statistically different. The mean operation time was about 2 min more in double-incision group, but it is trivial to consider a significant difference at level of 5%. The mean pain score (0-10) was significantly lower in double incision group in comparison with four-port group (p < 0.0001). Patients in double incision group reported higher satisfaction and were sooner in return to work than in four-port group (p < 0.0001). It seems that DILS for uncomplicated cholelithiasis is safe. By reducing port number, we succeed in reducing the pain and need for analgesics, reducing hospital staying and sooner return to work. By taking into account using conventional CLS instrument and lowering the hospital charges, it could be a good alternative to SILS.

  18. Comparison of surgically induced astigmatism in various incisions in manual small incision cataract surgery

    Directory of Open Access Journals (Sweden)

    Nidhi Jauhari


    Full Text Available AIM:To determine the surgically induced astigmatism (SIA in Straight, Frown and Inverted V shape (Chevron incisions in manual small incision cataract surgery (SICS.METHODS:A prospective cross sectional study was done on a total of 75 patients aged 40y and above with senile cataract. The patients were randomly divided into three groups (25 each. Each group received a particular type of incision (Straight, Frown or Inverted V shape incisions. Manual SICS with intraocular lens (IOL implantation was performed. The patients were compared 4wk post operatively for uncorrected visual acuity (UCVA, best corrected visual acuity (BCVA and SIA. All calculations were performed using the SIA calculator version 2.1, a free software program. The study was analyzed using SPSS version 15.0 statistical analysis software.RESULTS:The study found that 89.5% of patients in Straight incision group, 94.2% in Frown incision group and 95.7% in Inverted V group attained BCVA post-operatively in the range of 6/6 to 6/18. Mean SIA was minimum (-0.88±0.61D×90 degrees with Inverted V incision which was statistically significant.CONCLUSION:Inverted V (Chevron incision gives minimal SIA.

  19. Single incision laparoscopic colorectal resection: Our experience

    Directory of Open Access Journals (Sweden)

    Chinnusamy Palanivelu


    Full Text Available Background: A prospective case series of single incision multiport laparoscopic colorectal resections for malignancy using conventional laparoscopic trocars and instruments is described. Materials and Methods: Eleven patients (seven men and four women with colonic or rectal pathology underwent single incision multiport laparoscopic colectomy/rectal resection from July till December 2010. Four trocars were placed in a single transumblical incision. The bowel was mobilized laparoscopically and vessels controlled intracorporeally with either intra or extracorporeal anastomosis. Results: Three patients had carcinoma in the caecum, one in the hepatic flexure, two in the rectosigmoid, one in the descending colon, two in the rectum and two had ulcerative pancolitis (one with high grade dysplasia and another with carcinoma rectum. There was no conversion to standard multiport laparoscopy or open surgery. The median age was 52 years (range 24-78 years. The average operating time was 130 min (range 90-210 min. The average incision length was 3.2 cm (2.5-4.0 cm. There were no postoperative complications. The average length of stay was 4.5 days (range 3-8 days. Histopathology showed adequate proximal and distal resection margins with an average lymph node yield of 25 nodes (range 16-30 nodes. Conclusion: Single incision multiport laparoscopic colorectal surgery for malignancy is feasible without extra cost or specialized ports/instrumentation. It does not compromise the oncological radicality of resection. Short-term results are encouraging. Long-term results are awaited.

  20. New constraints on the late Cenozoic incision history of the New River, Virginia (United States)

    Ward, Dylan J.; Spotila, James A.; Hancock, Gregory S.; Galbraith, John M.


    The New River crosses three physiogeologic provinces of the ancient, tectonically quiescent Appalachian orogen and is ideally situated to record variability in fluvial erosion rates over the late Cenozoic. Active erosion features on resistant bedrock that floors the river at prominent knickpoints demonstrate that the river is currently incising toward base level. However, thick sequences of alluvial fill and fluvial terraces cut into this fill record an incision history for the river that includes several periods of stalled downcutting and aggradation. We used cosmogenic 10Be exposure dating, aided by mapping and sedimentological examination of terrace deposits, to constrain the timing of events in this history. 10Be concentration depth profiles were used to help account for variables such as cosmogenic inheritance and terrace bioturbation. Fill-cut and strath terraces at elevations 10, 20, and 50 m above the modern river yield model cosmogenic exposure ages of 130, ˜600, and 600-950 ka, respectively, but uncertainties on these ages are not well constrained. These results provide the first direct constraint on the history of alluvial aggradation and incision events recorded by New River terrace deposits. The exposure ages yield a long-term average incision rate of 43 m/my, which is comparable to rates measured elsewhere in the Appalachians. During specific intervals over the last 1 Ma, however, the New River's incision rate reached ˜100 m/my. Modern erosion rates on bedrock at a prominent knickpoint are between ˜28 and ˜87 m/my, in good agreement with rates calculated between terrace abandonment events and significantly faster than ˜2 m/my rates of surface erosion from ancient terrace remnants. Fluctuations between aggradation and rapid incision operate on timescales of 10 4- 10 5 year, similar to those of late Cenozoic climate variations, though uncertainties in model ages preclude direct correlation of these fluctuations to specific climate change events

  1. Small Incision Cataract Surgery (SICS with Clear Corneal Incision and SICS with Scleral Incision – A Comparative Study

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    Md Shafiqul Alam


    Full Text Available Background: Age related cataract is the leading cause of blindness and visual impairment throughout the world. With the advent of microsurgical facilities simple cataract extraction surgery has been replaced by small incision cataract surgery (SICS with posterior chamber intra ocular lens implant, which can be done either with clear corneal incision or scleral incision. Objective: To compare the post operative visual outcome in these two procedures of cataract surgery. Materials and method: This comparative study was carried out in the department of Ophthalmology, Delta Medical College & Hospital, Dhaka, Bangladesh, during the period of January 2010 to December 2012. Total 60 subjects indicated for age related cataract surgery irrespective of sex with the age range of 40-80 years with predefined inclusion and exclusion criteria were enrolled in the study. Subjects were randomly and equally distributed in 2 groups; Group A for SICS with clear corneal incision and group B for SICS with scleral incision. Post operative visual out come was evaluated by determining visual acuity and astigmatism in different occasions and was compared between groups. Statistical analysis was done by SPSS for windows version12. Results: The highest age incidence (43.3% was found between 61 to 70 years of age group. Among study subjects 40 were male and 20 were female. Preoperative visual acuity and astigmatism were evenly distributed between groups. Regarding postoperative unaided visual outcome, 6/12 or better visual acuity was found in 19.98% cases in group A and 39.6% cases in group B at 1st week. At 6th week 6/6 vision was found in 36.3% in Group A and 56.1% in Group B and 46.2% in group A and 66% in group B without and with correction respectively. With refractive correction, 6/6 vision was attained in 60% subjects of group A and 86.67% of group B at 8th week. Post operative visual acuity was statistically significant in all occasions. Postoperative astigmatism of

  2. Two Late Pleistocene climate-driven incision/aggradation rhythms in the middle Dnieper River basin, west-central Russian Plain (United States)

    Panin, Andrei; Adamiec, Grzegorz; Buylaert, Jan-Pieter; Matlakhova, Ekaterina; Moska, Piotr; Novenko, Elena


    In valleys of the River Seim and its tributaries in the middle Dnieper basin (west-central Russian Plain), two low terraces (T1, 10-16 m, and T0, 5-7 m above the river) and a floodplain (2-4 m) with characteristic large and small palaeochannels exist. A range of field and laboratory techniques was applied and ∼30 new numerical ages (OSL and 14C dates) were obtained to establish a chronology of incision and aggradation events that resulted in the current valley morphology. Two full incision/aggradation rhythms and one additional aggradation phase from the previous rhythm were recognized in the Late Pleistocene - Holocene climate cycle. The following events were detected. (1) Late MIS 5 - early MIS 4: aggradation of Terrace T1 following the deep incision at the end of MIS 6. (2) Late MIS 4 (40-30 ka): incision into Terrace T1 below the present-day river, formation of the main scarp in the bottom of the valley between Terrace T1 and Terrace T0/Floodplain levels. (3) MIS 2: aggradation of Terrace T0, lateral migrations of a shallow braided channel located few meters above the present-day river since ∼25 ka through the LGM. (4) 18-13 ka: incision into Terrace T0 below the modern river. Multiple-thread channels concentrated in a single flow that at some places formed large meanders. In the period 15-13 ka, high floods that rose above the present-day floods left large levees and overbank loams on Terrace T0. (5) Younger Dryas - Holocene transition: aggradation up to the modern channel level, transformation of large Late Glacial to small Holocene meanders. The established incision/aggradation rhythms are believed to be manifested over the Central Russian Plain outside the influence of ice sheets in the north and base level changes in the south. The two-phase deepening of the valley occurred in the last quarter of the last glacial epoch but can not be attributed directly to the glacial-interglacial transition. Both the detected incision events correspond to relatively


    African Journals Online (AJOL)

    Objective To evaluate prospectively our experience using tubularized incised plate (TIP) urethroplasty in primary and repeat penile shaft hypospadias. Patients and Methods Thirty-two boys with penile shaft hypospadias were selected to undergo TIP procedure. Their age ranged from 22 months to 9 years. Twenty-two cases ...

  4. Single scrotal incision orchidopexy for palpable undescended

    International Nuclear Information System (INIS)

    Ahmad, A.; Safdar, C.A.; Yasir, U.; Rasool, N.; Kanwal, S.; Boota, M.; Rehman, J.U.


    To retrospectively asses the results of single scrotal incision orchidopexy (SSIO) performed at our centre with ligation of the patent processus vaginalis in children having palpable undescended testes (UDT). Study Design: Quasi-experimental with retrospective data. Place and Duration of Study: Department of Paediatric surgery Military Hospital Rawalpindi, from April 2007 to December 2011. Patients and Methods: After making a single transverse incision at superior scrotal border, the testis was identified; gubernaculums and the sac were dissected to the highest level and divided. The testis was placed into the scrotum and fixed to the scrotal fascia/skin. All patients were assessed at 2 weeks, 2 months and 6 months post operatively, and then yearly. Results: A total of 38 orchidopexies were performed in 33 patients. The patients age ranged from 14 months to 7 years (mean:2.1 years). Bilateral UDT were found in 5 patients (15.1%). Operative time ranged from 20 to 45 minutes (mean: 36 minutes). The single scrotal incision technique was successful in all 38 cases (100%). All testes were easily fixed in the scrotum. Two patients (5.2%) developed scrotal haematoma and one patient (2.6%) developed stitch abscess. All showed good an atomical and cosmetic results up to a minimum of six months of follow-up. Conclusion: Single scrotal incision orchidopexy for palpable undescended testis is a simple and safe technique. It has shown to consume shorter time and give good cosmetic results. (author)

  5. Radiological findings after endoscopic incision of ureterocele

    International Nuclear Information System (INIS)

    Cheon, Jung Eun; Kim, In One; Seok, Eul Hye; Cha, Joo Hee; Choi, Gook Myung; Kim, Woo Sun; Yeon, Kyung Mo; Kim, Kwang Myung; Choi, Hwang; Cheon, Jung Eun; Seok, Eul Hye; Cha, Joo Hee; Choi, Guk Myung


    Endoscopic incision of ureterocele is considered a simple and safe method for decompression of urinary tract obstruction above ureterocele. The purpose of this study was to evaluate the radiological findings after endoscopic incision of ureterocele. We retrospectively reviewed the radiological findings (ultrasonography (US), intravenous urography, and voiding cystourethrography(VCU)) in 16 patients with ureterocele who underwent endoscopic incision (mean age at surgery, 15 months; M:F 3:13; 18 ureteroceles). According to the postoperative results, treatment was classified as successful when medical treatment was still required, and second operation when additional surgical treatment was required. Postoperative US (n=10) showed that in all patients, urinary tract obstruction was relieved: the kidney parenchima was thicker and the ureterocele was smaller. Intravenous urography (n=8), demonstrated that in all patients, urinary tract obstruction and the excretory function of the kidney had improved. Postoperative VCU indicated that in 92% of patients (12 of 13), endoscopic incision of the ureterocele led to vesicoureteral reflux(VUR). Of these twelve, seven (58%) showed VUR of more than grade 3, while newly developed VUR was seen in five of eight patients (63%) who had preoperative VCU. Surgery was successful in four patients (25%), partially successful in three (19%), and a second operation-on account of recurrent urinary tract infection and VUR of more than grase 3 during the follow-up period-was required by nine (56%). Although endoscopic incision of a ureterocele is a useful way of relieving urinary tract obstruction, an ensuing complication may be VUR. Postoperative US and intravenous urography should be used to evaluate parenchymal change in the kidney and improvement of uronary tract obstructon, while to assess the extend of VUR during the follow-up period , postoperative VCU is required

  6. About Dental Amalgam Fillings (United States)

    ... Medical Procedures Dental Devices Dental Amalgam About Dental Amalgam Fillings Share Tweet Linkedin Pin it More sharing ... I have my fillings removed? What is dental amalgam? Dental amalgam is a dental filling material used ...


    Directory of Open Access Journals (Sweden)

    Shayana Bhumbla


    Full Text Available BACKGROUND Surgically-Induced Astigmatism (SIA is one of the commonest causes of poor postoperative vision even after uneventful cataract surgery. Recent advances have led to a newer concept of “refractive cataract surgery.” The aim of the study is to study the comparison of postop SIA in Manual Small Incision Cataract Surgery (MSICS with straight versus frown incision. MATERIALS AND METHODS 50 patients of cataract were divided into 2 groups (25 each - group A underwent MSICS with 6 mm straight incision, group B underwent MSICS with 6 mm frown incision. BCVA, keratometry readings were recorded with auto kerato-refractometer preop, at 1 week, 1 month, 3 months and SIA was calculated with SIA calculator version 2.1, a free software program. RESULTS Mean SIA in group A and B were - 1.14D versus 0.92D at 1 week; 1.26D versus 0.97D at 1 month; 1.29D versus 0.95D at 3 months. The difference was statistically significant at each follow up visit (p<0.05. CONCLUSION Frown incision gives lesser SIA than straight incision in MSICS.

  8. Analysis of single-incision versus dual-incision fasciotomy for tibial fractures with acute compartment syndrome. (United States)

    Bible, Jesse E; McClure, D Jake; Mir, Hassan R


    To analyze the rate of postoperative infection and nonunion after tibial fractures in patients treated for acute compartment syndrome (ACS) using (1) single-incision versus (2) dual-incision fasciotomy technique. Retrospective. Level I trauma center. Review of all adult tibial fractures operatively treated (n = 2756) over a 12-year period identified 175 patients with concurrent ACS requiring fasciotomy. Of 60 patients treated with intramedullary nails, 36 patients had single-incision fasciotomy and 24 had dual-incision fasciotomy. Of 81 patients treated with plate fixation, 59 patients had single-incision fasciotomy and 22 had dual-incision fasciotomy. Tibial fixation with fasciotomy for ACS. Occurrence of postoperative infection and nonunion. Both fasciotomy groups were similar across recorded patient and treatment characteristics. Need for skin graft was similar between fasciotomy groups. For patients treated with intramedullary nail (n = 60), 1 infection (2.8%) occurred in single-incision group versus 2 (8.3%) in dual-incision group (P = 0.558). Seven nonunions (19.4%) occurred in single-incision group versus 3 (12.5%) in dual-incision group (P = 0.726). For plate fixation patients (n = 81), 15 infections (25.4%) occurred with single-incision fasciotomy versus 5 infections (22.7%) with dual-incision fasciotomy (P = 1.000). Seven nonunions (11.9%) occurred with single-incision group versus 4 nonunions (18.2%) with dual-incision group (P = 0.479). This is the first study to compare a single-incision fasciotomy technique to a dual-incision technique in the setting of tibial fractures with ACS, with similar infection and nonunion rates with either technique. The choice of fasciotomy technique can be based on surgeon experience or patient condition as opposed to a suspected elevated infection or nonunion risk with either technique. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

  9. Primary closure of equine laryngotomy incisions

    DEFF Research Database (Denmark)

    Lindegaard, C.; Karlsson, L.; Ekstrøm, Claus Thorn


    The objective was to report healing characteristics and complications after primary closure of equine laryngotomies and analyse factors potentially associated with complications. This retrospective case series of the medical records of horses (n = 180) undergoing laryngoplasty and laryngotomy...... after primary closure of equine laryngotomy incisions are infrequent and considered of minimal severity and can be performed safely when paying careful attention to the closure of the cricothyroid membrane....

  10. Right Kocher’s incision: a feasible and effective incision for right hemicolectomy: a retrospective study

    Directory of Open Access Journals (Sweden)

    Theodosopoulos Theodosios


    Full Text Available Abstract Background The choice of surgical incision is determined by access to the surgical field, particularly when an oncological resection is required. Special consideration is also given to other factors, such as postoperative pain and its sequelae, fewer complications in the early postoperative period and a lower occurrence of incisional hernias. The purpose of this study is to compare the right Kocher’s and the midline incision, for patients undergoing right hemicolectomy, by focusing on short- and longterm results. Methods Between 1995 and 2009, hospital records for 213 patients that had undergone a right hemicolectomy for a right- sided adenocarcinoma were retrospectively studied. 113 patients had been operated via a Kocher’s and 100 via a midline incision. Demographic details, operative data (explorative access to the peritoneal cavity, time of operation, recovery parameters (time with IV analgesic medication, time to first oral fluid intake, time to first solid meal, time to discharge, and oncological parameters (lymph node harvest, TNM stage and resection margins were analyzed. Postoperative complications were also recorded. The two groups were retrospectively well matched with respect to demographic parameters and oncological status of the tumor. Results The median length of the midline incision was slightly longer (12 vs. 10 cm, p  Conclusions The Kocher’s incision approach for right- sided colon cancer is technically feasible, safe and overall very well tolerated. It can achieve the same standards of tumor resection and surgical field accessibility as the midline approach, while reducing postoperative recovery.

  11. Small-incision lenticule extraction (SMILE)

    DEFF Research Database (Denmark)

    Hansen, Rasmus Søgaard; Lyhne, Niels; Grauslund, Jakob


    PURPOSE: To study the outcomes of small-incision lenticule extraction (SMILE) for treatment of myopia and myopic astigmatism. METHODS: Retrospective study of patients treated for myopia or myopic astigmatism with SMILE, using a VisuMax(®) femtosecond laser (Carl Zeiss Meditec, Jena, Germany...... surgery was 0.07 ± 0.03 (logMAR). However, 12 eyes (1.6 %) lost 2 or more lines of CDVA from before surgery to 3 months postoperatively. Simultaneous treatment of up to 3.00 D of astigmatism was not associated with less predictable refractive outcomes. CONCLUSIONS: In the short term, SMILE seemed...

  12. Single-incision laparoscopic bariatric surgery

    Directory of Open Access Journals (Sweden)

    Huang Chih-Kun


    Full Text Available Background: Bariatric surgery has been established as the best option of treatment for morbid obesity. In recent years single-incision laparoscopic surgery (SILS has emerged as another modality of carrying out the bariatric procedures. While SILS represents an advance, its application in morbid obesity at present is limited. In this article, we review the technique and results of SILS in bariatric surgery. Methods: The PubMed database was searched and totally 11 series reporting SILS in bariatric surgery were identified and analyzed. The case reports were excluded. Since 2008, 114 morbidly obese patients receiving SILS bariatric surgeries were reported. Results: The procedures performed included SILS gastric banding, sleeve gastrectomy and gastric bypass. No mortality was reported in the literatures. Sixteen patients (14.05% needed an additional incision for a liver retractor, a trocar or for conversion. Only one complication of wound infection was reported in these series. All the surgeons reported that the patients were highly satisfied with the scar. Conclusion: Because of abundant visceral and subcutaneous fat and multiple comorbidities in morbid obesity, it is more challenging for surgeons to perform the procedures with SILS. It is clear that extensive development of new instruments and technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential before these procedures can be utilized in day-to-day clinical practice.

  13. Climatic controls on mechanical rock strength and channel incision due to bedrock weathering, Kohala Peninsula, Hawaii (United States)

    Murphy, B. P.; Johnson, J. P.; Gasparini, N. M.; Sklar, L. S.


    Orographic precipitation gradients are prevalent in mountainous terrains, and climate-dependent bedrock weathering may play an important role in the incision of bedrock channels and the evolution of landscapes. Kohala Peninsula on the big island of Hawaii presents a unique natural setting for exploring climate sensitivity of landscape erosion, with over an order of magnitude variation in mean annual precipitation, a landscape composed entirely of weatherable basalt, and systematic variations in fluvial incision and resulting topography across the climate gradient. We hypothesize that increases in local mean annual precipitation will promote long-term channel incision rates due to increases in bedrock weathering, but measurements of rock strength within bedrock channels will be greatly influenced by the efficient removal of weathered rock by fluvial erosion. Mechanical properties of bedrock were measured at a total of 13 sites across two watersheds that vary in local mean annual precipitation from 0.27 - 2.25 m/yr. In situ strength measurements were collected using a Schmidt hammer with a pseudo-random sampling method along transects parallel to stream direction and just above the channel thalweg. Tensile strength and elastic moduli were also measured in the laboratory on cores collected from a subset of the same transects. Long-term channel incision rates were independently constrained from the local valley relief and the ages of mapped basalt units that form the relatively unmodified volcanic shield of Kohala. When strength data comes from sites of low long-term incision, we find strong power-law relationships between both rock strength measurements and local mean annual precipitation. However, for sites with high precipitation rate and variable erosion rates, we find significant variability in the rock strength. We interpret this to reflect the removal of weathered rock by erosion. In order to interpret the influence of climate in our dataset, we made a

  14. Two-Step Incision for Periarterial Sympathectomy of the Hand. (United States)

    Jeon, Seung Bae; Ahn, Hee Chang; Ahn, Yong Su; Choi, Matthew Seung Suk


    Surgical scars on the palmar surface of the hand may lead to functional and also aesthetic and psychological consequences. The objective of this study was to introduce a new incision technique for periarterial sympathectomy of the hand and to compare the results of the new two-step incision technique with those of a Koman incision by using an objective questionnaire. A total of 40 patients (17 men and 23 women) with intractable Raynaud's disease or syndrome underwent surgery in our hospital, conducted by a single surgeon, between January 2008 and January 2013. Patients who had undergone extended sympathectomy or vessel graft were excluded. Clinical evaluation of postoperative scars was performed in both groups one year after surgery using the patient and observer scar assessment scale (POSAS) and the Wake Forest University rating scale. The total patient score was 8.59 (range, 6-15) in the two-step incision group and 9.62 (range, 7-18) in the Koman incision group. A significant difference was found between the groups in the total PS score (P-value=0.034) but not in the total observer score. Our analysis found no significant difference in preoperative and postoperative Wake Forest University rating scale scores between the two-step and Koman incision groups. The time required for recovery prior to returning to work after surgery was shorter in the two-step incision group, with a mean of 29.48 days in the two-step incision group and 34.15 days in the Koman incision group (P=0.03). Compared to the Koman incision, the new two-step incision technique provides better aesthetic results, similar symptom improvement, and a reduction in the recovery time required before returning to work. Furthermore, this incision allows the surgeon to access a wide surgical field and a sufficient exposure of anatomical structures.

  15. Current Status of Single-incision Laparoscopic Surgery

    DEFF Research Database (Denmark)

    Ahmed, Irfan; Ciancio, Fabio; Ferrara, Vincenzo


    Recent advances in minimally invasive surgery have centered on reducing the number of incisions required, which has led to the development of the single-incision laparoscopic technique. A panel of European single-incision laparoscopy experts met to discuss the current status of, and the future ex...... to be published to confirm its value. An ideal training route for surgeons who are adopting the technique was agreed upon, as was the need for a single, large clinical registry of data....

  16. Two-Step Incision for Periarterial Sympathectomy of the Hand

    Directory of Open Access Journals (Sweden)

    Seung Bae Jeon


    Full Text Available BackgroundSurgical scars on the palmar surface of the hand may lead to functional and also aesthetic and psychological consequences. The objective of this study was to introduce a new incision technique for periarterial sympathectomy of the hand and to compare the results of the new two-step incision technique with those of a Koman incision by using an objective questionnaire.MethodsA total of 40 patients (17 men and 23 women with intractable Raynaud's disease or syndrome underwent surgery in our hospital, conducted by a single surgeon, between January 2008 and January 2013. Patients who had undergone extended sympathectomy or vessel graft were excluded. Clinical evaluation of postoperative scars was performed in both groups one year after surgery using the patient and observer scar assessment scale (POSAS and the Wake Forest University rating scale.ResultsThe total patient score was 8.59 (range, 6-15 in the two-step incision group and 9.62 (range, 7-18 in the Koman incision group. A significant difference was found between the groups in the total PS score (P-value=0.034 but not in the total observer score. Our analysis found no significant difference in preoperative and postoperative Wake Forest University rating scale scores between the two-step and Koman incision groups. The time required for recovery prior to returning to work after surgery was shorter in the two-step incision group, with a mean of 29.48 days in the two-step incision group and 34.15 days in the Koman incision group (P=0.03.ConclusionsCompared to the Koman incision, the new two-step incision technique provides better aesthetic results, similar symptom improvement, and a reduction in the recovery time required before returning to work. Furthermore, this incision allows the surgeon to access a wide surgical field and a sufficient exposure of anatomical structures.

  17. Charcterization of meadow ecosystems based on watershed and valley segment/reach scale characteristics [chapter 7 (United States)

    Wendy Trowbridge; Jeanne C. Chambers; Dru Germanoski; Mark L. Lord; Jerry R. Miller; David G. Jewett


    Great Basin riparian meadows are highly sensitive to both natural and anthropogenic disturbance. As detailed in earlier chapters, streams in the central Great Basin have a natural tendency to incise due to their geomorphic history (Miller and others 2001, 2004). Anthropogenic disturbances, including overgrazing by livestock, mining activities, and roads in the valley...

  18. Hypospadias and concomitant undescended testis: Comparison of no skin incision with inguinal and scrotal skin incision orchiopexy. (United States)

    Sabetkish, Shabnam; Kajbafzadeh, Abdol-Mohammad; Sabetkish, Nastaran


    To present the feasibility of no skin incision orchiopexy in children with concomitant hypospadias and undescended testis (UDT) by a single subcoronal incision technique. To introduce the creation of subdartos muscle scrotal pouch with no scrotal skin incision. From one thousand and twenty-one children with hypospadias, 61 patients presented with concomitant palpable UDT and hypospadias. In group I (N = 34) single subcoronal incision with no scrotal skin incision was applied. In group II (N = 27), multi-incision technique was applied for classical orchiopexy and hypospadias surgery. For hypospadias reconstruction, all patients had classical subcoronal and para urethral plate incision with penile skin degloving according to the location of urethral meatus. Early and late complications, surgical time, hospital stay, and cosmetic results were recorded. Children with unilateral UDT and hypospadias had one incision in group I and three skin incisions in group II. Patients with bilateral UDT had one incision in group I and five skin incisions in group II. The operation time was significantly shorter in group I (93 ± 11 min) compared with group II (138 ± 17 min) (P = 0.03). Both groups were operated as day care basis; however, the hospital stay was slightly longer in group II (group I = 12 ± 2 h, vs group II = 16 ± 3 h) (P = 0.07). All testes were satisfactorily positioned into the bottom of the scrotum without development of any testicular atrophy. Single subcoronal penile skin incision is a feasible, safe, and cosmetically satisfactory technique in patients with hypospadias and concomitant UDT. Reduced postoperative pain, better objective cosmetic results, shorter operative time and comfortable post-operative period are the most significant advantages of this approach. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

  19. Controls on valley spacing in landscapes subject to rapid base-level fall (United States)

    McGuire, Luke; Pelletier, John D.


    What controls the architecture of drainage networks is a fundamental question in geomorphology. Recent work has elucidated the mechanisms of drainage network development in steadily uplifting landscapes, but the controls on drainage-network morphology in transient landscapes are relatively unknown. In this paper we exploit natural experiments in drainage network development in incised Plio-Quaternary alluvial fan surfaces in order to understand and quantify drainage network development in highly transient landscapes, i.e. initially unincised low-relief surfaces that experience a pulse of rapid base-level drop followed by relative base-level stasis. Parallel drainage networks formed on incised alluvial-fan surfaces tend to have a drainage spacing that is approximately proportional to the magnitude of the base-level drop. Numerical experiments suggest that this observed relationship between the magnitude of base-level drop and mean drainage spacing is the result of feedbacks among the depth of valley incision, mass wasting and nonlinear increases in the rate of colluvial sediment transport with slope gradient on steep valley side slopes that lead to increasingly wide valleys in cases of larger base-level drop. We identify a threshold magnitude of base-level drop above which side slopes lengthen sufficiently to promote increases in contributing area and fluvial incision rates that lead to branching and encourage drainage networks to transition from systems of first-order valleys to systems of higher-order, branching valleys. The headward growth of these branching tributaries prevents the development of adjacent, ephemeral drainages and promotes a higher mean valley spacing relative to cases in which tributaries do not form. Model results offer additional insights into the response of initially unincised landscapes to rapid base-level drop and provide a preliminary basis for understanding how varying amounts of base-level change influence valley network morphology.

  20. Tectonic control on Pleistocene basin-filling processes and landscape evolution: the intermontane Kangra Basin, NW Sub-Himalaya, India (United States)

    Dey, Saptarshi; Thiede, Rasmus; Schildgen, Taylor; Strecker, Manfred


    The growth of a collisional mountain belt like the Himalaya is dynamically coupled both to tectonics and climate and can result in strong temporal variations in the delivery of sediment to intermontane basins and the foreland. Orogenic critical taper models have been helpful to explain the processes controlling the evolution of mountain fronts in such settings. Rapid and voluminous sediment accumulations might destabilize the orogenic wedge and force architectural re-organization by outward propagation of the deformation front, while basin evacuation can induce out-of-sequence-thrusting to return the wedge to a critical taper. Structural reentrants along the Himalayan front are promising locations to study sediment delivery, storage, and sediment-evacuation mechanisms, as those areas commonly expose extensive transiently stored foreland-basin sediments. The Kangra re-entrant in the NW Sub-Himalaya hosts intermontane valley fills of Pleistocene age, eroded from the Dhauladhar Range. The sediments were unconformably deposited on top of Neogene foreland-basin sediments (i.e. the Siwaliks) in the hanging wall of the NW-SE striking Jwalamukhi Thrust. This major sediment accumulation phase appears to have preceded a phase of sediment evacuation in the course of episodic re-incision into the fill unit, which carved a series of fill-terrace levels. Angular unconformities, differential fluvial incision, tilted fluvial terraces, drainage re-organization, and steepened river segments in the hanging wall of the Jwalamukhi Thrust indicate post-depositional shortening and uplift in the Kangra re-entrant. From this evidence, we infer a primary importance of the Jwalamukhi Thrust in controlling the Quaternary sediment deposition in the Kangra re-entrant - however, we cannot exclude the influence of climate as the main trigger for sediment aggradation and subsequent excavation. However, knickpoints and steep river-channel gradients crossing other tectonic structures within the

  1. Single-Incision Laparoscopic Surgery (SILS Assisted Sigma Resection Via Pfannenstiel Incision for Complicated Diverticulitis

    Directory of Open Access Journals (Sweden)

    Arne Dietrich


    Results: The operation time ranged from 89 to 280 min. There were no conversions, and no additional trocars were used. The postoperative hospital stay ranged from 5 to 14 days. All patients were discharged without any intraoperative or postoperative complications. Conclusions: SILS sigma or anterior rectum resection for complicated diverticulitis can be performed via a Pfannenstiel incision. This approach provides direct visualization and access into the pelvis as well as the option to benefit from open surgery devices. The Pfannenstiel incision may generally be recommended for the favorable cosmetic effect and the very low rate of incisional hernias, as reported in the literature. [Arch Clin Exp Surg 2014; 3(1.000: 10-15

  2. Diathermy versus Scalpel incision in elective midline laparotomy: A ...

    African Journals Online (AJOL)

    ... two groups with respect to the mean length of hospital stay (p = 0.834). Conclusion: We conclude that diathermy incision in elective midline laparotomy has significant advantages compared with the scalpel because of reduced incision time, less blood loss, reduced early postoperative pain and analgesic requirements.

  3. Temporal versus Superior Limbal Incision: Any difference in visual ...

    African Journals Online (AJOL)

    Dr. C. Pedro-Egbe

    Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. ABSTRACT. Aim: To compare the visual outcome of a superiorly placed limbal incision ..... Roman SJ, Auclin FX, Chong-Sit DA, Ullern MM. Surgically induced astigmatism with superior and temporal incisions in cases of ...

  4. Mini transverse versus longitudinal incision in carpal tunnel syndrome

    International Nuclear Information System (INIS)

    Korkmaz, M.; Cepoglu, M.C.


    Objective: To evaluate the effectiveness of mini-transverse compared with mini-longitudinal incision for carpal tunnel release (CTR) with reference to postoperative functional capacity, symptom severity and complication rate. Study Design: Analytical study. Place and Duration of Study: Cumhuriyet University Medical Faculty, Department of Orthopaedics, Tokat State Hospital, Department of Orthopaedics and Medical Park Tokat Hospital, Department of Neurosurgery, from January 2007 to January 2009. Methodology: This study included 93 hands of 79 patients with carpal tunnel syndrome (CTS), which were operated between 2007 and 2009. Patients were divided according to incision types into Group-1 (undergoing mini-longitudinal incision) and Group-2 (undergoing mini-transverse incision). Patients were evaluated initially and at 3 weeks after treatment according to symptom severity and functional status of Boston Questionnaire (BQ). Demographic and clinical data were analyzed and compared statistically between two groups. Results: Statistically significant differences were observed in BQ symptom and functional scores between the pre- and postoperative period (p < 0.0001). BQ symptom and functional scores at postoperative period were better in Group-1 than Group-2 (p = 0.044 and p = 0.023 respectively). The scar hypersensitivity (p = 0.258) and tenderness (p = 1.00) associated with the incision sites were not statistically different. Conclusion: Longitudinal incision is more effective on symptom and functional conditions than transverse incision. However, there was less scar formation with transverse incision. (author)

  5. Transurethral incision of urethral diverticulum in the female

    DEFF Research Database (Denmark)

    Miskowiak, J; Honnens de Lichtenberg, M


    A new technique of transurethral incision of urethral diverticulum was successfully used in two women. The method described is safe, simple and shortens operating time.......A new technique of transurethral incision of urethral diverticulum was successfully used in two women. The method described is safe, simple and shortens operating time....

  6. Temporal versus Superior Limbal Incision: Any difference in visual ...

    African Journals Online (AJOL)

    Aim: To compare the visual outcome of a superiorly placed limbal incision with a temporal limbal incision in extracapsular cataract surgery. The main outcome measures are visual acuity and the degree of stigmatism based on refraction. Method: A retrospective non randomized comparative study. Medical records of 40 ...

  7. First Canadian experience with robotic single-incision pyeloplasty: Comparison with multi-incision technique. (United States)

    Law, Jeffrey; Rowe, Neal; Archambault, Jason; Nastis, Sofia; Sener, Alp; Luke, Patrick P


    We compared the outcomes of single-incision, robot-assisted laparoscopic pyeloplasty vs. multiple-incision pyeloplasty using the da Vinci robotic system. We reviewed all consecutive robotic pyeloplasties by a single surgeon from January 2011 to August 2015. A total of 30 procedures were performed (16 single:14 multi-port). Two different single-port devices were compared: the GelPort (Applied Medical, Rancho Santa Margarita, CA) and the Intuitive single-site access port (Intuitive Surgical, Sunnyvale, CA). Patient demographics were similar between the two groups. Mean operating time was similar among the single and multi-port groups (225.2 min vs. 198.9 minutes [p=0.33]). There was no significant difference in length of hospital stay in either group (86.2 hr vs. 93.2 hr [p=0.76]). There was no difference in success rates or postoperative complications among groups. Single-port robotic pyeloplasty is non-inferior to multiple-incision robotic surgery in terms of operative times, hospitalization time, success rates, and complications. Verifying these results with larger cohorts is required prior to the wide adoption of this technique. Ongoing objective measurements of cosmesis and patient satisfaction are being evaluated.

  8. Vertical compared with transverse incisions in abdominal surgery

    DEFF Research Database (Denmark)

    Grantcharov, T P; Rosenberg, J


    OBJECTIVE: To reach an evidence-based consensus on the relative merits of vertical and transverse laparotomy incisions. DESIGN: Review of all published randomised controlled trials that compared the postoperative complications after the two main types of abdominal incisions, vertical and transverse...... postoperative pain and fewer pulmonary complications. Vertical laparotomy, however, is associated with shorter operating time and better possibilities for extension of the incision. The pooled odds ratio for burst abdomen in the vertical incision group was 2.86 (95% confidence interval 1.72 to 4.73, p = 0.......0001), and regarding late incisional hernia the pooled odds ratio was 1.68 (95% confidence interval 1.10 to 2.57. p = 0.02). CONCLUSIONS: Transverse incisions in abdominal surgery are based on better anatomical and physiological principles. They should be recommended, as the early postoperative period is associated...

  9. Incisive canal deflation for correct implant placement: case report. (United States)

    Spin-Neto, Rubens; Bedran, Telma Blanca Lombardo; de Paula, Wagner Nunes; de Freitas, Rubens Moreno; de Oliveira Ramalho, Lizeti Toledo; Marcantonio, Elcio


    This article is a case report of a patient in whom the prosthetic planning indicated the necessity of an incisive canal deflation for the correct installation of an implant that is to be osseointegrated. In the reopening phase after the bone graft installation, the incisive canal deflation (biopsy of its content) was done and titanium implants were installed with one of them invading the anatomical space occupied previously by the incisive canal. The biopsy analysis showed fragments of the incisive artery and nerve, which are responsible for the anterior upper-tooth pulp, the periodontium vascularization and the innervation. From the anastomosis present along with other structures allied with the absence of teeth in the region, there was no detriment to the patient caused by the deflation. Incisive canal deflation is a viable technique in implantology. It can permit ideal prosthetic planning with no detriment to the patient.

  10. Evolution of valley depth and width during base-level fluctuations (United States)

    Strong, N.; Sheets, B.; Kelberer, M.; Kim, W.; Paola, C.


    We use results from an experimental study conducted in the XES subsiding-floor basin at St. Anthony Falls Laboratory to examine changes in valley width and depth during base-level fluctuations. We find that during a slow base level cycle, where the time scale of base level change was greater than the basin's theoretical equilibrium time, no clear incised valley formed, but rather a series of broad erosional surfaces. During rapid base level cycles, where the time scale of base level change was considerably less than the basin equilibrium time, incised valleys formed via a complex, step-like process: autogenic incision interacted with the externally imposed base-level change to produce multiple discrete down-cutting episodes, despite continuous base-level fall. Downstream deposition during the fall helped widen the valley downstream, producing a tapered planform comparable to that found in many natural estuaries. Deposition during the rise produced continued valley widening. Shoreline migration for both cycle frequencies was well predicted by a simple geometric model and showed no tendency to drift out of phase with base level.

  11. Influence of Incision Location on Transmitter Loss, Healing, Incision Lengths, Suture Retention, and Growth of Juvenile Chinook Salmon

    Energy Technology Data Exchange (ETDEWEB)

    Panther, Jennifer L.; Brown, Richard S.; Gaulke, Greggory L.; Woodley, Christa M.; Deters, Katherine A.


    In this study, conducted by Pacific Northwest National Laboratory for the U.S. Army Corps of Engineers, Portland District, we measured differences in survival and growth, incision openness, transmitter loss, wound healing, and erythema among abdominal incisions on the linea alba, lateral and parallel to the linea alba (muscle-cutting), and following the underlying muscle fibers (muscle-sparing). A total of 936 juvenile Chinook salmon were implanted with both Juvenile Salmon Acoustic Tracking System transmitters (0.43 g dry) and passive integrated transponder tags. Fish were held at 12°C (n = 468) or 20°C (n = 468) and examined once weekly over 98 days. We found survival and growth did not differ among incision groups or between temperature treatment groups. Incisions on the linea alba had less openness than muscle-cutting and muscle-sparing incisions during the first 14 days when fish were held at 12°C or 20°C. Transmitter loss was not different among incision locations by day 28 when fish were held at 12°C or 20°C. However, incisions on the linea alba had greater transmitter loss than muscle-cutting and muscle-sparing incisions by day 98 at 12°C. Results for wound closure and erythema differed among temperature groups. Results from our study will be used to improve fish-tagging procedures for future studies using acoustic or radio transmitters.

  12. Assessment of corneal astigmatism following frown and straight incision forms in sutureless manual small incision cataract surgery

    Directory of Open Access Journals (Sweden)

    Amedo AO


    Full Text Available Angela Ofeibea Amedo, Kwadwo Amoah, Nana Yaa Koomson, David Ben Kumah, Eugene Appenteng Osae Department of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Abstract: To investigate which of two tunnel incision forms (frown versus straight in sutureless manual small incision cataract surgery creates more corneal astigmatism. Sixty eyes of 60 patients who had consented to undergo cataract surgery and to partake in this study were followed from baseline through >12-week postoperative period. Values of preoperative and postoperative corneal astigmatism for the 60 eyes, measured with a Bausch and Lomb keratometer, were extracted from the patients’ cataract surgery records. Residual astigmatism was computed as the difference between preoperative and postoperative keratometry readings. Visual acuity was assessed during the preoperative period and at each postoperative visit with a Snellen chart at 6 m. Fifty eyes of 50 patients were successfully followed-up on. Overall, the mean residual astigmatism was 0.75±0.12 diopters. The differences in mean residual astigmatism between the two different incision groups were statistically significant (t [48]=6.33, P<0.05; frown incision group recorded 1.00±0.12 diopters, whereas the straight incision group recorded 0.50±0.12 diopters. No significant difference was observed between male and female groups (t [48]=0.24, P>0.05. Residual corneal astigmatism in the frown incision group was significantly higher than in the straight incision group. Fisher’s exact test did not reveal a significant association between incision forms and visual acuity during the entire postoperative period (P>0.05. Keywords: cataract, residual corneal astigmatism, frown incision, straight incision

  13. Fill tube fitted spheres

    International Nuclear Information System (INIS)

    Ives, B.H.


    The high temperature diffusion technique for fuel filling of some future direct drive cryogenic ICF targets may be unacceptable. The following describes a technique of fitting a 1 mm diameter x 6 μm thick glass microsphere with an approx. 50 μm O.D. glass fill tube. The process of laser drilling a 50 μm diameter hole in the microsphere wall, technique for making the epoxy joint between the sphere and fill tube, as well as the assembly procedure are also discussed

  14. Processes of Terrace Formation on the Piedmont of the Santa Cruz River Valley During Quaternary Time, Green Valley-Tubac Area, Southeastern Arizona (United States)

    Lindsey, David A.; Van Gosen, Bradley S.


    In this report we describe a series of stepped Quaternary terraces on some piedmont tributaries of the Santa Cruz River valley in southeastern Arizona. These terraces began to form in early Pleistocene time, after major basin-and-range faulting ceased, with lateral planation of basin fill and deposition of thin fans of alluvium. At the end of this cycle of erosion and deposition, tributaries of the Santa Cruz River began the process of dissection and terrace formation that continues to the present. Vertical cutting alternated with periods of equilibrium, during which streams cut laterally and left thin deposits of channel fill. The distribution of terraces was mapped and compiled with adjacent mapping to produce a regional picture of piedmont stream history in the middle part of the Santa Cruz River valley. For selected tributaries, the thickness of terrace fill was measured, particle size and lithology of gravel were determined, and sedimentary features were photographed and described. Mapping of terrace stratigraphy revealed that on two tributaries, Madera Canyon Wash and Montosa Canyon Wash, stream piracy has played an important role in piedmont landscape development. On two other tributaries, Cottonwood Canyon Wash and Josephine Canyon Wash, rapid downcutting preempted piracy. Two types of terraces are recognized: erosional and depositional. Gravel in thin erosional terraces has Trask sorting coefficients and sedimentary structures typical of streamflood deposits, replete with bar-and-swale surface topography on young terraces. Erosional-terrace fill represents the channel fill of the stream that cuts the terrace; the thickness of the fill indicates the depth of channel scour. In contrast to erosional terraces, depositional terraces show evidence of repeated deposition and net aggradation, as indicated by their thickness (as much as 20+ m) and weakly bedded structure. Depositional terraces are common below mountain-front canyon mouths where streams drop their

  15. Gas-filled detectors

    International Nuclear Information System (INIS)



    This chapter deals with the nature of the interaction of radiation with gas-filled radiation detectors. A description of the theory of operation of the ionization chamber and Geiger-Mueller counter is included

  16. Filling a Conical Cavity (United States)

    Nye, Kyle; Eslam-Panah, Azar


    Root canal treatment involves the removal of infected tissue inside the tooth's canal system and filling the space with a dense sealing agent to prevent further infection. A good root canal treatment happens when the canals are filled homogeneously and tightly down to the root apex. Such a tooth is able to provide valuable service for an entire lifetime. However, there are some examples of poorly performed root canals where the anterior and posterior routes are not filled completely. Small packets of air can be trapped in narrow access cavities when restoring with resin composites. Such teeth can cause trouble even after many years and lead the conditions like acute bone infection or abscesses. In this study, the filling of dead-end conical cavities with various liquids is reported. The first case studies included conical cavity models with different angles and lengths to visualize the filling process. In this investigation, the rate and completeness at which a variety of liquids fill the cavity were observed to find ideal conditions for the process. Then, a 3D printed model of the scaled representation of a molar with prepared post spaces was used to simulate the root canal treatment. The results of this study can be used to gain a better understanding of the restoration for endodontically treated teeth.

  17. Cyclic steps incised on experimental bedrock (United States)

    Yokokawa, M.; Kyogoku, A.; Kotera, A.; Izumi, N.


    the step shape has been predicted by the mathematical model (Izumi et al., 2012). Among three cases of sediment supply: 1 g/sec, 3 g/sec, and 6 g/sec with fixed water discharge (52 g/sec), the erosion rate was maximized in the cases of the sediment supply of 3 g/sec both in the cement-sand-water ratios of 2:150:50 and 3:150:50. The erosion rate is higher in the case of the moderate amount of sediment supply rather than in the case of the largest amount of sediment supply in which the alluvial cover effect inhibited erosion. This result is consistent with that observed in previous studies (Sklar & Dietrich, 2004; Johnson & Whipple, 2010). References Izumi, N., Yokokawa, M. & Parker G. 2012. Cyclic step morphology formed on bedrock. Annual Journal of Hydraulic Engineering 68(4) : I_955-I_960. Johnson, J.P.L. & Whipple, K.X. 2010. Evaluating the controls of shear stress, sediment supply, alluvial cover, and channel morphology on experimental bedrock incision rate. Journal of Geophysical Research 115, F02018, doi:10.1029/2009JF001335. Sklar, L.S. & Dietrich, W.E. 2004. A mechanistic model for river incision into bedrock by sultating bedload. Water Resources Re-search 40, W06301, doi:10.1029/2003WR002496.

  18. A skin abscess model for teaching incision and drainage procedures. (United States)

    Fitch, Michael T; Manthey, David E; McGinnis, Henderson D; Nicks, Bret A; Pariyadath, Manoj


    Skin and soft tissue infections are increasingly prevalent clinical problems, and it is important for health care practitioners to be well trained in how to treat skin abscesses. A realistic model of abscess incision and drainage will allow trainees to learn and practice this basic physician procedure. We developed a realistic model of skin abscess formation to demonstrate the technique of incision and drainage for educational purposes. The creation of this model is described in detail in this report. This model has been successfully used to develop and disseminate a multimedia video production for teaching this medical procedure. Clinical faculty and resident physicians find this model to be a realistic method for demonstrating abscess incision and drainage. This manuscript provides a detailed description of our model of abscess incision and drainage for medical education. Clinical educators can incorporate this model into skills labs or demonstrations for teaching this basic procedure.

  19. 10Be and 26Al dating of river terraces and quaternary incision rates in the Ardenne massif (eastern Belgium) (United States)

    Rixhon, G.; Braucher, R.; Siame, L.; Bourlès, D.; Demoulin, A.


    Because of the lack of reliable chronological data, the Quaternary evolution of the hydrographic network of the Ardennes (western continuation of the Rhenish shield, western Europe) remains still poorly known. Therefore, we measured the cosmogenic nuclides content (10Be and 26Al) of terrace sediments of Ardennian rivers (Meuse, Ourthe & Amblève) in order to date several terrace levels and to better constrain the Quaternary incision of the network. Though these dating methods are successfully used to determine ages of superficial (e.g., glacial) deposits, dating of fluvial terraces remains difficult. Possible predepositional exposures of the sampled material (inherited 10Be and 26Al) may indeed bias the measurements towards higher nuclide concentrations while several postdepositional processes (burial, erosion) may cause a lowering of the 10Be and 26Al concentrations. In an attempt to overcome these difficulties, the selected fluvial deposits (six locations) were sampled using a profiling technique on as thick as possible sections (more than 3 m). While previous studies assigned an early middle Pleistocene age (around 800 ka) to the main terrace level in the Rhine-Meuse system, our 10Be dates for the same terrace level (according to geometrical correlation) in the Amblève River, a Meuse subtributary, are much younger (upper Pleistocene). To explain this age discrepancy, we suggest that the incision was strongly diachronous from the Meuse valley towards its Ardennian headwaters, as a result of a delayed upstream propagation of the incision wave when it passes tributary junctions.

  20. Morphodynamic Model of Submarine Canyon Incision by Sandblasting (United States)

    Zhang, L.; Parker, G.; Izumi, N.; Cartigny, M.; Li, T.; Wang, G.


    Submarine canyons are carved by turbidity currents under the deep sea. As opposed to subaerial canyons, the relevant processes are not easy to observe directly. Turbidity currents are bottom-hugging sediment gravity flows of that can incise or deposit on the seafloor to create submarine canyons or fans. The triggers of turbidity currents can be storms, edge waves, internal waves, canyon wall sapping, delta failure, breaching and hyperpycnal flows. The formation and evolution mechanisms of submarine canyons are similar to those of subaerial canyons, but have substantial differences. For example, sandblasting, rather than wear due to colliding gravel clasts is more likely to be the mechanism of bedrock incision. Submarine canyons incise downward, and often develop meander bends and levees within the canyon, so defining "fairways". Here we propose a simple model for canyon incision. The starting point of our model is the Macro Roughness Saltation Abrasion Alluviation model of Zhang et al. [2015], designed for bedrock incision by gravel clasts in mixed bedrock-alluvial rivers. We adapt this formulation to consider sandblasting as a means of wear. We use a layer-averaged model for turbidity current dynamics. The current contains a mixture of mud, which helps drive the flow but which does not cause incision, and sand, which is the agent of incision. We show that the model can successfully model channel downcutting, and indeed illustrate the early formation of net incisional cyclic steps, i.e. upstream-migrating undulations on the bed associated with transcritical (in the Froude sense) flow. These steps can be expected to abet the process of incision.

  1. Vertical compared with transverse incisions in abdominal surgery

    DEFF Research Database (Denmark)

    Grantcharov, T P; Rosenberg, J


    . SETTING: Teaching hospital, Denmark. SUBJECTS: Patients undergoing open abdominal operations. INTERVENTIONS: For some of the variables (burst abdomen and incisional hernia) it was considered adequate to include retrospective studies. Studies were identified through Medline, Cochrane library, Embase...... with fewer complications (pain, burst abdomen, and pulmonary morbidity) and there is lower incidence of late incisional hernia after transverse compared with vertical laparotomy. A midline incision is still the incision of choice in conditions that require rapid intra-abdominal entry (such as trauma...

  2. Diathermy versus scalpel incisions for open cholecystectomy comparative study

    International Nuclear Information System (INIS)

    Ali, M.A.; Niazi, W.A.K.


    The aim of the study was to make a comparison between skin incisions made with electrocautery versus scalpel in terms of their safety, efficacy and post-operative complications. Design: A randomized controlled study. Setting: The study was conducted in Combined Military Hospital (CMH) Kharian, Pakistan airforce (PAF) Hospital Sargodha. Duration of Study: May 2008 to August 2011. Patients and Methods: Ninety seven patients who underwent open cholecystectomy were randomly divided into two groups on the basis of the use of electrocautery versus steel scalpel for making skin incision and sub-cutaneous tissue dissection. Parameters recorded were, time taken from skin incision to full incising of the peritoneum, length of the wound, amount of blood loss during this step of surgery in each group. Post-operative pain scoring using visual analogue scale was done. Wound complications such as infection, haematoma/seroma and dehiscence were noted too. One month of follow up was recorded in each group. Subsequently a comparison of these findings was done. Results: Incision time (sec/cm/sub 2/) was longer in scalpel group than in diathermy group (p = 0.001), whereas, incision blood loss (ml/cm/sub 2/) was significantly less in diathermy group than in scalpel group (p = 0.03). There was no difference in post-operative pain perception as delineated by visual pain analogue scoring system between the two groups (p = 0.57). Post-operative wound complications and the final healing of wound at 01 month of follow-up were almost similar in both groups. Conclusion: Electrocautery may be used safely without any untoward complication in making skin incision and sub-cutaneous tissue dissection with an advantage of reduced incision time and and less blood loss. (author)

  3. Ancient buried valleys in the city of Tallinn and adjacent area

    Directory of Open Access Journals (Sweden)

    Vaher, Rein


    Full Text Available The distribution, morphology, fillings, and origin of buried valleys are discussed. The direction of the valleys varies from NW to NE. Within the Viru-Harju Plateau the valleys have a more or less symmetric profile, but asymmetric profiles are dominating in the pre-klint area. They are mainly filled with glacial (till, glaciofluvial (sand, gravel, and pebbles, glacio­lacustrine (varved clay, and marine (fine-grained sand deposits. The Tallinn valley with its tributary valleys (Saku and Sausti and fore-klint branches (Harku, Lilleküla, and Kadriorg looks like a river system. The fore-klint branches extend over 20 km in the Gulf of Finland. They are probably tributaries of the ancient river Pra-Neva. Most likely, the formation of valleys was continuous, starting from pre-Quaternary river erosion, and was sculptured by variable processes during the ice ages and influenced by flowing water during the interglacial periods.

  4. Rectus abdominis atrophy after ventral abdominal incisions: midline versus chevron. (United States)

    Vigneswaran, Y; Poli, E; Talamonti, M S; Haggerty, S P; Linn, J G; Ujiki, M B


    Although many outcomes have been compared between a midline and chevron incision, this is the first study to examine rectus abdominis atrophy after these two types of incisions. Patients undergoing open pancreaticobiliary surgery between 2007 and 2011 at our single institution were included in this study. Rectus abdominis muscle thickness was measured on both preoperative and follow-up computed tomography (CT) scans to calculate percent atrophy of the muscle after surgery. At average follow-up of 24.5 and 19.0 months, respectively, rectus abdominis atrophy was 18.9% greater in the chevron (n = 30) than in the midline (n = 180) group (21.8 vs. 2.9%, p 20% atrophy at follow-up compared with 10% with a midline incision [odds ratio (OR) 9.0, p atrophy of the rectus abdominis compared with midline incisions. The long-term effects of transecting the rectus abdominis and disrupting its innervation creates challenging abdominal wall pathology. Atrophy of the abdominal wall can not be readily fixed with an operation, and this significant side effect of a transverse incision should be factored into the surgeon's decision-making process when choosing a transverse over a midline incision.

  5. Oncoplastic surgery for inner quadrant breast cancer: fish-hook incision rotation flap. (United States)

    Lee, Seokwon; Lee, Jeeyeon; Jung, Younglae; Bae, Youngtae


    In oncoplastic breast surgery, the size and location of the defect are two of the major factors affecting the post-operative cosmetic outcome after partial mastectomy. We introduce a modified superior-based dermoglandular rotation flap technique, which can be applied for relatively large tumours and in cases of inner quadrant defects of the breast without surgery of the contralateral breast. Between January 2007 and December 2012, a total of 34 female patients with breast cancer underwent breast-conserving surgery using the 'fish-hook incision rotational flap'. A fish-hook-shaped skin incision line was designed from an axillary site to the tumour, about 2-3 cm below the skin crease of the inframammary fold. After partial mastectomy, a superior-based dermoglandular tissue flap was mobilized off the pectoralis major muscle and the lower abdominal flap was dissected downward. The dermoglandular flap was then rotated and the lower dissected lower abdominal flap was advanced in the upward direction to fill the defect and restore the breast shape. The cosmetic results were self-estimated 12 months after surgery. Mean excised volume of the breast was 23.2 ± 6.1%. The location of the tumours was as follows: upper inner (n = 13, 38.2%) and lower inner quadrant (n = 21, 61.8%). The overall cosmetic satisfaction was self-estimated as follows: excellent (n = 19, 55.9%); good (n = 10, 29.4%); fair (n = 4, 11.8%); poor (n = 1, 2.9%). The 'fish-hook incision rotation flap' is a feasible, effective oncoplastic technique that can be applicable to a relatively large defect located in the inner quadrant of the breast. © 2015 Royal Australasian College of Surgeons.

  6. Three rockslides shaped the valleys around Sterzing/Vipiteno, Northern Italy (United States)

    Ostermann, Marc; Sanders, Diethard; Rodnight, Helena


    post-rockslide deltaic sands are in process at present. (3) The Stilfes rockslide, in turn, descended into the trunk valley a few kilometres to the south (=downstream) of Sterzing. This rockslide mass has an estimated preserved volume of about 0.32 km3, and covers an area of about 2.1 km2. The rockslide mass consists mainly of calcareous phyllites, phyllites, and marble. The rockslide had dammed up a lake some 15.5 km2 in area that became completely filled, and turned into a swampy area. Pollen analysis of lacustrine sediments by Sarnthein (1946) suggested that lake sedimentation started during the 'first beech-fir-time' (corresponding to the Subboreal 5000-2700 BP, in present terminology). Radiocarbon samples of a layer rich in organic debris intercalated into the lacustrine sediments yield an age of 4405 ± 45 a BP. The longitudinal profiles of the streams draining the tributary Pfitsch and Ridnaun valleys, respectively, are knicked at the rockslide masses. Conversely, the trunk valley with the Stilfes rockslide does not show a knick in longitudinal profile, despite significant aggradation within the former rockslide-dammed lake. At present, the reasons for this are not fully clear to us. Perhaps, in re-grading its profile, the rate of incision by the trunk river (and its capacity for sediment redistribution down stream) were so high that the disturbance of profile exerted by the rockslide mass is already eliminated. In summary, in the investigated area, aside of glacial erosion, the rockslides and their associated geomorphic effects were most significant in shaping the valleys since the last glaciation. Sanders, D., Ostermann, M., Brandner, R., Prager, C., 2010. Meteoric lithification of catastrophic rockslide deposits: diagenesis and significance. Sedimentary Geology 223, 150-161. doi:10.1016/j.sedgeo.2009.11.007 Sarnthein, R. v., 1946: Moor- und Seeablagerungen aus den Tiroler Alpen in ihrer waldgeschichtlichen Bedeutung. Österr. Botan. Zeitschrift, 95, 1, 605

  7. Modelling a real-world buried valley system with vertical non-stationarity using multiple-point statistics

    DEFF Research Database (Denmark)

    He, Xiulan; Sonnenborg, Torben; Jørgensen, Flemming


    -stationary geological system characterized by a network of connected buried valleys that incise deeply into layered Miocene sediments (case study in Denmark). The results show that, based on fragmented information of the formation boundaries, the MPS partition method is able to simulate a non-stationary system...... including valley structures embedded in a layered Miocene sequence in a single run. Besides, statistical information retrieved from the AEM data improved the simulation of the geology significantly, especially for the deep-seated buried valley sediments where borehole information is sparse....

  8. Space-filling Curves

    Indian Academy of Sciences (India)

    mathematics and computer applications for the last 20 years. He has been a National Science. Talent awardee of. NCERT in mathematics. GENERAL I ARTICLE. Space-filling Curves. ReMittal. In this article some Peano curves are exhibited and some of their recent applications are dis- cussed. A C++ program to draw the ...

  9. Gas filled detectors

    International Nuclear Information System (INIS)

    Stephan, C.


    The main types of gas filled nuclear detectors: ionization chambers, proportional counters, parallel-plate avalanche counters (PPAC) and microstrip detectors are described. New devices are shown. A description of the processes involved in such detectors is also given. (K.A.) 123 refs.; 25 figs.; 3 tabs

  10. Haemoragisk Rift Valley Fever

    DEFF Research Database (Denmark)

    Fabiansen, Christian; Thybo, Søren


    A case of fatal hemorrhagic Rift Valley fever during an epidemic in Kenya's North Eastern Province in January 2007 is described.......A case of fatal hemorrhagic Rift Valley fever during an epidemic in Kenya's North Eastern Province in January 2007 is described....

  11. Water resources of Parowan Valley, Iron County, Utah (United States)

    Marston, Thomas M.


    Parowan Valley, in Iron County, Utah, covers about 160 square miles west of the Red Cliffs and includes the towns of Parowan, Paragonah, and Summit. The valley is a structural depression formed by northwest-trending faults and is, essentially, a closed surface-water basin although a small part of the valley at the southwestern end drains into the adjacent Cedar Valley. Groundwater occurs in and has been developed mainly from the unconsolidated basin-fill aquifer. Long-term downward trends in groundwater levels have been documented by the U.S. Geological Survey (USGS) since the mid-1950s. The water resources of Parowan Valley were assessed during 2012 to 2014 with an emphasis on refining the understanding of the groundwater and surface-water systems and updating the groundwater budget.Surface-water discharge of five perennial mountain streams that enter Parowan Valley was measured from 2013 to 2014. The total annual surface-water discharge of the five streams during 2013 to 2014 was about 18,000 acre-feet (acre-ft) compared to the average annual streamflow of about 22,000 acre-ft from USGS streamgages operated on the three largest of these streams from the 1940s to the 1980s. The largest stream, Parowan Creek, contributes more than 50 percent of the annual surface-water discharge to the valley, with smaller amounts contributed by Red, Summit, Little, and Cottonwood Creeks.Average annual recharge to the Parowan Valley groundwater system was estimated to be about 25,000 acre-ft from 1994 to 2013. Nearly all recharge occurs as direct infiltration of snowmelt and rainfall on the Markagunt Plateau east of the valley. Smaller amounts of recharge occur as infiltration of streamflow and unconsumed irrigation water near the east side of the valley on alluvial fans associated with mountain streams at the foot of the Red Cliffs. Subsurface flow from the mountain block to the east of the valley is a significant source of groundwater recharge to the basin-fill aquifer

  12. Effects of two different incision phacoemulsification on corneal astigmatism

    Directory of Open Access Journals (Sweden)

    Lu Huo


    Full Text Available AIM:To compare the effect of different incision in corneal astigmatism after phacoemulsification. METHODS: Totally 88 cases(122 eyeswith pure cataract were randomly divided into two groups. Forty cases(60 eyeswere clarity corneal incision in group A, and 48 cases(62 eyeswere sclera tunnel incision in group B. Mean corneal astigmatism, surgically induced astigmatism(SIA, uncorrected visual acuity(UCVAand best correct vision acuity(BCVAwere observed in pre- and post-operation at 1d; 1wk; 1mo.RESULTS: The mean astigmatism had statistically significant difference between two groups at 1d; 1wk; 1mo after operation(PPP>0.05. UCVA≥0.5 and BCVA≥0.8 had statistically significant difference at 1d; 1wk(PP>0.05.CONCLUSION: Phacoemulsification with scleral tunnel incision remove combined intraocular lens(IOLimplantation has small changes to corneal astigmatism. By selecting personalized corneal incision according to the corneal topography might be more beneficial.

  13. Small incision removal of nylon foil orbital implants. (United States)

    Liu, Catherine Y; Vemuri, Swapna; Tao, Jeremiah P


    To describe a small incision technique for the removal of a nylon foil orbital wall implant. The authors retrospectively reviewed the charts of 9 patients who underwent a minimally invasive anterior orbitotomy for nylon foil explantation. Indications for removal and surgical technique, including size of orbitotomy incision and extent of orbital dissection, were recorded. Motility, globe position, strabismus pre- and post procedure, and complications were also assessed. Photographs, videos, and postoperative imaging were included, when available. The indications for removal were adjacent sinusitis (4 cases), undesirable implant position (3), orbital abscess (1), and adjacent orbital emphysema (1). The removal technique was associated with no changes in motility, globe position, or strabismus postprocedure. The average incision size was 1.1 cm, and the procedure was rapid, usually seconds once the anterior aspect of the implant was exposed and grasped with a hemostat. The dissection in all cases was to the anterior aspect of the implant without a need for deep orbital manipulation. The authors demonstrate through video that the implant folds to exit through a small incision. No adverse events were noted. Nasal endoscopy and radiography demonstrated a fibrous capsule that maintained orbital structure and support. Thin nylon foil implant can be explanted safely and efficiently through a very small incision. The orbit maintains structure and configuration postexplantation in this series.

  14. External defibrillation failure due to antimicrobial incise drape. (United States)

    Barbara, David W; Dietz, Niki M; White, Roger D; Pochettino, Alberto; Nuttall, Gregory A


    Antimicrobial incise drapes adhere to a patient's skin during surgery in an attempt to reduce surgical infections. We describe a patient undergoing repeated aortic valve replacement who experienced sudden ventricular fibrillation before median sternotomy. External defibrillation was unsuccessful on multiple attempts using several defibrillators. On removal of the incise drape from the patient's chest, external defibrillation was immediately successful. Increased transthoracic impedance can be caused by multiple factors and may prevent defibrillation. To our knowledge, this is the first reported case of an antimicrobial incise drape preventing defibrillation. If external defibrillation, cardioversion, or pacing is indicated intraoperatively, we recommend prompt removal of the antimicrobial incise drapes before electrode placement if the drapes overlay the intended pad position. Since this case, our institutional practice has now changed to placement of 2 external adhesive defibrillator electrodes onto the patient's skin lateral to the surgical field before incise drape application to allow for defibrillation. Copyright © 2013 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  15. Latest Pleistocene and Holocene surficial deposits and landforms of Yosemite Valley, California (United States)

    Haddon, E. K.; Stock, G. M.; Booth, D. B.


    Field studies on the surficial geology and geomorphology of Yosemite Valley since the 1870's formed an early basis for our understanding of Quaternary landscape evolution in the central Sierra Nevada. These landmark studies described the erosional origin of Yosemite's iconic scenery, but left details of the latest Pleistocene and Holocene sedimentary record for later investigation. We combined mapping of deposits and landforms with geochronology to reconstruct the geomorphic evolution of Yosemite Valley since the 15 ka retreat of the Last Glacial Maximum (LGM) valley glacier. We document a sustained period of relative landscape stability, characterized by valley-bottom aggradation of glacial till, fluvial sediments, and lacustrine silts, as well as valley-margin accumulation of talus and fan alluvium. Recessional moraines, episodically emplaced rock avalanches, and alluvial fans impeded surface flow and controlled the local base level. This predominantly aggradational regime then shifted to incision in the earliest Holocene, likely due to a diminishing supply of glacial sediment, and created a flight of fluvial terraces inset by up to 9 m. The volume of fringing talus and fan alluvium in comparison with fluvial terrace sequences emphasizes the importance of valley-wall erosion as a sediment source. Cosmogenic 10Be exposure ages from rock avalanche boulders and 14C charcoal ages from deltaic sequences and inset fluvial gravels suggest variable rates of Holocene river incision. Although some incision events likely record local base level changes at the El Capitan LGM recessional moraine, the presence of perched, well-developed outwash terraces downstream indicates a more regional climatic forcing. These findings, including the depositional record of land-use disturbances over the past two centuries, help illuminate the geologic evolution of this celebrated landscape and inform ongoing river-restoration work.

  16. Microstructure Filled Hohlraums

    Energy Technology Data Exchange (ETDEWEB)

    Moore, A. S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Thomas, C. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Reese, T. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)


    We propose replacing the gas fill in a hohlraum with a low average density, variable uniformity 3D printed structure. This creates a bimodal hohlraum which acts like a vacuum hohlraum initially during the picket, but could protect the capsule from glint or direct illumination, and then once expanded, homogenizes to behave like a variable z gas-fill during peak portion of the drive. This is motivated by a two main aims: 1) reduction of the Au bubble velocity to improve inner beam propagation, and 2) the introduction of a low density, high-Z, x-ray converter to improve x-ray production in the hohlraum and uniformity of the radiation field seen by the capsule.

  17. Sharp compared with blunt fascial incision at cesarean delivery

    DEFF Research Database (Denmark)

    Aabakke, Anna J M; Hare, Kristine J; Krebs, Lone


    OBJECTIVE: To compare patient preference for either sharp incision with scissors or blunt manual cleavage of the fascia at cesarean delivery in a randomized controlled trial in which each woman was her own control. STUDY DESIGN: Women undergoing primary cesarean delivery (n=34) were randomized...... to side distribution of sharp or blunt incision of the fascia (sharp right and blunt left or blunt right and sharp left) and followed three months postoperatively. The primary outcome was patient preference for the right or left side of the scar 3 months postoperatively and modeled by polytomous logistic...... difference was found in patient preference with regard to sharp or blunt incision of the fascia, nor was there a significant difference in postoperative pain scores. CLINICAL TRIAL REGISTRATION:;NCT01297725....

  18. The problem of insufficient incisal display: a case presentation. (United States)

    Castillo, Rodrigo


    Enhancement of facial beauty is one of the primary elective goals of patients seeking dental care. Frequently, improvements in natural beauty can be expected to follow restoration of ideal relationships between the denture and the facial soft tissues. A very important feature in a youthful appearance is the incisal tooth display; the amount of maxillary incisal exposure gradually decreases with age, accompanied by a gradual increase in mandibular incisal exposure. However, this problem could be present in young people where the effects of age should not be apparent yet. There are some other factors that could accelerate this process. The present case illustrates the improvement and rejuvenation of an unesthetic young smile through restorative treatment.

  19. Giant Nasolabial Cyst Treated Using Neumann Incision: Case Report

    Directory of Open Access Journals (Sweden)

    Ordones, Alexandre Beraldo


    Full Text Available Introduction: A nasolabial cyst is an ectodermal development cyst. It presents as a fullness of canine fossa, nasal ala, or vestibule of the nose. It is rare and usually small. Treatment consists of complete surgical excision or transnasal endoscopic marsupialization. Objective: To describe a giant nasolabial cyst case treated using Neumann incision. Case Report: A 37-year-old man was referred to the otolaryngology department with nasal obstruction and nasal deformity. Computed tomography showed a nasal cystic lesion 4 × 4.5 × 5 cm wide. Surgical excision using Neumann incision was performed. Discussion: Neumann incision provides wide access to the nasal cavity and may be useful in nasolabial cyst treatment.

  20. Force modeling for incision surgery into tissue with haptic application (United States)

    Kim, Pyunghwa; Kim, Soomin; Choi, Seung-Hyun; Oh, Jong-Seok; Choi, Seung-Bok


    This paper presents a novel force modeling for an incision surgery into tissue and its haptic application for a surgeon. During the robot-assisted incision surgery, it is highly urgent to develop the haptic system for realizing sense of touch in the surgical area because surgeons cannot sense sensations. To achieve this goal, the force modeling related to reaction force of biological tissue is proposed in the perspective on energy. The force model describes reaction force focused on the elastic feature of tissue during the incision surgery. Furthermore, the force is realized using calculated information from the model by haptic device using magnetorheological fluid (MRF). The performance of realized force that is controlled by PID controller with open loop control is evaluated.

  1. Minimizing surgical skin incision scars with a latex surgical glove. (United States)

    Han, So-Eun; Ryoo, Suk-Tae; Lim, So Young; Pyon, Jai-Kyung; Bang, Sa-Ik; Oh, Kap-Sung; Mun, Goo-Hyun


    The current trend in minimally invasive surgery is to make a small surgical incision. However, the excessive tensile stress applied by the retractors to the skin surrounding the incision often results in a long wound healing time and extensive scarring. To minimize these types of wound problems, the authors evaluated a simple and cost-effective method to minimize surgical incision scars based on the use of a latex surgical glove. The tunnel-shaped part of a powder-free latex surgical glove was applied to the incision and the dissection plane. It was fixed to the full layer of the dissection plane with sutures. The glove on the skin surface then was sealed with Ioban (3 M Health Care, St. Paul, MN, USA) to prevent movement. The operation proceeded as usual, with the retractor running through the tunnel of the latex glove. It was possible to complete the operation without any disturbance of the visual field by the surgical glove, and the glove was neither torn nor separated by the retractors. The retractors caused traction and friction during the operation, but the extent of damage to the postoperative skin incision margin was remarkably less than when the operation was performed without a glove. This simple and cost-effective method is based on the use of a latex surgical glove to protect the surgical skin incision site and improve the appearance of the postoperative scar. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors .

  2. Single-incision sling operations for urinary incontinence in women. (United States)

    Nambiar, Arjun; Cody, June D; Jeffery, Stephen T


    Urinary incontinence has been shown to affect up to 50% of women. Studies in the United States have shown that up to 80% of these women have an element of stress urinary incontinence. Colposuspension and now mid-urethral slings have been shown to be effective in treating patients with stress incontinence. However, associated adverse events include bladder and bowel injury, groin pain and haematoma formation. This has led to the development of third-generation single-incision slings, also referred to as mini-slings.It should be noted that TVT-Secur (Gynecare, Bridgewater, NJ, USA) is one type of single-incision sling; it has been withdrawn from the market because of poor results. However, it is one of the most widely studied single-incision slings and was used in several of the trials included in this review. Despite its withdrawal from clinical use, it was decided that data pertaining to this sling should be included in the first iteration of this review, so that level 1a data are available in the literature to confirm its lack of efficacy. To assess the effectiveness of mini-sling procedures in women with urodynamic clinical stress or mixed urinary incontinence in terms of improved continence status, quality of life or adverse events. We searched the Cochrane Incontinence Group Specialised Trials Register, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and MEDLINE in process; we handsearched journals and conference proceedings (searched 6 February 2013) and searched (searched 20 September 2012), the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (searched 20 September 2012) and the reference lists of relevant articles. Randomised or quasi-randomised controlled trials in women with urodynamic stress incontinence, symptoms of stress incontinence or stress-predominant mixed urinary incontinence, in which at least one trial arm involves one of the

  3. Small incision transcutaneous levator aponeurotic repair for blepharoptosis. (United States)

    Baroody, Michael; Holds, John B; Sakamoto, Douglas K; Vick, Valerie L; Hartstein, Morris E


    Patients presenting with blepharoptosis due to disinsertion or thinning of the levator aponeurosis require surgical repair. A minimally invasive approach directed specifically at the levator aponeurotic anatomic defect may provide benefits to the patient. Proposed advantages of a small eyelid incision (8-13 mm) include less local anesthetic and tissue distortion, less ecchymosis and edema, decreased operative times, a shortened recovery period, and improved surgical results. We describe our results with the use of a small incision ptosis repair in select patients. A retrospective chart review between January 2000 and September 2001 included 91 patients and 118 eyelids with blepharoptosis due to aponeurotic disinsertion, corrected by a minimally invasive approach. The small incision technique comprised levator aponeurotic resection and advancement. Pre- and postoperative upper eyelid marginal reflex distances (MRD1), eyelid contour, need for reoperation, and complications (overcorrection, undercorrection, hematoma, and infection) were recorded. The average preoperative MRD1 measured 0.5 +/- 1.1 mm, with a range of -2.0 to 2.5 mm. The average postoperative MRD1 measured 2.6 +/- 0.8 mm, with a range of 1 to 5.5 mm (P < 0.0001). Of the 118 eyelids corrected by a small incision technique, there were 4 overcorrections, 3 undercorrections, 1 failure, 1 postoperative ptosis procedure of the contralateral upper eyelid secondary to Hering's law ptosis, and 4 patients requesting surgical treatment of dermatochalasis. No symptomatic dry eye, exposure keratopathy, or other complication resulted in association with the overcorrections. No contour abnormalities, infections, hematomas, or other complications were noted. Our experience suggests that utilization of a small skin incision is safe, precise, and efficient and allows for more rapid recovery from surgery. The authors note a decreased incidence of reoperation and postoperative complaints compared with historical larger-incision

  4. Better outcome from arthroscopic partial meniscectomy than skin incisions only?

    DEFF Research Database (Denmark)

    Roos, Ewa M; Hare, Kristoffer Borbjerg; Nielsen, Sabrina Mai


    . In total, nine participants experienced 11 adverse events; six in the surgery group and three in the skin-incisions-only group. CONCLUSION: We found greater improvement from arthroscopic partial meniscectomy compared with skin incisions only at 2 years, with the statistical uncertainty of the between......-group difference including what could be considered clinically relevant. Because of the study being underpowered, nearly half in the sham group being non-blinded and one-third crossing over to surgery, the results cannot be generalised to the greater patient population. TRIAL REGISTRATION NUMBER: NCT01264991....

  5. Ultrasonic diagnosis and transurethral incision of ureterocele with hydronephrosis

    DEFF Research Database (Denmark)

    Waaddegaard, P; Miskowiak, J; Stage, P


    In a 65-year-old woman with right-sided loin pain, ultrasonography revealed a grossly dilated and obstructed right pyelogram due to a 50-mm ureterocele. After transurethral lateral incision of the ureterocele, there was complete recovery without vesicoureteric reflux. Ultrasonography is advantage......In a 65-year-old woman with right-sided loin pain, ultrasonography revealed a grossly dilated and obstructed right pyelogram due to a 50-mm ureterocele. After transurethral lateral incision of the ureterocele, there was complete recovery without vesicoureteric reflux. Ultrasonography...

  6. Meta-analysis of the effectiveness of surgical scalpel or diathermy in making abdominal skin incisions.

    LENUS (Irish Health Repository)

    Ahmad, Nasir Zaheer


    BACKGROUND: Surgical scalpels are traditionally used to make skin incisions. Diathermy incisions on contrary are less popular among the surgeons. The aim of this meta-analysis was to compare the effectiveness of both techniques and address the common fallacies about diathermy incisions. METHODS: A literature search of MEDLINE and Cochrane databases was done, using the keywords diathermy, cold scalpel, and incisions. Eleven clinical trials comparing both methods of making skin incisions were selected for meta-analysis. The end points compared included postoperative wound infection, pain in first 24 hours after surgery, time taken to complete the incisions, and incision-related blood loss. RESULTS: Postoperative wound infection rate was comparable in both techniques (P = 0.147, odds ratio = 1.257 and 95% CI = 0.923-1.711). Postoperative pain was significantly less with diathermy incisions in first 24 hours (P = 0.031, weighted mean difference = 0.852 and 95% CI = 0.076-1.628). Similarly, the time taken to complete the incision and incision-related blood loss was significantly less with diathermy incisions (95% CI = 0.245-0.502 and 0.548-1.020, respectively). CONCLUSION: Diathermy incisions are equally prone to get wound infection, as do the incisions made with scalpel. Furthermore, lower incidence of early postoperative pain, swiftness of the technique, and a reduced blood loss are the encouraging facts supporting routine use of diathermy for abdominal skin incisions after taking careful precautions.

  7. Geologic map of the upper Arkansas River valley region, north-central Colorado (United States)

    Kellogg, Karl S.; Shroba, Ralph R.; Ruleman, Chester A.; Bohannon, Robert G.; McIntosh, William C.; Premo, Wayne R.; Cosca, Michael A.; Moscati, Richard J.; Brandt, Theodore R.


    This 1:50,000-scale U.S. Geological Survey geologic map represents a compilation of the most recent geologic studies of the upper Arkansas River valley between Leadville and Salida, Colorado. The valley is structurally controlled by an extensional fault system that forms part of the prominent northern Rio Grande rift, an intra-continental region of crustal extension. This report also incorporates new detailed geologic mapping of previously poorly understood areas within the map area and reinterprets previously studied areas. The mapped region extends into the Proterozoic metamorphic and intrusive rocks in the Sawatch Range west of the valley and the Mosquito Range to the east. Paleozoic rocks are preserved along the crest of the Mosquito Range, but most of them have been eroded from the Sawatch Range. Numerous new isotopic ages better constrain the timing of both Proterozoic intrusive events, Late Cretaceous to early Tertiary intrusive events, and Eocene and Miocene volcanic episodes, including widespread ignimbrite eruptions. The uranium-lead ages document extensive about 1,440-million years (Ma) granitic plutonism mostly north of Buena Vista that produced batholiths that intruded an older suite of about 1,760-Ma metamorphic rocks and about 1,700-Ma plutonic rocks. As a result of extension during the Neogene and possibly latest Paleogene, the graben underlying the valley is filled with thick basin-fill deposits (Dry Union Formation and older sediments), which occupy two sub-basins separated by a bedrock high near the town of Granite. The Dry Union Formation has undergone deep erosion since the late Miocene or early Pliocene. During the Pleistocene, ongoing steam incision by the Arkansas River and its major tributaries has been interrupted by periodic aggradation. From Leadville south to Salida as many as seven mapped alluvial depositional units, which range in age from early to late Pleistocene, record periodic aggradational events along these streams that are

  8. Geothermal hydrology of Warner Valley, Oregon: a reconnaissance study

    Energy Technology Data Exchange (ETDEWEB)

    Sammel, E.A.; Craig, R.W.


    Warner Valley and its southern extension, Coleman Valley, are two of several high-desert valleys in the Basin and Range province of south-central Oregon that contain thermal waters. At least 20 thermal springs, defined as having temperatures of 20/sup 0/C or more, issue from Tertiary basaltic flows and tuffs in and near the valleys. Many shallow wells also produce thermal waters. The highest measured temperature is 127/sup 0/C, reported from a well known as Crump geyser, at a depth of 200 meters. The hottest spring, located near Crump geyser, has a surface temperature of 78/sup 0/C. The occurrence of these thermal waters is closely related to faults and fault intersections in the graben and horst structure of the valleys. Chemical analyses show that the thermal waters are of two types: sodium chloride and sodium bicarbonate waters. Chemical indicators show that the geothermal system is a hot-water rather than a vapor-dominated system. Conductive heat flow in areas of the valley unaffected by hydrothermal convection is probably about 75 milliwatts per square meter. The normal thermal gradient in valley-fill dpeosits in these areas may be about 40/sup 0/C per kilometer. Geothermometers and mixing models indicate that temperatures of equilibration are at least 170/sup 0/C for the thermal components of the hotter waters. The size and location of geothermal reservoirs are unknown.

  9. Benign gastric filling defect

    Energy Technology Data Exchange (ETDEWEB)

    Oh, K. K.; Lee, Y. H.; Cho, O. K.; Park, C. Y. [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    The gastric lesion is a common source of complaints to Orientals, however, evaluation of gastric symptoms and laboratory examination offer little specific aid in the diagnosis of gastric diseases. Thus roentgenography of gastrointestinal tract is one of the most reliable method for detail diagnosis. On double contract study of stomach, gastric filling defect is mostly caused by malignant gastric cancer, however, other benign lesions can cause similar pictures which can be successfully treated by surgery. 66 cases of benign causes of gastric filling defect were analyzed at this point of view, which was verified pathologically by endoscope or surgery during recent 7 years in Yensei University College of Medicine, Severance Hospital. The characteristic radiological picture of each disease was discussed for precise radiologic diagnosis. 1. Of total 66 cases, there were 52 cases of benign gastric tumor 10 cases of gastric varices, 5 cases of gastric bezoar, 5 cases of corrosive gastritis, 3 cases of granulomatous disease and one case of gastric hematoma. 2. The most frequent causes of benign tumors were adenomatous polyp (35/42) and the next was leiomyoma (4/42). Others were one of case of carcinoid, neurofibroma and cyst. 3. Characteristic of benign adenomatous polyp were relatively small in size, smooth surface and were observed that large size, benign polyp was frequently type IV lesion with a stalk. 4. Submucosal tumors such as leiomyoma needed differential diagnosis with polypoid malignant cancer. However, the characteristic points of differentiation was well circumscribed smooth margined filling defect without definite mucosal destruction on surface. 5. Gastric varices showed multiple lobulated filling defected especially on gastric fundus that changed its size and shape by respiration and posture of patients. Same varices lesions on esophagus and history of liver disease were helpful for easier diagnosis. 6. Gastric bezoar showed well defined movable mass

  10. Benign gastric filling defect

    International Nuclear Information System (INIS)

    Oh, K. K.; Lee, Y. H.; Cho, O. K.; Park, C. Y.


    The gastric lesion is a common source of complaints to Orientals, however, evaluation of gastric symptoms and laboratory examination offer little specific aid in the diagnosis of gastric diseases. Thus roentgenography of gastrointestinal tract is one of the most reliable method for detail diagnosis. On double contract study of stomach, gastric filling defect is mostly caused by malignant gastric cancer, however, other benign lesions can cause similar pictures which can be successfully treated by surgery. 66 cases of benign causes of gastric filling defect were analyzed at this point of view, which was verified pathologically by endoscope or surgery during recent 7 years in Yensei University College of Medicine, Severance Hospital. The characteristic radiological picture of each disease was discussed for precise radiologic diagnosis. 1. Of total 66 cases, there were 52 cases of benign gastric tumor 10 cases of gastric varices, 5 cases of gastric bezoar, 5 cases of corrosive gastritis, 3 cases of granulomatous disease and one case of gastric hematoma. 2. The most frequent causes of benign tumors were adenomatous polyp (35/42) and the next was leiomyoma (4/42). Others were one of case of carcinoid, neurofibroma and cyst. 3. Characteristic of benign adenomatous polyp were relatively small in size, smooth surface and were observed that large size, benign polyp was frequently type IV lesion with a stalk. 4. Submucosal tumors such as leiomyoma needed differential diagnosis with polypoid malignant cancer. However, the characteristic points of differentiation was well circumscribed smooth margined filling defect without definite mucosal destruction on surface. 5. Gastric varices showed multiple lobulated filling defected especially on gastric fundus that changed its size and shape by respiration and posture of patients. Same varices lesions on esophagus and history of liver disease were helpful for easier diagnosis. 6. Gastric bezoar showed well defined movable mass

  11. Filled/Eroded Craters (United States)


    14 October 2005 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows rugged terrain in northern Arabia Terra. The circular features are the remains of old meteor impact craters -- either the eroded remnants of the interiors of craters, or the remains of craters that were filled by layered material. The martian bedrock has craters of all sizes and states of erosion interbedded with its layered materials. Location near: 31.4oN, 299.0oW Image width: width: 3 km (1.9 mi) Illumination from: lower left Season: Northern Winter

  12. Incised plate urethroplasty in perineal and perineo-scrotal ...

    African Journals Online (AJOL)

    Objective: The ideal replacement of the urethra is the urethra itself. However, when the urethra is not available, flaps or tubes are used as substitutes in hypospadias repair. The urethral plate, when preserved, is an excellent tool for tubularization and urethral reconstruction. Tubularized incise plate (TIP) repair has become ...

  13. Versatility of tubularized incised plate urethroplasty in the ...

    African Journals Online (AJOL)

    Background: The outcomes of urethroplasty in the management of different types of hypospadias have continued to improve since the introduction of the tubularized incised plate (TIP) urethroplasty (Snodgrass method). The aim of this study was to evaluate the feasibility and applicability of TIP urethroplasty in the ...

  14. Feasibility of a tubularised incised-plate urethroplasty with double ...

    African Journals Online (AJOL)

    Background: Reoperation for failed hypospadias has been considered to be seriously problematic. The dense fibrotic tissue causes difficulties in wound healing and increases the rate of complications. The tubularised incised-plate urethroplasty (TIPU) method has become a preferred method for all varieties of hypospadias ...

  15. Tubularized Incised Plate (TIP) Urethroplasty: Extended Use in ...

    African Journals Online (AJOL)

    Objective: Recently, tubularized incised plate (TIP) urethroplasty (Snodgrass repair) has gained popularity for the primary repair of distal and proximal hypospadias. This study was carried out to evaluate TIP urethroplasty in the repair of failed and complicated hypospadias cases. Patients and Methods: This study was ...

  16. Combined use of Mathieu and incised plate technique (Snodgrass ...

    African Journals Online (AJOL)

    Objectives: To evaluate the results and complications after combined use of Mathieu and incised plate technique for management of distal hypospadias in older children. Patients and methods: A total of 33 patients with primary distal penile hypospadias were operated upon using the Mathieu technique combined with deep ...

  17. Tubularized incised plate urethroplasty repair in adult hypospadias ...

    African Journals Online (AJOL)

    Objective: Most studies published in the literature report on the results of tubularized incised plate urethroplasty (TIPU) for hypospadias repair in children. Hence, the objective of this study was to evaluate the results of TIPU repair in adults. Patients and methods: The records of 60 adult patients with primary hypospadias ...

  18. Incised plate urethroplasty in perineal and perineo-scrotal ...

    African Journals Online (AJOL)

    A. Bhat

    Abstract. Objective: The ideal replacement of the urethra is the urethra itself. However, when the urethra is not available, flaps or tubes are used as substitutes in hypospadias repair. The urethral plate, when preserved, is an excellent tool for tubularization and urethral reconstruction. Tubularized incise plate (TIP) repair.

  19. Tubularized incised plate technique for recurrent hypospadias: a ...

    African Journals Online (AJOL)

    Annals of Pediatric Surgery 2012, 8:80–85. Keywords: recurrent hypospadias, salvage hypospadias, tubularized incised plate. aDepartment of Surgery, Division of Pediatric and Plastic Surgery, Faculty of. Medicine, Suez Canal University, Ismailia and bDepartment of Surgery, Faculty of. Medicine, Menoufia University ...

  20. a comparative study between manual small incision cataract surgery ...

    African Journals Online (AJOL)

    ... October 2012 to October 2014 for cataract surgery were followed up for 6 weeks after surgery. They were divided into two groups based on the type of surgical procedure opted by the patients. Group A consisted of 50 patients who underwent Manual Small Incision Cataract. Surgery with rigid Polymethyl Methacrylate IOL ...

  1. Anastomosis Procedure through an Inguinal Hernia Incision in ...

    African Journals Online (AJOL)

    was laparoscopically transected by a stapler. A 4 cm skin incision was then made in the left inguinal region and carried down to the peritoneum through the hernia sac [Figure 1]. Bowel resection was performed extracorporeally, and an anvil was placed at the proximal end of the colon, over a purse-string suture. [Figure 2].

  2. rubularised Incised Plate Hypospadias Urethroplasty In A Regional ...

    African Journals Online (AJOL)

    1t the Coast Province General Hospital in Mombasa. Xenya and in some private hospitals, nearby. junction. Artificial erection test is done to check for residual chordee20. Residual penile curvature is corrected by dorsal tunica albuginea plication8. - The glans wings are mobilized laterally. A midline relaxing incision is made ...

  3. Treatment of pharyngocutaneous fistula acquired from incisions and ...

    African Journals Online (AJOL)

    Treatment of pharyngocutaneous fistula acquired from incisions and drainage of deep neck space abscess in a patient with occult third branchial anomaly. ... We did surgical exploration to excise and close the fistula but only succeeded at the second attempt. Conclusion: We conclude that branchial apparatus anomaly ...

  4. Single-incision laparoscopic surgery for pyloric stenosis. (United States)

    Kozlov, Yury; Novogilov, Vladimir; Podkamenev, Alexey; Rasputin, Andrey; Weber, Irina; Solovjev, Alexey; Yurkov, Pavel


    Laparoscopy is the most common procedure for correction of congenital pyloric stenosis. The standard laparoscopic approach is based on the three-port technique. In contrast to the standard laparoscopic technique, the single-incision laparoscopic surgery (SILS) requires only one incision. We report on our experience with this surgical approach. Between September 2009 and August 2010 a total of 24 children underwent a laparoscopic pyloromyotomy, 12 in SILS technique. The single incision was carried through the center of the umbilicus. The working instruments were introduced in a two-dimensional direction into the peritoneal cavity via the same umbilical incision. The two groups were compared for patients' demographics, operative report and early postoperative outcomes. All SILS procedures were performed successfully with no conversion rate. There were no differences in the preoperative parameters between the two groups regarding age before surgery and body weight at operation. Operative time and time of full enteral intake was similar to comparable procedures with usage of a standard laparoscopic approach. There were no operative or postoperative complications. The early experience described in this study confirms that SILS can be applied for treatment of pyloric stenosis with outcomes similar to the standard laparoscopic surgery.

  5. Better outcome from arthroscopic partial meniscectomy than skin incisions only?

    DEFF Research Database (Denmark)

    Roos, Ewa M; Hare, Kristoffer Borbjerg; Nielsen, Sabrina Mai


    OBJECTIVE: Compare arthroscopic partial meniscectomy to a true sham intervention. METHODS: Sham-controlled superiority trial performed in three county hospitals in Denmark comparing arthroscopic partial meniscectomy to skin incisions only in patients aged 35-55 years with persistent knee pain and...

  6. Feasibility of reduced port surgery applying Higuchi's transverse incision

    Directory of Open Access Journals (Sweden)

    Kazu Ueda


    Conclusion: We reported novel forms of reduced port surgery applying Higuchi's transverse incision. It was suggested that these procedures are relatively simple, but ensure the same safety and efficacy as conventional methods. We intend to increase the number of cases and examine safety, efficacy, and patient satisfaction for these procedures.

  7. Short communication Combined use of Mathieu and incised plate ...

    African Journals Online (AJOL)

    Objectives: To evaluate the results and complications after combined use of Mathieu and incised plate technique for management of distal hypospadias in older children. Patients and methods: A total of 33 patients with primary distal penile hypospadias were operated upon using the Mathieu technique combined with deep ...

  8. Topical‑intracameral anesthesia in manual small incision cataract ...

    African Journals Online (AJOL)

    Background: Cataract remains a leading cause of blindness worldwide. Manual small incision cataract surgery (MSICS) is currently practiced as the technique of choice in Sub‑Saharan Africa to reduce the backlog of cataract blindness. Optimal pain control during surgery remains a challenge to cataract surgeons. Aim: To ...

  9. Visual Outcome after Small Incision Cataract Surgery in ...

    African Journals Online (AJOL)

    Objective: The aim of this study was to determine the visual outcome of patients who had manual small incision cataract surgery in a high volume secondary eye hospital in southwestern Nigeria, and to identify reasons for poor outcome. Methodology: This is an observational descriptive, longitudinal study of consecutive ...

  10. Ankle fusion using a 2-incision, 3-screw technique

    NARCIS (Netherlands)

    Hendrickx, R. P. M.; Kerkhoffs, G. M. M. J.; Stufkens, S. A. S.; van Dijk, C. N.; Marti, R. K.


    Reliable fusion and optimal correction of the alignment of the ankle joint using a 2-incision, 3-screw technique. Symptomatic osteoarthritis of the ankle joint after insufficient other treatment, severe deformity of the osteoarthritic ankle joint, or salvation procedure after failed arthroplasty.


    Directory of Open Access Journals (Sweden)

    Galina G. Dimitrova


    Full Text Available Purpose: To evaluate the role of conjunctival incision in medial rectus muscle recessions as surgical treatment of choice in esotropia. Methods: The study included 200 patients (370 eyes, operated on for esotropia in the period of 2000-2014. 170 of them (340 eyes underwent bilateral medial rectus muscle recessions and 30- unilateral medial rectus muscle recession for various forms of alternating/alternated esotropia. We compared the effect (Δ/mm recession of fornix and limbal approach. Diagnostic, surgical and statistical methods were used. Results: Limbal incision was performed on 110 patients (55,3% and fornix approach was done in 89 cases (44,7%. The mean effect corrected prism diopters for each mm of recession (Δ/mm differed significantly in the two groups, being bigger in cases with fornix incision (p<0,001 . Conclusion: The type of conjunctival incision in medial rectus muscle recessions have an influence not only on the cosmetic appearance, but also on the functional result. This is especially true for large recessions.

  12. Bedrock river networks of the Sierra Nevada, USA record westward tilting, large-scale drainage area loss, and distinct patterns and causes of stream incision between the northern and southern Sierra (United States)

    Beeson, H. W.; McCoy, S. W.


    incised valleys in the northern Sierra does not require a recent increase in uplift, but rather could largely reflect the reestablishment of a fluvial network after mid-late Miocene volcanism filled and smoothed preexisting topography. In contrast, it appears that the southern Sierras are responding to a pulse of localized rapid uplift.

  13. Fluid Dynamics of Bottle Filling (United States)

    McGough, Patrick; Gao, Haijing; Appathurai, Santosh; Basaran, Osman


    Filling of bottles is a widely practiced operation in a large number of industries. Well known examples include filling of ``large'' bottles with shampoos and cleaners in the household products and beauty care industries and filling of ``small'' bottles in the pharmaceutical industry. Some bottle filling operations have recently drawn much attention from the fluid mechanics community because of the occurrence of a multitude of complex flow regimes, transitions, and instabilities such as mounding and coiling that occur as a bottle is filled with a fluid. In this talk, we present a primarily computational study of the fluid dynamical challenges that can arise during the rapid filling of bottles. Given the diversity of fluids used in filling applications, we consider four representative classes of fluids that exhibit Newtonian, shear-thinning, viscoelastic, and yield-stress rheologies. The equations governing the dynamics of bottle filling are solved either in their full 3D but axisymmetric form or using the slender-jet approximation.

  14. Incisional hernia after upper abdominal surgery: A randomised controlled trial of midline versus transverse incision

    NARCIS (Netherlands)

    J.A. Halm (Jens); H. Lip (Harm); P.I.M. Schmitz (Paul); J. Jeekel (Hans)


    textabstractObjectives: To determine whether a transverse incision is an alternative to a midline incision in terms of incisional hernia incidence, surgical site infection, postoperative pain, hospital stay and cosmetics in cholecystectomy. Summary background data: Incisional hernias after midline

  15. Preparing for faster filling

    CERN Multimedia

    CERN Bulletin


    Following the programmed technical stop last week, operators focussed on preparing the machine for faster filling, which includes multibunch injection and a faster pre-cycle phase.   The LHC1 screen shot during the first multibunch injection operation. The LHC operational schedule incorporates a technical stop for preventive maintenance roughly every six weeks of stable operation, during which several interventions on the various machines are carried out. Last week these included the replacement of a faulty magnet in the SPS pre-accelerator, which required the subsequent re-setting of the system of particle extraction and transfer to the LHC. At the end of last week, all the machines were handed back for operation and work could start on accommodating all the changes made into the complex systems in order for normal operation to be resumed. These ‘recovery’ operations continued through the weekend and into this week. At the beginning of this week, operators succeeded in pro...

  16. Quaternary river incision in the uplifted Rhenish massif (Ardennes, Belgium) - Insights from 10Be/26Al dating of river terraces (United States)

    Rixhon, Gilles; Bourlès, Didier; Braucher, Régis; Siame, Lionel; Bovy, Benoît.; Demoulin, Alain


    Although it constitutes the main tool to unravel the regional recent tectonics, the chronology of the Pleistocene river incision is still poorly constrained within the uplifted Rhenish-Ardennes massif (Belgium, western Europe). Here, we measure cosmogenic nuclides concentrations (10Be and 26Al) in terrace quartz or quartzite sediments of several Ardennian rivers (Meuse, Ourthe and Amblève) in order to date the so-called Younger Main Terrace (YMT), a key-level in the network evolution. Though these dating methods are successfully used to determine ages of superficial (e.g., glacial) deposits, dating of fluvial terraces remains difficult. Possible predepositional exposures of the sampled material (inherited 10Be and 26Al) may indeed bias the measurements towards higher nuclide concentrations while several postdepositional processes (burial, erosion) may cause a lowering of the 10Be and 26Al concentrations. In an attempt to overcome these difficulties, the selected fluvial deposits (five locations) were sampled using a profiling technique on as thick as possible sections (more than 3 m). We present the first absolute dating of the YMT in the lower Meuse valley (nearby the Dutch boundary), where we obtained an age of 630 ka for a terrace deposit buried beneath 3 m of Weichselian loess. This age is consistent with some previously published estimates based on paleomagnetic data and MIS correlations. However, our ages for the same terrace level within the Ardennes are significantly younger: >400 ka in the lower Ourthe, and only ~220 ka still farther upstream, in the lower Amblève. We thus demonstrate that the post-YMT incision occurred diachronically in NE Ardennes. The ~0.5 Ma timespan needed by the erosion wave to propagate from the lower Meuse towards the Ardennian headwaters contradicts the long-held statement of a climatically driven incision that would have been synchronous throughout the catchment.

  17. Bulk-Fill Resin Composites

    DEFF Research Database (Denmark)

    Benetti, Ana Raquel; Havndrup-Pedersen, Cæcilie; Honoré, Daniel


    the restorative procedure. The aim of this study, therefore, was to compare the depth of cure, polymerization contraction, and gap formation in bulk-fill resin composites with those of a conventional resin composite. To achieve this, the depth of cure was assessed in accordance with the International Organization...... for Standardization 4049 standard, and the polymerization contraction was determined using the bonded-disc method. The gap formation was measured at the dentin margin of Class II cavities. Five bulk-fill resin composites were investigated: two high-viscosity (Tetric EvoCeram Bulk Fill, SonicFill) and three low......-viscosity (x-tra base, Venus Bulk Fill, SDR) materials. Compared with the conventional resin composite, the high-viscosity bulk-fill materials exhibited only a small increase (but significant for Tetric EvoCeram Bulk Fill) in depth of cure and polymerization contraction, whereas the low-viscosity bulk...

  18. Hydrogeologic and geochemical characterization of groundwater resources in Deep Creek Valley and adjacent areas, Juab and Tooele Counties, Utah, and Elko and White Pine Counties, Nevada (United States)

    Gardner, Philip M.; Masbruch, Melissa D.


    The water resources of Deep Creek Valley were assessed during 2012–13 with an emphasis on better understanding the groundwater flow system and groundwater budget. Surface-water resources are limited in Deep Creek Valley and are generally used for agriculture. Groundwater is the predominant water source for most other uses and to supplement irrigation. Most groundwater withdrawal in Deep Creek Valley occurs from the unconsolidated basin-fill deposits, in which conditions are generally unconfined near the mountain front and confined in the lower-altitude parts of the valley. Productive aquifers are also present in fractured bedrock that occurs along the valley margins and beneath the basin-fill deposits. The consolidated-rock and basin-fill aquifers are hydraulically connected in many areas with much of the recharge occurring in the consolidated-rock mountain blocks and most of the discharge occurring from the lower-altitude basin-fill deposits.

  19. Functional and aesthetic results of various lip-splitting incisions: A clinical analysis of 60 cases. (United States)

    Rapidis, A D; Valsamis, S; Anterriotis, D A; Skouteris, C A


    This study retrospectively evaluated the functional and aesthetic results of various types of lip-splitting incisions in a group of patients in whom this approach was used to treat intraoral tumors. Between 1992 and 1998, 87 consecutive patients were subjected to either mandibulotomy or mandibulectomy using a lip-splitting incision. During this period, 4 types of incisions were sequentially used: straight midline incision, lateral lip-splitting incision, midline splitting with extension around the contour of the chin, and the chevron chin-contour incision. Sixty patients with a follow-up of at least 6 months were included in the study. The patients were asked to answer a questionnaire regarding the degree of satisfaction with the cosmetic result of the procedure and were clinically assessed for sensory and functional impairment resulting from the incision. The remaining 27 patients were lost to follow-up or had died of their disease. The lateral lip-splitting incision caused the fewest postoperative problems in patients subjected to either mandibulotomy or mandibulectomy. The best overall results were achieved by the chevron-chin contour incision. The incision that followed the contour of the chin and the straight midline incision showed less satisfactory results. The chevron chin-contour incision, along with meticulous soft tissue closure, produces the best aesthetic and functional results. Copyright 2001 American Association of Oral and Maxillofacial Surgeons

  20. Processes of arroyo filling in northern New Mexico, USA (United States)

    Friedman, Jonathan M.; Vincent, Kirk R.; Griffin, Eleanor R.; Scott, Michael L.; Shafroth, Patrick B.; Auble, Gregor T.


    We documented arroyo evolution at the tree, trench, and arroyo scales along the lower Rio Puerco and Chaco Wash in northern New Mexico, USA. We excavated 29 buried living woody plants and used burial signatures in their annual rings to date stratigraphy in four trenches across the arroyos. Then, we reconstructed the history of arroyo evolution by combining trench data with arroyo-scale information from aerial imagery, light detection and ranging (LiDAR), longitudinal profiles, and repeat surveys of cross sections. Burial signatures in annual rings of salt cedar and willow dated sedimentary beds greater than 30 cm thick with annual precision. Along both arroyos, incision occurred until the 1930s in association with extreme high flows, and subsequent filling involved vegetation development, channel narrowing, increased sinuosity, and finally vertical aggradation. A strongly depositional sediment transport regime interacted with floodplain shrubs to produce a characteristic narrow, trapezoidal channel. The 55 km study reach along the Rio Puerco demonstrated upstream progression of arroyo widening and filling, but not of arroyo incision, channel narrowing, or floodplain vegetation development. We conclude that the occurrence of upstream progression within large basins like the Rio Puerco makes precise synchrony across basins impossible. Arroyo wall retreat is now mostly limited to locations where meanders impinge on the arroyo wall, forming hairpin bends, for which entry to and exit from the wall are stationary. Average annual sediment storage within the Rio Puerco study reach between 1955 and 2005 was 4.8 × 105 t/yr, 16% of the average annual suspended sediment yield, and 24% of the long-term bedrock denudation rate. At this rate, the arroyo would fill in 310 yr.

  1. Geologic features of the Connecticut Valley, Massachusetts, as related to recent floods (United States)

    Jahns, Richard Henry


    This report gives the results of a geologic study of certain features that bear upon the recent flood behavior of rivers flowing in the Massachusetts part of the Connecticut Valley. It is in part an outline of the physiographic history of the Connecticut River, a 'history that is treated in progressively greater detail as it concerns events occurring from Mesozoic time to the present, and in part a discussion of erosional and depositional processes associated with the extraordinary floods of March 1936 and September 1938. The Connecticut River flows southward through Massachusetts in a broad lowland area of more than 400 square miles and is joined in this area by four large tributaries, the Deerfield and Westfield Rivers from the west and the Millers and Chicopee Rivers from the east. The lowland area, or :Connecticut Valley province, is flanked on the west by the Berkshire Hills, a, deeply incised uplifted plateau, and on the east by the central upland, or Worcester .County plateau, a lower upland marked by rolling topography. Most of the broad, relatively flat valley floor is underlain by Triassic sedimentary rocks. Rising above it, however, are the prominent Holyoke-Mount Tom and Deerfield Ranges, which consist in large part of dark-colored igneous rocks, also of Triassic age. There is evidence of several cycles of erosion in central western Massachusetts, the last two of which are of Tertiary age and appear to have reached nature and very youthful stages of topographic development, respectively. Immediately prior to the glacial epoch, therefore, the Connecticut River flowed in a fairly narrow, deep gorge, which it had incised in the rather flat 5ottom of the valley that it had formed at an earlier stage. A Pleistocene crustal subsidence probably of several hundred feet, for which there has been only partial compensation in postglacial time, was responsible for the present position of much of this gorge below sea level. That an estuary does not now occupy the

  2. Robot-assisted submandibular gland excision via modified facelift incision


    Jung, Seung Wook; Kim, Young Kwan; Cha, Yong Hoon; Koh, Yoon Woo; Nam, Woong


    Background The conventional transcervical resection for submandibular gland disease has some risks and an unsatisfactory cosmetic result. Recently, robot-assisted surgery has been developed as a plausible substitute for conventional surgery which provides an excellent cosmetic outcome. Case presentation The authors performed robot-assisted sialadenectomy via modified facelift incision using the da Vinci Xi surgical system (Intuitive Surgical Inc., CA, USA) with two endowrist arms (monopolar c...

  3. Rehabilitation of anterior teeth with customised incisal guide table. (United States)

    Mall, Priyanka; Singh, Kamleshwar; Rao, Jitendra; Kumar, Lakshya


    Restoration of anterior guidance is a major challenge to the clinician in planning of all restorative treatments. An accurate anterior guidance is important for proper function, aesthetics, comfort and phonetics. This article describes anterior rehabilitation of a patient who met with a road traffic accident and lost his anterior teeth. Anterior guidance developed in the provisional restorations was accurately recorded in the customised incisal guide table and permanent restorations were fabricated accordingly.

  4. Rehabilitation of anterior teeth with customised incisal guide table


    Mall, Priyanka; Singh, Kamleshwar; Rao, Jitendra; Kumar, Lakshya


    Restoration of anterior guidance is a major challenge to the clinician in planning of all restorative treatments. An accurate anterior guidance is important for proper function, aesthetics, comfort and phonetics. This article describes anterior rehabilitation of a patient who met with a road traffic accident and lost his anterior teeth. Anterior guidance developed in the provisional restorations was accurately recorded in the customised incisal guide table and permanent restorations were fabr...

  5. Rehabilitation of anterior teeth with customised incisal guide table (United States)

    Mall, Priyanka; Singh, Kamleshwar; Rao, Jitendra; Kumar, Lakshya


    Restoration of anterior guidance is a major challenge to the clinician in planning of all restorative treatments. An accurate anterior guidance is important for proper function, aesthetics, comfort and phonetics. This article describes anterior rehabilitation of a patient who met with a road traffic accident and lost his anterior teeth. Anterior guidance developed in the provisional restorations was accurately recorded in the customised incisal guide table and permanent restorations were fabricated accordingly. PMID:23709546

  6. Mini incision open pyeloplasty - Improvement in patient outcome

    Directory of Open Access Journals (Sweden)

    Vishwajeet Singh


    Full Text Available ABSTRACT Purpose: To assess the subjective and objective outcomes of mini-incision dismembered Anderson-Hynes pyeloplasty in the treatment of primary ureteropelvic junction obstruction (UPJO. Materials and Methods: Between January 2008 to January 2013, Anderson-Hynes pyeloplasty was performed in 71 patients diagnosed with primary UPJO. Small subcostal muscle splitting incision was used in all cases. Sixteen patients with renal calculi underwent concomitant pyelolithotomy. Subjective outcome was assessed using visual pain analogue score (VAS. For objective assessment, the improvement in differential renal function (DRF and radio-tracer wash out time (T1/2 on Tc-99m DTPA scan and decrease in hydronephrosis (HDN on renal ultrasound (USG and urography (IVU were assessed. Results: Mean incision length was 5.2 cm. The average operating time and postoperative hospital stay was 63 (52-124 minutes and 2.5 (2–6 days respectively. Concomitant renal calculi were successfully removed in all the patients. Overall complication rates were 8.4% and overall success rate was 98.6% at median follow-up of 16 months. There was significant improvement in pain score (p=0.0001 and significant decrease in HDN after the procedure. While preoperative mean T1/2 was 26.7±6.4 minutes, postoperative half-time decreased to 7.8±4.2 minutes at 6 months and to 6.7±3.3 minutes at 1 year. Mean pre-operative DRF was 26.45% and it was 31.38% and 33.19% at 6 months and 1 year respectively. Conclusions: Mini-incision pyeloplasty is a safe and effective technique with combined advantage of high success rates of standard open pyeloplasty with decreased morbidity of laparoscopic approach. Excellent functional and objective outcomes can be achieved without extra technical difficulty.

  7. Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery. (United States)

    Tayar, Claude; Claude, Tayar; Subar, Daren; Daren, Subar; Salloum, Chady; Chady, Salloum; Malek, Alexandre; Alexandre, Malek; Laurent, Alexis; Alexis, Laurent; Azoulay, Daniel; Daniel, Azoulay


    Laparoscopic liver surgery is now an established practice in many institutions. It is a safe and feasible approach in experienced hands. Single incision laparoscopic surgery (SILS) has been performed for cholecystectomies, nephrectomies, splenectomies and obesity surgery. However, the use of SILS in liver surgery has been rarely reported. We report our initial experience in seven patients on single incision laparoscopic hepatectomy (SILH). From October 2010 to September 2012, seven patients underwent single-incision laparoscopic liver surgery. The abdomen was approached through a 25 mm periumbilical incision. No supplemental ports were required. The liver was transected using a combination of LigaSure™ (Covidien-Valleylab. Boulder. USA), Harmonic Scalpel and Ligaclips (Ethicon Endo-Surgery, Inc.). Liver resection was successfully completed for the seven patients. The procedures consisted of two partial resections of segment three, two partial resections of segment five and three partial resections of segment six. The mean operative time was 98.3 min (range: 60-150 min) and the mean estimated blood loss was 57 ml (range: 25-150 ml). The postoperative courses were uneventful and the mean hospital stay was 5.1 days (range: 1-13 days). Pathology identified three benign and four malignant liver tumours with clear margins. SILH is a technically feasible and safe approach for wedge resections of the liver without oncological compromise and with favourable cosmetic results. This surgical technique requires relatively advanced laparoscopic skills. Further studies are needed to determine the potential advantages of this technique, apart from the better cosmetic result, compared to the conventional laparoscopic approach.

  8. Incisive papilla and positions of maxillary anterior teeth among ...

    African Journals Online (AJOL)

    Results: One hundred and twelve maxillary casts generated from participants aged 18-35 years (mean age 22.39±2.00 years), with well aligned arches were studied. The maxillary central incisor exhibited a mean of 14.93±1.52mm from the posterior limit of the incisive papilla while the inter-canine line scored a mean of ...

  9. Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery

    Directory of Open Access Journals (Sweden)

    Tayar Claude


    Full Text Available Background: Laparoscopic liver surgery is now an established practice in many institutions. It is a safe and feasible approach in experienced hands. Single incision laparoscopic surgery (SILS has been performed for cholecystectomies, nephrectomies, splenectomies and obesity surgery. However, the use of SILS in liver surgery has been rarely reported. We report our initial experience in seven patients on single incision laparoscopic hepatectomy (SILH. Patients and Methods: From October 2010 to September 2012, seven patients underwent single-incision laparoscopic liver surgery. The abdomen was approached through a 25 mm periumbilical incision. No supplemental ports were required. The liver was transected using a combination of LigaSure TM (Covidien-Valleylab. Boulder. USA, Harmonic Scalpel and Ligaclips (Ethicon Endo-Surgery, Inc.. Results: Liver resection was successfully completed for the seven patients. The procedures consisted of two partial resections of segment three, two partial resections of segment five and three partial resections of segment six. The mean operative time was 98.3 min (range: 60-150 min and the mean estimated blood loss was 57 ml (range: 25-150 ml. The postoperative courses were uneventful and the mean hospital stay was 5.1 days (range: 1-13 days. Pathology identified three benign and four malignant liver tumours with clear margins. Conclusion: SILH is a technically feasible and safe approach for wedge resections of the liver without oncological compromise and with favourable cosmetic results. This surgical technique requires relatively advanced laparoscopic skills. Further studies are needed to determine the potential advantages of this technique, apart from the better cosmetic result, compared to the conventional laparoscopic approach.

  10. Endoscope-assisted transoral thyroidectomy using a frenotomy incision. (United States)

    Woo, Seung Hoon


    Natural orifice translumenal endoscopic surgery (NOTES(®); American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) has generated excitement among surgeons as potentially scar-free surgery. We developed this technique while taking into consideration that it could also be applied to transoral thyroid surgery. We report the case of a 35-year-old woman with a 0.5×0.5-cm papillary thyroid microcarcinoma. We implemented a modified approach for the removal of the thyroid by using a frenotomy incision of the mouth, accompanied by an endoscope system. A modified approach for the removal of the thyroid was used on the patient. The total operating time was 120 minutes, and there were no specific complications. The patient continues to be free of any diseases 12 months after the excision. Thyroidectomy can be performed by a transoral endoscope-assisted approach through a frenotomy incision of the mouth. We describe the detailed procedures for an endoscope-assisted transoral thyroidectomy using a frenotomy incision.

  11. Smart Valley Infrastructure. (United States)

    Maule, R. William


    Discusses prototype information infrastructure projects in northern California's Silicon Valley. The strategies of the public and private telecommunications carriers vying for backbone services and industries developing end-user infrastructure technologies via office networks, set-top box networks, Internet multimedia, and "smart homes"…

  12. Breathing Valley Fever

    Centers for Disease Control (CDC) Podcasts


    Dr. Duc Vugia, chief of the Infectious Diseases Branch in the California Department of Public Health, discusses Valley Fever.  Created: 2/4/2014 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 2/5/2014.

  13. Lateral groundwater inflows into alluvial aquifers of main alpine valleys (United States)

    Burger, Ulrich


    In alpine regions the topography is mainly characterised by deep incised valleys, mountain slopes and ridges. Usually the main valleys contain aquifers in alluvial soft rock. Lateral these aquifers are confined by mountainous hard rock slopes covered by heterogeneous sediments with different thickness. The slopes can be incised by lateral valleys. Numerical models for the main alluvial aquifers ask for lateral hydrogeological boundaries. Usually no flow boundaries or Constant head Boundaries are used, even if the lateral inflows to the main aquifers are rarely known. In this example a data set for a detailed investigated and monitored area is studied to give an answer on the location and the quantification of these lateral subsurface inflows. The study area is a typical main alpine valley with a thick alluvial aquifer (appr. 120m thick), lateral confined by granite, covered at the base of the steep slopes by quaternary sediments (Burger at al. 2012). The study consists of several steps 1.) Analytical calculation of the inflows on the base of investigated and monitored 2d profiles along fault zones (Perello et al 2013) which pinch out in the main valley 2.) Analytical models along typical W-dipping slopes with monitored slope springs 3.) Evaluating temperature and electrical conductivity profiles measured in approx. 30 groundwater wells in the alluvial aquifers and along the slopes to locate main lateral subsurface inflows 4.) Output of a regional model used for the hydrogeological back analyses of the excavation of a tunnel (Baietto et al. 2014) 5.) Output of a local numerical model calibrated with a monitoring dataset and results of a pumping test of big scale (450l/s for 10days) Results of these analyses are shown to locate and quantify the lateral groundwater inflows in the main alluvial aquifer. References Baietto A., Burger U., Perello P. (2014): Hydrogeological modelling applications in tunnel excavations: examples from tunnel excavations in granitic rocks

  14. In vivo architectural analysis of clear corneal incisions using anterior segment optical coherence tomography. (United States)

    Dupont-Monod, Sylvère; Labbé, Antoine; Fayol, Nicolas; Chassignol, Alexis; Bourges, Jean-Louis; Baudouin, Christophe


    To use anterior segment optical coherence tomography (AS-OCT) to analyze the in vivo architecture of clear corneal incisions after phacoemulsification using different techniques. Department of Ophthalmology, Quinze-Vingts National Ophthalmology Hospital, Paris, France. This prospective observational study analyzed clear corneal incisions used in phacoemulsification. All wounds were evaluated 1 day and 8 days postoperatively by AS-OCT (Visante). Incision architecture and pachymetry at the wound level were analyzed. Thirty-five clear corneal incisions were analyzed. Six eyes had 2.75 mm coaxial phacoemulsification, 19 had 2.20 mm microincision coaxial phacoemulsification, and 10 had 1.30 mm bimanual microincision phacoemulsification. The 1.30 mm incision had a straight-line configuration. The 2.20 mm and 2.75 mm incisions had an arcuate configuration. The angles of incidence of 1.30 mm incisions were greater than those of 2.20 mm incisions (P<.001). All incisions had slight corneal edema limited to the incision area. The edema was slightly greater around 1.30 mm incisions (mean pachymetry 1143 microm +/- 140 [SD]) than around 2.20 mm incisions (mean 1012 +/- 101 microm) (P = .001). Bimanual procedures had satisfactory endothelial apposition in the enlarged areas, where stromal edema was less than that surrounding the unenlarged 1.30 mm incisions. The 3 phacoemulsification techniques induced gaping of the endothelial edge, minor inadequate endothelial apposition, and mild stromal edema in the area of the clear corneal incisions. Bimanual microincision sleeveless phacoemulsification may alter the wound slightly more than coaxial 2.75 mm and microcoaxial 2.20 mm sleeved-tip phacoemulsification.

  15. Lithologic influences on groundwater recharge through incised glacial till from profile to regional scales: Evidence from glaciated Eastern Nebraska (United States)

    Gates, John B.; Steele, Gregory V.; Nasta, Paolo; Szilagyi, Jozsef


    Variability in sediment hydraulic properties associated with landscape depositional and erosional features can influence groundwater recharge processes by affecting soil-water storage and transmission. This study considers recharge to aquifers underlying river-incised glaciated terrain where the distribution of clay-rich till is largely intact in upland locations but has been removed by alluvial erosion in stream valleys. In a stream-dissected glacial region in eastern Nebraska (Great Plains region of the United States), recharge estimates were developed for nested profile, aquifer, and regional scales using unsaturated zone profile measurements (matric potentials, Cl- and 3H), groundwater tracers (CFC-12 and SF6), and a remote sensing-assisted water balance model. Results show a consistent influence of till lithology on recharge rates across nested spatial scales despite substantial uncertainty in all recharge estimation methods, suggesting that minimal diffuse recharge occurs through upland glacial till lithology whereas diffuse recharge occurs in river valleys where till is locally absent. Diffuse recharge is estimated to account for a maximum of 61% of total recharge based on comparison of diffuse recharge estimated from the unsaturated zone (0-43 mm yr-1) and total recharge estimated from groundwater tracers (median 58 mm yr-1) and water balance modeling (median 56 mm yr-1). The results underscore the importance of lithologic controls on the distributions of both recharge rates and mechanisms.

  16. Water availability and subsidence in California's Central Valley (United States)

    Faunt, Claudia C.; Sneed, Michelle


    California’s Central Valley covers about 52,000 square kilometers (km2) and is one of the most productive agricultural regions in the world. More than 250 different crops are grown in the broad alluvial filled structural trough, with an estimated value exceeding $20 billion per year (Faunt 2009) (Figure 1). Central Valley agriculture depends on state and federal water systems that divert surface water, predominantly originating from Sierra Nevada snowmelt, to agricultural fields. Because the valley is semi-arid and the availability of surface water varies substantially from year to year, season to season, and from north to south, agriculture, as it grew, developed a reliance on groundwater for irrigation.

  17. Geomorphic legacy of medieval Himalayan earthquakes in the Pokhara Valley (United States)

    Schwanghart, Wolfgang; Bernhardt, Anne; Stolle, Amelie; Hoelzmann, Philipp; Adhikari, Basanta R.; Andermann, Christoff; Tofelde, Stefanie; Merchel, Silke; Rugel, Georg; Fort, Monique; Korup, Oliver


    The Himalayas and their foreland belong to the world's most earthquake-prone regions. With millions of people at risk from severe ground shaking and associated damages, reliable data on the spatial and temporal occurrence of past major earthquakes is urgently needed to inform seismic risk analysis. Beyond the instrumental record such information has been largely based on historical accounts and trench studies. Written records provide evidence for damages and fatalities, yet are difficult to interpret when derived from the far-field. Trench studies, in turn, offer information on rupture histories, lengths and displacements along faults but involve high chronological uncertainties and fail to record earthquakes that do not rupture the surface. Thus, additional and independent information is required for developing reliable earthquake histories. Here, we present exceptionally well-dated evidence of catastrophic valley infill in the Pokhara Valley, Nepal. Bayesian calibration of radiocarbon dates from peat beds, plant macrofossils, and humic silts in fine-grained tributary sediments yields a robust age distribution that matches the timing of nearby M>8 earthquakes in ~1100, 1255, and 1344 AD. The upstream dip of tributary valley fills and X-ray fluorescence spectrometry of their provenance rule out local sediment sources. Instead, geomorphic and sedimentary evidence is consistent with catastrophic fluvial aggradation and debris flows that had plugged several tributaries with tens of meters of calcareous sediment from the Annapurna Massif >60 km away. The landscape-changing consequences of past large Himalayan earthquakes have so far been elusive. Catastrophic aggradation in the wake of two historically documented medieval earthquakes and one inferred from trench studies underscores that Himalayan valley fills should be considered as potential archives of past earthquakes. Such valley fills are pervasive in the Lesser Himalaya though high erosion rates reduce

  18. Initiation age and incision rates of inner gorges: Do they record multiple glacial-interglacial cycles? (United States)

    Delunel, Romain; Casagrande, Jan; Schlunegger, Fritz; Akçar, Naki; Kubik, Peter W.


    Inner gorges represent some of the most conspicuous landforms in the European Alps. They form narrow and deep active-channel incisions that link hanging tributaries with trunk valleys in glacially-conditioned environments. Despite abundant research carried out on these objects, both their origin and evolution have remained unclear. In particular, the age of initiation, the rate of incision, and the respective contribution of fluvial and subglacial processes in the evolution of inner gorges have still been a matter of scientific debate. Indeed, answering these questions has been complicated by the lack of appropriate quantitative methods and/or suitable sampling strategies for studying inner gorges. Here, we report 10Be concentrations measured in alluvial sediments that have been collected along the main stream of a ~20-km2-catchment in the Swiss foreland (Central European Alps). This catchment hosts a ca. 100-m-deep and 2-km-long inner gorge that has been cut mainly in glacial till. Catchment wide denudation rates inferred from 10Be analyses (n = 15) vary from ~120 to 650 mm/ka and show a general downstream increasing trend. Additional field observations and GIS analyses reveal that the denudation rates within the catchment increase from the headwaters, characterized by relict glacial/periglacial landscapes, to the downstream end of the basin where the inner gorge has been formed. Using a 10Be-based sediment budget approach and the delineation of topographic domains from a 2-m-resolution LIDAR, we provide an estimate of erosion rates within the gorge that are higher than 2.5 m/ka and can reach up to ~ 7 m/ka. Combining these estimated erosion rates with the reconstruction of eroded volumes within the gorge, we obtain a rough initiation age in the early Holocene, in general agreement with previous studies reporting a postglacial origin for the inner gorges. Our results therefore appear contradictory with recent findings arguing for a gradual formation of inner

  19. One-incision versus two-incision techniques for arthroscopically assisted anterior cruciate ligament reconstruction in adults. (United States)

    Rezende, Fernando C; Moraes, Vinícius Y; Franciozi, Carlos Es; Debieux, Pedro; Luzo, Marcus V; Belloti, João Carlos


    Anterior cruciate ligament (ACL) tears are serious knee injuries that are frequently treated surgically in the form of arthroscopically assisted reconstruction with grafts from the patella or hamstrings tendons. We reviewed the evidence for the choice of arthroscopically assisted ACL reconstruction technique in terms of whether it should involve one incision (femoral tunnel drilled from inside the knee joint under arthroscopic visualisation) or two incisions (femoral tunnel drilled from outside to inside the knee joint). To assess the effects (benefits and harms) of one-incision versus two-incision techniques for arthroscopically assisted ACL reconstruction in adults. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Latin American and Caribbean Health Sciences (LILACS), the World Health Organization International Clinical Trials Registry Platform,, reference lists, and conference abstracts. The date of the search was 16 August 2017. Randomised and quasi-randomised controlled clinical trials evaluating one-incision versus two-incision techniques for arthroscopically assisted ACL reconstruction in adults. Two review authors independently searched and selected studies, and extracted data and assessed the risk of bias of the eligible studies. We undertook limited pooling of data using the fixed-effect model. We included five trials (four randomised and one quasi-randomised) evaluating a total of 320 participants who were mainly in their 20s. All participants underwent ACL reconstruction with patella tendon grafts. All five included trials were at a high risk of bias, particularly performance bias. Based on these limitations and the insufficiency of the available data resulting in imprecision of effect estimates, we judged the quality of the evidence as very low for all outcomes. This means that we are uncertain of the findings of the

  20. Mechanics of filled carbon nanotubes

    KAUST Repository

    Monteiro, A.O.


    The benefits of filling carbon nanotubes (CNTs) with assorted molecular and crystalline substances have been investigated for the past two decades. Amongst the study of new structural phases, defects, chemical reactions and varied types of host-guest interactions, there is one fundamental characterisation aspect of these systems that continues to be overlooked: the mechanical behaviour of filled CNTs. In contrast to their empty counterparts, the mechanics of filled CNTs is a subject where reports appear far and apart, this despite being key to the application of these materials in technological devices. In the following paragraphs, we review the work that has been carried out up to the present on the mechanics of filled CNTs. The studies discussed range from experimental resonant frequency essays performed within electron microscopes to modelling, via molecular dynamics, of three-point bending of nanotubes filled with gases. (C) 2014 Elsevier B.V. All rights reserved.

  1. Seismic response of the geologic structure underlying the Roman Colosseum and a 2-D resonance of a sediment valley

    Directory of Open Access Journals (Sweden)

    P. Labak


    Full Text Available The seismic response of the geologic structure beneath the Colosseum is investigated using a two-dimensional modeling for a vertically incident plane SH wave. Computations indicate that the southern part of the Colosseum may be exposed to a seismic ground motion with significantly larger amplitudes, differential motion and longer duration than the northern part. because the southern part of the Colosseum is underlain by a sedimentfilled valley created by sedimentary filling of the former tributary of the River Tiber. A 2-D resonance may develop in the valley. Unlike the previous theoretical studies on 2-D resonance in sediment-filled valleys, an effect of heterogeneous valley surroundings on the resonance is partly investigated. A very small sensitivity of the maximum spectral amplifications connected with the fundamental and first higher modes to the presence of a horizontal surface layer (with an intermediate velocity in the valley surroundings is observed in the studied models.

  2. active tectonics, incision rate and sedimentation in the subandean belt inferred from the caracteristics of the Pilcomayo river (United States)

    Bécel, D.; Mugnier, J. L.; Granjeon, D.


    Simple rationales have generally been used to derive a resultant macroscopic relationship and to relate channel river properties, to the rate of fluvial incision into bedrock. The fluvial shear stress model seems a robust model for the active foothill environment. To use this model, we have therefore collected the parameters of the Pilcomayo river: a) granulometry from field work ; b) drainage area from DEM ; c) slope from 1/50000 topographic maps and GPS measurements ; d) width from field work and topographic maps ; e) water discharge from filled work and bibliography. A comparison between the calculated shear stress and the structure of the subandean zone shows that the shear stress increases at the hanging-wall of 3 thrust faults. These faults show field evidence of recent thrust activity, and we use the ratio of Shield stress through the tertiary sediments at the hanging-wall of these faults to estimate the ratio of activity of these faults. It is found that half of the motion occurs along the Aguarague structure. Considering a 10 mm/yr. mean shortening rate through the subandean belt, the maximum uplift rate is about 6 mm/yr. and the erodability coefficient of the Tertiary is about 40 mm/yr. The shield stress also abruptly increases at the transition between subandean zone and interandean zone, suggesting that this latter develops like a mid-crustal in sequence stack. In the Eastern cordillera, the long term incision is low (1200 m for 3 Ma, i.e. 0.4 mm/yr.) and river presently incises fluvial sediments (Puente Sucre) deposited after 100 000 yr. BP.

  3. Pressure Irrigation of Surgical Incisions and Traumatic Wounds. (United States)

    Fry, Donald E

    Pressure irrigation of surgical incisions and traumatic wounds is commonly used to prevent infections. Commercial pressure irrigation devices have proliferated rapidly, but scientific validation of clinical benefit or appropriate use remains uncertain. The published experimental and clinical investigations of pressure irrigation have been reviewed since the introduction of the Waterpik device in 1967 to identify the evidence for use to prevent soft tissue infections associated with injury wounds or surgical incisions. The published literature favors low pressure irrigation between 5-15 pounds/square inch (psi) for experimental removal of bacteria from contaminated tissues, with pressures higher being associated with soft tissue and bone injury. No experimental or clinical data have demonstrated improved benefit from pulsed over continuous lavage. Clinical studies have been very heterogeneous in patient populations and study design; meta-analysis was not feasible. High-risk abdominal operations may have lower surgical site infection rates with pressure irrigation. Pressure irrigation in fractures and joint replacement surgery has shown mixed results. The largest multi-center randomized trial showed no benefit of pulsed (8-10 psi) lavage over conventional continuous gravity irrigation of open fractures. Experimental studies have shown effective removal of bacteria and contamination, but with a potential risk of tissue injury or displacement of contamination deeper into the soft tissues. Rigorous clinical documentation has not validated the optimum flow or pressure characteristics of pressure lavage in clinical practice. There is need for randomized clinical trials to validate pressure lavage in the prevention of infections in soft tissue injuries or high-risk surgical incisions.

  4. Single transverse extended incision for radical neck dissection

    Directory of Open Access Journals (Sweden)

    José Francisco Sales Chagas

    Full Text Available ABSTRACT Objective: to assess the efficacy of the single transverse extended cervical incision in radical neck dissection. Method: we conducted a prospective study, from January 2008 to January 2009, with 18 patients undergoing surgical treatment of malignant tumors of the upper aero-digestive tract. The primary lesion was located in the oral cavity in eight cases, in the oropharynx in three, in the hypopharynx in three, in the larynx in two, in the maxillary sinus, and in one case, the primary injury was hidden. There were 29 neck dissections, eight bilateral and 10 unilateral (26 radical and three selective. Staging revealed nine patients with T4 tumor, one T3, six T2, one T1 and one Tx. Five patients were N0, nine N2b, one N2c and three N3. The average number of dissected lymph nodes was 34.25. We performed the neck dissection through a single incision located in the middle neck, coincident with the skinfold, with a length of about 2 to 3 cm behind the anterior edge of the trapezius muscle and 3 to 4 cm from the midline for the unilateral neck dissections. Results: as complications, there were myocutaneous flap necrosis in one patient with prior radiation therapy, one lymphatic fistula, one dehiscence of the tracheostomy, one cervical abscess, one salivary fistula and one suture dehiscence. Conclusions: the single extended incision provides adequate exposure of the neck structures, without compromising surgical time, even in bilateral dissections. It does not compromise the resection of all cervical lymph nodes; it has excellent aesthetic and functional results and is easily associated with other approaches to resection of the primary tumor.

  5. The extended minimal incision approach to midface rejuvenation. (United States)

    Pontius, Allison T; Williams, Edwin F


    Recent major advancements in comprehensive facial rejuvenation have focused on management of midfacial aging. Multiple techniques have been described to treat the aging midface; the mere nature of so many approaches is evidence that no one technique has prevailed. Although the nasolabial region remains a challenge to correct, the approach described herein provides comprehensive rejuvenation of the midface, lateral brow, and jawline. The technique is performed via a minimal incision brow-lift approach and has been performed (with minor modifications) by the senior author in more than 650 patients over the past 9 years. The technique has proven to be safe, reliable, and effective.

  6. A case of endophthalmitis associated with limbal relaxing incision

    Directory of Open Access Journals (Sweden)

    Aravind Haripriya


    Full Text Available Limbal relaxing incisions (LRIs are considered a relatively safe procedure with rapid stabilization and absence of infectious complications. Do we need to readdress this last impression? We report a case of nocardia endophthalmitis associated with an exudate at the site of an LRI in a patient who underwent routine cataract surgery. This case, to the best of our knowledge, is the first report of its kind, stressing the need for a cautious approach to the adoption of this method of astigmatic correction.

  7. [Preliminary clinical experience of single incision laparoscopic colorectal surgery]. (United States)

    Wu, S D; Han, J Y


    Objective: To discuss the preliminary experience of single incision laparoscopic colorectal surgery. Methods: The clinical data and surgical outcomes of 104 selected patients who underwent single incision laparoscopic colorectal surgery in the 2 nd Department of General Surgery, Shengjing Hospital of China Medical University from January 2010 to September 2015 were retrospectively analyzed. There were 62 male and 42 female patients, aging from 21 to 87 years with a mean of (61±12) years. Eighty-five patients were diagnosed with malignancy while the rest 19 cases were benign diseases. All the procedures were performed by the same surgeon using the rigid laparoscopic instruments. Surgical and oncological outcomes were analyzed in 4 kinds of procedures which are over 5 cases respectively, including low anterior resection, abdominoperineal resection, radical right colon resection and radical sigmoidectomy. Results: Single incision laparoscopic colorectal surgery was performed in 104 selected patients and was successfully managed in 99 cases with a total conversion rate of 4.8%. Radical procedures for malignancy in cases with the number of patients more than 5 were performed for 74 cases. For low anterior resection, 35 cases with an average surgical time of (191±57) minutes, average estimated blood loss of (117±72) ml and average number of harvested lymph nodes of 14.6±1.1. For abdominoperineal resection, 9 cases with an average surgical time of (226±54) minutes, average estimated blood loss of (194±95) ml and average number of harvested lymph nodes of 14.1±1.5. For radical right colon resection, 16 cases with an average surgical time of (222±62) minutes, average estimated blood loss of (142±68) ml and average number of harvested lymph nodes of 15.4±2.4. For radical sigmoidectomy, 14 cases with an average surgical time of (159±32) minutes, average estimated blood loss of (94±33) ml and average number of harvested lymph nodes of 13.9±1.5. The overall

  8. Radiopacity of root filling materials

    International Nuclear Information System (INIS)

    Beyer-Olsen, E.M.


    A method for measuring the radiopacity of root filling materials is described. Direct measurements were made of the optic density values of the materials in comparison with a standard curve relating optic density to the thickness of an aluminium step wedge exposed simultaneously. By proper selection of film and conditions for exposure and development, it was possible to obtain a near-linear standard curve which added to the safety and reproducibility of the method. The technique of radiographic assessment was modified from clinical procedures in evaluating the obturation in radiographs, and it was aimed at detecting slits or voids between the dental wall and the filling material. This radiographic assessment of potensial leakage was compared with actual in vitro lekage of dye (basic fuchsin) into the roots of filled teeth. The result of the investigation show that root filling materials display a very wide range of radiopacity, from less than 3 mm to more than 12 mm of aluminium. It also seem that tooth roots that appear to be well obturated by radiographic evaluation, stand a good chance of beeing resistant to leakage in vitro, and that the type of filling material rather than its radiographic appearance, determines the susceptibility of the filled tooth to leakage in vitro. As an appendix the report contains a survey of radiopaque additives in root filling materials

  9. Rift Valley fever vaccines


    Ikegami, Tetsuro; Makino, Shinji


    Rift Valley fever virus (RVFV), which belongs to the genus Phlebovirus, family Bunyaviridae, is a negative-stranded RNA virus carrying a tripartite RNA genome. RVFV is transmitted by mosquitoes and causes large outbreaks among ruminants and humans in Africa and the Arabian Peninsula. Human patients develop an acute febrile illness, followed by a fatal hemorrhagic fever, encephalitis or ocular diseases, whereas ruminants experience abortions during outbreak. Effective vaccination of both human...

  10. Single Incision Laparoscopic Cholecystectomy vs Conventional Cholecystectomy in Developing Country

    Directory of Open Access Journals (Sweden)

    P B Thapa


    Full Text Available INTRODUCTION: Use of laparoscopic surgery has demanded principles of less trauma of access hence less scar and so probably less complications. Hence conventional laparoscopic surgeries were tried with natural orifice transluminal surgery (NOTES and then single incision laparoscopic surgery (SILS. With refinement in instruments and surgeons skills SILS have bridged up between conventional and NOTES in order to quench the desire of less or no scar at all. METHODS: Comparative case control study between conventional laparoscopic cholecystectomy and SILS in public teaching hospital. RESULTS: Total 20 patients underwent SILS cholecystectomy and 20 underwent conventional cholecystectomy and found that no difference between both in terms of post operative pain score, hospital stay and post operative wound infection except significant difference in mean operative time and patient's level of satisfaction was less in patient with SILC if were subjected to pay for instruments in order to maintain cosmesis. CONCLUSIONS: Though SILS have gained rapid acceptance in surgical fraternity, large number of randomized controlled trials are necessary to show its benefit over conventional laparoscopic cholecystectomy. Keywords: cholecystectomy, conventional, laparoscopy, single incision, surgery

  11. Single-incision laparoscopic surgery for diverticulitis in overweight patients. (United States)

    Rink, Andreas D; Vestweber, Boris; Hahn, Jasmina; Alfes, Angelika; Paul, Claudia; Vestweber, Karl-Heinz


    Single-incision laparoscopic surgery (SILS) has been introduced as a new technique for the treatment of various colorectal diseases. Recurrent or complicated diverticulitis of the sigmoid colon is a frequent indication for minimally invasive sigmoid colectomy. The aim of this study was to investigate the impact of obesity on the outcome of SILS sigmoid colectomy. From September 2009 to October 2014, data from 377 patients who had intended SILS sigmoid colectomy for diverticulitis at our institution were collected in a prospective database. The patients were categorized in the following subgroups: group 1 (normal weight, body mass index (BMI)  35 kg/m(2)). The groups were equivalent for sex, age, status of diverticulitis, the presence of acute inflammation in the specimen, and the percentage of teaching operations, but the percentage of patients with accompanying diseases was significantly more frequent in groups 2, 3, and 4 (p = 0.04, 0.008, and 0.018, respectively). As compared to group 1, the conversion rate was significantly increased in groups 2 and 4 (2.3 vs. 9.3% (p = 0.013) and 2.3 vs. 12.5% (p = 0.017), respectively). The duration of surgery, hospitalization, and morbidity did not differ between the four groups. Up to a body mass index of 35 kg/m(2), increased body weight does not significantly reduce the feasibility and outcome of single-incision laparoscopic surgery for diverticulitis.

  12. Muscle sparing lateral thoracotomy: the standard incision for thoracic procedures

    Directory of Open Access Journals (Sweden)

    Mihai Dumitrescu


    Full Text Available Lateral thoracotomy is a versatile approach with many variations and is currently the most widely used incision in thoracic surgery. In the current article we are presenting the muscle-sparing lateral thoracotomy in the lateral decubitus position which we consider to be the “standard” for lateral thoracotomies. Indications, surgical technique and pitfalls are described alongside our experience with thoracic drainage. Although there is no consensus regarding the name of this incision, some authors call it “axillary thoracotomy” while others call it a “modified lateral thoracotomy”, they all agree on one aspect – the importance of muscle sparing – which makes it the go-to thoracotomy for both small and large procedures involving the lung. Lateral muscle sparing thoracotomy allows for good exposure of the pulmonary hilum, fissures, apex and diaphragm. The approach is easy and quick to perform while at the same time ensuring faster postoperative recovery by sparing the latissimus dorsi muscle, better cosmetics and lower postoperative pain score when compared to the posterolateral or classical lateral thoracotomies.

  13. Unilateral corneal ectasia following small-incision lenticule extraction. (United States)

    Sachdev, Gitansha; Sachdev, Mahipal S; Sachdev, Ritika; Gupta, Hemlata


    We describe a case of unilateral corneal ectasia in a 26-year-old man following small-incision lenticule extraction. The preoperative corneal topography was normal, with a minimum corneal thickness of 511 μm and 513 μm in the right eye and left eye, respectively. Lenticules of 85 μm and 82 μm were fashioned to offer a refractive correction of -3.75 -1.50 × 180 and -3.50 -1.50 × 165 in the right eye and left eye, respectively. Twelve months after small-incision lenticule extraction, the patient presented with early signs of ectasia in the left eye on corneal topography, which had worsened at the 18-month examination. Intrastromal corneal ring segment implantation with corneal collagen crosslinking was performed to arrest further progression and to improve uncorrected distance visual acuity. On the last examination, the corrected distance visual acuity was 20/20(-2). Dr. Mahipal S. Sachdev receives travel grants from Carl Zeiss Meditec AG. No author has a financial or proprietary interest in any material or method mentioned. Copyright © 2015 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

  14. Endoscopy-assisted cerebral falx incision via unilateral

    Directory of Open Access Journals (Sweden)

    DONG Ji-rong


    Full Text Available 【Abstract】Objective: To investigate the clinical features and treatment strategy of dissymmetric bilateral frontal contusion, and to summarize our experience in treat-ing these patients by minimally invasive surgery. Methods: Over the past 3 years, we have treated a total of 31 patients with dissymmetric bilateral frontal contusion using endoscopy-assisted unilateral cerebral falx incision. Other 30 patients treated by routine bilateral approaches within the same period were taken as control. Results: Seventeen cases (54.8% in the unilateral operation group survived and were in good condition, 8 (25.8% had moderate disability, 4 (12.9% had severe disability, 1 (3.2% was in vegetative state, and 1 (3.2% died. Compared with the control group, the Glasgow Out-come Scale score was not significantly different in the uni-lateral operation group, but the operation time, blood trans-fusion volume, the length of hospital stay, the incidences of mental disorder and olfactory nerve injury were greatly reduced in the unilateral operation group. Conclusions: Endoscopy-assisted unilateral cerebral falx incision can shorten the operation time, reduce surgical trauma and complications in treatment of patients with dis-symmetric bilateral frontal contusion. It can obviously di-minish the chance of delayed intracerebral hematoma and subsequently minimize the incidences of subfalcial and centrencephalic herniation. Key words: Brain injuries; Intracranial hemorrage, traumatic; Endoscopy; Surgically procedures, minimally invasive

  15. Single incision laparoscopic liver resection (SILL – a systematic review

    Directory of Open Access Journals (Sweden)

    Benzing, Christian


    Full Text Available Background: Today, minimally invasive liver resections for both benign and malignant tumors are routinely performed. Recently, some authors have described single incision laparoscopic liver resection (SILL procedures. Since SILL is a relatively young branch of laparoscopy, we performed a systematic review of the current literature to collect data on feasibility, perioperative results and oncological outcome.Methods: A literature research was performed on Medline for all studies that met the eligibility criteria. Titles and abstracts were screened by two authors independently. A study was included for review if consensus was obtained by discussion between the authors on the basis of predefined inclusion criteria. A thorough quality assessment of all included studies was performed. Data were analyzed and tabulated according to predefined outcome measures. Synthesis of the results was achieved by narrative review. Results: A total of 15 eligible studies were identified among which there was one prospective cohort study and one randomized controlled trial comparing SILL to multi incision laparoscopic liver resection (MILL. The rest were retrospective case series with a maximum of 24 patients. All studies demonstrated convincing results with regards to feasibility, morbidity and mortality. The rate of wound complications and incisional hernia was low. The cosmetic results were good.Conclusions: This is the first systematic review on SILL including prospective trials. The results of the existing studies reporting on SILL are favorable. However, a large body of scientific evidence on the field of SILL is missing, further randomized controlled studies are urgently needed.

  16. Magnetic resonance imaging evaluation of incision healing after cesarean sections

    International Nuclear Information System (INIS)

    Dicle, O.; Kuecuekler, C.; Pirnar, T.; Erata, Y.; Posaci, C.


    The purpose of this study was to examine the healing period of incision scar in myometrial wall and the normal pelvis after cesarean sections by means of MRI. In this study 17 voluntary women were examined after their first delivery with cesarean section in the early postpartum period (first 5 days), and following this, three more times in 3-month intervals. The MRI examinations were performed on a 1.0-T system (Magnetom, Siemens, Erlangen, Germany), and sagittal T1-weighted (550/17 TR/TE) and T2-weighted (2000/80 TR/TE) spin-echo (SE) images of the pelvis were obtained. During follow-up examinations incision scar tissues lost their signals within the first 3 months on both SE sequences, and little alteration was observed in the subsequent tests. Zonal anatomy of the uterus reappeared completely 6 months after cesarean sections. The time for the involution of the uterus was independent of the zonal anatomy recovery, and the maximum involution was inspected within the first 3 months. In conclusion, the maturation time of myometrial scar tissue in uncomplicated cesarean sections, which can be evaluated by the signal alterations in MRI, is approximately 3 months, whereas the complete involution and the recovery of the zonal anatomy need at least 6 months. (orig.). With 6 figs

  17. Magnetic resonance imaging evaluation of incision healing after cesarean sections

    Energy Technology Data Exchange (ETDEWEB)

    Dicle, O. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Kuecuekler, C. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Pirnar, T. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Erata, Y. [Department of Gynecology and Obstetrics, Dokuz Eyluel University, Izmir (Turkey); Posaci, C. [Department of Gynecology and Obstetrics, Dokuz Eyluel University, Izmir (Turkey)


    The purpose of this study was to examine the healing period of incision scar in myometrial wall and the normal pelvis after cesarean sections by means of MRI. In this study 17 voluntary women were examined after their first delivery with cesarean section in the early postpartum period (first 5 days), and following this, three more times in 3-month intervals. The MRI examinations were performed on a 1.0-T system (Magnetom, Siemens, Erlangen, Germany), and sagittal T1-weighted (550/17 TR/TE) and T2-weighted (2000/80 TR/TE) spin-echo (SE) images of the pelvis were obtained. During follow-up examinations incision scar tissues lost their signals within the first 3 months on both SE sequences, and little alteration was observed in the subsequent tests. Zonal anatomy of the uterus reappeared completely 6 months after cesarean sections. The time for the involution of the uterus was independent of the zonal anatomy recovery, and the maximum involution was inspected within the first 3 months. In conclusion, the maturation time of myometrial scar tissue in uncomplicated cesarean sections, which can be evaluated by the signal alterations in MRI, is approximately 3 months, whereas the complete involution and the recovery of the zonal anatomy need at least 6 months. (orig.). With 6 figs.

  18. Removal of root filling materials.

    LENUS (Irish Health Repository)

    Duncan, H.F. Chong, B.S.


    Safe, successful and effective removal of root filling materials is an integral component of non-surgical root canal re-treatment. Access to the root canal system must be achieved in order to negotiate to the canal terminus so that deficiencies in the original treatment can be rectified. Since a range of materials have been advocated for filling root canals, different techniques are required for their removal. The management of commonly encountered root filling materials during non-surgical re-treatment, including the clinical procedures necessary for removal and the associated risks, are reviewed. As gutta-percha is the most widely used and accepted root filling material, there is a greater emphasis on its removal in this review.

  19. Influence of upper and temporal transconjunctival sclerocorneal incision on marginal reflex distance after cataract surgery


    Tamaki, Rikiya; Gosho, Masahiko; Mizumoto, Kyoichi; Kato, Nahoko; Zako, Masahiro


    Background Ptosis incidence following cataract surgery is reduced with a recently developed phacoemulsification technique using a small incision. However, it remains uncertain whether an upper transconjunctival sclerocorneal incision can cause minor blepharoptosis. In the present prospective study, patients underwent cataract surgery with either an upper or temporal 2.4-mm transconjunctival sclerocorneal incision. We measured the marginal reflex distance 1 (MRD1) preoperatively and postoperat...

  20. Safety of cesarean delivery through placental incision in patients with anterior placenta previa. (United States)

    Hong, Deok-Ho; Kim, Eugene; Kyeong, Kyu-Sang; Hong, Seung Hwa; Jeong, Eun-Hwan


    To demonstrate the safety of fetal delivery through placental incision in a placenta previa pregnancy. We examined the medical records of 80 women with singleton pregnancy diagnosed with placenta previa who underwent cesarean section between May 2010 and May 2015 at the Department of Obstetrics and Gynecology, Chungbuk National University Hospital. Among the women with placenta previa, those who did not have the placenta in the uterine incision site gave birth via conventional uterine incision, while those with anterior placenta previa or had placenta attached to the uterine incision site gave birth via uterine incision plus placental incision. We compared the postoperative hemoglobin level and duration of hospital stay for the mother and newborn of the two groups. There was no difference between the placental incision group and non-incision group in terms of preoperative and postoperative hemoglobin change, the amount of blood transfusions required by the mother, newborns with 1-min or 5-min Apgar scores below 7 points or showing signs of acidosis on umbilical cord blood gas analysis result of pH below 7.20. Moreover, neonatal hemoglobin levels did not differ between the two groups. Fetal delivery through placental incision during cesarean section for placenta previa pregnancy does not negatively influence the prognosis of the mother or the newborn, and therefore, is considered a safe surgical technique.

  1. Late Mesolithic hunting of a small female aurochs in the valley of the River Tjonger (the Netherlands) in the light of Mesolithic aurochs hunting in NW Europe

    NARCIS (Netherlands)

    Prummel, W.; Niekus, M.J.L.Th.

    The valley of the River Tjonger, situated in the Province of Friesland (the Netherlands), is rich in prehistoric organic remains. The fill of the valley, consisting of waterlogged sediments (peat, gyttja and sands), presents favourable conditions for the preservation of bone, antler and botanical

  2. Advantages of the modified double ring areolar incision over the traditional areolar incision in multicentric breast fibroadenoma surgery. (United States)

    Zhang, Mingliang; Shen, Gongjin; Zhang, Song; Cui, Zhen; Qian, Jun


    This study was conducted to investigate the clinical advantages of modified double ring areola incision (MDRAI) compared to ordinary areola incision (OAI) in multicentric breast fibroadenoma in women. Sixty cases of multicentric benign breast tumor were recruited from the First Affiliated Hospital of Bengbu Medical College from January to December 2016. The cases were divided into two groups according to surgical approach: MDRAI (n = 20) and OAI (n = 40). The operation duration, intraoperative blood loss, drainage time, and postoperative recurrence rate in the first six months were compared. The mean age and tumor locations were not statistically different between the groups (P > 0.05). However, more lesions and larger tumor diameter were found in the MDRAI group than in the OAI group, with statistical difference (P  0.05). However, the intraoperative blood loss was statistically different between the two groups (P < 0.05). All 60 cases received six months of follow-up. Eight recurrent cases were found in the OAI group, but none in the MDRAI group. The recurrence rate was significantly different (χ 2  = 4.62, P < 0.05). Compared with OAI, MDRAI offers greater advantages in the aspects of blood loss and recurrence for the treatment of breast benign tumor, especially for multicentric larger lesions. © 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.

  3. The California Valley grassland (United States)

    Keeley, J.E.; Schoenherr, Allan A.


    Grasslands are distributed throughout California from Oregon to Baja California Norte and from the coast to the desert (Brown 1982) (Figure 1). This review will focus on the dominant formation in cismontane California, a community referred to as Valley Grassland (Munz 1959). Today, Valley Grassland is dominated by non-native annual grasses in genera such as Avena (wild oat), Bromus (brome grass), and Hordeum (barley), and is often referred to as the California annual grassland. On localized sites, native perennial bunchgrasses such as Stipa pultra (purple needle grass) may dominate and such sites are interpreted to be remnants of the pristine valley grassland. In northwestern California a floristically distinct formation of the Valley Grassland, known as Coast Prairie (Munz 1959) or Northern Coastal Grassland (Holland and Keil 1989) is recognized. The dominant grasses include many native perennial bunchgrasses in genera such as Agrostis, Calamagrostis, Danthonia, Deschampsia, Festuca, Koeleria and Poa (Heady et al. 1977). Non-native annuals do not dominate, but on some sites non-native perennials like Anthoxanthum odoratum may colonize the native grassland (Foin and Hektner 1986). Elevationally, California's grasslands extend from sea level to at leas 1500 m. The upper boundary is vague because montane grassland formations are commonly referred to as meadows; a community which Munz (1959) does not recognize. Holland and Keil (1989) describe the montane meadow as an azonal community; that is, a community restricted not so much to a particular climatic zone but rather controlled by substrate characteristics. They consider poor soil-drainage an over-riding factor in the development of montane meadows and, in contrast to grasslands, meadows often remain green through the summer drought. Floristically, meadows are composed of graminoids; Cyperaceae, Juncaceae, and rhizomatous grasses such as Agropyron (wheat grass). Some bunchgrasses, such as Muhlenbergia rigens, are

  4. Geomorphic and erosion studies at the Western New York Nuclear Service Center, West Valley, New York

    International Nuclear Information System (INIS)

    Boothroyd, J.C.; Timson, B.S.; Dana, R.H. Jr.


    This report is one in a series of related reports presenting the results of a study to evaluate the containment capability of a low-level, solid radioactive waste-burial ground at West valley, NY. This project is the first portion of a detailed geomorphic and erosion study of the reach of Buttermilk Creek adjacent to the waste-burial site. Buttermilk Creek valley is being actively modified by fluvial transport, lateral channel scour, and landsliding. High surface runoff rates create highly variable but enhanced stream flows that result in coarse-gravel sediment transport within the active channel. The active channel morphology indicates that braided stream processes are common in Buttermilk, leading to active channel down-cutting and lateral migration. Where lateral migration of the active channel has undercut valley wall slopes, large-scale landsliding enhances valley wall retreat. A major site of historical and recent slide activity lies adjacent to the low-level burial trenches. Initial, post-glacial Buttermilk Creek incision began before 9920 +- 240 B.P., the age of the oldest dated fluvial terrace. Future evolution of the system is expected to proceed by Buttermilk valley lowering, tributary and landslide widening, and stream capture

  5. Mouse preferential incising force orientation changes during jaw closing muscle hyperalgesia and is sex dependent. (United States)

    Widmer, C G; Morris-Wiman, J


    Mouse incising is controlled by a central pattern generator and this activity can change in the presence of pain. The incising frequency and maximum force generation decreases with pain. In this study, we used repetitive acidic injections in the left masseter muscle of male and female mice to determine differences between baseline and jaw muscle pain conditions and the effect of sex on preferential incising direction. A within subject design was used to evaluate data previously acquired using multi-axis force data (X, Y and Z) from the 4th baseline recording day and day 7 post-injection (day of maximal pain response) for each mouse of each sex. A total of 34 female and male (age 3-9months) CD-1 mice were evaluated. After mathematically rotating the X and Y axes to align the Y axis to be parallel to the wire struts of the cage top, data were analyzed to determine incising direction preference during baseline (non-pain) and pain (day 7) conditions and between sex. Radar plots of X-Y, X-Z and Y-Z axes depicted the average direction of incising preference between baseline and pain conditions for each sex. Statistical differences among groups were tested using a mixed model ANOVA. Similar to previous findings, female mice had a more robust difference in incising direction preference when comparing male and female pain conditions and this was most evident in the X-Z axes. The incising frequencies most commonly affected were 5.3, 6.2 and 7.6Hz. Male mice varied little in their incising direction preference between the baseline and pain conditions. In addition, statistical comparison of ratios of the percent of time spent incising in the Z versus X axes for each incising frequency found that the incising preference was not different when comparing 5.3 and 7.6Hz frequencies. Finally, female mice used a novel approach to minimize pain while incising by rotating their head and body nearly 180 degrees while males did not use this strategy as frequently. The preferred incising

  6. Effects of post-treatment incubation on recombinogenesis in incision-proficient and incision-deficient strains of saccharomyces cerevisiae, 2

    International Nuclear Information System (INIS)

    Saeki, Tetsuya; Machida, Isamu


    After the photoaddition of mono- and bifunctional furocoumarins to G1 phase cells, most gene conversion and crossing-over occurred without post-irradiation incubation of these cells in incision-proficient strains. In contrast, incision-deficient cells showed marked induction of both recombinational events only after treated cells had been incubated for several hours before selection. These results indicate that when furocoumarins are photoadded to G1 cells, initiation of recombinational events occurs during the same G1 phase in the incision-proficient cells; whereas, it occurs only after post-irradiation DNA replication in incision-deficient cells. The action of the PSO2 gene product specific for the repair of DNA crosslinks in recombination induction is discussed and compared to the actions of the excision repair genes RAD1 and RAD2. (author)

  7. Single-incision laparoscopic splenectomy with innovative gastric traction suture

    Directory of Open Access Journals (Sweden)

    Srikanth G


    Full Text Available Laparoscopic splenectomy is now the gold standard for patients with idiopathic thrombocytopenic purpura (ITP undergoing splenectomy. There are a few reports in literature on single-incision laparoscopic (SIL splenectomy. Herein, we describe a patient undergoing SIL splenectomy for ITP without the use of a disposable port device. We report a 20-year-old female patient with steroid-refractory ITP having a platelet count of 14,000/cmm who underwent a SIL splenectomy. Dissection was facilitated by the use of a single articulating grasper and a gastric traction suture and splenic vessels were secured at the hilum with an endo-GIA stapler. She made an uneventful postoperative recovery and was discharged on the second postoperative day. She is doing well with no visible scar at 8-month follow-up.

  8. Median sternotomy - gold standard incision for cardiac surgeons

    Directory of Open Access Journals (Sweden)

    Radu Matache


    Full Text Available Sternotomy is the gold standard incision for cardiac surgeons but it is also used in thoracic surgery especially for mediastinal, tracheal and main stem bronchus surgery. The surgical technique is well established and identification of the correct anatomic landmarks, midline tissue preparation, osteotomy and bleeding control are important steps of the procedure. Correct sternal closure is vital for avoiding short- and long-term morbidity and mortality. The two sternal halves have to be well approximated to facilitate healing of the bone and to avoid instability, which is a risk factor for wound infection. New suture materials and techniques would be expected to be developed to further improve the patients evolution, in respect to both immediate postoperative period and long-term morbidity and mortality

  9. A case of bifocal endometriosis involving a pfannenstiel incision. (United States)

    Evsen, Mehmet Sidik; Sak, Muhammet Erdal; Yalinkaya, Ahmet; Firat, Ugur; Caca, Fatma Nur


    A 25-year-old woman was referred to our clinic for atypical cyclic pain and masses at both ends of a Pfannenstiel incision scar. Ultrasound of the anterior abdominal wall showed two masses. Both masses were hypoechoic, heterogeneous lesions located at opposite ends of the scar. The lesions were surgically excised with. Microscopic examination revealed endometrial gland structures with endometrial stroma in fibroadipose tissue in sections of both specimens indicative of endometriosis. Incisional endometriosis (IE) is a form of extrapelvic endometriosis especially in scars of obstetric or gynecologic surgery IE may be multifocal at surgical scars. We report the a case of bifocal incisional endometriosis in Pfannesteil scar. Whole scar evaluation should be done for incisional endometriosis and surgical excision should be performed for treatment.

  10. Silicone Gel-Filled Breast Implants (United States)

    ... and Prosthetics Breast Implants Silicone Gel-Filled Breast Implants Share Tweet Linkedin Pin it More sharing options ... it Email Print Description: Silicone gel-filled breast implants have a silicone outer shell that is filled ...

  11. Spectrally Compatible Iterative Water Filling (United States)

    Verlinden, Jan; Bogaert, Etienne Vanden; Bostoen, Tom; Zanier, Francesca; Luise, Marco; Cendrillon, Raphael; Moonen, Marc


    Until now static spectrum management has ensured that DSL lines in the same cable are spectrally compatible under worst-case crosstalk conditions. Recently dynamic spectrum management (DSM) has been proposed aiming at an increased capacity utilization by adaptation of the transmit spectra of DSL lines to the actual crosstalk interference. In this paper, a new DSM method for downstream ADSL is derived from the well-known iterative water-filling (IWF) algorithm. The amount of boosting of this new DSM method is limited, such that it is spectrally compatible with ADSL. Hence it is referred to as spectrally compatible iterative water filling (SC-IWF). This paper focuses on the performance gains of SC-IWF. This method is an autonomous DSM method (DSM level 1) and it will be investigated together with two other DSM level-1 algorithms, under various noise conditions, namely, iterative water-filling algorithm, and flat power back-off (flat PBO).

  12. Spectrally Compatible Iterative Water Filling

    Directory of Open Access Journals (Sweden)

    Cendrillon Raphael


    Full Text Available Until now static spectrum management has ensured that DSL lines in the same cable are spectrally compatible under worst-case crosstalk conditions. Recently dynamic spectrum management (DSM has been proposed aiming at an increased capacity utilization by adaptation of the transmit spectra of DSL lines to the actual crosstalk interference. In this paper, a new DSM method for downstream ADSL is derived from the well-known iterative water-filling (IWF algorithm. The amount of boosting of this new DSM method is limited, such that it is spectrally compatible with ADSL. Hence it is referred to as spectrally compatible iterative water filling (SC-IWF. This paper focuses on the performance gains of SC-IWF. This method is an autonomous DSM method (DSM level 1 and it will be investigated together with two other DSM level-1 algorithms, under various noise conditions, namely, iterative water-filling algorithm, and flat power back-off (flat PBO.

  13. European Hernia Society guidelines on the closure of abdominal wall incisions

    DEFF Research Database (Denmark)

    Muysoms, F E; Antoniou, S A; Bury, K


    BACKGROUND: The material and the surgical technique used to close an abdominal wall incision are important determinants of the risk of developing an incisional hernia. Optimising closure of abdominal wall incisions holds a potential to prevent patients suffering from incisional hernias and for im...

  14. Performance of fast-absorbable suture and histo-glue in closing incisions in Brown trout

    DEFF Research Database (Denmark)

    Jepsen, Niels; Larsen, Martin Hage; Aarestrup, Kim


    , growth, tag expulsion rate and incision healing was compared among three groups of dummy transmitter-tagged wild brown trout Salmo trutta where incisions were closed with two types of suture material (absorbable vs. fast absorbable) and Histo-glue. The tagged fish were kept in semi-natural ponds for 20...

  15. Long-Term Incisal Relationships After Palatoplasty in Patients With Isolated Cleft Palate. (United States)

    Odom, Elizabeth B; Woo, Albert S; Mendonca, Derick A; Huebener, Donald V; Nissen, Richard J; Skolnick, Gary B; Patel, Kamlesh B


    Various palatoplasty techniques have limited incisions in the hard palate due to concerns that these incisions may limit maxillary growth. There is little convincing long-term evidence to support this. Our purpose is to determine incisal relationships, an indicator for future orthognathic procedure, in patients after repair of an isolated cleft of the secondary palate. Our craniofacial database was used to identify patients aged 10 years or greater with an isolated cleft of the secondary palate who underwent palatoplasty between 1985 and 2002. Data collected included age at palatoplasty and follow-up, cleft type, associated syndrome, Robin sequence, surgeon, repair technique, number of operations, and occlusion. Incisal relationship was determined through clinical observation by a pediatric dentist and orthodontist. Seventy eligible patients operated on by 9 surgeons were identified. Class III incisal relationship was seen in 5 patients (7.1%). Palatoplasty techniques over the hard palate (63 of 70 patients) included 2-flap palatoplasty, VY-pushback, and Von Langenbeck repair. There was an association between class III incisal relationship and syndromic diagnosis (P cleft of the secondary palate, there was no association between class III incisal relationship and surgeon, age at repair, cleft type, palatoplasty technique, or number of operations. Increased likelihood of class III incisal relationship was associated primarily with syndromic diagnosis.

  16. Midline versus transverse incision for cesarean delivery in low-income countries

    DEFF Research Database (Denmark)

    Maaløe, Nanna; Aabakke, Anna J M; Secher, Niels J


    While transverse incision is the recommended entry technique for cesarean delivery in high-income countries, it is our experience that midline incision is still used routinely in many low-income settings. Accordingly, international guidelines lack uniformity on this matter. Although evidence...

  17. Gas-Filled Capillary Model

    International Nuclear Information System (INIS)

    Steinhauer, L. C.; Kimura, W. D.


    We have developed a 1-D, quasi-steady-state numerical model for a gas-filled capillary discharge that is designed to aid in selecting the optimum capillary radius in order to guide a laser beam with the required intensity through the capillary. The model also includes the option for an external solenoid B-field around the capillary, which increases the depth of the parabolic density channel in the capillary, thereby allowing for propagation of smaller laser beam waists. The model has been used to select the parameters for gas-filled capillaries to be utilized during the Staged Electron Laser Acceleration -- Laser Wakefield (STELLA-LW) experiment

  18. QENS investigation of filled rubbers

    CERN Document Server

    Triolo, A; Desmedt, A; Pieper, J K; Lo Celso, F; Triolo, R; Negroni, F; Arrighi, V; Qian, H; Frick, B


    The polymer segmental dynamics is investigated in a series of silica-filled rubbers. The presence of inert fillers in polymers greatly affects the mechanical and physical performance of the final materials. For example, silica has been proposed as a reinforcing agent of elastomers in tire production. Results from quasielastic neutron scattering and Dynamic Mechanical Thermal Analysis (DMTA) measurements are presented on styrene-ran-butadiene rubber filled with silica. A clear indication is obtained of the existence of a bimodal dynamics, which can be rationalized in terms of the relaxation of bulk rubber and the much slower relaxation of the rubber adsorbed on the filler surface. (orig.)

  19. Testing MODFLOW-LGR for simulating flow around Buried Quaternary valleys - synthetic test cases

    DEFF Research Database (Denmark)

    Vilhelmsen, Troels Norvin; Christensen, Steen

    In Denmark the water supply is entirely based on ground water. In some parts of the country these resources are found in buried quaternary tunnel valleys. Intensive mapping has shown that the valleys typically have a complex internal hydrogeology with multiple cut and ­fill structures. The admini......In Denmark the water supply is entirely based on ground water. In some parts of the country these resources are found in buried quaternary tunnel valleys. Intensive mapping has shown that the valleys typically have a complex internal hydrogeology with multiple cut and ­fill structures....... The administration of groundwater resources has been based on simulations using regional scale groundwater models. However, regional scale models have difficulties with accurately resolving the complex geology of the buried valleys, which bears the risk of poor model predictions of local scale effects of groundwater...... abstraction. To enable effective administration of the groundwater resources new methods need to be investigated to improve simulation of local scale flow in buried valleys that interact with surrounding regional groundwater systems. The purpose of this synthetic case study is to test the Local Grid Re...

  20. Influence of upper and temporal transconjunctival sclerocorneal incision on marginal reflex distance after cataract surgery. (United States)

    Tamaki, Rikiya; Gosho, Masahiko; Mizumoto, Kyoichi; Kato, Nahoko; Zako, Masahiro


    Ptosis incidence following cataract surgery is reduced with a recently developed phacoemulsification technique using a small incision. However, it remains uncertain whether an upper transconjunctival sclerocorneal incision can cause minor blepharoptosis. In the present prospective study, patients underwent cataract surgery with either an upper or temporal 2.4-mm transconjunctival sclerocorneal incision. We measured the marginal reflex distance 1 (MRD1) preoperatively and postoperatively, and compared these measurements between the two different incision types. Further we explored the risk factors of the postoperative MRD1 reduction. The study population included patients who underwent cataract surgery on both eyes at Aichi Medical University between October 2013 and September 2015. In each patient, one eye was operated using an upper 2.4-mm transconjunctival sclerocorneal incision, and the other with a temporal incision. We prespecified that an MRD1 difference of ≥0.5 mm between the pre- and post-surgical measurements indicated postoperative ptosis, which was a strict criterion. MRD1 was measured using digital photography, and we calculated the difference between the preoperative and postoperative MRD1 values. This change in MRD1 was compared between the groups with different incision locations. The change in MRD1 was analyzed by using the multivariate regression model including incision position (temporal or upper), preoperative MRD1, and preoperative distance between medial and lateral canthi. We assessed data from a total of 34 patients. The mean change in MRD1 from pre-operation to post-operation measurements was -0.26 ± 0.93 with the temporal incision and -0.24 ± 0.86 with the upper incision. The mean difference in the change in MRD1 between the different two incision types was -0.02, with a 95 % CI of -0.24 to 0.20, establishing equivalence between these incision types. The multivariate regression analysis showed that the preoperative MRD1 was

  1. Morphometric differences in debris flow and mixed flow fans in eastern Death Valley, CA (United States)

    Wasklewicz, T. A.; Whitworth, J.


    lengths of the channel and interfluve couplets and the percent pixels per unit area have been identified between the two fan groups. In general, shorter distances were found in the mixed flow fans. This finding can be attributed to primary and secondary erosional processes leading to a higher degree of dissection in the MF fan surfaces than was identified in the DF fans. The clast-rich deposits of the DF fan are more resistant to secondary erosional processes and overtopping of the levees likely leads to filling of older incised debris flow channels.

  2. Recent, climate-driven river incision rate fluctuations in the Mercantour crystalline massif, southern French Alps (United States)

    Petit, C.; Goren, L.; Rolland, Y.; Bourlès, D.; Braucher, R.; Saillard, M.; Cassol, D.


    We present a new geomorphological analysis of the Tinée River tributaries in the southern French Alps based on numerical inverse and forward modelling of their longitudinal profiles. We model their relative uplift history with respect to the main channel, hence the incision rate history of this channel. Inverse models show that all tributaries have consistent incision rate histories with alternating high and low values. A comparison with global temperature curves shows that these variations correlate with quaternary climate changes. We suggest that during warm periods, a wave of regressive erosion propagates in the Tinée River, while its tributaries deeply incise their substratum to catch up with the falling base-level. We also show that the post 140 ka history of this landscape evolution is dominated by fluvial incision. We then perform forward models of river incision and simulate the incision of the Tinée River system over a time span of 600 ka. This model allows us to extract time and space incision rate variations of the Tinée River. With a background of a few mm.yr-1, incision rate can increase up to more than 1 cm yr-1 during short periods of time due to climatic oscillations. This result is compatible with published cosmogenic nuclide based dating, which evidenced incision rates from 0.2 to 24 mm yr-1. The part of the channel located between 12 and 20 km downstream from the source has undergone several periods of rapid incision rates, which could explain the steep hillslopes and the triggering of a landslide ∼10 ka ago.

  3. Filling of charged cylindrical capillaries

    NARCIS (Netherlands)

    Das, S.; Chanda, Sourayon; Eijkel, Jan C.T.; Tas, Niels Roelof; Chakraborty, Suman; Mitra, Sushanta K.


    We provide an analytical model to describe the filling dynamics of horizontal cylindrical capillaries having charged walls. The presence of surface charge leads to two distinct effects: It leads to a retarding electrical force on the liquid column and also causes a reduced viscous drag force because

  4. Valley development on Hawaiian volcanoes

    International Nuclear Information System (INIS)

    Baker, V.R.; Gulick, V.C.


    Work in progress on Hawaiian drainage evolution indicates an important potential for understanding drainage development on Mars. Similar to Mars, the Hawaiian valleys were initiated by surface runoff, subsequently enlarged by groundwater sapping, and eventually stabilized as aquifers were depleted. Quantitative geomorphic measurements were used to evaluate the following factors in Hawaiian drainage evolution: climate, stream processes, and time. In comparing regions of similar climate, drainage density shows a general increase with the age of the volcani island. With age and climate held constant, sapping dominated valleys, in contrast to runoff-dominated valleys, display the following: lower drainage densities, higher ratios of valley floor width to valley height, and more positive profile concavities. Studies of stream junction angles indicate increasing junction angles with time on the drier leeward sides of the major islands. The quantitative geomorphic studies and earlier field work yielded important insights for Martian geomorphology. The importance of ash mantling in controlling infiltration on Hawaii also seems to apply to Mars. The Hawaiian valley also have implications for the valley networks of Martian heavily cratered terrains

  5. Geophysical Investigation of Avon Valley, West-Central Montana, using Gravity and Seismic Reflection Profiling (United States)

    Knatterud, L.; Mosolf, J.; Speece, M. A.; Zhou, X.


    The Avon Valley and adjacent mountains in west-central Montana lie within the Lewis and Clark Line, a major system of WNW-striking faults and folds that transect the more northerly structural grain of the northern Rockies and represent alternating episodes of transtensional and transpressional deformation. The northwest-trending valley has been previously interpreted as an extensional half graben filled with Tertiary sedimentary and volcanic deposits; however, little-to-no geophysical constraints on basin architecture or the thickness of Tertiary fill have been reported. A major northwest-striking fault with significant normal displacement clearly bounds the valley to the northeast, juxtaposing Tertiary sedimentary deposits against Proterozoic-Mesozoic units deformed by shortening structures and crosscut by Cretaceous granitic intrusions. Tertiary volcanic deposits unconformably overlying faulted and folded Phanerozoic-Proterozoic sequences in the eastern Garnet Range bound the valley to the southwest, but in the past no faults had been mapped along this margin. New mapping by the Montana Bureau of Mines and Geology (MBMG) has identified a system of high-angle, northwest- and northeast-striking, oblique-slip faults along the southwest border of the Avon calling into question if the valley is a half, full, or asymmetrical graben. Geophysical data has recently been acquired by Montana Tech to help define the structural architecture of the Avon Valley and the thickness of its Tertiary fill. Gravity data and a short seismic reflection profile have been collected and a preliminary interpretation of these data indicates a half graben with a series of normal faults bounding the western side of the valley. Ongoing gravity data collection throughout 2014 should refine this interpretation by better defining the bedrock-Tertiary interface at depth.

  6. Single transverse extended incision for radical neck dissection. (United States)

    Chagas, José Francisco Sales; Pascoal, Maria Beatriz Nogueira; Aquino, José Luís Braga; Brandi, Luís Antônio; Previtale, Evandro Von Zuben; Trillo, Ana Sofia Pontes; Curioni, Otávio Alberto; Rapoport, Abrão; Dedivitis, Rogério Aparecido


    to assess the efficacy of the single transverse extended cervical incision in radical neck dissection. we conducted a prospective study, from January 2008 to January 2009, with 18 patients undergoing surgical treatment of malignant tumors of the upper aero-digestive tract. The primary lesion was located in the oral cavity in eight cases, in the oropharynx in three, in the hypopharynx in three, in the larynx in two, in the maxillary sinus, and in one case, the primary injury was hidden. There were 29 neck dissections, eight bilateral and 10 unilateral (26 radical and three selective). Staging revealed nine patients with T4 tumor, one T3, six T2, one T1 and one Tx. Five patients were N0, nine N2b, one N2c and three N3. The average number of dissected lymph nodes was 34.25. We performed the neck dissection through a single incision located in the middle neck, coincident with the skinfold, with a length of about 2 to 3 cm behind the anterior edge of the trapezius muscle and 3 to 4 cm from the midline for the unilateral neck dissections. as complications, there were myocutaneous flap necrosis in one patient with prior radiation therapy, one lymphatic fistula, one dehiscence of the tracheostomy, one cervical abscess, one salivary fistula and one suture dehiscence. the single extended incision provides adequate exposure of the neck structures, without compromising surgical time, even in bilateral dissections. It does not compromise the resection of all cervical lymph nodes; it has excellent aesthetic and functional results and is easily associated with other approaches to resection of the primary tumor. verificar a eficácia da incisão cervical única, transversa e estendida, para o esvaziamento cervical radical. estudo prospectivo, de janeiro de 2008 a janeiro de 2009, de 18 pacientes submetidos a tratamento cirúrgico de tumores malignos da via aero-digestiva superior. A lesão primária se situava na cavidade oral em oito casos, na orofaringe em três, no seio

  7. Effect of incision design on interproximal bone loss of teeth adjacent to single implants. A randomized controlled clinical trial comparing intrasulcular vs paramarginal incision. (United States)

    Girbés-Ballester, Paula; Viña-Almunia, Jose; Balaguer-Martí, Jose C; Peñarrocha-Diago, Miguel; Peñarrocha-Oltra, David


    To evaluate the effect of incision design in implant surgery on interproximal bone loss of posterior teeth adjacent to interdental single implants, comparing intrasulcular and paramarginal incision. A further aim was to assess the influence of the incision technique on peri-implant bone remodeling. A controlled randomized clinical trial was carried out in a University Clinic. All the patients received an interdental posterior single implant. The incision type was randomly divided into two groups: (a) intrasulcular or (b) paramarginal. Standardized periapical digital radiographs were made with the parallel technique and a silicone index individualized in each patient. Radiographs were made immediately after implant placement, at abutment connection, 6 and 12 months post-loading. Two radiographic reference points were detected at the interproximal aspect of the adjacent teeth: (A) the cementoenamel junction and (B) the most coronal aspect of the bone crest. The interproximal bone loss of the adjacent teeth was calculated as the difference from A to B between the different follow-up periods and baseline. Two different examiners evaluated the radiographic measurements twice. Sixty patients, each with one implant, were included, 30 in each group. A mean interproximal bone loss in teeth of 0.09 mm in the intrasulcular and 0.10 mm in the paramarginal group was found at 12 months post-loading. Mean peri-implant bone remodeling was 0.17 mm in the intrasulcular group and 0.15 mm in the paramarginal group. Differences between incision types were not statistically significant (p > .05). Both incision designs used to place interdental single implants resulted in minimum bone loss at the interproximal aspect of adjacent teeth. The incision design did not significantly influence the radiographically assessed interproximal bone loss nor peri-implant bone remodeling. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. Jaw cysts - filling or no filling after enucleation? A review. (United States)

    Ettl, Tobias; Gosau, Martin; Sader, Robert; Reichert, Torsten E


    Jaw cysts are common lesions in the oral and maxillofacial region. Enucleation of the lesions and primary closure of the defects, the so-called "cystectomy", has evolved as the treatment of choice. In order to reduce infections and to accelerate bone regeneration, different types of bone grafts are increasingly investigated for defect filling. The present review reflects the most recent studies using autogenous, allogenic, xenogenic and alloplastic bone grafts and compares the results to current investigations about conservative cyst enucleation without using any filling materials. Relevant studies with significant patient sample sizes were electronically searched in PubMed and Medline. Simple cyst enucleation and blood clot healing show low complication rates and sufficient bone regeneration even in large defects. Prospective randomized trials comparing the additional use of filling materials to the "cystectomy" are rare. Currently available data do not indicate the superiority of additional bone grafts. Enucleation of jaw cysts and primary closure without bone substitutes remains "state of the art" in most cases. Copyright © 2011 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  9. Inversion of synthetic aperture radar interferograms for sourcesof production-related subsidence at the Dixie Valley geothermalfield

    Energy Technology Data Exchange (ETDEWEB)

    Foxall, B.; Vasco, D.W.


    We used synthetic aperture radar interferograms to imageground subsidence that occurred over the Dixie Valley geothermal fieldduring different time intervals between 1992 and 1997. Linear elasticinversion of the subsidence that occurred between April, 1996 and March,1997 revealed that the dominant sources of deformation during this timeperiod were large changes in fluid volumes at shallow depths within thevalley fill above the reservoir. The distributions of subsidence andsubsurface volume change support a model in which reduction in pressureand volume of hot water discharging into the valley fill from localizedupflow along the Stillwater range frontal fault is caused by drawdownwithin the upflow zone resulting from geothermal production. Our resultsalso suggest that an additional source of fluid volume reduction in theshallow valley fill might be similar drawdown within piedmont faultzones. Shallow groundwater flow in the vicinity of the field appears tobe controlled on the NW by a mapped fault and to the SW by a lineament ofas yet unknown origin.

  10. Dark Valley in Newton Crater (United States)


    MGS MOC Release No. MOC2-418, 11 July 2003This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) high resolution image shows part of a dark-floored valley system in northern Newton Crater. The valley might have been originally formed by liquid water; the dark material is probably sand that has blown into the valley in more recent times. The picture was acquired earlier this week on July 6, 2003, and is located near 39.2oS, 157.9oW. The picture covers an area 2.3 km (1.4 mi) across; sunlight illuminates the scene from the upper left.

  11. Terrace styles and timing of terrace formation in the Weser and Leine valleys, northern Germany: Response of a fluvial system to climate change and glaciation (United States)

    Winsemann, Jutta; Lang, Jörg; Roskosch, Julia; Polom, Ulrich; Böhner, Utz; Brandes, Christian; Glotzbach, Christoph; Frechen, Manfred


    In glaciated continental basins accommodation space is not only controlled by tectonics and sea-level but also by the position of ice-sheets, which may act as a regional base-level for fluvial systems. Although the Pleistocene terrace record of major river systems in northwestern Europe has been investigated by many authors, relatively little attention has been paid to base-level changes related to glacier advance-retreat cycles and how these regional changes in base-level interacted with river catchment processes. This study provides a synthesis of the stratigraphic architecture of Middle Pleistocene to Holocene fluvial terraces in the upper Weser and middle Leine valley in northern Germany and links it to glaciation, climate and base-level change. The depositional architecture of the fluvial terrace deposits has been reconstructed from outcrops and high-resolution shear wave seismic profiles. The chronology is based on luminescence ages, 230Th/U ages, 14C ages and Middle Palaeolithic archaeological assemblages. The drainage system of the study area developed during the Early Miocene. During the Pleistocene up to 170 m of fluvial incision took place. A major change in terrace style from strath terraces to cut-and-fill terraces occurred during the early Middle Pleistocene before Marine Isotope Stage MIS 12, which may correlate with climate deterioration and the onset of glaciation in northern central Europe. During this time a stable buffer zone was established within which channels avulsed and cut and filled freely without leaving these vertical confines. Climate was the dominant driver for river incision and aggradation, whereas the terrace style was controlled by base-level changes during ice-sheet growth and decay. A major effect of glacio-isostatic processes was the post-Elsterian re-direction of the River Weser and River Leine. The Middle Pleistocene fluvial terraces are vertically stacked, indicating a high aggradation to degradation ratio, corresponding

  12. 27 CFR 9.41 - Lancaster Valley. (United States)


    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Lancaster Valley. 9.41... Lancaster Valley. (a) Name. The name of the viticultural area described in this section is “Lancaster Valley.” (b) Approved maps. The appropriate maps for determining the boundaries of the Lancaster Valley...

  13. Remediating the South Alligator Valley uranium mining legacy

    International Nuclear Information System (INIS)

    Fawcett, M.; Waggitt, P.


    In late 1950s and early 1960s 13 uranium mines operated in the South Alligator Valley of Australia's Northern Territory. Once sales contracts had been filled the mines were abandoned and no remediation took place. In the 1980s the valley was designated as part of Stage 3 of the adjacent World Heritage-listed, Kakadu National Park. Proposals for remediation were only seriously put forward when the land was returned to the traditional Aboriginal owners, the Gunlom Land Trust, in 1996. Although they leased the land back so it would remain a part of Kakadu National Park the traditional Aboriginal owners required remediation to be complete by 2015. This paper tells the story of the development and implementation of the remediation process from the start of planning in 1998 to completion in 2009; and finally it describes the development of stakeholder relationships and the initial plans for long term stewardship. (author)

  14. Sediment budget in a Himalayan Valley (Middle Kali Gandaki, Nepal) (United States)

    Fort, M.; Cossart, E.


    Active mountains supply the largest sediment fluxes experienced on earth. At mountain range scale, sediment budgets are controlled by rock uplift and climate, hence by a wide range of erosion processes (detachment, transport and deposition), all operating within drainage basin units, with time and spatial patterns that indeed are quite complex at local scale. In the Himalayas, the sediment cascade is particularly efficient, as favoured by high, glaciated peaks, together with narrow valleys and steep hillslopes, in a monsoon-contrasted, climatic context. We focus on the Kali Gandaki valley, along the gorge section across Higher Himalaya (e.g. from Jomosom down to Tatopani). Along this reach, we identify sediment sources, sediment stores and sinks, and specifically consider hillslope interactions with valley floor at short and longer time scales, and their impact on sediment budgets and fluxes. We present a detailed sediment budget, constrained by available dates and/or relative chronology. Studied sites include rock-avalanches (Jomosom, Dhumpu), Pairothapla-Talbagar and Tatopani landslides, Ghatte khola debris fan, and terraces systems preserved at confluence sites along the lower slopes of the valley. On the basis of geomorphic surveys and mapping, and thanks to DEM facilities, we estimate the volume of each sedimentary unit, including lacustrine sediments trapped upstream of landslide and/or glacial dams. Debris volume eroded and/or deposited during the last decades is also calculated. Alternation of alluviation events and incision stages are then reconstructed, and their relation with sismo-tectonic and/or climatic triggering events suggested, according to the time scale considered. From our results it appears that if large landslides contribute significantly to the denudation history of active mountain range, more frequent, medium to small scales landslides are in fact of primary concern for Himalayan population. This conclusion suggests that in this very

  15. De Qeurvian Tenosynovitis: Clinical Outcomes of Surgical Treatment with Longitudinal and Transverse Incision

    Directory of Open Access Journals (Sweden)

    Arefah Dehghani Tafti


    Full Text Available AbstractObjectives: De Quervain disease is a mechanical tenosynovitis due to inadequacy volume between abductor pollicis longus, extensor pollicis brevis and their tunnel. Treatment methods include immobilization, steroid injections, and operation. For the first time Fritz De Quervain described surgical treatment of this disease. Since then, various ways of treatment have been reported. The purpose of this study is to compare the clinical outcomes of a longitudinal incision with a transverse incision in De Quervain disease.Methods: This was a randomized controlled clinical trial conducted in three hospitals in Iran, Yazd from March 2003 to September 2008. One hundred-twenty patients with De Quervain disease who did not respond to conservative treatment were operated with two different incisions. The patients were followed for three months to compare the surgical outcomes.Results: During a three month follow-up, a significant difference was shown between the two methods (p=0.03. Results of surgical treatment with longitudinal incision were excellent (only 5 hypertrophic scars, but there were 13 postoperative complaints with transverse incision.Conclusion: According to our findings, longitudinal incision in surgical treatment of De Quervain disease is better than transverse incision.


    Directory of Open Access Journals (Sweden)

    M. Zakariya


    Full Text Available Introduction : Povidoe iodine often used in incision treatment. This study was aimed to explain the differences between honey and povidone iodine 10% on incision healing, were unknown. Method : This study used a true experiment design with 18 samples of 3 years old-male guinea pigs, divided into three groups. One-control group and 2 treatment groups. This classification was done randomize. The independent variable was used of honey and 10-% povidon iodin and the dependent variable was inflammation phase (squeezing, edema, plasma of incision and proliferation (granulation, incision edge unification, skin structure were assessed in the third and sixth days.  Data were collected by using observation of the signs both of inflammation and proliferation phase and analyzed using Chi Square with level of significance α ≤ 0.05. Result : Results showed that there was no significant difference in the third and sixth days inflammation. In contrast, a significant difference was obtained in the third and sixth days proliferation. Granulation (p< 0,05, incision edge unification (p< 0,05, establishment of skin structures (p< 0,05. Analysis : It can be concluded that the honey usage was proven to be more effective in accelerated incision healing, increasing proliferation and reduce any infection risks. Discussion : For future research there is neeed to conduct a microscopically observation of numerous changes in collagen, PMN-cell (neutrophile and MN-cell (lymphocyte and monocyte, inflammation and proliferation as well as incision healing process.

  17. Nuclear management in manual small incision cataract surgery by snare technique

    Directory of Open Access Journals (Sweden)

    Bhattacharya Debasish


    Full Text Available Manual small incision cataract surgery has evolved into a popular method of cataract surgery in India. However, in supra hard cataract, bringing out the whole nucleus through the sclerocorneal flap valve incision becomes difficult. A bigger incision required in such cataracts loses its value action, as the internal incision and corneal valve slips beyond the limbus into sclera. Struggling with the supra hard cataracts through a regular small incision. Phacofracture in the anterior chamber becomes a useful option in these cases. In the snare technique, a stainless steel wire loop when lassoed around the nucleus in the anterior chamber constricts from the equator, easily dividing the hardest of the nuclei into two halves. The wire loop constricts in a controlled way when the second cannula of snare is pulled. The divided halves can easily be brought out by serrated crocodile forceps. This nuclear management can be safely performed through a smaller sclerocorneal flap valve incision where the corneal valve action is retained within the limbus without sutures, and the endothelium or the incision is not disturbed. However, the technique requires space in the anterior chamber to maneuver the wire loop and anterior chamber depth more than 2.5 mm is recommended. Much evidence to this wonderful technique is not available in literature, as its popularity grew through live surgical workshops and small interactive conferences.

  18. Reproductive Outcome of Transcervical Uterine Incision in Unicornuate Uterus. (United States)

    Xia, En-Lan; Li, Tin-Chiu; Choi, Sze-Ngar Sylvia; Zhou, Qiao-Yun


    The pregnancy outcome of the unicornuate uterus is associated with an increased risk of miscarriage, cervical incompetence, and a number of obstetric complications. However, at present, there is no accepted treatment method for women with unicornuate uterus, other than expectant measures. The aim of this study was to evaluate the reproductive outcome of transcervical uterine incision (TCUI) in patients with unicornuate uterus. Thirty-three patients with unicornuate uterus presented to our tertiary center for infertility or miscarriage. All 33 patients underwent TCUI and were followed up for 10-52 months. The pregnancy outcomes ( first-trimester miscarriage, second-trimester miscarriage, preterm, term, intrauterine death, ongoing pregnancy, and live birth) before and after TCUI were compared by t- test. Among 31 patients who attempted to conceive after TCUI, twenty conceived including one termination of pregnancy, one second-trimester miscarriage, one ectopic pregnancy, five preterm deliveries, 11 term delivery, and one ongoing pregnancy. There were 16 live births in total. There was significant reduction in the first-trimester miscarriage rate (t = 4.890; Puterus presenting with infertility or miscarriage.

  19. Small incision lenticule extraction (SMILE) monovision for presbyopia correction. (United States)

    Luft, Nikolaus; Siedlecki, Jakob; Sekundo, Walter; Wertheimer, Christian; Kreutzer, Thomas C; Mayer, Wolfgang J; Priglinger, Siegfried G; Dirisamer, Martin


    To evaluate the outcomes of myopic small incision lenticule extraction (SMILE) monovision in presbyopic patients. This study included 49 presbyopic patients older than 45 years seeking surgical correction of myopia or myopic astigmatism who underwent bilateral SMILE with planned monovision in the SMILE Eyes Clinic Linz, Austria. Target refraction was plano for dominant (distance) eyes and ranged between -1.25 and -0.50 D for nondominant (near) eyes. Best-corrected distance visual acuity, uncorrected distance visual acuity (UDVA), uncorrected near visual acuity, as well as spectacle dependence were assessed after a mean postoperative period of 7.2 ± 4.8 months. Mean age was 49 ± 3 years and female to male ratio was 30:19. Distance eyes achieved a spherical equivalent correction of ±0.50 D from target refraction in 80% of patients and 96% were within ±1.0 D. Binocular UDVA of 20/20 or better was achieved by 90% of patients and all patients achieved 20/25 or better. The proportion of patients with a binocular UDVA of 20/20 or better who could read J2 or better amounted to 84%. Complete spectacle independence was achieved by 84% of patients and independence from reading glasses was achieved in 92% of cases. No patient requested refractive enhancement or monovision reversal. This first evaluation of SMILE monovision endorses the approach as a safe and effective option for the correction of presbyopia in myopic patients seeking refractive surgery.

  20. Single-Incision Laparoscopic Sterilization of the Cheetah (Acinonyx jubatus). (United States)

    Hartman, Marthinus J; Monnet, Eric; Kirberger, Robert M; Schmidt-Küntzel, Anne; Schulman, Martin L; Stander, Jana A; Stegmann, George F; Schoeman, Johan P


    To describe laparoscopic ovariectomy and salpingectomy in the cheetah (Acinonyx jubatus) using single-incision laparoscopic surgery (SILS). Prospective cohort. Female cheetahs (Acinonyx jubatus) (n = 21). Cheetahs were randomly divided to receive either ovariectomy (n = 11) or salpingectomy (n = 10). The use and complications of a SILS port was evaluated in all of cheetahs. Surgery duration and insufflation volumes of carbon dioxide (CO2 ) were recorded and compared across procedures. Laparoscopic ovariectomy and salpingectomy were performed without complications using a SILS port. The poorly-developed mesosalpinx and ovarian bursa facilitated access to the uterine tube for salpingectomy in the cheetah. The median surgery duration for ovariectomy was 24 minutes (interquartile range 3) and for salpingectomy was 19.5 minutes (interquartile range 3) (P = .005). The median volume of CO2 used for ovariectomy was 11.25 L (interquartile range 3.08) and for salpingectomy was 4.90 L (interquartile range 2.52), (P = .001) CONCLUSIONS: Laparoscopic ovariectomy and salpingectomy can be performed in the cheetah using SILS without perioperative complications. Salpingectomy is faster than ovariectomy and requires less total CO2 for insufflation. © Copyright 2015 by The American College of Veterinary Surgeons.

  1. Surgical incision can alter capsaicin-induced central sensitization in rat brainstem nociceptive neurons. (United States)

    Lam, D K; Sessle, B J; Hu, J W


    Surgical trauma can affect spinal neuronal excitability, but there have been no studies of the effects of surgical cutaneous injury on central nociceptive processing of deep afferent inputs evoked by noxious stimuli such as capsaicin. Thus our aim was to test the effect of surgical cutaneous incision in influencing central sensitization induced by capsaicin injection into the temporomandibular joint (TMJ). The activity of single nociceptive neurons activated by noxious mechanical stimulation of the TMJ was recorded in the trigeminal subnucleus caudalis/upper cervical cord of halothane-anesthetized rats. The cutaneous mechanoreceptive field (RF), cutaneous mechanical activation threshold (MAT) and TMJ MAT of neurons before and after both surgical cutaneous incision alone and capsaicin injection were compared with results of incision and lidocaine pretreatment of the facial skin overlying the TMJ and capsaicin injection into the TMJ. Incision itself induced a barrage of neuronal spikes and excitability increases reflecting central sensitization (cutaneous RF expansion, cutaneous MAT reduction) in most neurons tested whereas lidocaine pretreatment significantly attenuated the barrage and central sensitization. Capsaicin injection into the TMJ induced cutaneous RF expansion, cutaneous MAT reduction and TMJ MAT reduction following lidocaine pretreatment of the cutaneous incision site whereas capsaicin injection following incision alone not only failed to induce further central sensitization but also decreased the existing incision-induced central sensitization (no cutaneous RF expansion, increased cutaneous MAT and TMJ MAT) in most neurons tested. These findings suggest that central sensitization induced by capsaicin alone or by cutaneous incision alone can readily occur in TMJ-responsive nociceptive neurons and that following incision-induced excitability increases, capsaicin may result in a temporary suppression of nociceptive neuronal changes reflecting central

  2. Incision rate changes in the upper Var River catchment, southern French Alps: from observations to models. (United States)

    Petit, Carole; Rolland, Yann; Goren, Liran; Bourlès, Didier; Braucher, Régis; Saillard, Marianne; Cassol, Davide


    Cosmic Ray Exposure (CRE) dating on river polished surfaces from gorges located in the Var River catchment (Southern French Alps) reveals high incision rate pulses (>10 mm.yr-1) related with climate changes, and in particular with glacial-interglacial transitions. In addition, they show that the onset of the last deglaciation in this area occurred shortly after the Last Glacial Maximum (LGM), i.e. 16-19 ka ago. Extrapolating these results to longer time scales suggests that the post 140 ka history of this landscape was dominated by fluvial incision. Inverse models based on the stream power law are then used to determine uplift rate variations in several small tributaries of this catchment with respect to the main channel. These inverse models show that all tributaries have consistent incision rate histories with alternating high and low values, and a comparison with global temperature curves shows that these variations significantly correlate with quaternary climate changes. We suggest that during warm periods, a wave of regressive erosion propagates in the main channel, while its tributaries deeply incise their substratum to catch up with the falling base-level. We then perform forward models of river incision and simulate the incision of the main channel system over a time span of 600 ka. This model allows us to extract time and space incision rate variations along the Tinée River channel (the largest tributary of the Var River). With a background of a few mm.yr-1, incision rate can increase up to more than 10 mm.yr-1 during short episodes, in agreement with CRE dating. The part of the channel located between 12 and 20 km downstream from the source has undergone several periods of rapid incision rates, which could explain the steep hillslopes and the triggering of a landslide 10 kyr ago.

  3. The Drentsche Aa valley system

    International Nuclear Information System (INIS)

    Gans, W. de.


    This thesis is composed of five papers concerned with Late Quaternary geology and geomorphology of the Aa valley system. The correlation and chronostratigraphic position of the layers have been established by radiocarbon dating. (Auth.)

  4. Time-transgressive tunnel-valley infill revealed by a three- dimensional sedimentary model, Hamburg, north-west Germany

    DEFF Research Database (Denmark)

    Janszen, Adriaan; Moreau, Julien; Moscariello, Andrea


    highly intricate and therefore difficult to predict. This study intends to improve the comprehension of the sedimentology and to establish a conceptual model of tunnel-valley infill, which can be used as a predictive tool. To this end, the densely sampled, Pleistocene tunnel valleys in Hamburg (north...... succession filling the Hamburg area tunnel valleys can be subdivided into three distinct units, which are distinguished by their inferred depositional proximity to the ice margin. The overall trend of the succession shows a progressive decrease in transport energy and glacial influence through time. The rate...

  5. Techniques for creating inconspicuous face-lift scars: avoiding visible incisions and loss of temporal hair. (United States)

    Kridel, Russell W H; Liu, Edmund S


    Patients seeking rhytidectomy desire an improved neckline, jawline, and midface, but rarely at the price of signs that betray a face-lift, namely, visible incisions. We describe our face-lift incisional planning and the rationale behind specific surgical maneuvers for preventing unwanted sequelae. The telltale signs of poorly placed incisions include temporal hair loss, conspicuous scars, an unnatural appearance to the tragus, and a posterior hairline distorsion. Special considerations are given to the male patient and to the salvage of readily visible incision lines from previous surgery.

  6. Towards achieving small-incision cataract surgery 99.8% of the time.

    Directory of Open Access Journals (Sweden)

    Thomas R


    Full Text Available A surgical approach designed to reliably attain the modern goal of small incision cataract surgery 99.8% of the time is described. Phacoemulsification as well as a manual small incision technique is utilised to achieve the desired outcome as often as possible and for all types of cataracts. The logic, and required surgical steps are described and illustrated. This surgical technique allows the advantages of small incision surgery to be reliably achieved. The method is flexible and allows decisions and steps to be modified depending on the skill and comfort zone of the individual surgeon.

  7. Tuning Spin- and Valley-Degeneracies in Multicomponent Quantum Well Transport (United States)

    Prabhu-Gaunkar, Sunanda

    degeneracies can be tuned with structural parameters such as growth orientation, QW width and additional confinement such as gating along specific directions. We detail a theory to calculate the ground energy of each valley in a multi-valley system, considering the influence of growth orientation, quantum confinement and miscut angles on valley degeneracies. We first study AlAs QWs grown along the high mobility (001) facet, which has two degenerate valleys. Since valley mass is anisotropic along different directions we can perform transport experiments with orientation sensitivity on specific sample geometries which permit us to distinguish between the valleys. The mass anisotropy also gives rise to anisotropy in valley resistance, and we measure the valley anisotropy ratio at various half-filling factors. The measurement of this resistance anisotropy ratio at half-filled Landau levels is the first evidence of valley ordering of Landau levels. We also study AlAs QW grown along the lower mobility and lesser studied (111) facet with three degenerate valleys. Though they have not yet been experimentally demonstrated, on-axis AlAs (111) valleys would exhibit an SU(3)-like symmetry which is of interest due to the novelty of valley texture excitations which might arise. A small miscut angle to the principle growth axis allows us to grow defect-free (111) AlAs QWs but also breaks the degeneracy. We optimize the growth with AFM, TEM and XRD morphology characterization of the GaAs, AlGaAs and AlAs layers individually and in combination on (111) GaAs substrate. We show with numerical simulations that careful selection of miscut angle with respect to the valley orientation can exactly determine the valley degeneracy breaking in this SU(3)-like system. Furthermore, the valley degeneracies that we observe with transport characterization match with the numerical simulations. By choosing current to flow along the three valley orientations, and measuring the longitudinal resistance we can

  8. Phacoemulsification versus small incision cataract surgery in patients with uveitis

    Directory of Open Access Journals (Sweden)

    Rahul Bhargava


    Full Text Available AIM: To compare the safety and efficacy of phacoemulsification and small incision cataract surgery (SICS in patients with uveitic cataract.METHODS:In aprospective, randomized multi-centric study, consecutive patients with uveitic cataract were randomized to receive phacoemulsification or manual SICS by either of two surgeons well versed with both the techniques. A minimum inflammation free period of 3mo (defined as less than 5 cells per high power field in anterior chamber was a pre-requisite for eligibility for surgery. Superior scleral tunnel incisions were used for both techniques. Improvement in visual acuity post-operatively was the primary outcome measure and the rate of post-operative complications and surgical time were secondary outcome measures, respectively. Means of groups were compared using t-tests. One way analysis of variance (ANOVA was used when there were more than two groups. Chi-square tests were used for proportions. Kaplan Meyer survival analysis was done and means for survival time was estimated at 95% confidence interval (CI. A P value of <0.05 was considered statistically significant.RESULTS:One hundred and twenty-six of 139 patients (90.6% completed the 6-month follow-up. Seven patients were lost in follow up and another six excluded due to either follow-up less than six months (n=1 or inability implant an intraocular lens (IOL because of insufficient capsular support following posterior capsule rupture (n=5. There was significant improvement in vision after both the procedures (paired t-test; P<0.001. On first postoperative day, uncorrected distance visual acuity (UDVA was 20/63 or better in 31 (47% patients in Phaco group and 26 (43.3% patients in SICS group (P=0.384. The mean surgically induced astigmatism (SIA was 0.86±0.34 dioptres (D in the phacoemulsification group and 1.16±0.28 D in SICS group. The difference between the groups was significant (t-test, P=0.002. At 6mo, corrected distance visual acuity (CDVA

  9. Early clinical outcomes after small incision lenticule extraction surgery (SMILE). (United States)

    Recchioni, Alberto; Hartwig, Andreas; Dermott, Jay; Vaswani, Sundeep; Bhatt, Jay; Morris, Robert; O'Donnell, Clare


    Dry eye is known to impact on clinical outcomes after laser vision correction and the use of a newer 'all femtosecond laser' surgical approach may be associated with less impact on the ocular surface post-operatively. The purpose of this study was to evaluate the early clinical outcomes and tear instability after the first small incision lenticule extraction (SMILE) cases undertaken by three surgeons at a single site in the UK. Retrospective audit. Seventy-one eyes of 37 patients underwent SMILE surgery using the Zeiss VisuMax laser system (Carl Zeiss Meditec, Germany). Uncorrected and corrected distance visual acuity, spherical equivalent refraction, fluorescein enhanced tear break up time, simulated keratometry and complications were evaluated pre- and post-operatively where applicable. The study population consisted of 21 males and 16 females. The mean±standard deviation age was 33±8years. The results showed that 100% of eyes achieved 20/40 or better and 88% achieved 20/20 or better uncorrected distance visual acuity. The spherical equivalent refraction after surgery was within ±0.50D in 82% of eyes at three months. There was no significant difference in tear break up time from pre-operative levels at three months. Complications were infrequent. This early data from surgeons' first SMILE procedures suggest SMILE provides good outcomes in terms of refractive predictability and visual acuity with minimal impact on the tear film. Longitudinal research will further improve our understanding of the longer-term impact of SMILE on clinical outcomes, ocular surface metrics and patient reported outcomes. Copyright © 2017. Published by Elsevier Ltd.

  10. Polydioxanone versus polypropylene closure for midline abdominal incisions

    International Nuclear Information System (INIS)

    Naz, S.; Jamali, M.A.


    Background: Midline laparotomy is the most common technique of abdominal incisions because it is simple, provides adequate exposure to all four quadrants, and is rapid to open. A major problem after midline laparotomy remains the adequate technique of abdominal fascia closure. This study was conducted to see the role of Polydioxanone and Prolene for midline abdominal closure in terms of postoperative wound infection and wound pain. Methods: This study was carried out at surgical unit II, Federal Government Services Hospital Islamabad. Patients were equally divided in two groups, i.e., A and B. Groups A and B patients undergone midline abdominal closure with Polydioxanone number 1 and Polypropylene number 1 sutures respectively. Results: Total 620 patients were included in this study. Post-operative wound pain score according to Visual analogue scale (VAS) was compared in terms of no pain (0), mild pain (1-3), moderate pain (4-6), severe pain (7-9). In group A (Polydioxanone), the frequency and percentages of no, mild, moderate and severe pain were 101 (32.6%), 95 (30.6%), 81 (26.1%) and 33 (10.6%) respectively, where as in group B (polypropylene) it was 82 (26.5%), 43 (13.9%), 59 (19%) and 126 (40.6%) respectively. Similarly, the frequency and percentages of post-operative wound infection in group A (Polydioxanone) and group B (polypropylene) was 105 (33.9%) and 208 (67.1%) respectively. Conclusion: Polydioxanone results in less wound pain and wound infection when compared to Polypropylene. (author)

  11. Office-based relaxing incision procedure for correction of astigmatism after deep anterior lamellar keratoplasty

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Javadi


    Conclusion: Office-based relaxing incision is a safe and effective procedure for the treatment of corneal graft astigmatism after DALK. This approach effectively decreases the need for the more costly alternative in the operating room.

  12. Relaxation incisions of venomous snake "Japanese mamushi" bites to the hand

    Directory of Open Access Journals (Sweden)

    Sugamata A


    Full Text Available Akira Sugamata, Naoki Yoshizawa, Takahiro OkadaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanAbstract: Gloydius blomhoffii, commonly known as Japanese mamushi, is a venomous viper species found widely in Japan. The most frequently bitten regions are the fingers and toes, and severe swelling causes compression of peripheral arteries and/or compartment syndrome of the extremities. We experienced four cases of mamushi bites to the hand, and undertook relaxation incision in the hands of three of these patients. As a result, the patients who underwent relaxation incision did not show any skin necrosis or permanent sensory disturbance in the affected fingers. Relaxation incision can be useful to not only decompress subcutaneous and compartment pressure of the hand, but also to wash out the venom from the bitten region by improving venous and lymphatic drainage.Keywords: mamushi, snakebite, viper, relaxation incision

  13. Type of incision does not predict abdominal wall outcome after emergency surgery for colonic anastomotic leakage

    DEFF Research Database (Denmark)

    Jensen, Kristian Kiim; Oma, Erling; Harling, Henrik


    PURPOSE: Most literature on abdominal incision is based on patients undergoing elective surgery. In a cohort of patients with anastomotic leakage after colonic cancer resection, we analyzed the association between type of incision, fascial dehiscence, and incisional hernia. METHODS: Data were...... extracted from the Danish Colorectal Cancer Group database and merged with information from the Danish National Patient Register. All patients with anastomotic leakage after colonic resection in Denmark from 2001 until 2008 were included and surgical records on re-operations were retrieved. The primary...... for anastomotic leakage were included with a median follow-up of 5.4 years. Incisional hernia occurred in 41 of 227 (15.3%) patients undergoing midline incision compared with 14 of 81 (14.7%) following transverse incision, P = 1.00. After adjusting for confounders, there was no association between the type...

  14. Induced astigmatism in a 6.0 mm no-stitch frown incision. (United States)

    Sinskey, R M; Stoppel, J O


    Fifty-five consecutive patients had cataract extraction with a 6 mm no-stitch frown incision and implantation of a 6 mm optic three-piece posterior chamber lens. Vector analysis calculations of diopters (D) of mean induced keratometric astigmatism for this incision were 0.70 D at one day, 0.76 D at one week, 0.50 D at one month, and 0.50 D at three months. The Naeser's polar value showed a mean with-the-rule astigmatism of +0.42 D at one day and -0.08 D against-the-rule astigmatism at three months. The results suggest that the 6.0 mm no-stitch frown incision induces a low postoperative astigmatism and provides a stable incision.

  15. Intraoperative ventricular puncture during supraorbital craniotomy via an eyebrow incision. Technical note.

    NARCIS (Netherlands)

    Menovsky, T.; Vries, J. de; Wurzer, J.A.; Grotenhuis, J.A.


    The authors determined the landmarks and coordinates for intraoperative ventricular puncture directly from the supraorbital craniotomy opening via an eyebrow incision. Fifty magnetic resonance (MR) imaging studies were obtained from patients with no pathological cerebral characteristics or

  16. Erbium: YAG Laser Incision of Urethral Strictures for Treatment of Urinary Incontinence after Prostate Cancer Surgery

    National Research Council Canada - National Science Library

    Fried, Nathaniel


    .... The purpose of this research project is to test a new laser, the Erbium:YAG laser, which is capable of precisely incising the urethral stricture with minimal peripheral damage to adjacent healthy tissue...

  17. Charge balancing fill rate monitor

    International Nuclear Information System (INIS)

    Rothman, J.L.; Blum, E.B.


    A fill rate monitor has been developed for the NSLS storage rings to allow machine tuning over a very large dynamic range of beam current. Synchrotron light, focused on a photodiode, produces a signal proportional to the beam current. A charge balancing circuit processes the diode current, creating an output signal proportional to the current injected into the ring. The unit operates linearly over a dynamic range of 120 dB and can resolve pulses of injected beam as small as 1 μA

  18. Ius Chasma Tributary Valleys and Adjacent Plains (United States)


    This image covers valley tributaries of Ius Chasma, as well as the plains adjacent to the valleys. Ius Chasma is one of several canyons that make up the Valles Marineris canyon system. Valles Marineris likely formed by extension associated with the growth of the large volcanoes and topographic high of Tharsis to the northwest. As the ground was pulled apart, large and deep gaps resulted in the valleys seen in the top and bottom of this HiRISE image. Ice that was once in the ground could have also melted to create additional removal of material in the formation of the valleys. HiRISE is able to see the rocks along the walls of both these valleys and also impact craters in the image. Rock layers that appear lower down in elevation appear rougher and are shedding boulders. Near the top of the walls and also seen in patches along the smooth plains are brighter layers. These brighter layers are not shedding boulders so they must represent a different kind of rock formed in a different kind of environment than those further down the walls. Because they are highest in elevation, the bright layers are youngest in age. HiRISE is able to see dozens of the bright layers, which are perhaps only a meter in thickness. Darker sand dunes and ripples cover most of the plains and fill the floors of impact craters. Image PSP_001351_1715 was taken by the High Resolution Imaging Science Experiment (HiRISE) camera onboard the Mars Reconnaissance Orbiter spacecraft on November 9, 2006. The complete image is centered at -8.3 degrees latitude, 275.4 degrees East longitude. The range to the target site was 254.3 km (158.9 miles). At this distance the image scale ranges from 25.4 cm/pixel (with 1 x 1 binning) to 101.8 cm/pixel (with 4 x 4 binning). The image shown here has been map-projected to 25 cm/pixel and north is up. The image was taken at a local Mars time of 3:32 PM and the scene is illuminated from the west with a solar incidence angle of 59 degrees, thus the sun was about 31

  19. Influence of orographic precipitation on the incision within a mountain-piedmont system (United States)

    Zavala, Valeria; Carretier, Sébastien; Bonnet, Stephane


    The geomorphological evolution of a mountain-piedmont system depends both on tectonics and climate, as well as on couplings between the mountain and its piedmont. Although the interactions between climate and tectonics are a fundamental point for understanding the landscape evolution, the erosion of a mountain range and the sediment deposition at the mountain front, or piedmont, have been poorly studied as a coupled system. Here we focus on the conditions driving an incision within such a system. Classically, it is thought that incision results from a change in climate or uplift rates. However, it is not clear which are the specific conditions that favor the occurrence of river incision in the piedmont. In particular, studies have shown that the presence of a piedmont can modify the incision patterns, and even drive autogenic incision, without any change in external forcings. This is a crucial issue in order to interpret natural incisions in terms of uplift or climatic modifications. Such a problem is further complicated by the modification of local precipitations and temperatures during uplift, because the progressive effect of climate change may superimpose to uplift. In this work we explore the hypothesis that a mountain-piedmont coupled system may develop incision in its piedmont as a result of enhanced orographic precipitations during surface uplift. We use a landscape evolution model, Cidre, in order to explore the response of a mountain-piemont system in which the mountain is continuously uplifted but in which precipitation rates depend on elevations. Thus precipitation amounts change during the mountain uplift. We test different peaks and amplitudes of the orographic precipitation pattern, maintaining the other conditions constant. Preliminary results show that elevation-dependent precipitations drive temporary but pronounced incisions of the main rivers within the piedmont, contrary to experiments without orographic precipitations.

  20. Clear corneal incisions in bimanual microincision cataract surgery: long-term wound-healing architecture. (United States)

    Cavallini, Gian Maria; Campi, Luca; Torlai, Giulio; Forlini, Matteo; Fornasari, Elisa


    To evaluate bimanual microincision cataract surgery (MICS) clear corneal incision (CCI) architectural features over the long-term using anterior segment optical coherence tomography (AS-OCT). Case series. Institute of Ophthalmology, University of Modena, Modena, Italy. Patients who had uneventful bimanual MICS in the previous 2 to 16 months were examined using AS-OCT. Images were used to measure corneal thickness, incision length, incision angle, incidence of epithelial or endothelial gaping, misalignment, Descemet membrane detachment, and posterior wound retraction. Fifty-two eyes (33 patients) were enrolled. Mean incision length and incision angle were, respectively, 1427.91 μm and 31.19 degrees for the right hand, 1440.63 μm and 31.54 degrees for the left hand, 1474.13 μm and 31.27 degrees for temporal incisions, and 1394.41 μm and 31.46 degrees for nasal CCIs. Posterior wound retraction was the only architectural feature found. Its prevalence was 7.10% at 2 to 3 months, 31.8% at 4 to 11 months, and 33.3% at 12 months. Fifty-three percent of posterior wound retractions were in 1.8 mm CCIs and 47% in 1.4 mm CCIs. Bimanual MICS was not related to particular morphologic features of CCIs. The enlargement of 1 incision or construction of the incision with the dominant or the nondominant hand did not affect long-term wound architecture. Posterior wound retraction was the only architectural feature; however, its prevalence seems substantially lower than with other surgical techniques. Copyright © 2012 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

  1. Spontaneous alignment of crowded inferior incisives after the extractionof temporary canines


    Orellana Manrique, Tomás Oriel; Calderón Cortez, Iván; Orellana Manrique, Martín


    This investigation evaluated the behavior of permanent inferior incisives after the primary canine’s extractions. The study was carried out in the Pediatric Clinic of Dental Faculty of San Marcos University. The sample was conformed by 10 patients, male and female children, between 8 and 9 years of age, with good general health, having Class I malocclusion and severe crowding of the inferior incisives. It was taken Cephalometric and Panoramic radiographies, as well as models to make the ortho...

  2. Seismic Facies of Pleistocene–Holocene Channel-fill Deposits in Bawean Island and Adjacent Waters, Southeast Java Sea

    Directory of Open Access Journals (Sweden)

    Ali Albab


    Full Text Available The late Pleistocene-Holocene stratigraphic architecture of the Bawean Island and surrounding waters, southeast Java Sea has been analyzed by using sparker seismic profiles. Geological interpretation of these seismic profiles revealed the widespread distribution of paleochannels with different shape and size in the present-day Java Sea. Two channel types can be distinguished based on its morphology: U-shaped channels in the western part and V-shaped channels in the eastern part. The stratigraphic successions were grouped into two major seismic units separated by different seismic boundaries. Characters of marine and fluvial deposits were determined based on seismic boundaries and internal reflectors. Three seismic facies can be identified within late Pleistocene – Holocene incised channel fills associated with SB2. The internal structure of incised-channels consist of chaotic reflector at the bottom, covered by parallel–sub parallel and almost reflection-free indicating the homogenous sediment deposited during the succession.

  3. Evaluation of four suture materials for surgical incision closure in Siberian sturgeon (United States)

    Boone, S. Shaun; Hernandez, Sonia M.; Camus, Alvin C.; Peterson, Douglas C.; Jennings, Cecil A.; Shelton, James L.; Divers, Stephen J.


    The visual and microscopic tissue reactions to the absorbable monofilament Monocryl, absorbable monofilament triclosan-coated Monocryl-Plus, absorbable multifilament Vicryl, and nonabsorbable monofilament Prolene were evaluated for their use of surgical closure in Siberian Sturgeon Acipenser baerii. Postoperative assessments were conducted at 1, 2, 8, 12, and 26 and 55 weeks to visually evaluate the surgical incision for suture retention, incision healing, erythema, and swelling. Incisions were also assessed microscopically at 1, 2, and 8 weeks for necrosis, inflammation, hemorrhage, and fibroplasia. The results indicated that incisions closed with either Vicryl or Prolene suture materials were more likely to exhibit more erythema or incomplete healing compared with those closed with Monocryl or Monocryl-Plus. The surgical implantation of a transmitter in the coelomic cavity did not significantly affect the response variables among the four suture materials. Monocryl or Monocryl-Plus were equally effective and superior to other suture materials used for closing surgical incisions in Siberian Sturgeon or closely related species of sturgeon. Furthermore, Monocryl or Monocryl-Plus may decrease the risk of transmitter expulsion through the incision, as surgical wounds appear to heal faster and exhibit less erythema compared with those closed with Vicryl.

  4. Watershed-scale modeling of streamflow change in incised montane meadows (United States)

    Essaid, Hedeff I.; Hill, Barry R.


    Land use practices have caused stream channel incision and water table decline in many montane meadows of the Western United States. Incision changes the magnitude and timing of streamflow in water supply source watersheds, a concern to resource managers and downstream water users. The hydrology of montane meadows under natural and incised conditions was investigated using watershed simulation for a range of hydrologic conditions. The results illustrate the interdependence between: watershed and meadow hydrology; bedrock and meadow aquifers; and surface and groundwater flow through the meadow for the modeled scenarios. During the wet season, stream incision resulted in less overland flow and interflow and more meadow recharge causing a net decrease in streamflow and increase in groundwater storage relative to natural meadow conditions. During the dry season, incision resulted in less meadow evapotranspiration and more groundwater discharge to the stream causing a net increase in streamflow and a decrease in groundwater storage relative to natural meadow conditions. In general, for a given meadow setting, the magnitude of change in summer streamflow and long-term change in watershed groundwater storage due to incision will depend on the combined effect of: reduced evapotranspiration in the eroded meadow; induced groundwater recharge; replenishment of dry season groundwater storage depletion in meadow and bedrock aquifers by precipitation during wet years; and groundwater storage depletion that is not replenished by precipitation during wet years.

  5. In vitro conjunctival incision repair by temperature-controlled laser soldering (United States)

    Norman, Galia; Rabi, Yaron; Assia, Ehud; Katzir, Abraham


    The common method of closing conjunctival incisions is by suturing, which is associated with several disadvantages. It requires skill to apply and does not always provide a watertight closure, which is required in some operations (e.g., glaucoma filtration). The purpose of the present study was to evaluate laser soldering as an alternative method for closing conjunctival incisions. Conjunctival incisions of 20 ex vivo porcine eyes were laser soldered using a temperature-controlled fiberoptic laser system and an albumin mixed with indocyanine green as a solder. The control group consisted of five repaired incisions by a 10-0 nylon running suture. The leak pressure of the repaired incisions was measured. The mean leak pressure in the laser-soldered group was 132 mm Hg compared to 4 mm Hg in the sutured group. There was no statistically significant difference in both the incision's length and distance from the limbus between the groups, before and after the procedure, indicating that there was no severe thermal damage. These preliminary results clearly demonstrate that laser soldering may be a useful method for achieving an immediate watertight conjunctival wound closure. This procedure is faster and easier to apply than suturing.

  6. Rice Husk Filled Polymer Composites

    Directory of Open Access Journals (Sweden)

    Reza Arjmandi


    Full Text Available Natural fibers from agricultural wastes are finding their importance in the polymer industry due to the many advantages such as their light weight, low cost and being environmentally friendly. Rice husk (RH is a natural sheath that forms around rice grains during their growth. As a type of natural fiber obtained from agroindustrial waste, RH can be used as filler in composites materials in various polymer matrices. This review paper is aimed at highlighting previous works of RH filled polymer composites to provide information for applications and further research in this area. Based on the information gathered, application of RH filled composites as alternative materials in building and construction is highly plausible with both light weight and low cost being their main driving forces. However, further investigations on physical and chemical treatment to further improve the interfacial adhesion with polymeric matrix are needed as fiber-polymer interaction is crucial in determining the final composite properties. Better understanding on how the used polymer blends as the matrix and secondary fillers may affect the properties would provide interesting areas to be explored.

  7. Domain walls and spacetime-filling branes

    NARCIS (Netherlands)

    Bergshoeff, E; Wess, J; Ivanov, EA


    We discuss branes with one transversal direction (domain walls) and no transversal direction (spacetime-filling branes). In particular, we briefly discuss a relationship between spacetime-filling branes and superstring theories with sixteen supercharges.

  8. Vertical Scan-Conversion for Filling Purposes


    Hersch, R. D.


    Conventional scan-conversion algorithms were developed independently of filling algorithms. They cause many problems, when used for filling purposes. However, today's raster printers and plotters require extended use of filling, especially for the generation of typographic characters and graphic line art. A new scan-conversion algorithm, called vertical scan-conversion has been specifically designed to meet the requirements of parity scan line fill algorithms. Vertical scan-conversion ensures...

  9. Budgets and chemical characterization of groundwater for the Diamond Valley flow system, central Nevada, 2011–12 (United States)

    Berger, David L.; Mayers, C. Justin; Garcia, C. Amanda; Buto, Susan G.; Huntington, Jena M.


    The Diamond Valley flow system consists of six hydraulically connected hydrographic areas in central Nevada. The general down-gradient order of the areas are southern and northern Monitor Valleys, Antelope Valley, Kobeh Valley, Stevens Basin, and Diamond Valley. Groundwater flow in the Diamond Valley flow system terminates at a large playa in the northern part of Diamond Valley. Concerns relating to continued water-resources development of the flow system resulted in a phased hydrologic investigation that began in 2005 by the U.S. Geological Survey in cooperation with Eureka County. This report presents the culmination of the phased investigation to increase understanding of the groundwater resources of the basin-fill aquifers in the Diamond Valley flow system through evaluations of groundwater chemistry and budgets. Groundwater chemistry was characterized using major ions and stable isotopes from groundwater and precipitation samples. Groundwater budgets accounted for all inflows, outflows, and changes in storage, and were developed for pre-development (pre-1950) and recent (average annual 2011–12) conditions. Major budget components include groundwater discharge by evapotranspiration and groundwater withdrawals; groundwater recharge by precipitation, and interbasin flow; and storage change.

  10. 7 CFR 58.923 - Filling containers. (United States)


    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Filling containers. 58.923 Section 58.923 Agriculture... Procedures § 58.923 Filling containers. (a) The filling of small containers with product shall be done in a sanitary manner. The containers shall not contaminate or detract from the quality of the product in any way...

  11. Outcomes of Phacoemulsification Using Different Size of Clear Corneal Incision in Eyes with Previous Radial Keratotomy.

    Directory of Open Access Journals (Sweden)

    Jing Shang Zhang

    Full Text Available To evaluate visual outcomes and complications after phacoemulsification in eyes with cataract and previous radial keratotomy (RK cuts using different sizes of clear corneal incisions.The study was a retrospective study. Thirty eyes with cataract and previous RK underwent phacoemulsification and intraocular lens (IOL implantation. Among them 7 eyes had 8 RK cuts, 13 eyes had 12 RK cuts, and 10 eyes had 16 RK cuts. Phacoemulsification and IOL implantation were performed through a 2.0-3.2 mm clear corneal incision by a single surgeon. In the 8 RK cuts group, 3.2 mm clear corneal incisions were used in 4 eyes, and 3.0 mm clear corneal incisions were used in 3 eyes. In the 12 RK cuts group, 3.2 mm clear corneal incisions were used in 6 eyes, and 2.2 mm clear corneal incisions were used in 7 eyes. In the 16 RK cuts group, 3.2 mm clear corneal incisions were used in 5 eyes, and 2.0 mm clear corneal incisions were used in 5 eyes. Patients were followed up 1 day, 1 week, 1 month, 3 months, 6 months, 1 year, 2 years, and 3 years postoperatively and were examined for the dehiscence of RK cuts during or after the surgery, post-operative best-corrected visual acuity (BCVA, corneal astigmatism, corneal endothelial cell density and complications.Successful phacoemulsification with IOL implantation was performed in all eyes. No wound dehiscence was noted in any eyes with 8 or 12 RK cuts. Wound dehiscence was noted in 2 eyes with 16 RK cuts. The dehiscence of RK cuts was closed successfully by injecting an air bubble with or without viscoelastic agent into the anterior chamber at the end of surgery. During the follow-up, the cuts were well apposed in all eyes, and no new dehiscence of RK cuts was noted. At the last follow-up, mean BCVA (0.2 ± 0.18 logMAR was better than preoperative BCVA(0.45±0.19 logMAR (P < 0.001. There was no significant difference between the long-term preoperative and postoperative mean corneal astigmatism (P = 0.3. However, there was a

  12. Prospective randomized comparison of the safety, efficacy, and cosmetic outcome associated with mini-transverse and mini-longitudinal radical prostatectomy incisions

    Directory of Open Access Journals (Sweden)

    Bruce R Kava


    Conclusions : Seven-centimeter transverse and longitudinal mini-incisions offer alternatives to the standard ORP incision, and to minimally invasive approaches. Both incisions are safe, associated with little postoperative pain, and a short postoperative LOS. Both incisions provide highly satisfactory cosmesis for the patient.

  13. Evaluating the Effect of Dental Filling Material and Filling Depth on the Strength and Deformation of Filled Teeth

    Directory of Open Access Journals (Sweden)

    Seifollah Gholampour


    Full Text Available ackground and aim: It is important to evaluate the effect of the type of filling material on deformation and strength of tooth after filling and also the effect of filling depth on quality of restoration of a decayed tooth. Material and Methods: The Orthopantomogram (OPG of the first and second molars of a 28-year-old man was made and the teeth were 3D modeled. The stress-deformation analysis was then performed on the models in the three states of normal tooth, tooth filled with amalgam and tooth filled with composite using finite element method under a distributed load of 400N equivalent to chewing force. Two values (1/2 and 1/3 of the tooth height were considered for filling depth in the analyses. Results: The results showed that the normal first molar was exposed to a 7.2% greater risk of dental injuries compared to the normal second molar and also a greater stress is created in it when it is filled with composite. The first molar filled with a composite material is 13.7% weaker than the normal tooth while it is almost as strong as a normal tooth when it is filled with amalgam. The effect of the type of filling material on the strength and deformation of the second molar was trivial. Conclusion: Amalgam is a more proper dental filling material for the first molar although a 16.7% change in drilling depth is needed for tooth preparation. Dental filling material and filling depth have a small effect on the strength and deformation of filled second molars.

  14. Erosional valleys in the Thaumasia region of Mars: Hydrothermal and seismic origins (United States)

    Tanaka, Kenneth L.; Dohm, James M.; Lias, Juan H.; Hare, Trent M.


    Analysis of erosional valleys, geologic materials and features, and topography through time in the Thaumasia region of Mars using co-registered digital spatial data sets reveals significant associations that relate to valley origin. Valleys tend to originate (1) on Noachian to Early Hesperian (stages 1 and 2) large volcanoes, (2) within 50-100 km of stages 1 and 2 rift systems, and (3) within 100 km of Noachian (stage 1) impact craters >50 km in diameter. These geologic preferences explain observations of higher valley-source densities (VSDs) in areas of higher elevations and regional slopes (>1°) because the volcanoes, rifts, and craters form high, steep topography or occur in terrain of high relief. Other stage 1 and stage 2 high, steep terrains, however, do not show high VSDs. The tendency for valleys to concentrate near geologic features and the overall low drainage densities in Thaumasia compared to terrestrial surfaces rule out widespread precipitation as a major factor in valley formation (as is proposed in warm, wet climate scenarios) except perhaps during the Early Noachian, for which much of the geologic record has been obliterated. Instead, volcanoes and rifts may indicate the presence of shallow crustal intrusions that could lead to local hydrothermal circulation, melting of ground ice and snow, and groundwater sapping. However, impact-crater melt would provide a heat source at the surface that might drive away water, forming valleys in the process. Post-stage 1 craters mostly have low nearby VSDs, which, for valleys incised in older rocks, suggests burial by ejecta and, for younger valleys, may indicate desiccation of near-surface water and deepening of the cryosphere. Later Hesperian and Amazonian (stages 3 and 4) valleys originate within 100-200 km of three young, large impact craters and near rifts systems at Warrego Valles and the southern part of Coprates rise. These valleys likely developed when the cryosphere was a couple kilometers or more

  15. Geophysical Surveys of the Hydrologic Basin Underlying Yosemite Valley, California. (United States)

    Maher, E. L.; Shaw, K. A.; Carey, C.; Dunn, M. E.; Whitman, S.; Bourdeau, J.; Eckert, E.; Louie, J. N.; Stock, G. M.


    UNR students in an Applied Geophysics course conducted geophysical investigations in Yosemite Valley during the months of March and August 2017. The goal of the study is to understand better the depth to bedrock, the geometry of the bedrock basin, and the properties of stratigraphy- below the valley floor. Gutenberg and others published the only prior geophysical investigation in 1956, to constrain the depth to bedrock. We employed gravity, resistivity, and refraction microtremor(ReMi) methods to investigate the interface between valley fill and bedrock, as well as shallow contrasts. Resistivity and ReMi arrays along three north-south transects investigated the top 50-60m of the basin fill. Gravity results constrained by shallow measurements suggest a maximum depth of 1000 m to bedrock. ReMi and resistivity techniques identified shallow contrasts in shear velocity and electrical resistivity that yielded information about the location of the unconfined water table, the thickness of the soil zone, and spatial variation in shallow sediment composition. The upper several meters of sediment commonly showed shear velocities below 200 m/s, while biomass-rich areas and sandy river banks could be below 150 m/s. Vs30 values consistently increased towards the edge of the basin. The general pattern for resistivity profiles was a zone of relatively high resistivity, >100 ohm-m, in the top 4 meters, followed by one or more layers with decreased resistivity. According to gravity measurements, assuming either -0.5 g/cc or -0.7 g/cc density contrast between bedrock and basin sediments, a maximum depth to bedrock is found south of El Capitan at respectively, 1145 ± 215 m or 818 ± 150 m. Longitudinal basin geometry coincides with the basin depth geometry discussed by Gutenberg in 1956. Their results describe a "double camel" shape where the deepest points are near El Capitan and the Ahwahnee Hotel and is shallowest near Yosemite Falls, in a wider part of the valley. An August Deep

  16. The Holocene sedimentary history of the Kangerlussuaq Fjord-valley fill, West Greenland

    DEFF Research Database (Denmark)

    Storms, Joep E.A.; de Winter, Ilja L.; Overeem, Irina


    depositional phases. Phase I (>7000 yr BP) is represented by dominant glaciomarine deposition associated with a tide-water glacier system. As the Greenland Ice Sheet (GIS) continued to retreat it became land based. During phase II (7000-1500 yr BP) two separate depocenters formed. Keglen delta depocenter arose...

  17. Shifting sources and transport paths for the late Quaternary Escanaba Trough sediment fill (northeast Pacific) (United States)

    Zuffa, G.G.; De Rosa, R.; Normark, W.R.


    Escanaba Trough, which forms the southernmost part of the axial valley of the actively spreading Gorda Ridge, is filled with several hundred meters of sediment of presumed late Quaternary age. Surficial sediment samples from gravity cores, deeper samples (as much as 390 m) from Site 35 of the Deep Sea Drilling Program (Leg 5), and the acoustic character of the sediment fill observed on seismic-reflection profiles indicate that much of the sediment fill is of turbidite origin. Gross composition and heavy- mineral analyses of sand samples show that two distinct petrofacies comprise the sediment fill. The lower part of the fill was derived primarily from the Klamath River source of northern California while the younger fill, including the surficial sand beds, are from the Columbia River drainage much farther north. The Escanaba Trough sediment provides an opportunity to evaluate concepts for paleogeographic and paleotectonic reconstructions that are based on facies analysis and compositional and textural data for the volcanic components because both intrabasinal and extrabasinal sources are present as well as coeval (neovolcanic) and non coeval (paleovolcanic) sourcre This study of a modern basin shows, that although the sediment sources could be identified, it was useful to have some knowledge of the sediment pathway(s), the effects of diagenesis, and the possible effects of sediment sorting as a result of long transport distances from the source area for some components. Application of these same techniques to ancient deposits without benefit of the additional parameters will face limitations.

  18. A study of incisive canal using a cone beam computed tomography

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    Kim, Gyu Tae; Hwang, Eui Hwan; Lee, Sang Rae [Kyunghee University College of Medicine, Seoul (Korea, Republic of)


    To investigate the anatomical structure of the incisive canal radiographically by a cone beam computed tomography. 38 persons (male 26, female 12) were chosen to take images of maxillary anterior region in dental CT mode using a cone beam computed tomography. The tube voltage were 65, 67, and 70 kVp, the tube current was 7 mA, and the exposure time was 13.3 seconds. The FH plane of each person was parallel to the floor. The images were analysed on the CRT display. The mean length of incisive canal was 15.87 mm {+-} 2.92. The mean diameter at the side of palate and nasal fossa were 3.49 mm {+-} 0.76 and 3.89 mm {+-} 1.06, respectively. In the cross-sectional shape of incisive canal, 50% were round, 34.2% were ovoid, and 15.8% were lobulated. 87% of incisive canal at the side of nasal fossa have one canal, 10.4% have two canals, and 2.6% have three canals, but these canals were merged into one canal in the middle portion of palate. The mean angles of the long axis of incisive canal and central incisor to the FH plane were 110.3 {+-} 6.96 and 117.45 {+-} 7.41, respectively. The angles of the long axis of incisive canal and central incisor to the FH plane were least correlated (r 0.258). This experiment suggests that a cone beam computed radiography will be helpful in surgery or implantation on the maxillary incisive area.

  19. Neogene unroofing and incision of the Ethiopian Plateau constrained from apatite (U-Th)/He thermochronometry (United States)

    Gani, N. D.; Van Soest, M. C.; Gani, M. R.; Tadesse, K.; Neupane, P. C.; Falster, A.


    Ethiopian Plateau in East Africa, one of the large igneous provinces, has been deeply incised by the Blue Nile River. The plateau has experienced extensive volcanisms at ~30 Ma linked to outpouring of the Afar mantle plume that accumulated average 1 km thick flood basalt. This event, along with later repetitive volcanisms in the region, has complicated (e.g., partial resetting of mineral cooling ages, abnormal geothermal gradients) the application of thermochronological modeling to constrain the Cenozoic unroofing and incision history of the plateau. In this study, we used (U-Th)/He thermochronometry of apatite grains extracted from gneissic and granitic basement rocks and overlying sandstones in a 1.2 km vertical elevation profile within the Blue Nile Canyon to partition incision in geologic time. Our apatite cooling ages are comparatively older than that of previous thermochronological studies of the area. These cooling ages show wide range and random distribution with elevation but positively correlate with effective uranium (eU) concentration of apatite minerals. Thus we chose recently developed RDAAM (Radiation Damage Accumulation and Annealing model) inverse modeling in HeFTy that was demonstrated to be appropriate for regions with complex thermal history and variable eU concentration. Initial results of RDAAM model, guided by reasonable thermal history of the plateau, show gradual cooling and thus slow incision during Early Neogene after the rapid heating of the region linked to the accumulation of thick flood basalt around 30 Ma. Importantly, these simulations predict rapid cooling, thus fast incision, during Late Neogene. This incision history of the Ethiopian Plateau interpreted from apatite thermal modeling is consistent with the previous GIS-and-geochronology-based study that showed increased incision rates around 10 Ma and 6 Ma.

  20. Oblique lateral incision and subpectoral dissection in modified Nuss procedure minimize future breast deformity. (United States)

    Kimura, Hiroaki; Yasuoka, Tomoyuki; Nagao, Munetomo; Kudoh, Shin; Kobayashi, Seiichiro


    We experienced the occurrence of breast deformity in some young female patients who underwent a modified Nuss procedure before breast development. We studied the causes of and preventive measures for this complication. We classified 13 prepubescent female patients who underwent our modified Nuss procedure into three groups according to the direction of the skin incision and the dissection layer for bar insertion. Four patients who underwent transverse lateral thoracic skin incision and bar insertion through a subpectoral dissection were assigned to the T/SP group, five who underwent oblique skin incision along the rib and bar insertion through a suprapectoral dissection were assigned to the O/IP group, and four who underwent oblique skin incision and subpectoral dissection were assigned to the O/SP group. Each patient in the T/SP group underwent the operation by a different surgeon, two of whom were the authors, including the first author; the first author performed all operations in the O/IP and O/SP groups. The first author evaluated the shape of the developed breasts using the frontal- and oblique-view photographs. We also investigated the location of the lateral border of the mammary gland in seven other adolescent and adult female patients using three-dimensional computed tomography images. Lateral depression of the breast occurred in four of eight breasts with a transverse incision, and flattening of the lowermost portion of the inframammary fold occurred in six of 10 breasts with suprapectoral dissection. None of the eight breasts with an oblique incision and subpectoral dissection exhibited deformities. The lateral border of the mammary gland was on the fifth rib in five patients and on the fifth intercostal space in two patients. An oblique lateral thoracic skin incision along the sixth rib and subpectoral dissection may reduce the occurrence of breast deformity. Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons

  1. Regression analysis of controllable factors of surgical incision complications in closed calcaneal fractures

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    Kai Wu


    Full Text Available Background: In surgeries of closed calcaneal fractures, the lateral L-shaped incision is usually adopted. Undesirable post-operative healing of the incision is a common complication. In this retrospective study, controllable risk factors of incision complications after closed calcaneal fracture surgery through a lateral L-shaped incision are discussed and the effectiveness of clinical intervention is assessed. Materials and Methods: A review of medical records was conducted of 209 patients (239 calcaneal fractures surgically treated from June 2005 to October 2012. Univariate analyses were performed of seven controllable factors that might influence complications associated with the surgical incision. Binomial multiple logistic regression analysis was performed to determine factors of statistical significance. Results: Twenty-one fractures (8.79% involved surgical incision complications, including 8 (3.35% cases of wound dehiscence, 7 (2.93% of flap margin necrosis, 5 (2.09% of hematoma, and 1 (0.42% of osteomyelitis. Five factors were statistically significant : t0 he time from injury to surgery, operative duration, post-operative drainage, retraction of skin flap, bone grafting, and patients′ smoking habits. The results of multivariate analyses showed that surgeries performed within 7 days after fracture, operative time > 1.5 h, no drainage after surgery, static skin distraction, and patient smoking were risk factors for calcaneal incision complications. The post-operative duration of antibiotics and bone grafting made no significant difference. Conclusion: Complications after calcaneal surgeries may be reduced by postponing the surgery at least 7 days after fracture, shortening the time in surgery, implementing post-operative drainage, retracting skin flaps gently and for as short a time as possible, and prohibiting smoking.

  2. Valley Fever (Coccidioidomycosis) Risk and Prevention (United States)

    ... valley fever, but it is not contagious between animals and people. Valley fever in dogs is similar to valley ... Via Growth on Fomites. An Epidemic Involving Six Persons. Am Rev Respir Dis. ... aspects of coccidioidomycosis in animals and humans. Ann N Y Acad Sci. 2007 ...

  3. Repair process of surgical defects filled with autogenous bone grafts in tibiae of diabetic rats

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    Jônatas Caldeira Esteves


    Full Text Available From a biological standpoint, the best material for reconstruction of bone defects is the autogenous bone graft. However, as tissue healing is affected under diabetic conditions, major changes might take place in the revascularization, incorporation, replacement and remodeling phases of the grafted area. The purpose of this study was to assess the bone healing process in surgical wounds prepared in tibiae of diabetic rats and filled with autogenous bone. Forty male rats (Rattus norvegicus albinus, Wistar were randomly assigned to receive an endovenous injection (penile vein of either citrate buffer solution (Group 1 - control; n=20 or streptozotocin dissolved in citrate buffer solution (35 mg/kg to induce diabetes (Group 2 - diabetic; n=20. After determination of glycemia, the animals were anesthetized and the anterolateral regions of the tibiae of both limbs were shaved, antisepsis was performed and longitudinal incisions were made in each limb. The tibiae were exposed and two 2mm-diameter surgical cavities were prepared: one in the right limb, filled with particulate autogenous bone and the other in the left limb, filled with blood clot. The animals were euthanized at 10 and 30 postoperative days. The anatomic pieces were obtained, submitted to laboratory processing and sections were stained by hematoxylin and eosin and Masson's Trichrome for histomorphologic and histometric analyses. In both groups, the wounds filled with autogenous bone graft showed better results than those filled with blood clot. The control group showed higher new bone formation in wounds filled with autogenous bone graft at 30 days than the diabetic group, but without statistical significance. It may be concluded that, in general, the new bone formation occurred with autogenous graft was quantitatively similar between control and diabetic groups and qualitatively better in the control group.

  4. Latest Quaternary rapid river incision across an inactive fold in the northern Chinese Tian Shan foreland (United States)

    Lu, Honghua; Cheng, Lu; Wang, Zhen; Zhang, Tianqi; Lü, Yanwu; Zhao, Junxiang; Li, Youli; Zheng, Xiangmin


    This work focuses on the incision process over the Tuostai anticline, a fold of the proximal structure Belt I in the northern Chinese Tian Shan foreland, where the Sikeshu River has incised deeply into the alluvial gravels and the fold's underlying bedrock strata. Field investigation and geomorphic mapping define five terraces of the Sikeshu River (designated as T1 to T5 from oldest to youngest) preserved within the Tuostai anticline. 10Be surface exposure dating and optically stimulated luminescence dating constrain stabilization of the highest three terrace surfaces at about 80 ka (T1), 16 ka (T2), and 15 ka (T3), respectively. Around 16 ka, the calculated river incision rates significantly increase from 6 mm/yr. Undeformed longitudinal profiles of terraces T2, T3 and T4 over the Tuostai anticline suggest that this structure may have been tectonically inactive since stabilization of these three terraces. We thus think that the observed rapid river incision over the Tuostai anticline has not been largely forced by tectonic uplift. Instead, the progressively warmer and wetter palaeoclimatic condition within the Tian Shan range and its surrounding area during the period of ∼20-10 ka may have enhanced river incision across the Tuostai anticline. A reduced sediment/water ratio might have lowered the gradient of the Sikeshu River.

  5. Dual daughter strand incision is processive and increases the efficiency of DNA mismatch repair. (United States)

    Hermans, Nicolaas; Laffeber, Charlie; Cristovão, Michele; Artola-Borán, Mariela; Mardenborough, Yannicka; Ikpa, Pauline; Jaddoe, Aruna; Winterwerp, Herrie H K; Wyman, Claire; Jiricny, Josef; Kanaar, Roland; Friedhoff, Peter; Lebbink, Joyce H G


    DNA mismatch repair (MMR) is an evolutionarily-conserved process responsible for the repair of replication errors. In Escherichia coli, MMR is initiated by MutS and MutL, which activate MutH to incise transiently-hemimethylated GATC sites. MMR efficiency depends on the distribution of these GATC sites. To understand which molecular events determine repair efficiency, we quantitatively studied the effect of strand incision on unwinding and excision activity. The distance between mismatch and GATC site did not influence the strand incision rate, and an increase in the number of sites enhanced incision only to a minor extent. Two GATC sites were incised by the same activated MMR complex in a processive manner, with MutS, the closed form of MutL and MutH displaying different roles. Unwinding and strand excision were more efficient on a substrate with two nicks flanking the mismatch, as compared to substrates containing a single nick or two nicks on the same side of the mismatch. Introduction of multiple nicks by the human MutLα endonuclease also contributed to increased repair efficiency. Our data support a general model of prokaryotic and eukaryotic MMR in which, despite mechanistic differences, mismatch-activated complexes facilitate efficient repair by creating multiple daughter strand nicks. © The Author(s) 2016. Published by Oxford University Press on behalf of Nucleic Acids Research.

  6. Circumareolar incision-subdermal tunneling dissection for excision of multiple breast fibroadenomata

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    S O Agodirin


    Full Text Available Excision of multiple fibroadenomas (MF in separate breast quadrants presents difficulties of number and location of incision(s and extent of tissue dissection and may be associated with more complications and poorer cosmetic outcome. This is a report of excision of MF in multiple quadrants of the breast using a modification of subcutaneous dissection technique dubbed the circumareolar incision and subdermal tunneling (CAST dissection. After exposure of the superficial fascia with circumareolar incision, subdermal cone-wise dissection was made to allow mobilization of the segment bearing the lump(s. The lump(s were enucleated and removed. MF were removed from four breasts in three young unmarried females. The first patient had multiple adenomas removed from three quadrants of both breasts: 14 on the right and six on the left. The second patient had excision of three lumps in three separate quadrants, and the third patient had excision of two lumps in two separate quadrants. All patients had edema and bruising. One breast had wound infection and dehiscence. There were no skin necrosis, no nipple loss, and no breast distortion. All ensuing scars were camouflaged. CAST dissection was used for excision of MF in multiple quadrants of the breast with preservation of excellent cosmetic outcome of a single circumareolar incision.

  7. Panoramic radiographs underestimate extensions of the anterior loop and mandibular incisive canal

    Energy Technology Data Exchange (ETDEWEB)

    De Brito, Ana Caroline Ramos; Nejaim, Yuri; De Freitas, Deborah Queiroz [Dept. of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas, Sao Paulo (Brazil); De Oliveira Santos, Christiano [Dept. of Stomatology, Public Oral Health and Forensic Dentistry, School of Dentistry of Ribeirao Preto, University of Sao Paulo, Sao Paulo (Brazil)


    The purpose of this study was to detect the anterior loop of the mental nerve and the mandibular incisive canal in panoramic radiographs (PAN) and cone-beam computed tomography (CBCT) images, as well as to determine the anterior/mesial extension of these structures in panoramic and cross-sectional reconstructions using PAN and CBCT images. Images (both PAN and CBCT) from 90 patients were evaluated by 2 independent observers. Detection of the anterior loop and the incisive canal were compared between PAN and CBCT. The anterior/mesial extension of these structures was compared between PAN and both cross-sectional and panoramic CBCT reconstructions. In CBCT, the anterior loop and the incisive canal were observed in 7.7% and 24.4% of the hemimandibles, respectively. In PAN, the anterior loop and the incisive canal were detected in 15% and 5.5% of cases, respectively. PAN presented more difficulties in the visualization of structures. The anterior/mesial extensions ranged from 0.0 mm to 19.0 mm on CBCT. PAN underestimated the measurements by approximately 2.0 mm. CBCT appears to be a more reliable imaging modality than PAN for preoperative workups of the anterior mandible. Individual variations in the anterior/mesial extensions of the anterior loop of the mental nerve and the mandibular incisive canal mean that is not prudent to rely on a general safe zone for implant placement or bone surgery in the interforaminal region.

  8. Two hundred seventy-five single-incision laparoscopic gastric band insertions: what have we learnt? (United States)

    Murgatroyd, Beth; Chakravartty, Saurav; Sarma, Diwakar R; Patel, Ameet G


    Single-incision surgery in the morbidly obese patient has not been widely adopted, but remains a popular choice amongst patients. In the bariatric patient, it presents its own surgical challenges with hepatomegaly and increased abdominal adiposity. Here, we present our experience of 275 single-incision laparoscopic gastric bands.Between June 2009 and April 2013, 275 obese patients underwent single-incision laparoscopic adjustable gastric banding through a single incision using a multichannel single port and via a pars flaccida approach. Prospective data collection was undertaken including operating time, additional ports and additional procedures undertaken.In this series, median operative time was 60 (range 34-170) min. An additional port was placed in 15 patients (5%), including two conversions to four-port technique (0.7%). Of these patients (n = 15), the majority were male (p rate of success for all BMIs. Following 275 single-incision band insertions additional port placements were more commonly required in male patients, BMI >45 and earlier in the learning curve.

  9. Microincision versus small-incision coaxial cataract surgery using different power modes for hard nuclear cataract. (United States)

    Kim, Eun Chul; Byun, Yong Soo; Kim, Man Soo


    To compare the efficacy of microincision and small-incision coaxial phacoemulsification in treating hard cataracts using different ultrasound power modes. Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea. Randomized clinical trial. Eyes with hard cataract were randomized to have an initial incision of 1.80 mm, 2.20 mm, or 2.75 mm. The eyes in each group were equally randomized to treatment with burst, pulse, or continuous mode. Ultrasound time (UST), mean cumulative dissipated energy (CDE), corrected distance visual acuity (CDVA), surgically induced corneal astigmatism, incisional and central corneal thickness (CCT), and endothelial cell counts were evaluated. The study enrolled 180 eyes, 60 in each group. Two months postoperatively, there were no statistically significant differences in UST, CDE, CDVA, CCT, or percentage endothelial cell loss between the 3 incision groups. The 2.75 mm incision induced more astigmatism at 2 months and less incisional corneal edema at 1 week than the 1.80 mm or 2.20 mm incision (Phard cataract. The intraoperative energy use and ocular damage was less with the pulse and burst modes than with the continuous mode. No author has a financial or proprietary interest in any material or method mentioned. Copyright © 2011 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

  10. Incision and stress regulation in borderline personality disorder: neurobiological mechanisms of self-injurious behaviour. (United States)

    Reitz, Sarah; Kluetsch, Rosemarie; Niedtfeld, Inga; Knorz, Teresa; Lis, Stefanie; Paret, Christian; Kirsch, Peter; Meyer-Lindenberg, Andreas; Treede, Rolf-Detlef; Baumgärtner, Ulf; Bohus, Martin; Schmahl, Christian


    Patients with borderline personality disorder frequently show non-suicidal self-injury (NSSI). In these patients, NSSI often serves to reduce high levels of stress. Investigation of neurobiological mechanisms of NSSI in borderline personality disorder. In total, 21 women with borderline personality disorder and 17 healthy controls underwent a stress induction, followed by either an incision into the forearm or a sham treatment. Afterwards participants underwent resting-state functional magnetic resonance imaging while aversive tension, heart rate and heart rate variability were assessed. We found a significant influence of incision on subjective and objective stress levels with a stronger decrease of aversive tension in the borderline personality disorder group following incision than sham. Amygdala activity decreased more and functional connectivity with superior frontal gyrus normalised after incision in the borderline personality disorder group. Decreased stress levels and amygdala activity after incision support the assumption of an influence of NSSI on emotion regulation in individuals with borderline personality disorder and aids in understanding why these patients use self-inflicted pain to reduce inner tension. © The Royal College of Psychiatrists 2015.

  11. Force modeling for incisions into various tissues with MRF haptic master (United States)

    Kim, Pyunghwa; Kim, Soomin; Park, Young-Dai; Choi, Seung-Bok


    This study proposes a new model to predict the reaction force that occurs in incisions during robot-assisted minimally invasive surgery. The reaction force is fed back to the manipulator by a magneto-rheological fluid (MRF) haptic master, which is featured by a bi-directional clutch actuator. The reaction force feedback provides similar sensations to laparotomy that cannot be provided by a conventional master for surgery. This advantage shortens the training period for robot-assisted minimally invasive surgery and can improve the accuracy of operations. The reaction force modeling of incisions can be utilized in a surgical simulator that provides a virtual reaction force. In this work, in order to model the reaction force during incisions, the energy aspect of the incision process is adopted and analyzed. Each mode of the incision process is classified by the tendency of the energy change, and modeled for realistic real-time application. The reaction force model uses actual reaction force information with three types of actual tissues: hard tissue, medium tissue, and soft tissue. This modeled force is realized by the MRF haptic master through an algorithm based on the position and velocity of a scalpel using two different control methods: an open-loop algorithm and a closed-loop algorithm. The reaction forces obtained from the proposed model are compared with a desired force in time domain.

  12. Uptake of gallium-67 citrate in clean surgical incisions after colorectal surgery

    International Nuclear Information System (INIS)

    Lin Wanyu; Wang Shyhjen; Tsai Shihchuan; Chao Tehsin


    Non-specific accumulation of gallium-67 citrate (gallium) in uncomplicated surgical incisions is not uncommon. It is important to know the normal pattern of gallium uptake at surgical incision sites in order to properly interpret the gallium scan when investigating possible wound infection in patients who have undergone abdominal surgery. We studied 42 patients without wound infection after colorectal surgery and performed gallium scans within 40 days after surgery. Patients were divided into three groups according to the interval between the operation and the scan. In group A (26 patients) gallium scan was performed within 7 days after surgery, in group B (8 patients) between 8 and 14 days after surgery, and in group C (8 patients) between 15 and 40 days after surgery. Our data showed that in group A, 61.5% had gallium accumulation at the surgical incision site. In group B, 50% had accumulation of gallium at the surgical incision site, while in group C only one patient (12.5%) showed gallium uptake. It is concluded that the incidence of increased gallium uptake at clean surgical incision sites is high after colorectal surgery. Nuclear medicine physicians should bear in mind the high incidence of non-specific gallium uptake at such sites during the interpretation of possible wound infection in patients after colorectal surgery. (orig.)

  13. Single incision laparoscopic pancreas resection for pancreatic metastasis of renal cell carcinoma. (United States)

    Barbaros, Umut; Sümer, Aziz; Demirel, Tugrul; Karakullukçu, Nazlı; Batman, Burçin; Içscan, Yalın; Sarıçam, Gülay; Serin, Kürçsat; Loh, Wei-Liang; Dinççağ, Ahmet; Mercan, Selçuk


    Transumbilical single incision laparoscopic surgery (SILS) offers excellent cosmetic results and may be associated with decreased postoperative pain, reduced need for analgesia, and thus accelerated recovery. Herein, we report the first transumbilical single incision laparoscopic pancreatectomy case in a patient who had renal cell cancer metastasis on her pancreatic corpus and tail. A 59-year-old female who had metastatic lesions on her pancreas underwent laparoscopic subtotal pancreatectomy through a 2-cm umbilical incision. Single incision pancreatectomy was performed with a special port (SILS port) and articulated equipment. The procedure lasted 330 minutes. Estimated blood loss was 100mL. No perioperative complications occurred. The patient was discharged on the seventh postoperative day with a low-volume (20mL/day) pancreatic fistula that ceased spontaneously. Pathology result of the specimen was renal cell cancer metastases. This is the first reported SILS pancreatectomy case, demonstrating that even advanced surgical procedures can be performed using the SILS technique in well-experienced centers. Transumbilical single incision laparoscopic pancreatectomy is feasible and can be performed safely in experienced centers. SILS may improve cosmetic results and allow accelerated recovery for patients even with malignancy requiring advanced laparoscopic interventions.

  14. A Semicircular Incision in the Superior Umbilical Fold for SILS Preserves the Umbilical Profile

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    S. C. Blackburn


    Full Text Available Background. Single Incision Laparoscopic Surgery (SILS has been highlighted in the recent literature as a means of performing a range of common, minimal access, paediatric surgical procedures. The primary attraction is the absence of visible scarring. Aim. This study aims to describe a cosmetically advantageous means of SILS port placement in children, which preserves the umbilical profile. Methods. We describe a paediatric case series utilising a semicircular incision in the superior umbilical fold for SILS procedures. The linea alba is exposed over 2 cm just superior to the umbilical ring and stay sutures are applied. A vertical incision is made over this distance without entering the umbilical ring. Data were recorded prospectively in a Microsoft Excel database. Results. Twenty-one cases were performed in a 1-year period. Ten appendicectomies, 5 ovarian/paraovarian cystectomies, 2 Palomo procedures, 3 nephrectomy/heminephrectomies, and 1 Meckel’s diverticulectomy were performed. There was 1 wound infection. No incisional hernias occurred. Discussion. We believe that our technique, which maintains the integrity of the umbilical ring and allows preservation of the umbilical profile, offers a distinct cosmetic advantage over other incisions for SILS which distort it. Conclusion. We have demonstrated the aesthetic benefits of utilising a superior umbilical-fold incision for SILS in children.

  15. A Semicircular Incision in the Superior Umbilical Fold for SILS Preserves the Umbilical Profile. (United States)

    Blackburn, S C; Adams, S D; Mahomed, A A


    Background. Single Incision Laparoscopic Surgery (SILS) has been highlighted in the recent literature as a means of performing a range of common, minimal access, paediatric surgical procedures. The primary attraction is the absence of visible scarring. Aim. This study aims to describe a cosmetically advantageous means of SILS port placement in children, which preserves the umbilical profile. Methods. We describe a paediatric case series utilising a semicircular incision in the superior umbilical fold for SILS procedures. The linea alba is exposed over 2 cm just superior to the umbilical ring and stay sutures are applied. A vertical incision is made over this distance without entering the umbilical ring. Data were recorded prospectively in a Microsoft Excel database. Results. Twenty-one cases were performed in a 1-year period. Ten appendicectomies, 5 ovarian/paraovarian cystectomies, 2 Palomo procedures, 3 nephrectomy/heminephrectomies, and 1 Meckel's diverticulectomy were performed. There was 1 wound infection. No incisional hernias occurred. Discussion. We believe that our technique, which maintains the integrity of the umbilical ring and allows preservation of the umbilical profile, offers a distinct cosmetic advantage over other incisions for SILS which distort it. Conclusion. We have demonstrated the aesthetic benefits of utilising a superior umbilical-fold incision for SILS in children.

  16. Water resources of No Name Valley, Colville Indian Reservation, Washington (United States)

    Cline, Denzel R.


    No Name Creek valley is a trough cut in granitic bedrock in north-central Washington. A low topographic divide in the northern third of the valley separates it into the No Name Creek basin on the south and Omak Creek basin on the north. Omak Creek is the larger stream and enters the valley through a narrow gorge in the eastern granite wall. Partly filled with unconsolidated sand, gravel, and silt to depths as great as 163 feet, the valley contains a ground-water reservoir which supplies four irrigation wells and several domestic-supply wells. The ground-water reservoir also feeds springs which give rise to No Name Creek, and it contributes some water to Omak Creek to the north. Under conditions of the pre-1976 development the ground-water divide was naturally about 3,000 feet north of Omak Creek gorge, and about 580 acre-feet of leakage from Omak Creek recharges the No Name Creek ground-water reservoir. By 1977, ground-water withdrawal of 994 acre-feet per year in No Name Creek basin had caused the ground-water divide to shift to a position about 4,000 feet north of the topographic divide. This increased the drainage area contributing to the No Name Creek ground-water reservoir for about three months so that during a year of normal flow a total of about 600 acre-feet of leakage from Omak Creek can be captured. It is postulated that as much as 1,100 acre-feet per year can be pumped in the central part of the reservoir. This pumpage would cause the ground-water divide to shift farther north, resulting in the capture of additional recharge from Omak Creek; the total leakage would be about 700 acre-feet per year. (Woodard-USGS)

  17. Operation feedback of hydrogen filling station

    International Nuclear Information System (INIS)

    Pregassame, S.; Barral, K.; Allidieres, L.; Charbonneau, T.; Lacombe, Y.


    One of the technical challenges of hydrogen technology is the development of hydrogen infrastructures which satisfy either safety requirements and reliability of filling processes. AIR LIQUIDE realized an hydrogen filling station in Sassenage (France) operational since September 2003. This station is able to fill 3 buses a day up to 350bar by equilibrium with high pressure buffers. In parallel with commercial stations, the group wanted to create a testing ground in real conditions running with several objectives: validate on a full scale bench a simulation tool able to predict the temperature of both gas and cylinder's materials during filling processes; define the best filling procedures in order to reach mass, temperature and filling time targets; analyse the temperature distribution and evolution inside the cylinder; get a general knowledge about hydrogen stations from safety and reliability point of view; operate the first full scale refuelling station in France. The station is also up-graded for 700bar filling from either a liquid hydrogen source or a gas booster, with cold filling possibility. This paper presents the results concerning 350bar filling : thermal effects, optimal filling procedures and influence of parameters such as climatic conditions are discussed. (author)

  18. Dedicated composite fillings − inlays

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    Šaulić Slobodan


    Full Text Available Background. The aim of the study was to evaluate the quality and persistance of esthetics of dedicated inlay by clinical methods. Methods. The paper reviews the clinical significance and technique of preparing particular composite inlays before and after the construction of the metallic framework partial denture. On the basis of indications the total of 30 inlays were placed into cavities under relatively dry working conditions. Six, twelve eighteen and twenty-four months after the placement of filling, control check-up was carried out by Ryge criteria. Results. After two years marginal discoloration as well as the change of the colour occured in 3.3% of inlays. There was neither detectable secondary caries, nor the symtoms of pulpal damage. The requirements to be fulfilled concerning the composite materials in order that they can be implemented for this purpose, were also discussed. Conclusion. From the clinical point of view, purpouse inlays from Herculite XRV lab C8B in combination with Opti Bond System and composite cement Porcelite Dual Cure showed high functional and esthetic values in the observational period of two years.

  19. Comparison of the effects of 23-gauge and 25-gauge microincision vitrectomy blade designs on incision architecture. (United States)

    Inoue, Makoto; Abulon, Dina Joy K; Hirakata, Akito


    To compare the effects of different 23- and 25-gauge microincision vitrectomy trocar cannula entry systems on incision architecture. We tested one ridged microvitreoretinal (MVR), one non-ridged MVR, one pointed beveled, and one round-tipped beveled blade (n=10 per blade design per incision type). Each blade's straight and oblique incision architecture was assessed in a silicone disc simulating the sclera. Wound leakage under pressure and endoscopic observations were conducted on sclerotomy sites of isolated porcine eyes (n=4 per blade design) after simulated vitrectomy. Differences in blade design created distinct incision architecture. Incisions were linear with the ridged MVR blade, flattened "M-shaped" with the non-ridged MVR blade, asymmetrical chevron-shaped with the pointed beveled blade, and curved with the round-tipped beveled blade. With the exception of oblique entry incision thickness, both MVR blade designs created thinner incisions than the beveled blades at entry and exit sites. Only the ridged MVR blade created incisions with no leakage. Vitreous incarceration was observed with all trocar cannula systems. Wound closure in porcine eyes was similar with all blades despite differences in incision architecture. Wound leakage occurred at low to moderate infusion pressures with most blades; no wound leakage was observed with ridged MVR blades.

  20. The understanding of the formation of valleys and its implication on site characterization: Moredalen and Pukedalen, south-eastern Sweden

    International Nuclear Information System (INIS)

    Tiren, Sven A.; Waenstedt, Stefan; Straeng, Thomas


    In south-eastern Sweden, there are a number of over-deepened narrow valleys, more than 20 m deep, formed in Precambrian bedrock located above the highest post-glacial shoreline. Canyon-like valleys, called 'kursu' or kursu valleys, are generally interpreted to be formed by glaciofluvial erosion. An example of such a valley is Moredalen, a canyon in the Fennoscandian Shield, which has an implication on site selection for radioactive waste disposal. There are also more open over-deepened valleys along which sub-glacial flow has occurred, e.g. Pukedalen. The main part of this paper discusses a combined geological and geophysical investigation of Moredalen, with the aim to investigate possible reasons for the formation of such an unusual feature formed in acid vulcanite and foliated tonalitic to granodioritic rocks. Moredalen is a marked, approximately 7 km long, E-W striking valley that cuts through a plateau (c. 140 m a.s.l.), and an elevated block of the sub-Cambrian peneplain. Glaciofluvial sediments can be found up-streams where the canyon widens to the west. Just east of the valley is a larger delta deposited at the highest post-glacial shoreline (c. 105 m a.s.l). Further east of, and in line with the Moredalen valley there is an esker. Rock debris in the valley is angular. Pukedalen is a northwest-southeast trending valley incised in massive granite. The valley is in its northern parts relatively open and becomes narrow in its south-eastern part having partly a vertical south-western wall. Rock surfaces are smooth along the valley and rock debris in the valley consists generally of rounded blocks. In line with Pukedalen, on both sides at great distances though, there are eskers. Geomorphological features of this kind indicate certain characteristics of the bedrock that need to be considered during safety analysis of repositories for nuclear waste. The distinct weakness zones along which the kursu-valleys are formed create prominent transport paths for

  1. Formation of Valley Networks in a Cold and Icy Early Mars Climate: Predictions for Erosion Rates and Channel Morphology (United States)

    Cassanelli, J.


    Mars is host to a diverse array of valley networks, systems of linear-to-sinuous depressions which are widely distributed across the surface and which exhibit branching patterns similar to the dendritic drainage patterns of terrestrial fluvial systems. Characteristics of the valley networks are indicative of an origin by fluvial activity, providing among the most compelling evidence for the past presence of flowing liquid water on the surface of Mars. Stratigraphic and crater age dating techniques suggest that the formation of the valley networks occurred predominantly during the early geologic history of Mars ( 3.7 Ga). However, whether the valley networks formed predominantly by rainfall in a relatively warm and wet early Mars climate, or by snowmelt and episodic rainfall in an ambient cold and icy climate, remains disputed. Understanding the formative environment of the valley networks will help distinguish between these warm and cold end-member early Mars climate models. Here we test a conceptual model for channel incision and evolution under cold and icy conditions with a substrate characterized by the presence of an ice-free dry active layer and subjacent ice-cemented regolith, similar to that found in the Antarctic McMurdo Dry Valleys. We implement numerical thermal models, quantitative erosion and transport estimates, and morphometric analyses in order to outline predictions for (1) the precise nature and structure of the substrate, (2) fluvial erosion/incision rates, and (3) channel morphology. Model predictions are compared against morphologic and morphometric observational data to evaluate consistency with the assumed cold climate scenario. In the cold climate scenario, the substrate is predicted to be characterized by a kilometers-thick globally-continuous cryosphere below a 50-100 meter thick desiccated ice-free zone. Initial results suggest that, with the predicted substrate structure, fluvial channel erosion and morphology in a cold early Mars

  2. Oral subcutaneous midline leiomyomatous hamartoma presenting as congenital incisive papilla overgrowth in a toddler

    Directory of Open Access Journals (Sweden)

    Ashish Loomba


    Full Text Available Congenital soft-tissue tumors of oral cavity are mostly hyperplastic and benign in nature. This article presents an unusual case of congenital subcutaneous hamartoma of incisive papilla in a 2-year-old female child causing feeding and breathing difficulty. Total excisional biopsy was done under local anesthesia. Histopathology of tissue in reticulin-stained slide showed the presence of immature muscle fibers whereas Masson's trichrome stain revealed collagen fibers and smooth muscles confirming the diagnosis of oral midline subcutaneous smooth muscle (leiomyomatous hamartoma of incisive papilla. It is important for dental professionals to be aware of this oral lesion present from birth mimicking overgrowth of incisive papilla, by its presentation, differential diagnosis, histopathology, and management.

  3. Influence of Lateral Incision on Inhomogeneous Deformation of a Nickel [001] - Single Cristal at Axial Compression (United States)

    Lychagin, D. V.; Alfyorova, E. A.; Lychagin, M. V.; Dilun, Czyan


    We used the scanning electron microscopy and the electron backscattered diffraction to investigate a deformation relief and a crystallographic disorientation of a nickel [001] single crystal with {100} faces with a lateral incision. We identified that the lateral incision can change the shear domains distribution pattern in the sample by creating additional deformation domains near the incision. The change in the patterns of the misorientation accumulation on the mutually perpendicular faces accompanies this deformation. We established that the orientation alteration occurs toward the increase of the Schmid factor for the slip systems in two of the four (previously equally loaded) slip planes. This method of shear deformation contributes to an optimal mutually consistent deformation in the adjacent areas of the single crystal.

  4. Incision of the heart during meat inspection of fattening pigs - A risk-profile approach. (United States)

    Leps, J; Fries, R


    Meat inspection in the EU is based on Regulation (EC) 854/2004. Accordingly a risk based meat inspection should be implemented. In this paper, the incision of the heart in pig meat inspection is discussed with respect to efficacy. The incision especially can reveal the presence of endocarditis. Here, Erysipelothrixrhusiopathiae (E. rhusiopathiae) and/or Streptococcussuis (S. suis) are of particular concern. Both agents are regarded to be zoonotic agents. There is some evidence for infection of humans via an alimentary pathway. Hence, the occurrence of E. rhusiopathiae and S. suis is a concern of public health (PH) as well as veterinary public health (VPH). However, other measures, including on-farm disease prevention and diagnosis, seem to be more important for food safety. It is concluded that the incision and inspection of the heart is not justifiable with respect to PH aspects.

  5. The effect of kidney morcellation on operative time, incision complications, and postoperative analgesia after laparoscopic nephrectomy

    Directory of Open Access Journals (Sweden)

    Affonso H. Camargo


    Full Text Available INTRODUCTION: Compare the outcomes between kidney morcellation and two types of open specimen extraction incisions, several covariates need to be taken into consideration that have not yet been studied. MATERIALS AND METHODS: We retrospectively reviewed 153 consecutive patients who underwent laparoscopic nephrectomy at our institution, 107 who underwent specimen morcellation and 46 with intact specimen removal, either those with connected port sites with a muscle-cutting incision and those with a remote, muscle-splitting incision. Operative time, postoperative analgesia requirements, and incisional complications were evaluated using univariate and multivariate analysis, comparing variables such as patient age, gender, body mass index (BMI, laterality, benign versus cancerous renal conditions, estimated blood loss, specimen weight, overall complications, and length of stay. RESULTS: There was no significant difference for operative time between the 2 treatment groups (p = 0.65. Incision related complications occurred in 2 patients (4.4% from the intact specimen group but none in the morcellation group (p = 0.03. Overall narcotic requirement was lower in patients with morcellated (41 mg compared to intact specimen retrieval (66 mg on univariate (p = 0.03 and multivariate analysis (p = 0.049. Upon further stratification, however, there was no significant difference in mean narcotic requirement between the morcellation and muscle-splitting incision subgroup (p = 0.14. CONCLUSION: Morcellation does not extend operative time, and is associated with significantly less postoperative pain compared to intact specimen retrieval overall, although this is not statistically significant if a remote, muscle-splitting incision is made. Morcellation markedly reduces the risk of incisional-related complications.

  6. Comparison of Fasanella-Servat and Small-Incision Techniques for Involutional Ptosis Repair. (United States)

    Sohrab, Mahsa A; Lissner, Gary S


    To compare the results of the classic Fasanella-Servat internal approach to the newer, small-incision external approach in the repair of involutional ptosis. Retrospective review identified 93 patients (104 surgical procedures) at Northwestern Ophthalmology from June 2005 until October 2011 who underwent either the Fasanella-Servat or the small-incision approaches for involutional ptosis repair. Change in vertical palpebral fissure measurement, change in marginal reflex distance 1 (MRD1) measurement, patient satisfaction, surgical complications, operating time, and postoperative pain were compared between groups. Of the 93 patients, most were female with an average age of 69 years. Of the procedures, 48% were small incision and 52% were Fasanella-Servat approaches. Average postoperative follow up was 34.0 days. Vertical palpebral fissure height increased an average of 3.36 mm (±1.15) in the Fasanella-Servat group and 2.74 mm (±1.18) in the small-incision group (p = 0.003). Preoperative vertical palpebral fissure height was lower in the Fasanella-Servat group, but postoperative vertical palpebral fissure height was similar between the 2 groups (p=0.3). MRD1 increased an average of 3.42 mm (±0.86) in the Fasanella-Servat group and 2.68 mm (±0.93) in the small-incision group (p MRD1 was lower in the Fasanella-Servat group, but postoperative MRD1 was similar between the 2 groups (p = 0.15). Average operating time was 53 minutes (±16) in the small-incision group and 27 minutes (±6) in the Fasanella-Servat group (p MRD1.

  7. Cutting electrocautery versus scalpel for surgical incisions: a systematic review and meta-analysis. (United States)

    Ismail, Ammar; Abushouk, Abdelrahman Ibrahim; Elmaraezy, Ahmed; Menshawy, Amr; Menshawy, Esraa; Ismail, Mahmoud; Samir, Esraa; Khaled, Anas; Zakarya, Hagar; El-Tonoby, Abdelrahman; Ghanem, Esraa


    Although cutting electrocautery can be superior to the scalpel in reducing blood loss and incisional time, several reports associated electrocautery with higher rates of wound infection, impaired healing, and worse cosmesis. We performed this systematic review and meta-analysis to compare cutting electrocautery versus scalpel for surgical incisions. We conducted a computerized literature search of five electronic databases and included all published original studies comparing cutting electrocautery and scalpel surgical incisions. Relevant data were extracted from eligible studies and pooled as odds ratios (ORs) or standardized mean difference (SMD) values in a meta-analysis model, using RevMan and Comprehensive Meta-analysis software. Forty-one studies (36 randomized trials, four observational, and one quasirandom study) were included in the pooled analysis (6422 participants). Compared with the scalpel incision, cutting electrocautery resulted in significantly less blood loss (SMD = -1.16, 95% CI [-1.60 to -0.72]), shorter incisional (SMD = -0.63, 95% CI [-0.96 to -0.29]) and operative times (SMD = -0.59, 95% CI [-1.12 to -0.05]), and lower pain scores (SMD = -0.91, 95% CI [-1.27 to -0.55]) with no significant differences in terms of wound infection rates (OR = 0.92, 95% CI [0.74-1.15]) or overall subjective scar score (SMD = -0.49, 95% CI [-1.72 to 0.75]). Surgical incision using electrocautery can be quicker with less blood loss and postoperative pain scores than the scalpel incision. No statistically significant difference was found between both techniques in terms of postoperative wound complications, hospital stay duration, and wound cosmetic characteristics. Therefore, we recommend routine use of cutting electrocautery for surgical incisions. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Mekong Floods Fill Tonle Sap (United States)


    The monsoon season in Southeast Asia brings recurring, often devastating floods to countries in the region, but these floods also play a necessary role in the region's water cycle. These MODIS images centered on Cambodia reveal extensive flooding of the Mekong River, which comes in from Laos in the north, to the right of center in the images, and flows south through Cambodia and southeast through Vietnam to empty into the South China Sea. The true-color image shows the brownish, sediment-laden floodwaters filling the Mekong Delta in southern Cambodia and Vietnam on September 15, 2001. The false color image above has been enhanced to bring out the contrast between the floodwaters and the lands, with sediment-carrying floodwaters in purple. Sediment can be seen flowing into the South China Sea as well. This year's floods have affected over a million people, and 100 people have been killed in Vietnam alone. The monsoon floods bring not only devastation, but renewal. The large body of water just left of center in Cambodia is the Tonle Sap. This shallow lake plays a changing role in the regional water cycle. During the dry season, the stream-fed Tonle Sap drains via the Tonle Sab River into the Mekong River. During the wet season (June-November), flooding of the Mekong reverses the course of the Tonle Sab, roughly tripling the lake's size from about 3000 km2 to about 10,000. When the dry season returns, the lake once again begins to drain into the Mekong Delta, where it provides a flow of fresh water that balances the intrusion of salty seawater into the delta's agricultural lands. Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  9. Minimal incisions vertical endoscopic lifting and fat grafting as a systematic approach to the rejuvenation of the periocular esthetic unit. (United States)

    Bernardini, Francesco P; Gennai, Alessandro; Izzo, Luigi; Devoto, Martin H


    The forehead/brow complex, the temporal region, the upper eyelid, the zygomatic area, the lower eyelid, and the cheek comprise the periocular esthetic unit. The combination of variable degrees of tissue descent and fat deflation of the component parts of the unit determine its appearance with age. The authors report the results of tissue repositioning through a minimal incisions vertical endoscopic lift and volume restoration used in combination to restore the natural youthful appearance of the periocular esthetic unit. The authors retrospectively reviewed the charts of patients who underwent minimal incisions vertical endoscopic lift and fat grafting over a 12-year period in 3 different centers. Patients results were evaluated with standardized pre- and postoperative pictures graded by masked observers in a scale from poor, fair, satisfactory, to very satisfactory results. Patient satisfaction was self-graded in the same manner. The study consists of 400 patients, of whom 337 (85%) were women and 63 (14.8%) were men, with a mean age of 46 years (range 38-67) for women and mean age of 53 years (range 48-65) for men. Mean follow up was 16 months (range 6 months-8 years); in 180 patients follow up was 2 years or longer. Additional procedures included lower blepharoplasty in 205 patients (51%), neck lift in 102 patients (26%), upper blepharoplasty in 63 patients (15.7%), lateral canthoplasty in 9 patients (2.3%), and upper eyelid ptosis in 6 patients (1.5%). The results were graded as satisfactory or very satisfactory by 95% of patients and by 91% of observers. On the basis of the anatomical changes that occur in the periocular esthetic unit, tissue repositioning is indicated to address the descent of the superior complex and in minor part of the inferior complex, while volume restoration is indicated to address the volume depletion of the inferior and the lateral complexes and for refinements of the superior complex. The authors propose a systematic combination of

  10. Distribution of anthropogenic fill material within the Y-12 plant area, Oak Ridge, Tennessee

    International Nuclear Information System (INIS)

    Sutton, G.E. Jr.; Field, S.M.


    Widespread groundwater contamination in the vicinity of the Oak Ridge Y-12 Plant has been documented through a variety of monitoring efforts since the late 1970s. Various contaminants, most notably volatile organic compounds (VOCs), have migrated through the subsurface and formed extensive contaminant plumes within the Knox Aquifer/Maynardville Limestone, the primary exit pathway for groundwater transport within the Bear Creek Valley. In 1991, an integrated, comprehensive effort (Upper East Fork Poplar Creek [UEFPC] Phase I monitoring network) was initiated in order to (1) identify contaminant source areas within the industrialized portions of the plant and (2) define contamination migration pathways existing between the source areas and the Knox Aquifer/Maynardville Limestone. Data obtained during previous studies have indicated that extensive zones of fill and buried utility trenches may serve as preferred migration pathways. In addition, portions of UEFPC were rerouted, with several of its tributaries being filled during the initial construction of the plant. These filled surface drainage features are also believed to serve as preferred migration pathways. The identification of preferred contaminant migration pathways within the Y-12 Plant area is essential and required to refine the current Bear Creek Valley groundwater conceptual model and to assist in the selection of technically feasible and cost effective remedial strategies. This report presents the results of an initial investigation of the occurrence of manmade (anthropogenic) fill and its effect upon groundwater movement within the plant area. These interpretations are subject to revision and improvement as further investigation of the effects of the fill upon contaminant migration progresses

  11. Incision of the Yangtze River at the First Bend Determined by Three-Nuclide Burial Dating (United States)

    McPhillips, D. F.; Hoke, G. D.; Rood, D. H.; Bierman, P. R.


    On the southeast margin of the Tibetan Plateau, the evolution of the Yangtze River and its major tributaries has become an important source of data for investigating geodynamics. In particular, the timing of river incision is frequently interpreted as a proxy for the timing of surface uplift in the absence of structural evidence. We investigate the timing of the incision of the gorge at the First Bend using cosmogenic nuclide burial dating of coarse, quartz sediments from caves. Sediments were deposited when the caves were near river level and subsequently abandoned as the river incised. To resolve burial ages >5 Ma, we measured the radionuclides 10Be and 26Al, and the stable nuclide 21Ne. Results from 4 caves show that 26Al and 10Be concentrations are an order of magnitude lower in abandoned cave samples than in a river-level cave sample where deposition is active (10Be: 1.3x104 and 3.4x105 at/g). In contrast, 26Al/10Be ratios in all caves are ≥6.2 and indistinguishable within error. 21Ne concentrations range from 2.1x106 to 7.8x106 at/g. The results are consistent with an old age for the abandoned cave deposits, such that most of the radionuclides initially present have decayed and the concentrations that we measure today are the result of millions of years of exposure to muons. We solve for burial ages, taking into account in situ muogenic production, and find that the majority of the gorge (1 km) was likely incised between ~12 and 9 Ma. The results also require that the rate of river incision declined after the gorge was cut below the lowest elevation cave at 9 Ma. Inverse modeling of published low-temperature thermochronology (Ouimet et al., 2010) supports our burial age results. River capture near the First Bend, which likely integrated the modern Yangtze, likely occurred prior to the mid-Miocene incision of the gorge. In view of the geographic position of the First Bend—just downslope from the southeast margin of the Plateau—it is difficult to explain

  12. Fingertip replantation using a single volar arteriovenous anastomosis and drainage with a transverse tip incision. (United States)

    Yabe, T; Muraoka, M; Motomura, H; Ozawa, T


    Four cases of fingertip replantation using a single volar arteriovenous anastomosis and drainage with a transverse tip incision are reported. Because of lack of suitable arteries for anastomosis in the amputated finger, in each case a volar radial vein was anastomosed to the proximal digital artery and external drainage was performed through a transverse tip incision. In 3 cases the replanted fingertip survived completely; partial necrosis occurred in 1 case. Because veins are more superficial and larger than arteries, they are more available for anastomosis. The results indicate that this method is a useful alternative in fingertip replantation.

  13. Novel use of an air-filled breast prosthesis to allow radiotherapy to recurrent colonic cancer.

    LENUS (Irish Health Repository)

    O'Duffy, F


    AiM: The authors present the novel and successful use of an air-filled breast prosthesis for extra pelvic exclusion of small bowel to facilitate adjuvant radiotherapy following resection of recurrent adenocarcinoma of the ascending bowel. The therapeutic use of radiotherapy in colon cancer can cause acute or chronic radiation enteropathy. Mobile small bowel can be sequestered in \\'dead space\\' or by adhesions exposing it to adjuvant radiotherapy. A variety of pelvic partitioning methods have been described to exclude bowel from radiation fields using both native and prosthetic materials. METHOD: In this case a 68 year old presented with ascending colon adenocarcinoma invading the peritoneum and underwent en bloc peritoneal resection. Thirty-seven months later surveillance CT identified a local recurrence. Subsequent resection resulted in a large iliacus muscle defect which would sequester small bowel loops thus exposing the patient to radiation enteropathy. The lateral position of the defect precluded the use of traditional pelvic partitioning methods which would be unlikely to remain in place long enough to allow radiotherapy. A lightweight air-filled breast prosthesis (Allergan 133 FV 750 cms) secured in place with an omentoplasty was used to fill the defect. RESULTS: Following well tolerated radiotherapy the prosthesis was deflated under ultrasound guidance and removed via a 7-cm transverse incision above the right iliac crest. The patient is disease free 18 months later with no evidence of treatment related morbidity. CONCLUSION: The use of a malleable air-filled prosthesis for pelvic partitioning allows specific tailoring of the prosthesis size and shape for individual patient defects. It is also lightweight enough to be secured in place using an omentoplasty to prevent movement related prosthesis migration. In the absence of adequate omentum a mesh sling may be considered to allow fixation. In this case the anatomy of the prosthesis position allowed for its

  14. Comparison of the effects of 23-gauge and 25-gauge microincision vitrectomy blade designs on incision architecture

    Directory of Open Access Journals (Sweden)

    Inoue M


    Full Text Available Makoto Inoue,1 Dina Joy K Abulon,2 Akito Hirakata1 1Kyorin Eye Center, School of Medicine, Kyorin University, Tokyo, Japan; 2Alcon Research, Ltd., Irvine, CA, USA Purpose: To compare the effects of different 23- and 25-gauge microincision vitrectomy trocar cannula entry systems on incision architecture.Methods: We tested one ridged microvitreoretinal (MVR, one non-ridged MVR, one pointed beveled, and one round-tipped beveled blade (n=10 per blade design per incision type. Each blade’s straight and oblique incision architecture was assessed in a silicone disc simulating the sclera. Wound leakage under pressure and endoscopic observations were conducted on sclerotomy sites of isolated porcine eyes (n=4 per blade design after simulated vitrectomy.Results: Differences in blade design created distinct incision architecture. Incisions were linear with the ridged MVR blade, flattened “M-shaped” with the non-ridged MVR blade, asymmetrical chevron-shaped with the pointed beveled blade, and curved with the round-tipped beveled blade. With the exception of oblique entry incision thickness, both MVR blade designs created thinner incisions than the beveled blades at entry and exit sites. Only the ridged MVR blade created incisions with no leakage. Vitreous incarceration was observed with all trocar cannula systems.Conclusion: Wound closure in porcine eyes was similar with all blades despite differences in incision architecture. Wound leakage occurred at low to moderate infusion pressures with most blades; no wound leakage was observed with ridged MVR blades. Keywords: entry system, incision closure, leakage, pars plana incision, sclerotomy, trocar blade 

  15. Hypogene Sulfuric Acid Speleogenesis and rare sulfate minerals in Baume Galinière Cave (Alpes-de-Haute-Provence, France). Record of uplift, correlative cover retreat and valley dissection (United States)

    Audra, Philippe; Gázquez, Fernando; Rull, Fernando; Bigot, Jean-Yves; Camus, Hubert


    -cover and documents its retreat in relationship to valley incision caused by uplift and tilting of the Vaucluse block during the Neogene.

  16. Ground-water flow and recharge in the Mahomet Bedrock Valley Aquifer, east-central Illinois: A conceptual model based on hydrochemistry

    Energy Technology Data Exchange (ETDEWEB)

    Panno, S.V.; Hackley, K.C.; Cartwright, K.; Liu, C.L. (Illinois State Geological Survey, Champaign, IL (United States))


    Major-ion and isotopic analyses of ground water have been used to develop a conceptual model of flow and recharge to the Mahomet Bedrock Valley Aquifer (MVA). The MVA is composed of clean, permeable sands and gravels and forms a basal'' fill up to 60 m thick in a buried, west-trending bedrock valley. A thick succession of glacial tills, some containing interbedded lenses of sand and gravel, covers the MVA. Three regions within the MVA have hydrochemically distinct ground-water types. A fourth ground-water type was found at the confluence of the MVA and the Mackinaw Bedrock Valley Aquifer (MAK) to the west.

  17. Estratigrafía, petrografía sedimentaria y procedencia de las formaciones Sobral y Cross Valley (Paleoceno, isla Marambio (Seymour, Antártica Stratigraphy, sedimentary petrology and provenance of the Sobral and Cross Valley formations (Paleocene, Marambio (Seymour Island, Antarctica

    Directory of Open Access Journals (Sweden)

    Sergio Marenssi


    órficos con porcentajes variables de cuarzo y feldespatos. La representación de estas rocas en los diagramas de procedencia indican orógenos reciclados (y mezcla durante los períodos de mayor denudación y arcos disectados a no disectados luego de episodios de vulcanismo activo. El alto porcentaje de cuarzo en algunas secciones señala el enriquecimiento en fragmentos resistentes a partir del retrabajo de las sedimentitas subyacente favorecido por el carácter friable de las mismas y/o el desarrollo de ambientes de sedimentación de alta energía y/o baja velocidad de soterramiento.The unconformity bounded Paleocene Sobral and Cross Valley formations represent part of the uppermost infill of the James Ross Basin of northeastern Antarctic Peninsula. Both units have been subdivided into allomembers since they also present internal unconformities. The Sobral Formation represents silicoclastic sedimentation on a marine shelf during at least two transgressive-regressive cycles. The Cross Valley Formation fills in a narrow valley with volcaniclastic deposits representing an incised valley system with estuarine and subsequent deltaic facies. Sandstones of the Sobral Formation are feldspathic litharenites and lithic arkoses while those of the Cross Valley Formation are feldspathic litharenites to litharenites (volcanic. The sandstone composition (petrofacies of the Sobral and Cross Valley formation suggest provenance from a dissected volcanic arc that increased its activity during the Danian but decline again towards the late Thanetian. A detailed analysis of the sandstone compositional trends allowed to differentiate two petrofacies (S and CV and two sub-petrofacies (S I, S II, CV I and CV II respectively. The sub-petrofacies suggest a control from the sedimentary environments upon the detrital modes and their interference with the true provenance signal. The increase in quartz and glauconite in some units may be related to the unconformities and reworking of the underlying

  18. One Valley at a Time (United States)


    teaching, outreach, and research in the science and art of joint special operations. JSOU provides education to the men and women of Special Operations... leftover guerrillas. One valley at a time, stability can spread. This persistent spreading of influence into for- mally controlled Taliban areas, To carry out some of these transactions, Al Qaeda operates in Malaysia, China , the Philippines, and Germany. 10 JSOU Report 06-6 History of the

  19. 7 CFR 58.730 - Filling containers. (United States)


    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Filling containers. 58.730 Section 58.730 Agriculture... Procedures § 58.730 Filling containers. Hot fluid cheese from the cookers may be held in hotwells or hoppers... shall effectively measure the desired amount of product into the pouch or container in a sanitary manner...

  20. Influence of template fill in graphoepitaxy DSA (United States)

    Doise, Jan; Bekaert, Joost; Chan, Boon Teik; Hong, SungEun; Lin, Guanyang; Gronheid, Roel


    Directed self-assembly (DSA) of block copolymers (BCP) is considered a promising patterning approach for the 7 nm node and beyond. Specifically, a grapho-epitaxy process using a cylindrical phase BCP may offer an efficient solution for patterning randomly distributed contact holes with sub-resolution pitches, such as found in via and cut mask levels. In any grapho-epitaxy process, the pattern density impacts the template fill (local BCP thickness inside the template) and may cause defects due to respectively over- or underfilling of the template. In order to tackle this issue thoroughly, the parameters that determine template fill and the influence of template fill on the resulting pattern should be investigated. In this work, using three process flow variations (with different template surface energy), template fill is experimentally characterized as a function of pattern density and film thickness. The impact of these parameters on template fill is highly dependent on the process flow, and thus pre-pattern surface energy. Template fill has a considerable effect on the pattern transfer of the DSA contact holes into the underlying layer. Higher fill levels give rise to smaller contact holes and worse critical dimension uniformity. These results are important towards DSA-aware design and show that fill is a crucial parameter in grapho-epitaxy DSA.


    Directory of Open Access Journals (Sweden)

    Z. UTASI


    Full Text Available There are 30 valley-based towns with >10,000 inhabitants in Hungary, filled by 1.023 million people i.e. 10 % of the population. Two criteria are used to define the valley-based town. They are: (i Vertical difference between the lowest point in the town and the highest one around it should be >100 m. At the same time, (ii the same difference on the opposite side should be >50 m. Air pollution data by the National Air Pollution Observation Network are used. Five contaminants were selected and analysed for 2007, 2010 and 2013. Due to a sharp reduction in the network, we could find data for a small part of the valley-based towns. Control towns with equal air-quality observations and similar cumulative number of inhabitants were also selected. The contaminants and the number of the settlements are: NO2 manual (14 valley-based vs. 2x14 control, NO2 automatic (8 vs. 8, SO2 automatic (7 vs. 2x6, PM10 automatic (8 vs. 2x7 and PM10 deposition manual (6 vs. 8. Average values, as well as high concentration episodes (>98%thresholds are equally analysed and evaluated. The main conclusion is that there are so big differences between the years both in absolute values and relative sequence of valley-based and control groups that the analysed there years is not enough to make any final conclusion. For step-over frequencies, however valley-based towns have some advantage, possibly due to the valley-hill wind system.

  2. Endoscope-assisted intraoral removal of the thyroid isthmus mass using a frenotomy incision. (United States)

    Woo, Seung Hoon


    A thyroid isthmus nodule is a relatively rare condition. A small number of patients will present with thyroid mass isolated at the thyroid isthmus, which can cause discomfort in swallowing and cosmetic problems. Thus, some patients choose to have these nodules excised. The surgical removal of the thyroid isthmus mass is usually accomplished through an external incision of the neck. However, this procedure inevitably results in a neck scar. We report a case of an 18-year-old woman with a thyroid isthmus mass. We implemented a modified approach for the removal of the thyroid isthmus mass by using a frenotomy incision of the mouth, accompanied by an endoscope system. A modified approach for the removal of the thyroid isthmus mass was used on the patient. The total operating time was 70 minutes. The patient continues to be free of any diseases 12 months after the excision. Resection of the thyroid isthmus mass can be performed by an intraoral endoscope-assisted approach through a frenotomy incision of the mouth. We described the detailed procedures for an endoscope-assisted transoral thyroid isthmus mass excision using a frenotomy incision.

  3. Intraoral removal of a thyroglossal duct cyst using a frenotomy incision. (United States)

    Kim, Jin Pyeong; Park, Jung Je; Lee, Eun Jae; Woo, Seung Hoon


    Thyroglossal duct cyst (TGDC) is one of the most common causes of anterior neck swelling close to the midline. Surgical removal of a TGDC is usually accomplished through an external neck incision, including the removal of the middle part of hyoid bone and a block of tissues extending to the foramen cecum. However, this procedure inevitably results in a neck scar. We report the case of a 20-year-old woman with TGDC. We implemented a modified approach to TGDC removal through a frenotomy incision of the mouth using an endoscope system. The patient received a modified approach to TGDC removal. The total operative time was 60 minutes. She remains free of disease 12 months after her surgery. We describe, in a single patient, a procedure in detail for endoscope-assisted transoral TGDC excision using an intraoral frenotomy incision. The advantage of this approach is the avoidance of a neck scar. Our experience with this patient indicates that resection of a TGDC appears to be feasible through a transoral endoscope-assisted approach using a frenotomy incision in the mouth. Further experience with this procedure is required.

  4. Normalized Urinary Flow at Puberty after Tubularized Incised Plate Urethroplasty for Hypospadias in Childhood. (United States)

    Andersson, Marie; Doroszkiewicz, Monika; Arfwidsson, Charlotte; Abrahamsson, Kate; Sillén, Ulla; Holmdahl, Gundela


    An obstructive urinary flow pattern is frequently seen after tubularized incised plate urethroplasty for hypospadias. However, the significance of this finding has not been determined and long-term results are few. We describe postoperative long-term uroflowmetry results after puberty in males who underwent tubularized incised plate urethroplasty in childhood. A total of 126 boys underwent tubularized incised plate urethroplasty for distal penile to mid shaft hypospadias at Queen Silvia Children's Hospital in Gothenburg between 1999 and 2003. Of the patients 48 were toilet trained at surgery. We report on 40 patients who had data available at 2 and 12 months postoperatively, 7 years postoperatively and at puberty (median age 15.0 years, range 13.7 to 17.1). Of the patients 31 had distal and 9 had mid penile hypospadias. Clinical examination, urinary medical history, uroflowmetry and ultrasound measuring residual urine were performed. Maximum urinary flow was correlated to age and voided volume, using Miskolc nomograms for comparison of percentiles. At 1 year postoperatively 15 boys (37.5%) had normal urinary flow (above 25th percentile), compared to 16 (40%) at 7 years and 38 (95%) at puberty (p hypospadias (p = 0.008), as well as in patients who did (p = 0.0078) and did not undergo intervention (p hypospadias treated with tubularized incised plate urethroplasty. Unless symptoms occur, a conservative approach seems preferable. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  5. The Evolution of the Appendectomy: From Open to Laparoscopic to Single Incision

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    Noah J. Switzer


    Full Text Available Beginning with its initial description by Fitz in the 19th century, acute appendicitis has been a significant long-standing medical challenge; today it remains the most common gastrointestinal emergency in adults. Already in 1894, McBurney advocated for the surgical removal of the inflamed appendix and is credited with the initial description of an Open Appendectomy (OA. With the introduction of minimally invasive surgery, this classic approach evolved into a procedure with multiple, smaller incisions; a technique termed Laparoscopic Appendectomy (LA. There is much literature describing the advantages of this newer approach. To name a few, patients have significantly less wound infections, reduced pain, and a reduction in ileus compared with the OA. In the past few years, Single Incision Laparoscopic Appendectomy (SILA has gained popularity as the next major evolutionary advancement in the removal of the appendix. Described as a pioneer in the era of “scarless surgery,” it involves only one transumbilical incision. Patients are postulated to have reduced post-operative complications such as infection, hernias, and hematomas, as well as a quicker recovery time and less post-operative pain scores, in comparison to its predecessors. In this review, we explore the advancement of the appendectomy from open to laparoscopic to single incision.

  6. Outcomes of single-stage total arch replacement via clamshell incision

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    Ishizaka Toru


    Full Text Available Abstract Background Treatment of complex aortic pathologies involving the transverse arch with extensive involvement of the descending aorta remains a surgical challenge. Since clamshell incision provides superior exposure of the entire thoracic aorta, we evaluated the use of this technique for single-stage total arch replacement by arch vessel reconstruction. Methods The arch-first technique combined with clamshell incision was used in 38 cases of aneurysm and aortic disease in 2008 and 2009. Extensive total arch replacement was used with clamshell incision for reconstruction of arch vessels under deep hypothermic circulatory arrest. Results Overall 30-day mortality was 13%. The mean operating time was approximately 8 hours. Deep hypothermia resulted in mean CPB time exceeding 4.5 hours and mean duration of circulatory arrest was 25 minutes. The overall postoperative temporary and permanent neurologic dysfunction rates were 3% and 3% for elective and 3% and 0% for emergency surgery, respectively. All patients except the five who died in hospital were discharged without nursing care after an average post-operative hospital stay of 35 days. Conclusions The arch-first technique, combined with clamshell incision, provides expeditious replacement of the thoracic aorta with an acceptable duration of hypothermic circulatory arrest and minimizes the risk of retrograde atheroembolism by using antegrade perfusion.

  7. Two-incision minimally invasive total hip arthroplasty - results and complications

    NARCIS (Netherlands)

    van Oldenrijk, Jakob; Hoogervorst, Paul; Schaap, Gerard R.; van Dijk, C. Niek; Schafroth, Matthias U.


    The purpose of this study was to determine the complication rate and functional result after two-incision minimally invasive total hip arthroplasty in a retrospective consecutive case series of the first 45 patients treated by a single surgeon. The mean follow up period was 2.1 years. There were 4

  8. Computed tomography contrast media extravasation: treatment algorithm and immediate treatment by squeezing with multiple slit incisions. (United States)

    Kim, Sue Min; Cook, Kyung Hoon; Lee, Il Jae; Park, Dong Ha; Park, Myong Chul


    In our hospital, an adverse event reporting system was initiated that alerts the plastic surgery department immediately after suspecting contrast media extravasation injury. This system is particularly important for a large volume of extravasation during power injector use. Between March 2011 and May 2015, a retrospective chart review was performed on all patients experiencing contrast media extravasation while being treated at our hospital. Immediate treatment by squeezing with multiple slit incisions was conducted for a portion of these patients. Eighty cases of extravasation were reported from approximately 218 000 computed tomography scans. The expected extravasation volume was larger than 50 ml, or severe pressure was felt on the affected limb in 23 patients. They were treated with multiple slit incisions followed by squeezing. Oedema of the affected limb disappeared after 1-2 hours after treatment, and the skin incisions healed within a week. We propose a set of guidelines for the initial management of contrast media extravasation injuries for a timely intervention. For large-volume extravasation cases, immediate management with multiple slit incisions is safe and effective in reducing the swelling quickly, preventing patient discomfort and decreasing skin and soft tissue problems. © 2016 Inc and John Wiley & Sons Ltd.

  9. Forensic aspects of incised wounds and bruises in pigs established post-mortem. (United States)

    Barington, Kristiane; Jensen, Henrik Elvang


    Recognizing post-mortem (PM) changes is of crucial importance in veterinary forensic pathology. In porcine wounds established PM contradicting observations regarding infiltration of leukocytes have been described. In the present study, skin, subcutis and muscle tissue sampled from experimental pigs with PM incised wounds (n=8), PM bruises (n=8) and no lesions, i.e. controls (n=4), were examined for signs of vitality over time. All tissue samples were subjected to gross and histopathological evaluation. Hemorrhages were present along the edges of PM incised wounds but deposits of fibrin were never observed. PM bruise led to hemorrhage in the subcutis visible on cross section of the skin in 3 out of 8 pigs. Histologically, hemorrhages in the subcutaneous tissue and disrupted muscle fibers were observed in PM bruises and could not be differentiated from similar lesions in ante-mortem (AM) bruises. Vital reactions, i.e. infiltrating leukocytes, hyper-leukocytosis and pavement of leukocytes, were absent in all incised wounds and bruises regardless of the time of sampling after traumatization. In conclusion, a vital reaction was not present in PM incised wounds, regardless of the time of sampling. Moreover, it was found that AM bruises free of leukocyte infiltration cannot be distinguished from PM bruises, an observation which is of crucial importance when timing bruises in forensic cases. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Effects of Bank Vegetation and Incision on Erosion Rates in an Urban Stream

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    Emily Arnold


    Full Text Available Changing land-use associated with urbanization has resulted in shifts in riparian assemblages, stream hydraulics, and sediment dynamics leading to the degradation of waterways. To combat degradation, restoration and management of riparian zones is becoming increasingly common. However, the relationship between flora, especially the influence of invasive species, on sediment dynamics is poorly understood. Bank erosion and turbidity were monitored in the Tookany Creek and its tributary Mill Run in the greater Philadelphia, PA region. To evaluate the influence of the invasive species Reynoutria japonica (Japanese knotweed on erosion, reaches were chosen based on their riparian vegetation and degree of incision. Bank pins and turbidity loggers were used to estimate sediment erosion. Erosion calculations based on bank pins suggest greater erosion in reaches dominated by knotweed than those dominated by trees. For a 9.5-month monitoring period, there was 29 cm more erosion on banks that were also incised, and 9 cm more erosion in banks with little incision. Turbidity responses to storm events were also higher (77 vs. 54 NTU (nephelometric turbidity unit in reaches with knotweed, although this increase was found when the reach dominated by knotweed was also incised. Thus, this study linked knotweed to increased erosion using multiple methods.

  11. Carpal tunnel release using the radial sided approach compared with the two-incision approach. (United States)

    Calleja, Henry; Tsai, Tsu-Min; Kaufman, Christina


    We compared carpal tunnel release using a radial sided approach (RCTR) with a two-incision approach with regards to complications, grip strength, and functional outcomes. Retrospective chart review was done and data was collected pre-operatively, and post-operatively at six weeks and three months. A total of 32 and 26 patients were included in the two-incision and RCTR groups respectively. At six weeks, the RCTR group showed an increased grip strength (+32.24%) while the two-incision group was weaker (-6.75%). Both groups showed an increased strength at three months, RCTR at 98.4% while the two-incision group was significantly lower at 38.6% increase. Both techniques provided improvement in outcome scores, with no statistical difference. RCTR was associated with a significantly earlier return of grip strength and had better grip strength at six weeks and three months post-operatively. Both techniques provided symptom relief and good functional outcome.

  12. Seismic evidence of glacial-age river incision into the Tahaa barrier reef, French Polynesia (United States)

    Toomey, Michael; Woodruff, Jonathan D.; Ashton, Andrew D.; Perron, J. Taylor


    Rivers have long been recognized for their ability to shape reef-bound volcanic islands. On the time-scale of glacial–interglacial sea-level cycles, fluvial incision of exposed barrier reef lagoons may compete with constructional coral growth to shape the coastal geomorphology of ocean islands. However, overprinting of Pleistocene landscapes by Holocene erosion or sedimentation has largely obscured the role lowstand river incision may have played in developing the deep lagoons typical of modern barrier reefs. Here we use high-resolution seismic imagery and core stratigraphy to examine how erosion and/or deposition by upland drainage networks has shaped coastal morphology on Tahaa, a barrier reef-bound island located along the Society Islands hotspot chain in French Polynesia. At Tahaa, we find that many channels, incised into the lagoon floor during Pleistocene sea-level lowstands, are located near the mouths of upstream terrestrial drainages. Steeper antecedent topography appears to have enhanced lowstand fluvial erosion along Tahaa's southwestern coast and maintained a deep pass. During highstands, upland drainages appear to contribute little sediment to refilling accommodation space in the lagoon. Rather, the flushing of fine carbonate sediment out of incised fluvial channels by storms and currents appears to have limited lagoonal infilling and further reinforced development of deep barrier reef lagoons during periods of highstand submersion.

  13. Single-incision sleeve gastrectomy versus conventional laparoscopic sleeve gastrectomy--a randomised pilot study. (United States)

    Lakdawala, Muffazal A; Muda, Nor Hisham; Goel, Sunita; Bhasker, Aparna


    This is a prospective pilot study done to evaluate the feasibility and to assess the outcomes and complication rates of the single-incision sleeve gastrectomy versus the conventional five-port laparoscopic sleeve gastrectomy. A prospective comparative analysis was done of 50 patients in each arm who underwent laparoscopic sleeve gastrectomy and single-incision sleeve gastrectomy from September 2009 until April 2010. Both groups were matched for age, gender and BMI and were then randomly assigned to either group. Postoperative pain scoring was done using the visual analogue scale. Postoperative outcomes in terms of pain scores, excess weight loss, resolution of comorbidities and complication rates were compared in both groups, at the end of 6 months. Operating times in both groups were comparable with experience. Intraoperative blood loss was similar in both groups. VAS scoring revealed lesser postoperative pain after the first 8 h in the single-incision group as compared to the laparoscopy group-P < 0.0001. At 6 months, excess weight loss and resolution of comorbidities were comparable in both groups. There were no major complications or mortalities in either group. Single-incision laparoscopic sleeve gastrectomy is a feasible surgical procedure for morbid obesity in selected individuals. When compared to conventional laparoscopic sleeve gastrectomy, it has equally effective weight loss and resolution of comorbidities. It also has the added benefits of little or no visible scarring and reduced postoperative pain.

  14. Quality-of-Life and Visual Function after Manual Small Incision ...

    African Journals Online (AJOL)

    Background: Outcome studies after cataract surgery should focus on functional status and quality of life instead of visual acuity measurement alone. Objective: To assess patients' quality of life (QoL) and overall visual function (VF) after manual small incision cataract surgery (SICS) with intraocular lens (IOL) implantation.

  15. Full-Thickness Retinochoroidal Incision in the Management of Central Retinal Vein Occlusion

    Directory of Open Access Journals (Sweden)

    San-Ni Chen


    Full Text Available Purpose. To evaluate the clinical outcomes in patients with central retinal vein occlusion (CRVO treated with full-thickness retinochoroidal incisions and to compare whether there is difference in treatment response in ischemic and nonischemic CRVO. Methods. Retrospective study of patients of CRVO receiving full-thickness retinochoroidal incisions in Changhua Christian Hospital. Fluorescein angiography (FA, slit-lamp biomicroscopy, indirect funduscopy, best corrected visual acuity, and central macular thickness (CMT measured by optical coherence tomography were performed pre- and postoperatively. Patients were divided into an ischemic and nonischemic group according to the findings of FA. Patients were followed up for at least 1 year. Results. Twenty-eight eyes (14 ischemic and 14 nonischemic CRVO were included. Functional retinochoroidal venous anastomosis (RCVA was achieved in 48 of the 65 retinochoroidal incisions (73.8%. Central macular thickness (CMT and retinal hemorrhage decreased significantly after the surgery. Significant visual gain was observed postoperatively in the nonischemic group, but not in the ischemic group. Postoperative complications included vitreous hemorrhage (17.8%, neovascular glaucoma (7.1%, and preretinal fibrovasular membrane (10.7%, all of which were in the ischemic group. Conclusions. RCVA formation induced by retinochoroidal incisions could improve venous flow, and decrease CMT and retinal hemorrhage. However, only eyes with nonischemic CRVO showed visual improvement.

  16. Safety and feasibility of single-incision laparoscopic cholecystectomy in obese patients

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    Masaki Wakasugi


    Full Text Available Current literature frequently indicates that experienced laparoscopic surgeons can safely perform single-incision laparoscopic cholecystectomy, but there have been few reports evaluating the feasibility and safety of performing single-incision laparoscopic cholecystectomy for obese patients. Therefore, a large single-center database was retrospectively reviewed to evaluate the feasibility and safety of single-incision laparoscopic cholecystectomy for obese patients by comparing the outcomes of normal-weight and obese patients undergoing single-incision laparoscopic cholecystectomy.A retrospective analysis of 608 patients undergoing SILC between May 2009 and May 2015 at Osaka Police Hospital was performed, and the outcomes of obese [body mass index (BMI ≥ 30 kg/m2] and normal-weight patients (18.5 ≤ BMI < 25 kg/m2 were compared.Thirty-eight obese patients (mean BMI 32.5 kg/m2 were compared to 362 normal-weight patients (mean BMI 22.0 kg/m2. The American Society of Anesthesiologists (ASA scores of the obese patients were significantly higher than those of normal-weight patients. The mean operative times in the normal-weight and the obese groups were 110 min vs. 127 min, respectively (p < 0.05. There were no significant differences in the bleeding volume and the conversion rate to a different operative procedure. Perioperative complications were seen in 6% (23/362 of the patients in the normal-weight group and 8% (3/38 of the patients in the obese group (p = 0.7. The mean postoperative hospital stay was 4.5 days for the normal-weight group and 4.4 days for the obese group (p = 0.8.Single-incision laparoscopic cholecystectomy, which offers good cosmetic outcomes, seems feasible and safe in obese patients.•Single-incision laparoscopic cholecystectomy offers good cosmetic outcomes.•Single-incision laparoscopic cholecystectomy seems feasible and safe in obese patients.

  17. European Hernia Society guidelines on the closure of abdominal wall incisions. (United States)

    Muysoms, F E; Antoniou, S A; Bury, K; Campanelli, G; Conze, J; Cuccurullo, D; de Beaux, A C; Deerenberg, E B; East, B; Fortelny, R H; Gillion, J-F; Henriksen, N A; Israelsson, L; Jairam, A; Jänes, A; Jeekel, J; López-Cano, M; Miserez, M; Morales-Conde, S; Sanders, D L; Simons, M P; Śmietański, M; Venclauskas, L; Berrevoet, F


    The material and the surgical technique used to close an abdominal wall incision are important determinants of the risk of developing an incisional hernia. Optimising closure of abdominal wall incisions holds a potential to prevent patients suffering from incisional hernias and for important costs savings in health care. The European Hernia Society formed a Guidelines Development Group to provide guidelines for all surgical specialists who perform abdominal incisions in adult patients on the materials and methods used to close the abdominal wall. The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and methodological guidance was taken from Scottish Intercollegiate Guidelines Network (SIGN). The literature search included publications up to April 2014. The guidelines were written using the AGREE II instrument. An update of these guidelines is planned for 2017. For many of the Key Questions that were studied no high quality data was detected. Therefore, some strong recommendations could be made but, for many Key Questions only weak recommendations or no recommendation could be made due to lack of sufficient evidence. To decrease the incidence of incisional hernias it is strongly recommended to utilise a non-midline approach to a laparotomy whenever possible. For elective midline incisions, it is strongly recommended to perform a continuous suturing technique and to avoid the use of rapidly absorbable sutures. It is suggested using a slowly absorbable monofilament suture in a single layer aponeurotic closure technique without separate closure of the peritoneum. A small bites technique with a suture to wound length (SL/WL) ratio at least 4/1 is the current recommended method of fascial closure. Currently, no recommendations can be given on the optimal technique to close emergency laparotomy incisions. Prophylactic mesh augmentation appears effective and safe and can be suggested in high

  18. California's restless giant: the Long Valley Caldera (United States)

    Hill, David P.; Bailey, Roy A.; Hendley, James W.; Stauffer, Peter H.; Marcaida, Mae


    Scientists have monitored geologic unrest in the Long Valley, California, area since 1980. In that year, following a swarm of strong earthquakes, they discovered that the central part of the Long Valley Caldera had begun actively rising. Unrest in the area persists today. The U.S. Geological Survey (USGS) continues to provide the public and civil authorities with current information on the volcanic hazard at Long Valley and is prepared to give timely warnings of any impending eruption.

  19. Learning Curve for Laparoendoscopic Single-Incision Live Donor Nephrectomy: Implications for Laparoendoscopic Practice and Training. (United States)

    Troppmann, Christoph; Santhanakrishnan, Chandrasekar; Fananapazir, Ghaneh; Troppmann, Kathrin M; Perez, Richard V


    The learning curve for laparoendoscopic single-incision live donor nephrectomy, which is technically more complex than the multiport, conventional laparoendoscopic approach, is unknown. In a retrospective cohort study, we analyzed the learning curve of the initial 114 consecutive single-incision laparoendoscopic nephrectomies performed in nonselected live kidney donors. Median donor body mass index was 26 kg/m 2 (range 20-34). In all, 92% of the nephrectomies were performed on the left side; 18% of the recovered kidneys had multiple renal arteries. Cumulative sum (CUSUM) analysis of operating time (OT) demonstrated that the learning curve was achieved after case 61. For the learning curve phase (Group 1 [cases 1-61]) vs the postlearning phase (Group 2 [cases 62-114]), the difference of the mean OT was 20 minutes (p = 0.05). Mean warm ischemic time in the donors was significantly longer during the learning phase (Group 1, 6 minutes; Group 2, 5 minutes; p = 0.04). Rates of conversions to multiport procedures and of donor complications were not significantly different between Groups 1 and 2. For the recipients, we observed delayed graft function in 2 (2%) cases, no technical graft losses; and 1-year death-censored graft survival was 100% (p = n.s. for all comparisons of Group 1 vs 2). Single-incision laparoendoscopic donor nephrectomy had a long learning curve (>60 cases), but resulted in excellent donor and recipient outcomes. The long learning curve has significant implications for the programs and surgeons who contemplate transitioning from multiport to single-incision nephrectomy. Furthermore, our observations are highly relevant for informing the development of training requirements for fellows to be trained in single-incision laparoendoscopic nephrectomy.

  20. [Is there a relation between mammaplasties incisions and the final shape of the breast?]. (United States)

    Moufarrège, R; Dionyssopoulos, A; Aymeric, A; Sauvageau, J


    The results of reduction mammoplasty and mastopexy demonstrate a great variety of shapes derived from the particularities inherent to each technique. More precisely, it has become apparent to us that the usage of an abnormally long vertical scar leads to a suboptimal final shape of the breast due to the excessive projection compared to its height. Although our clientele continually asks to minimize scars, we have noticed a resurgence in the literature of vertical incision mammoplasty techniques albeit with a scar of an excessive length. The multitude of publications leads to an evident and consistent conclusion: breasts reconstructed with an overly long vertical incision all suffer the same deformity characterized by a banana or squash-shaped breast. We studied the totality of publications on vertical incision technique mammoplasty from the last 15 years and realised they all presented the same problem: an abnormally low height/projection ratio. These numbers have been confronted by the golden ratio established by the first author (2005) [1]. The breast's golden ratio developed by Moufarrège is optimal at a number close to, or superior to 2. Results between 2 and 1.5 are acceptable. All height/projection ratios inferior to 1.5 correspond to suboptimal breast shapes. Furthermore, the totality of results in the vertical scar mammoplasty technique which displayed unsatisfying results had a height/projection ratio inferior to 1.5. Those who promote the vertical incision have the greatest drive to encourage other plastic surgeons to abandon the traditional mutilating boat anchor scar. Nevertheless, they should always remember the deforming effect caused by exaggerated vertical incisions which may be avoided by transforming it into an inverted T with short horizontal branches, a small price to pay to obtain a superior aesthetic result. Copyright 2009 Elsevier Masson SAS. All rights reserved.

  1. Mini-incision microdissection testicular sperm extraction: a useful technique for men with cryptozoospermia. (United States)

    Alrabeeah, K; Witmer, J; Ruiz, S; AlMalki, A; Phillips, S; Zini, A


    Microdissection testicular sperm extraction (micro-TESE) was developed to minimize the testicular injury associated with multiple open TESEs. We sought to evaluate a mini-incision micro-TESE in men with cryptozoospermia and non-obstructive azoospermia (NOA). We conducted a retrospective study of 26 consecutive men with NOA and cryptozoospermia who underwent a primary (first) micro-TESE between March 2015 and August 2015. Final assessment of sperm recovery (reported on the day of intra-cytoplasmic sperm injection (ICSI)) was recorded as (i) successful (available spermatozoa for ICSI) or (ii) unsuccessful (no spermatozoa for ICSI). The decision to perform a mini-incision micro-TESE (with limited unilateral micro-dissection) or standard/extensive (with unilateral or bilateral micro-dissection) was guided by the intra-operative identification of sperm recovery (≥5 spermatozoa) from the first testicle. Overall, sperm recovery was successful in 77% (20/26) of the men. In 37% of the men (8/26), the mini-incision micro-TESE was successful (positive sperm recovery). The remaining 18 men required a standard (extensive) microdissection: 61% (11/18) underwent a unilateral and 39% (7/18) a bilateral micro-TESE. We found that 90% (9/10) of the men with cryptozoospermia and 63% (10/16) of the men with NOA underwent a unilateral (mini or standard micro-TESE). The mini-incision micro-TESE allowed for successful sperm recovery in 60% (6/10) of the men with cryptozoospermia and 13% (2/16) of the men with NOA. The data demonstrate that a mini-incision micro-TESE together with rapid intra-operative assessment and identification of spermatozoa recovery can be useful in men undergoing microTESE, particularly, men with cryptozoospermia. © 2016 American Society of Andrology and European Academy of Andrology.

  2. A new technique, combined plication-incision (CPI, for correction of penile curvature

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    Hamed Abdalla Hamed

    Full Text Available ABSTRACT Introduction Penile curvature (PC can be surgically corrected by either corporoplasty or plication techniques. These techniques can be complicated by post-operative: penile shortening, recurrent PC, painful/palpable suture knots and erectile dysfunction. Objective To avoid the complications of corporoplasty and plication techniques using a new technique: combined plication-incision (CPI. Materials and Methods Two groups (1&2 were operated upon: group 1 using CPI and group 2 using the 16-dot technique. In CPI, dots were first marked as in 16 dot technique. In each group of 4 dots the superficial layer of tunica albuginea was transversely incised (3-6mm at the first and last dots. Ethibond 2/0, passed through the interior edge of the first incision plicating the intermediate 2 dots and passed out of the interior edge of the last incision, was tightened and ligated. Vicryle 4/0, passed through the exterior edges of the incisions, was tightened and ligated to cover the ethibond knot. Results Twelve (57.1 % participants in group 2 complained of a bothering palpable knot compared to none in group 1 with statistically significant difference (P=0.005. Postoperative shortening (5mm of erect penis, encountered in 9 participants, was doubled in group 2 but with insignificant difference (P>0.05. Post-operative recurrence of PC, was encountered in only 1 (4.8% participant in group 2, compared to none in group 1, with insignificant difference (P>0.05. Post-operative erectile rigidity was normally maintained in all participants. Conclusion The new technique was superior to the 16-dot technique for correction of PC.

  3. Surgical management of stage I and II vulvar cancer:The role of the separated incision

    Directory of Open Access Journals (Sweden)

    Andrijono Andrijono


    Full Text Available Vulvar cancer is a gynecological cancer whose incidence rate is relatively low. Patients generally were admitted at advanced stage, and radiation therapy at advanced stage does not provide favorable prognosis. Two main modalities in the treatment of vulvar cancer are surgery and radiation therapy. However, radiation can be performed in early stage vulvar cancer but surgery is thought to have more benefits, such as in side effect on the ovary/ reproductive function disorder, patient's hygiene factor, and the ease in performing therapy if recurrence occurs. There are various techniques of vulvar cancer surgery, such as radical vulvectomy with butterfly incision (RVBI and radical vulvectomy with separated incision (RVSI. The objective of this study was to identify the benefits of radical vulvectomy with separated incision in comparison with radical vulvectomy with butterfly incision in terms of the length of surgery, wound recovery, infection incidence, length of hospital stay. This study was a clinical trial performed during the period of 1990-2000. Fifteen cases of vulvar cancer were found and underwent surgery. Fourteen cases were at stage II and 14 cases were histologically defined as squamous-cell carcinoma and 1 case was adenocarcinoma. The average length of surgery in RVSI was 168 minutes, this was shorter than that in VRBI which reached an average of 275 minutes. The incidence of infection in RVSI group was 3 of 11 cases (27.27%, while in RVBI group all cases had infection in surgical wound. Failure of surgical wound approximation was 1 of 12 cases (9.99%, while in RVBI all cases experienced the failure such that cosmetic surgery was required. Length of postoperative care in RVSI group was 12.3 days, while in RVBI 21.5 days. Thus, complications in VRBI were lower, and length of surgery and length of postoperative care were shorter. (Med J Indones 2003; 12: 103-8 Keywords: vulvar cancer, separated incision

  4. Small martian valleys: Pristine and degraded morphology

    International Nuclear Information System (INIS)

    Baker, V.R.; Partridge, J.B.


    The equatorial heavily cratered uplands of Mars are dissected by two classes of small valleys that are intimately associated in compound networks. Pristine valleys with steep valley walls preferentially occupy downstream portions of compound basins. Degraded valleys with eroded walls are laterally more extensive and have higher drainage densities than pristine valleys. Morphometric and crater-counting studies indicate that relatively dense drainage networks were emplaced on Mars during the heavy bombardment about 4.0 b.y. ago. Over a period of approximately 10 8 years, these networks were degraded and subsequently invaded by headwardly extending pristine valleys. The pristine valleys locally reactivated the compound networks, probably through sapping processes dependent upon high water tables. Fluvial activity in the heavily cratered uplands generally ceased approximately 3.8--3.9 b.y. ago, coincident with the rapid decline in cratering rates. The relict compound valleys on Mars are morphometrically distinct from most terrestrial drainage systems. The differences might be caused by a Martian valley formation episode characterized by hyperaridity, by inadequate time for network growth, by very permeable rock types, or by a combination of factors

  5. EPA Region 1 - Valley Depth in Meters (United States)

    Raster of the Depth in meters of EPA-delimited Valleys in Region 1.Valleys (areas that are lower than their neighbors) were extracted from a Digital Elevation Model (USGS, 30m) by finding the local average elevation, subtracting the actual elevation from the average, and selecting areas where the actual elevation was below the average. The landscape was sampled at seven scales (circles of 1, 2, 4, 7, 11, 16, and 22 km radius) to take into account the diversity of valley shapes and sizes. Areas selected in at least four scales were designated as valleys.

  6. Droplet Measurement below Single-Layer Grid Fill

    Directory of Open Access Journals (Sweden)

    Vitkovic Pavol


    Full Text Available The main part of the heat transfer in a cooling tower is in a fill zone. This one is consist of a cooling fill. For the cooling tower is used a film fill or grid fill or splash fill in the generally. The grid fill has lower heat transfer performance like film fill usually. But their advantage is high resistance to blockage of the fill. The grid fill is consisted with independent layers made from plastic usually. The layers consist of several bars connected to the different shapes. For experiment was used the rhombus shape. The drops diameter was measured above and below the Grid fill.

  7. Retrograde root filling with amalgam and Cavit. (United States)

    Finne, K; Nord, P G; Persson, G; Lennartsson, B


    In a 3-year review of 218 teeth with retrograde root filling with amalgam orCavit, the results obtained with the former proved significantly better than those obtained with the latter. The difference seemed to be due to a better obliteration of the canal by amalgam. The obliterating effect of amalgam probably eliminates the need for revision of incomplete othograde root filling, for example, in cases with a post in the root canal. Irrespective of type of filling materials, the results were less good in cases with marginal bone loss.

  8. Assessment of treatment options for rectosigmoid cancer: single-incision plus one port laparoscopic surgery, single-incision laparoscopic surgery, and conventional laparoscopic surgery. (United States)

    Liu, Ruoyan; Wang, Yanan; Zhang, Ze; Li, Tingting; Liu, Hao; Zhao, Liying; Deng, Haijun; Li, Guoxin


    The advantages of reduced-port laparoscopic surgery (RPLS) for rectosigmoid cancer treatment have been disputed. This study evaluated the outcomes of RPLS compared to conventional laparoscopic surgery (CLS) for rectosigmoid cancer. Data from 211 patients who underwent a selective sigmoidectomy or anterior resection from August 2011 to June 2014 at a single institution were collected and analyzed via propensity score matching. Operative outcomes, inflammatory responses, pain intensity, oncologic outcomes, quality of life, and cosmetic results were compared between groups. After matching, 96 patients (48 CLS and 48 RPLS) were evaluated. Sixteen RPLS cases underwent single-incision laparoscopic surgery (SILS), and 32 underwent single-incision plus one port laparoscopic surgery (SILS + 1). Baseline clinical characteristics were comparable between the RPLS and the CLS groups. Morbidity, pathologic outcomes, and 3-year disease-free survival and overall survival rates were also comparable between the 2 groups. Compared with the CLS group, the RPLS group had a shorter total incision length (p time to liquid diet (p = 0.027), ambulation (p = 0.026), and discharge (p times, C-reactive protein levels at 24 h and 96 h, and interleukin-6 levels at 24 h postoperatively were significantly lower in the SILS + 1 group than those in the CLS and SILS groups (p cosmetic results, and both groups showed better results than the CLS group (p < 0.001). RPLS for rectosigmoid cancer is feasible, with short-term safety and long-term oncological safety comparable to that of CLS. Better cosmesis and accelerated recovery can be expected. SILS + 1 is a better choice than CLS or SILS for rectosigmoid cancer because it minimizes invasiveness and reduces technical difficulties.

  9. Confocal comparison of corneal reinnervation after small incision lenticule extraction (SMILE and femtosecond laser in situ keratomileusis (FS-LASIK.

    Directory of Open Access Journals (Sweden)

    Meiyan Li

    Full Text Available PURPOSE: To evaluate corneal reinnervation, and the corresponding corneal sensitivity and keratocyte density after small incision lenticule extraction (SMILE and femtosecond laser in situ keratomileusis (FS-LASIK. METHODS: In this prospective, non-randomized observational study, 18 patients (32 eyes received SMILE surgery, and 22 patients (42 eyes received FS-LASIK surgery to correct myopia. The corneal subbasal nerve density and microscopic morphological changes in corneal architecture were evaluated by confocal microscopy prior to surgery and at 1 week, 1 month, 3 months, and 6 months after surgery. A correlation analysis was performed between subbasal corneal nerve density and the corresponding keratocyte density and corneal sensitivity. RESULTS: The decrease in subbasal nerve density was less severe in SMILE-treated eyes than in FS-LASIK-treated eyes at 1 week (P = 0.0147, 1 month (P = 0.0243, and 3 months (P = 0.0498, but no difference was detected at the 6-month visit (P = 0.5277. The subbasal nerve density correlated positively with central corneal sensitivity in both groups (r = 0.416, P<0.0001, and r = 0.2567, P = 0.0038 for SMILE group and FS-LASIK group, respectively. The SMILE-treated eyes have a lower risk of developing peripheral empty space with epithelial cells filling in (P = 0.0005. CONCLUSIONS: The decrease in subbasal nerve fiber density was less severe in the SMILE group than the FS-LASIK group in the first 3 months following the surgeries. The subbasal nerve density was correlated with central corneal sensitivity.

  10. Radwaste challenge at Beaver Valley

    International Nuclear Information System (INIS)



    Duquesne Light Company met the problem of accumulating low-level radioactive waste at its Beaver Valley nuclear plant with an aggressive program to reduce the quantity of contaminated material and demonstrate that the plant was improving its radiological protection. There was also an economic incentive to reduce low-level wastes. The imaginative campaign involved workers in the reduction effort through training and the adoption of practical approaches to reducing the amount of material exposed to radiation that include sorting trash by radiation level and a compacting system. 4 figures

  11. Minimal Nasolabial Incision Technique for Nasolabial Fold Modification in Patients With Facial Paralysis. (United States)

    Faris, Callum; Heiser, Alyssa; Jowett, Nate; Hadlock, Tessa


    Creation of symmetrical nasolabial folds (NLFs) is important in the management of the paralyzed face. Established techniques use a linear incision in the NLF, and technical refinements now allow the linear incision to be omitted. This retrospective case series was conducted in a tertiary care setting from February 2, 2017, to June 7, 2017. Participants were all patients (N = 21) with peripheral facial paralysis who underwent NLF modification that used the minimal nasolabial incision technique at the Massachusetts Eye and Ear Infirmary Facial Nerve Center from February 1, 2015, through August 31, 2016. Patient-reported outcome measures using the validated, quality-of-life Facial Clinimetric Evaluation (FaCE) Scale; clinician-reported facial function outcomes using a validated electronic clinician-graded facial paralysis assessment (eFACE); layperson assessment of the overall aesthetic outcome of the NLF; and expert-clinician scar assessment of the NLF. Of the 21 patients who underwent NLF modification that used the minimal nasolabial incision technique, 9 patients (43%) were female and 12 (57%) were male. The mean age was 41 (range, 9-90) years; 17 patients (81%) were adults (≥18 years) and 4 (19%) were children (<18 years). Overall, significant improvements were observed after NLF modification in all outcome measures as graded by both clinicians and patients. The mean (SD) scores for total eFACE were 60.7 (14.9) before the operation and 77.2 (8.9) after the operation (mean difference, 16.5 [95% CI, 8.5-24.2]; P < .001). The mean (SD) static eFACE scores were 61.4 (20.6) before the operation and 82.7 (12.4) after the operation (mean difference, 21.3 [95% CI, 10.7-31.9]; P < .001). The mean (SD) FaCE quality-of-life scores were 51.3 (20.1) before the operation and 70.3 (12.6) after the operation (mean difference, 19.0 [95% CI, 6.5-31.6]; P  =  .001). The layperson self-assessment of the overall aesthetic outcome of the NLF modification was

  12. Topographic registers of paleo-valleys on the southeastern Brazilian continental shelf

    Directory of Open Access Journals (Sweden)

    Luis Américo Conti


    Full Text Available The evolution of paleo-incised-valleys in the São Paulo State region of the southeastern Brazilian continental shelf is presented in this study in relation to the post Last Glacial Maximum (LGM sea-level rises based on the submarine topography modeled by a detailed Digital Elevation Model and evidences noted in high resolution seismic profiles. The hypothesis that has guided this study is that the set of paleo-valley characteristics (i.e. the fluvial parameters of modern coastal drainage systems, the topographical shape and dimensions of the valleys and of the subsurface channels may indicate aspects of the relation between the influence of the fluvial and the eustatic variation regime in geomorphological-stratigraphic registers. Models described in the literature sustain the view that faster marine transgressions tend to increase erosion in estuaries, which may explain the lack of registers of paleo-drainage both in topography and the sub-surface in areas with wider shelves. On the other hand, on narrower shelves, with a higher slope angle, the transgression process can preserve, or even enhance, the incised valley registers during shoreface retreat. In the area studied, we observed that the dimensions and form of the continental shelf varies from the northern to the southern part of the area, affecting aspects of the geomorphological registers of the submerged incised valleys.Este trabalho apresenta aspectos da relação entre a evolução da paleo-drenagem e evolução do nível do mar pós Último Máximo Glacial (UMG para a região da plataforma continental do Estado de São Paulo. Para tal, foram analisados modelos topográficos de detalhe da região de Plataforma Continental a partir de Modelos Digitais de Terreno além de dados de subsuperfície obtidos a partir de linhas sísmicas de alta resolução. A hipótese que guiou este trabalho é de que o conjunto de características relativas aos paleo-vales (i.e. sua relação com a rede de

  13. Sealing And Filling Cracks In Asphalt Pavements (United States)


    The primary objective of the crack treatment experiment was to determine the most effective and economical materials and methods for conducting crack-sealing and crack-filling operations. Secondary objectives included the identification of performanc...


    Membranes containing selective fillers, such as zeolites and activated carbon, can improve the separation by pervaporation. Applications of adsorbent-filled membranes in pervaporation have been demonstrated by a number of studies. These applications include removal of organic co...

  15. Iron-Oxide-Filled Carbon Nanotubes (United States)

    Cava, Carlos Eduardo

    Carbon nanotubes (CNT) are recognized as one of the most important materials in the recent history of nanotechnology. In the last 25 years, intensive studies about this material have led to new ideas for the use of nanomaterials in many technological products. The unique properties presented by this material allow its use in a wide range of applications. Known as a crystalline material, CNTs can, however, interact with many materials in different manners, making it easy to use as a composite. One interesting aspect is the possibility of filling the CNT hollow core with a foreign material, forming a filled CNT. This composite can be achieved in situ using chemical vapor deposition and arc-discharge or after the synthesis, by chemical methods. The technique choice to achieve the filled CNT depends on the material inside the CNT. The resulting material can provide new electrical, optical, and mechanical features due to the synergistic effect between the CNTs themselves and the filling, which can originate new multifunctional materials. Concerning the electrical conductivity and the gas sensing, the possible interaction between the CNT and the filling can modify the electronic structure of the material and, consequently, affect the kind of interaction between the CNT and different gases. Commonly, the filled CNTs are obtained with magnetic materials inside the tube, which are also precursors in their syntheses; this feature brings new possibilities to magnetic devices, such as memories. Among them, iron-oxide-filled carbon nanotubes have been suggested as a technological material for use in magnetic, electrical, and medical applications. Therefore, this kind of nanocomposite material can be useful in the preparation of versatile and durable solid-state sensors, memory devices, with simple manufacturing and in a proper size. In this chapter, an introduction about the production and application of iron-oxide-filled CNTs in its many different forms will be presented.

  16. Dural sinus filling defect: intrasigmoid encephalocele (United States)

    Karatag, Ozan; Cosar, Murat; Kizildag, Betul; Sen, Halil Murat


    Filling defects of dural venous sinuses are considered to be a challenging problem especially in case of symptomatic patients. Many lesions have to be ruled out such as sinus thrombosis, arachnoid granulations and tumours. Encephalocele into dural sinus is also a rare cause of these filling defects of dural sinuses. Here, we report an extremely rare case with spontaneous occult invagination of temporal brain tissue into the left sigmoid sinus and accompanying cerebellar ectopia. PMID:24311424

  17. Damage evolution in a filled epoxy resin

    International Nuclear Information System (INIS)

    Depoorter, Nicolas; Coutellier, Daniel; Muzic, Markus; Berg-Pollack, Antje; Cai Ye; Zimmermann, Andre


    A method is proposed for studying damage evolution in a filled epoxy resin submitted to low-cycle fatigue loading. Transmission electron microscopy analysis was performed, which indicates a damage mechanism that corresponds well to the decreasing slope of the stress-strain hysteresis observed in strain-controlled fatigue experiments. Also, the suggested damage model appears to be suitable for the simulation of strain-controlled cyclic tests and fits the damage evolution of the filled epoxy resin fairly well [de

  18. Cannabidiol Is a Potential Therapeutic for the Affective-Motivational Dimension of Incision Pain in Rats. (United States)

    Genaro, Karina; Fabris, Débora; Arantes, Ana L F; Zuardi, Antônio W; Crippa, José A S; Prado, Wiliam A


    Background: Pain involves different brain regions and is critically determined by emotional processing. Among other areas, the rostral anterior cingulate cortex (rACC) is implicated in the processing of affective pain. Drugs that interfere with the endocannabinoid system are alternatives for the management of clinical pain. Cannabidiol (CBD), a phytocannabinoid found in Cannabis sativa , has been utilized in preclinical and clinical studies for the treatment of pain. Herein, we evaluate the effects of CBD, injected either systemically or locally into the rACC, on mechanical allodynia in a postoperative pain model and on the negative reinforcement produced by relief of spontaneous incision pain. Additionally, we explored whether CBD underlies the reward of pain relief after systemic or rACC injection. Methods and Results: Male Wistar rats were submitted to a model of incision pain. All rats had mechanical allodynia, which was less intense after intraperitoneal CBD (3 and 10 mg/kg). Conditioned place preference (CPP) paradigm was used to assess negative reinforcement. Intraperitoneal CBD (1 and 3 mg/kg) inverted the CPP produced by peripheral nerve block even at doses that do not change mechanical allodynia. CBD (10 to 40 nmol/0.25 μL) injected into the rACC reduced mechanical allodynia in a dose-dependent manner. CBD (5 nmol/0.25 μL) did not change mechanical allodynia, but reduced peripheral nerve block-induced CPP, and the higher doses inverted the CPP. Additionally, CBD injected systemically or into the rACC at doses that did not change the incision pain evoked by mechanical stimulation significantly produced CPP by itself. Therefore, a non-rewarding dose of CBD in sham-incised rats becomes rewarding in incised rats, presumably because of pain relief or reduction of pain aversiveness. Conclusion: The study provides evidence that CBD influences different dimensions of the response of rats to a surgical incision, and the results establish the rACC as a brain area

  19. Cannabidiol Is a Potential Therapeutic for the Affective-Motivational Dimension of Incision Pain in Rats

    Directory of Open Access Journals (Sweden)

    Karina Genaro


    Full Text Available Background: Pain involves different brain regions and is critically determined by emotional processing. Among other areas, the rostral anterior cingulate cortex (rACC is implicated in the processing of affective pain. Drugs that interfere with the endocannabinoid system are alternatives for the management of clinical pain. Cannabidiol (CBD, a phytocannabinoid found in Cannabis sativa, has been utilized in preclinical and clinical studies for the treatment of pain. Herein, we evaluate the effects of CBD, injected either systemically or locally into the rACC, on mechanical allodynia in a postoperative pain model and on the negative reinforcement produced by relief of spontaneous incision pain. Additionally, we explored whether CBD underlies the reward of pain relief after systemic or rACC injection.Methods and Results: Male Wistar rats were submitted to a model of incision pain. All rats had mechanical allodynia, which was less intense after intraperitoneal CBD (3 and 10 mg/kg. Conditioned place preference (CPP paradigm was used to assess negative reinforcement. Intraperitoneal CBD (1 and 3 mg/kg inverted the CPP produced by peripheral nerve block even at doses that do not change mechanical allodynia. CBD (10 to 40 nmol/0.25 μL injected into the rACC reduced mechanical allodynia in a dose-dependent manner. CBD (5 nmol/0.25 μL did not change mechanical allodynia, but reduced peripheral nerve block-induced CPP, and the higher doses inverted the CPP. Additionally, CBD injected systemically or into the rACC at doses that did not change the incision pain evoked by mechanical stimulation significantly produced CPP by itself. Therefore, a non-rewarding dose of CBD in sham-incised rats becomes rewarding in incised rats, presumably because of pain relief or reduction of pain aversiveness.Conclusion: The study provides evidence that CBD influences different dimensions of the response of rats to a surgical incision, and the results establish the rACC as a

  20. Amalgam dental fillings and hearing loss. (United States)

    Rothwell, Janet A; Boyd, Paul J


    In this study we investigated the effects of amalgam dental fillings on auditory thresholds. Participants (n=39) were non-smoking women age 40 to 45. Regression and correlation analyses were performed between auditory thresholds, measured from 0.25 to 16 kHz, and the number/surface area of dental fillings, using the ASHA criteria for ototoxic change as a reference for comparison. No significant correlation (p>0.05) was found between composite (non-amalgam) filling or drilling data and auditory thresholds. However, there was a significant positive linear correlation between amalgam filling data and auditory thresholds at 8, 11.2, 12.5, 14, and 16 kHz. The strongest association (r=0.587, n=39, pamalgam filling was associated with a 2.4 dB decline in hearing threshold (95% confidence interval [CI], 1.3-3.5 dB). The results suggest an association between more amalgam fillings and poorer thresholds at higher frequencies, which could contribute to presbyacusis in developed countries. This provides further argument for the use of amalgams to be phased out where suitable alternatives exist.

  1. Catchment rehabilitation and hydro-geomorphic characteristics of mountain streams in the western Rift Valley escarpment of Northern Ethiopia (United States)

    Ghebreyohannes Asfaha, Tesfaalem; Frankl, Amaury; Haile, Mitiku; Nyssen, Jan


    The catchments in the western Rift Valley escarpment of Northern Ethiopia are highly responsive in terms of hydro-geomorphic changes. With rapid deforestation in the first half of the 20th century, dense gully and scar networks developed, exporting huge amounts of runoff and sediment down to the fertile and densely populated Raya Valley. Consequently, threatening the environment and the livelihoods of the people both in the upstream and downstream areas. To reverse this problem, catchment-scale rehabilitation activities were initiated in the mid-1980s. In this study, we examine the hydro-geomorphic response of streams after catchment rehabilitation. Scar density was digitized from Google Earth imagery (2005) in 20 adjacent catchments and was explained in terms of its corresponding Normalized Difference Vegetation Index (NDVI) and slope gradient. This was accompanied by analysis of incidental repeat photographs and field observations. As evidenced by the series of repeat photographs, the vegetation cover of the catchments decreased up to 1975 and rapid reforestation occurred thereafter. A multiple regression analysis (R2=0.53, Ppositively with average gradient of very steep slopes (>60%). Moreover, due to reduction in discharge and sediment flow from the rehabilitated catchments, stream adjustments were observed in the field: previously braided stream channels have changed to single-thread streams, many lateral bars are stabilized and covered by vegetation, stream channels are incising due to clear water effect and the size of boulder deposits decreases. Therefore, the study shows that, land degradation activities in the upper catchments resulted in changes in hydro-geomorphic characteristics of the streams and reduction in runoff and sediment transport to the Raya Valley. Key words: scar density; NDVI; stream incision; soil and water conservation; stream adjustment; land use change.

  2. Comparative healing of surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery, and a scalpel. (United States)

    Loh, Shang A; Carlson, Grace A; Chang, Edward I; Huang, Eric; Palanker, Daniel; Gurtner, Geoffrey C


    The PEAK PlasmaBlade is a new electrosurgical device that uses pulsed radiofrequency to generate a plasma-mediated discharge along the exposed rim of an insulated blade, creating an effective cutting edge while the blade stays near body temperature. Full-thickness incisions were made on the dorsums of pigs with the PlasmaBlade, a conventional electrosurgical device, and a scalpel, and blood loss was quantified. Wounds were harvested at designated time points, tested for wound tensile strength, and examined histologically for scar formation and tissue damage. Bleeding was reduced significantly (59 percent) in PlasmaBlade incisions compared with scalpel incisions, and acute thermal damage from the PlasmaBlade (66 +/- 5 microm) was significantly less than both cut and coagulation mode electrosurgical incisions (456 +/- 35 microm and 615 +/- 22 microm, respectively). Histologic scoring for injury and wound strength was equivalent between the PlasmaBlade and scalpel incisions. By 6 weeks, the healed PlasmaBlade and scalpel incisions were approximately three times stronger, and scar cosmetic appearance was significantly better compared with electrosurgical incisions. The PlasmaBlade is a promising new surgical instrument that provides atraumatic, scalpel-like cutting precision and electrosurgical-like hemostasis, resulting in minimal bleeding, tissue injury, and scar formation.

  3. Valley dependent transport in graphene L junction (United States)

    Chan, K. S.


    We studied the valley dependent transport in graphene L junctions connecting an armchair lead and a zigzag lead. The junction can be used in valleytronic devices and circuits. Electrons injected from the armchair lead into the junction is not valley polarized, but they can become valley polarized in the zigzag lead. There are Fermi energies, where the current in the zigzag lead is highly valley polarized and the junction is an efficient generator of valley polarized current. The features of the valley polarized current depend sensitively on the widths of the two leads, as well as the number of dimers in the armchair lead, because this number has a sensitive effect on the band structure of the armchair lead. When an external potential is applied to the junction, the energy range with high valley polarization is enlarged enhancing its function as a generator of highly valley polarized current. The scaling behavior found in other graphene devices is also found in L junctions, which means that the results presented here can be extended to junctions with larger dimensions after appropriate scaling of the energy.

  4. Sustainable agricultural development in inland valleys

    NARCIS (Netherlands)

    Zwart, S.J.


    The inland valley in Africa are common landscapes that have favorable conditions for agricultural production. Compared to the surrounding uplands they are characterized by a relatively high and secure water availability and high soil fertility levels. Inland valleys thus have a high agricultural

  5. Rift Valley fever outbreak, southern Mauritania, 2012. (United States)

    Sow, Abdourahmane; Faye, Ousmane; Ba, Yamar; Ba, Hampathé; Diallo, Diawo; Faye, Oumar; Loucoubar, Cheikh; Boushab, Mohamed; Barry, Yahya; Diallo, Mawlouth; Sall, Amadou Alpha


    After a period of heavy rainfall, an outbreak of Rift Valley fever occurred in southern Mauritania during September-November 2012. A total of 41 human cases were confirmed, including 13 deaths, and 12 Rift Valley fever virus strains were isolated. Moudjeria and Temchecket Departments were the most affected areas.

  6. 27 CFR 9.154 - Chiles Valley. (United States)


    ... viticultural area are four 1:24,000 Scale U.S.G.S. topography maps. They are titled: (1) St. Helena, CA 1960... Valley viticultural area, using landmarks and points of reference found on appropriate U.S.G.S. maps..., with a county road known locally as Chiles and Pope Valley Road; (5) Then in a southwesterly direction...

  7. Beaver assisted river valley formation (United States)

    Westbrook, Cherie J.; Cooper, D.J.; Baker, B.W.


    We examined how beaver dams affect key ecosystem processes, including pattern and process of sediment deposition, the composition and spatial pattern of vegetation, and nutrient loading and processing. We provide new evidence for the formation of heterogeneous beaver meadows on riverine system floodplains and terraces where dynamic flows are capable of breaching in-channel beaver dams. Our data show a 1.7-m high beaver dam triggered overbank flooding that drowned vegetation in areas deeply flooded, deposited nutrient-rich sediment in a spatially heterogeneous pattern on the floodplain and terrace, and scoured soils in other areas. The site quickly de-watered following the dam breach by high stream flows, protecting the deposited sediment from future re-mobilization by overbank floods. Bare sediment either exposed by scouring or deposited by the beaver flood was quickly colonized by a spatially heterogeneous plant community, forming a beaver meadow. Many willow and some aspen seedlings established in the more heavily disturbed areas, suggesting the site may succeed to a willow carr plant community suitable for future beaver re-occupation. We expand existing theory beyond the beaver pond to include terraces within valleys. This more fully explains how beavers can help drive the formation of alluvial valleys and their complex vegetation patterns as was first postulated by Ruedemann and Schoonmaker in 1938. ?? 2010 John Wiley & Sons, Ltd.

  8. The "Propeller" incision for transpalatal advancement pharyngoplasty: a new approach to reduce post-operative oronasal fistulae. (United States)

    Shine, Neville Patrick; Lewis, Richard Hamilton


    To present a new soft tissue approach for transpalatal advancement pharyngoplasty (TPA), the propeller incision, and to compare the rates of post-operative oronasal fistula in those undergoing TPA with the traditional "Gothic Arch" incision described by Woodson and those with the propeller incision. A prospectively maintained adult sleep apnoea surgery database was used to identify those patients undergoing TPA, either alone or in combination with other procedures, for obstructive sleep apnoea syndrome (OSAS) between February 2001 and September 2006 in a tertiary referral centre by a single surgeon (RHL). In addition to the incision used during TPA, patient demographic data, previous surgery of the upper airways, smoking history, pre-operative body mass index, respiratory disturbance index, oxygen saturation index and the occurrence of oronasal fistula post-operatively, were recorded. The propeller incision technique is described. A total of 89 patients who underwent TPA were identified. A total of 49 patients had a "Gothic Arch" incision and 40 had a "Propeller" incision. The two groups of patients were comparable in age, sex, previous tonsillar and uvulopalatopharyngoplasty surgery, smoking histories and pre-operative disease severity. In the "Gothic Arch" group, eight patients (16%) developed oronasal fistulae in the post-operative period versus only one patient (2.5%) in the "Propeller" group. The difference between the two groups was statistically significant (P=0.038, Fisher's exact test). Of the total cases with post-operative oronasal fistula (n=9), only one patient (from the Gothic Arch incision group) required operative closure which was performed under local anesthesia and healed without complication. The propeller incision provides an anatomically sensible axial-based flap that provides adequate access to perform TPA. It is associated with a lower incidence of oronasal fistula and is recommended by the authors.

  9. Groundwater quality in the Monterey Bay and Salinas Valley groundwater basins, California (United States)

    Kulongoski, Justin T.; Belitz, Kenneth


    The Monterey-Salinas study unit is nearly 1,000 square miles and consists of the Santa Cruz Purisima Formation Highlands, Felton Area, Scotts Valley, Soquel Valley, West Santa Cruz Terrace, Salinas Valley, Pajaro Valley, and Carmel Valley groundwater basins (California Department of Water Resources, 2003; Kulongski and Belitz, 2011). These basins were grouped into four study areas based primarily on geography. Groundwater basins in the north were grouped into the Santa Cruz study area, and those to the south were grouped into the Monterey Bay, the Salinas Valley, and the Paso Robles study areas (Kulongoski and others, 2007). The study unit has warm, dry summers and cool, moist winters. Average annual rainfall ranges from 31 inches in Santa Cruz in the north to 13 inches in Paso Robles in the south. The study areas are drained by several rivers and their principal tributaries: the Salinas, Pajaro, and Carmel Rivers, and San Lorenzo Creek. The Salinas Valley is a large intermontane valley that extends southeastward from Monterey Bay to Paso Robles. It has been filled, up to a thickness of 2,000 feet, with Tertiary and Quaternary marine and terrestrial sediments that overlie granitic basement. The Miocene-age Monterey Formation and Pliocene- to Pleistocene-age Paso Robles Formation, and Pleistocene to Holocene-age alluvium contain freshwater used for supply. The primary aquifers in the study unit are defined as those parts of the aquifers corresponding to the perforated intervals of wells listed in the California Department of Public Health database. Public-supply wells are typically drilled to depths of 200 to 650 feet, consist of solid casing from the land surface to depths of about 175 to 500 feet, and are perforated below the solid casing. Water quality in the primary aquifers may differ from that in the shallower and deeper parts of the aquifer system. Groundwater movement is generally from the southern part of the Salinas Valley north towards the Monterey Bay

  10. Assessment of periapical health, quality of root canal filling, and ...

    African Journals Online (AJOL)

    Sixty three teeth were found to have short root canal fillings, whereas 74 teeth had adequate root canal fillings, and the remaining 10 teeth had over extended root canal filling. A significant correlation was observed between the length of root filling and apical periodontitis (P = 0,023). Inadequately dense root canal filling was ...

  11. Radiological assessment of 50 cases of incisive or maxillary neoplasia in the dog

    International Nuclear Information System (INIS)

    Frew, D.G.; Dobson, J.M.


    This paper reviews the radiological features of 50 canine incisive or maxillary tumours and discusses the value of radiological assessment in the diagnosis and staging of these tumours. The 50 tumours examined included 21 sarcomas, 15 carcinomas, three melanomas and an assortment of benign tumours of the oral cavity. There was not any site specificity for the different histological tumour types within the upper dental arcade, although fibrosarcomas had a tendency to be maxillary whereas the squamous cell carcinomas were equally distributed between the incisive and maxillary regions. Seventy-eight per cent of fibrosarcomas, 82 per cent of squamous cell carcinoma and all three melanomas examined showed radiological evidence of bone involvement. Radiographic changes were also seen in the benign tumours. The pattern of growth of tumours correlated with the radiological changes observed. Malignant tumours showed a tendency to irregular or aggressive bone loss whereas bone production predominated in the benign tumours

  12. Single-incision Laparoscopic Surgery (SILS) in general surgery: a review of current practice. (United States)

    Froghi, Farid; Sodergren, Mikael Hans; Darzi, Ara; Paraskeva, Paraskevas


    Single-incision laparoscopic surgery (SILS) aims to eliminate multiple port incisions. Although general operative principles of SILS are similar to conventional laparoscopic surgery, operative techniques are not standardized. This review aims to evaluate the current use of SILS published in the literature by examining the types of operations performed, techniques employed, and relevant complications and morbidity. This review considered a total of 94 studies reporting 1889 patients evaluating 17 different general surgical operations. There were 8 different access techniques reported using conventional laparoscopic instruments and specifically designed SILS ports. There is extensive heterogeneity associated with operating methods and in particular ways of overcoming problems with retraction and instrumentation. Published complications, morbidity, and hospital length of stay are comparable to conventional laparoscopy. Although SILS provides excellent cosmetic results and morbidity seems similar to conventional laparoscopy, larger randomized controlled trials are needed to assess the safety and efficacy of this novel technique.

  13. Single-incision laparoscopic cholecystectomy for cholecystitis requiring percutaneous transhepatic gallbladder drainage. (United States)

    Igami, Tsuyoshi; Aoba, Taro; Ebata, Tomoki; Yokoyama, Yukihiro; Sugawara, Gen; Nagino, Masato


    Single-incision laparoscopic cholecystectomy (SILC) has been performed for patients with gallbladder stones but without acute cholecystitis. We report our experience of performing SILC for patients with cholecystitis requiring percutaneous transhepatic gallbladder drainage (PTGBD). We performed SILC via an SILS-Port with additional 5-mm forceps through an umbilical incision in ten patients with cholecystitis requiring PTGBD. All procedures were completed successfully. The mean operative time was 124 min (range 78-169 min) and there were no intraoperative or postoperative complications. The mean postoperative hospital stay was 2.7 days. All patients were satisfied with the cosmetic results. Our procedure may represent an alternative to conventional laparoscopic cholecystectomy (CLC) for patients who fervently demand the cosmetic advantages, despite cholecystitis requiring PTGBD. SILC should be performed carefully to avoid bile duct injury because the only advantage of SILC over CLC is cosmetic.

  14. Single-incision, laparoscopic-assisted jejunal resection and anastomosis following a gunshot wound. (United States)

    Rubin, Jacob A; Shigemoto, Reynsen; Reese, David J; Case, J Brad


    A 2 yr old castrated male Pomeranian was evaluated for a 6 wk history of chronic vomiting, intermittent anorexia, and lethargy. Physical examination revealed a palpable, nonpainful, soft-tissue mass in the midabdominal area. Abdominal radiographs and ultrasound revealed a focal, eccentric thickening of the jejunal wall with associated jejunal mural foreign body and partial mechanical obstruction. Following diagnosis of a partial intestinal obstruction as the cause of chronic vomiting, the patient underwent general anesthesia for a laparoscopic-assisted, midjejunal resection and anastomosis using a single-incision laparoscopic surgery port. The patient was discharged the day after surgery, and clinical signs abated according to information obtained during a telephone interview conducted 2 and 8 wk postoperatively. The dog described in this report is a unique case of partial intestinal obstruction treated by laparoscopic-assisted resection and anastomosis using a single-incision laparoscopic surgery port.

  15. A hydrogeologic map of the Death Valley region, Nevada, and California, developed using GIS techniques

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    Faunt, C.C.; D`Agnese, F.A.; Turner, A.K.


    In support of Yucca Mountain site characterization studies, a hydrogeologic framework was developed, and a hydrogeologic map was constructed for the Death Valley region. The region, covering approximately 100,000 km{sup 2} along the Nevada-California border near Las Vegas, is characterized by isolated mountain ranges juxtaposed against broad, alluvium-filled valleys. Geologic conditions are typical of the Basin and Range Province; a variety of sedimentary and igneous intrusive and extrusive rocks have been subjected to both compressional and extensional deformation. The regional ground-water flow system can best be described as a series of connected intermontane basins in which ground-water flow occurs in basin-fill deposits, carbonate rocks, clastic rocks, and volcanic rocks. Previous investigations have developed more site-specific hydrogeologic relationships; however, few have described all the lithologies within the Death Valley regional ground-water flow system. Information required to characterize the hydrogeologic units in the region was obtained from regional geologic maps and reports. Map data were digitized from regional geologic maps and combined into a composite map using a geographic information system. This map was simplified to show 10 laterally extensive hydrogeologic units with distinct hydrologic properties. The hydraulic conductivity values for the hydrogeologic units range over 15 orders of magnitude due to the variability in burial depth and degree of fracturing.

  16. Lateral Nail Fold Incision Technique for Venous Anastomosis in Fingertip Replantation. (United States)

    Jeon, Byung-Joon; Yang, Jae-Won; Roh, Si Young; Ki, Sae Hwi; Lee, Dong Chul; Kim, Jin Soo


    Successful venous anastomosis is one of the most important factors in fingertip replantation. Volar veins in the fingertip course proximally in a random pattern, which makes it difficult to find out the exact locations. Although dorsal veins in the lateral nail fold have constant location and adequate diameter for anastomosis, they have been known as hard to dissect from the immobile subcutaneous tissue. The authors present a new lateral nail fold incision technique for venous anastomosis in the fingertip amputations. From February 2010 to October 2010, 9 replantations using the new incision and venous anastomosis technique were performed in 9 patients. The levels of amputations were from the nail base to half of the nail bed. After repairing the proper digital arteries, a skin incision was made along the junction between the lateral nail fold and nail bed. Careful dissection was performed to isolate the veins in the lateral nail fold. After evaluation of the suitability of the vessel, venous anastomosis was performed. Seven male and 2 female patients were enrolled in this study. Appropriate dorsal veins for anastomosis could be found in 8 of 9 patients. All the replanted stumps survived without venous congestion and following additional procedures. A sizable volar or dorsal vein could not be found in 1 patient. The salvage technique was required in this patient. Dorsal veins in the lateral nail fold can be found easily because of the constant anatomical location. The new incision on the lateral nail fold provides not only sufficient operative field for anastomosis but also additional opportunity of successful venous anastomosis in the selected cases. The authors, therefore, propose this technique as an effective method for an alternative venous anastomosis in the zone I replantation.

  17. Single incision multi-trocar hepatic cyst excision with partial splenectomy

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    Palanivelu Chinnusamy


    Full Text Available Introduction: Surgery has the potential to remove the entire hydatid cyst and can lead to complete cure. Presence of hydatid cysts in multiple abdominal organs imposes special challenges for laparoscopic management. The patient position and port placement for one organ may not be adequate for other and proper exposure in hydatid cyst is of paramount importance to prevent spillage and complete removal of the cyst. Single incision multi-trocar technique has a unique advantage of allowing surgeon to work in different quadrants of abdomen using the same incision and ports. We report in this paper the first Laparo-endoscopic single-site hepatic cyst excision with partial splenectomy for hydatid cyst in liver and spleen using conventional laparoscopic instruments. Patient and Technique: The procedure was performed on a 64 year old female diagnosed to have Hydatid cyst in segment VIII of liver and another cyst in lower pole of spleen a transverse 3 cm incision was made 6 cm above umbilicus and was deepened up to fascia. Two 10mm and one 5mm ports were inserted. Procedure was completed in 160 minutes without any intra-operative complication. There were no post-operative complication and patient was discharged on day 5. Conclusion: Single incision multi-trocar surgery has cosmetic advantage over standard laparoscopic approach. It is even more marked when two procedures are combined in different quadrants of abdomen. As this is a rare combination procedure so it remains to be determined if this technique offers additional advantages of decreased analgesia, decreased hospital stay or cost effectiveness.

  18. Single incision multi-trocar hepatic cyst excision with partial splenectomy (United States)

    Chinnusamy, Palanivelu; Ahluwalia, Jasmeet Singh; Palanisamy, Senthilnathan; Seshiyer, Rajan Pidigu


    INTRODUCTION: Surgery has the potential to remove the entire hydatid cyst and can lead to complete cure. Presence of hydatid cysts in multiple abdominal organs imposes special challenges for laparoscopic management. The patient position and port placement for one organ may not be adequate for other and proper exposure in hydatid cyst is of paramount importance to prevent spillage and complete removal of the cyst. Single incision multi-trocar technique has a unique advantage of allowing surgeon to work in different quadrants of abdomen using the same incision and ports. We report in this paper the first Laparo-endoscopic single-site hepatic cyst excision with partial splenectomy for hydatid cyst in liver and spleen using conventional laparoscopic instruments. PATIENT AND TECHNIQUE: The procedure was performed on a 64 year old female diagnosed to have Hydatid cyst in segment VIII of liver and another cyst in lower pole of spleen a transverse 3 cm incision was made 6 cm above umbilicus and was deepened up to fascia. Two 10mm and one 5mm ports were inserted. Procedure was completed in 160 minutes without any intra-operative complication. There were no post-operative complication and patient was discharged on day 5. CONCLUSION: Single incision multi-trocar surgery has cosmetic advantage over standard laparoscopic approach. It is even more marked when two procedures are combined in different quadrants of abdomen. As this is a rare combination procedure so it remains to be determined if this technique offers additional advantages of decreased analgesia, decreased hospital stay or cost effectiveness. PMID:23741118

  19. A gross anatomic study of distal tibia and fibula for single-incision approach


    Ma, Hui; Zhao, Jie; Yu, Baoqing; Ye, Bin


    Objective This study aimed to investigate the feasibility of single incision for plating for the treatment of distal tibia and fibula fractures by a gross anatomic study. Methods The anatomical structures of the anterolateral lower legs were identified. The lower leg length was measured from the top of fibular head to the tip of lateral malleolus. The distances between the extensor digitorum longus and anterior border of distal thirds of the tibia as well as the fibula were also measured. Add...

  20. Single Incision Distal Biceps Repair With Hemi-Krackow Suture Technique: Surgical Technique and Early Outcomes


    Goljan, Peter; Patel, Nimit; Stull, Justin D.; Donnelly, Brandon P.; Culp, Randall W.


    Background: Many surgical methods exist for distal biceps repair. We present the technique and early outcomes of a series of distal biceps repairs completed with a novel suturing technique utilizing a hemi-Krackow locking stitch at the tendon-bone interface. Methods: A retrospective review was performed of patients who underwent primary distal biceps repair using a single anterior incision with 2 suture anchors utilizing a hemi-Krackow stitch. With both anchors, a locking stitch along the ten...

  1. Comparison of three suture techniques in closure of caprine skin incision: cosmetic and cost considerations


    Adamu Abdul Abubakar; John Bayo Adeyanju; Raphael O. Chukudi Kene; Mohammad Legbo Sonfada; Abubakar Sadiq Yakubu; Umaru Adamu


    The cosmetic and economic evaluations of three suture techniques were evaluated in closure of caprine skin incision. Fifteen apparently healthy male and female intact goats, free of any dermatological lesions were used for the investigation. They were randomly grouped into three; A (Subcuticular); B (Ford interlocking) and C (Simple interrupted). Cosmetic appearance of the surgical site was assessed on day 7, 14 and 21 post surgery using standard procedure as described by Sakka et al, 1995...

  2. New constraints on the late Cenozoic incision history of the New River, Virginia


    Ward, Dylan J.


    The New River crosses the core of the ancient, tectonically quiescent Appalachian orogen as it follows its course through North Carolina, Virginia, and West Virginia. It is ideally situated to record the changes in geomorphic process rates that occur in the Appalachians as a response to late Cenozoic climate variations. Active erosion features on resistant bedrock that floors the river at prominent knickpoints demonstrate that the river is currently incising toward base level. However, large ...

  3. Single-Incision Laparoscopic Splenectomy and Splenic Autotransplantation for an Enlarged Wandering Spleen with Torsion


    Katsura, Shunsaku; Kawamura, Daichi; Harada, Eijiro; Enoki, Tadahiko; Hamano, Kimikazu


    A wandering spleen is a rare condition in which the spleen is not located in the left upper quadrant, but instead is found in the lower abdomen or in the pelvic region because of the laxity of the peritoneal attachments. The unusually long pedicle is susceptible to twisting, which can lead to ischemia, and eventually to necrosis. We herein report a case of an enlarged wandering spleen with torsion, successfully treated by single-incision laparoscopic splenectomy and autotransplantation. The t...

  4. Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature


    Bhat, Amilal; Gandhi, Ajay; Saxena, Gajendra; Choudhary, Gautam Ram


    Aims : Objective of this study was to assess the feasibility and results of preputial reconstruction and tubularized incised plate urethroplasty (TIP) in patients of proximal hypospadias with ventral penile curvature. Materials and Methods : Twenty-seven patients of proximal hypospadias who underwent preputioplasty with TIP were evaluated retrospectively. Ventral curvature was corrected by mobilization of the urethral plate with the corpus spongiosum and the proximal urethra; dorsal plica...

  5. Early response of local steroid injection versus mini incision technique in treatment of carpal tunnel syndrome

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    Awan, A.S.; Khan, A.; Afridi, S.A.; Khan, R.S.


    Carpal tunnel syndrome Carpal tunnel syndrome (CTS) is one of the commonest peripheral neuropathies which effects mainly middle aged women. Different techniques are being tried to decrease the post-operative pain in patients operated for CTS. The objective of this study was to compare effectiveness of local injection of steroid and mini incision technique in the treatment of carpal tunnel syndrome. Methods: This randomized control trial was conducted at department of Orthopedics and department of Neurosurgery, Ayub Teaching Hospital, Abbottabad from Aug 2011 to Feb 2013. A total of 116 patients of CTS were randomly allocated to either of the two groups. Fifty-eight Patient in Group A were subjected to local steroid injection and the same number of patient in Group B underwent mini incision technique. All patients of were advised to report to the OPD after one month to determine intervention effectiveness in terms of improvement in at least one grade of pain. Results: In this study mean age of the patients was 32.8 ± 5.1 years. Female gender was in dominance with 99 (86.3%) cases. In this study we compared the effectiveness of local steroid injection and mini incision technique in the treatment of carpel tunnel syndrome. We found out that the steroid injection was effective in 69.0% cases while mini incision technique was effective in 56.9% cases. The difference being statistically insignificant with a p-value of 0.17. Conclusion: The difference in pain after 1 month of the intervention was not statistically significant. (author)

  6. The 'French Fry' VAC technique: hybridisation of traditional open wound NPWT with closed incision NPWT. (United States)

    Chopra, Karan; Tadisina, Kashyap K; Singh, Devinder P


    Surgical site occurrences (SSO), specifically surgical site infections represent a significant burden in the US health care system. It has been hypothesised that postoperative dressing can help drive down SSO. We describe the successful use of a novel technique combining both closed incision and open negative pressure wound therapy in the management of a high-risk wound associated with lymphoedema of obesity. © 2014 The Authors. International Wound Journal © 2014 Inc and John Wiley & Sons Ltd.

  7. Hydrogeologic and geochemical characterization of groundwater resources in Rush Valley, Tooele County, Utah (United States)

    Gardner, Philip M.; Kirby, Stefan


    The water resources of Rush Valley were assessed during 2008–2010 with an emphasis on refining the understanding of the groundwater-flow system and updating the groundwater budget. Surface-water resources within Rush Valley are limited and are generally used for agriculture. Groundwater is the principal water source for most other uses including supplementing irrigation. Most groundwater withdrawal in Rush Valley is from the unconsolidated basin-fill aquifer where conditions are generally unconfined near the mountain front and confined at lower altitudes near the valley center. Productive aquifers also occur in fractured bedrock along the valley margins and beneath the basin-fill deposits in some areas.Drillers’ logs and geophysical gravity data were compiled and used to delineate seven hydrogeologic units important to basin-wide groundwater movement. The principal basin-fill aquifer includes the unconsolidated Quaternary-age alluvial and lacustrine deposits of (1) the upper basin-fill aquifer unit (UBFAU) and the consolidated and semiconsolidated Tertiary-age lacustrine and alluvial deposits of (2) the lower basin-fill aquifer unit (LBFAU). Bedrock hydrogeologic units include (3) the Tertiary-age volcanic unit (VU), (4) the Pennsylvanian- to Permian-age upper carbonate aquifer unit (UCAU), (5) the upper Mississippian- to lower Pennsylvanian-age upper siliciclastic confining unit (USCU), (6) the Middle Cambrian- to Mississippian-age lower carbonate aquifer unit (LCAU), and (7) the Precambrian- to Lower Cambrian-age noncarbonate confining unit (NCCU). Most productive bedrock wells in the Rush Valley groundwater basin are in the UCAU.Average annual recharge to the Rush Valley groundwater basin is estimated to be about 39,000 acre-feet. Nearly all recharge occurs as direct infiltration of snowmelt and rainfall within the mountains with smaller amounts occurring as infiltration of streamflow and unconsumed irrigation water at or near the mountain front. Groundwater

  8. Late Paleozoic paleofjord in the southernmost Parana Basin (Brazil): Geomorphology and sedimentary fill (United States)

    Tedesco, Julia; Cagliari, Joice; Coitinho, Julia dos Reis; da Cunha Lopes, Ricardo; Lavina, Ernesto Luiz Correa


    In the southernmost part of the Parana Basin, records of the late Paleozoic glaciation occur in a discontinuous form preserved in paleovalley systems excavated in the crystalline basement. This paper addresses one of these paleovalleys, the Mariana Pimentel, which extends over 60 km with NW-SE valley direction and a constant width of 2.5 km. With the objective of demonstrating that the paleovalley worked as a fjord during the glaciation period, its origin as well as sedimentary fill and morphology were analyzed. The paleovalley morphology was obtained through electrical resistivity (electrical sounding and lateral mapping) and mathematical modeling in four transverse sections. The morphology of the paleovalley documented by the U-shape, steady width, and high depth reaching up to 400 m are typical features of modern glacial valleys. The sedimentary facies that fill the base of the paleovalley, such as rhythmites and dropstones with thickness up to 70 m and diamictites with faceted pebbles (up to 5 m thick) are signs of its glacial origin. During the glaciation period, the paleovalley had a connection to the epicontinental sea located to the northwest, extended toward Namibia, and was excavated by glaciers from the highlands of this region. Thus, the evidence attests that the Mariana Pimentel paleovalley was a fjord during the late Paleozoic glaciation. The duration of the late Paleozoic glaciation (which is longer than the Quaternary glaciation), the apatite fission track that suggests erosion up to 4 km thick in the study area, and the lack of preserved hanging valleys in the Mariana Pimentel indicate that the paleovalley once featured a higher dimension. Furthermore, the existence of paleofjords excavated in the border of the basement corroborates the idea of small ice centers controlled by topography during the late Paleozoic glaciation.

  9. Endoscope-assisted intraoral removal of ectopic thyroid tissue using a frenotomy incision. (United States)

    Woo, Seung Hoon; Jeong, Han-Sin; Kim, Jin Pyeong; Park, Jung Je; Baek, Chung-Hwan


    Ectopic thyroid tissue is a relatively rare condition and a developmental anomaly characterized by the aggregation of thyroid tissue. Usually, it occurs along the path of descent of the developing thyroid primordium from the foramen caecum, the most common being in the anterior midline of the neck at or below the level of the hyoid bone. Surgical removal of ectopic thyroid tissue is usually accomplished through an external incision in the neck. However, this procedure inevitably results in a neck scar. We report the case of a 30-year-old woman with ectopic thyroid tissue. We implemented a modified approach to ectopic thyroid tissue removal through a frenotomy incision of the mouth using an endoscope system. A modified approach to ectopic thyroid tissue removal was used in this patient. The total operative time was 50 minutes, and the patient remains free of disease 15 months after excision. Resection of ectopic thyroid tissue can be performed by a transoral endoscope-assisted approach through a frenotomy incision of the mouth.

  10. Lacrimal sac empyema incision and drainage followed by early external dacryocystorhinostomy. (United States)

    Eshraghi, Bahram; Hashemian, Hesam; Fard, Masoud Aghsaei; Safizadeh, Mona


    To evaluate the success of lacrimal sac empyema incision and drainage followed by early external dacryocystorhinostomy. Interventional consecutive case series conducted in Farabi Eye Hospital between August 2007 and November 2010. Patients with acute dacyocystitis and lacrimal sac empyema underwent incision and drainage, followed by early (less than 4 weeks) external DCR. Data collection included patient demographics, past medical history, procedure technique, culture results, and formation of a persistent cutaneous fistula. A total of 32 patients were included: 87.5% had a positive history of chronic epiphora before dacryocystitis. Of these 32 cases, 55.6% had positive culture. Staphylococcus aureus was the most common organism with 8 isolates (38%). The average number of days between empyema drainage and DCR was 11.44 days. All patients had complete resolution of dacryocystitis, with no recurrence during the follow-up period. Neither of 32 patients treated with early DCR after primary empyema drainage, developed a persistent lacrimal-cutaneous fistula. Incision and drainage of the lacrimal sac empyema followed by early external dacryocystorhinostomy can be an appropriate treatment strategy for acute dacryocystitis.

  11. Sutured clear corneal incision: wound apposition and permeability to bacterial-sized particles. (United States)

    May, William N; Castro-Combs, Juan; Kashiwabuchi, Renata T; Tattiyakul, Woranart; Qureshi-Said, Saima; Hirai, Flavio; Behrens, Ashley


    To determine the effects of single radial or horizontal suture placement in 2-step clear corneal incision (CCI) wound apposition and permeability to particles of India ink. Five fresh human globes were included. Two 25-gauge needles connected to a saline solution bag and to a digital manometer were inserted through the limbus, 120 degrees apart from each other. Four 2-step CCIs (2.75 mm wide and 3 mm length) were constructed in each cornea. Incisions were divided into 3 groups: single radial suture (SRS), single horizontal suture (SHS), and unsutured group. Optical coherence tomography (OCT) was performed before and after suture placement. With a preset 10 mm Hg intraocular pressure (IOP), India ink was applied to the incision site and a standardized sudden IOP fluctuation was induced. OCT and superficial images were recorded before and after suture placement. India ink inflow and internal and external CCI gapping were outlined and measured by planimeter. The area and linear distance of India ink inflow after pressure challenge in all study groups were higher when compared with pre-pressure measurements; however, this increase was significant in the SRS and SHS groups (P < 0.05). Additionally, SRS placement significantly increased inner wound gapping (P = 0.018), and SHS significantly widened outer wound gape (P = 0.02). Well-constructed unsutured 2-step CCI seems to be more efficient at preventing bacterial-sized particles inflow during sudden changes in IOP, and it seems to offer better wound apposition as assessed by OCT.

  12. Comparison of laparoscopic and mini incision open donor nephrectomy: single blind, randomised controlled clinical trial. (United States)

    Kok, Niels F M; Lind, May Y; Hansson, Birgitta M E; Pilzecker, Desiree; Mertens zur Borg, Ingrid R A M; Knipscheer, Ben C; Hazebroek, Eric J; Dooper, Ine M; Weimar, Willem; Hop, Wim C J; Adang, Eddy M M; van der Wilt, Gert Jan; Bonjer, Hendrik J; van der Vliet, Jordanus A; IJzermans, Jan N M


    To determine the best approach for live donor nephrectomy to minimise discomfort to the donor and to provide good graft function. Single blind, randomised controlled trial. Two university medical centres, the Netherlands. 100 living kidney donors. Participants were randomly assigned to either laparoscopic donor nephrectomy or to mini incision muscle splitting open donor nephrectomy. The primary outcome was physical fatigue using the multidimensional fatigue inventory 20 (MFI-20). Secondary outcomes were physical function using the SF-36, hospital stay after surgery, pain, operating times, recipient graft function, and graft survival. Conversions did not occur. Compared with mini incision open donor nephrectomy, laparoscopic donor nephrectomy resulted in longer skin to skin time (median 221 v 164 minutes, P fatigue was less (difference - 1.3, 95% confidence interval - 2.4 to - 0.1) and physical function was better (difference 6.2, 2.0 to 10.3) after laparoscopic nephrectomy. Function of the graft and graft survival rate of the recipient at one year censored for death did not differ (100% after laparoscopic nephrectomy and 98% after open nephrectomy). Laparoscopic donor nephrectomy results in a better quality of life compared with mini incision open donor nephrectomy but equal safety and graft function.

  13. [Treatment of chalazion with incision and curettage in African patients of the negroid race]. (United States)

    Kaimbo W A Kaimbo, D; Nkidiaka, M C


    To evaluate the efficacy of incision and curettage in the treatment of chalazion in black African patients. In a prospective study performed between February 1999 and February 2000, 25 black African patients with chalazion (27 eyes, 30 chalazions), ranging in age from 15 to 51 years (mean age +/-SD, 25.2 years +/-7), were treated with incision and curettage. Measurements of eyebrow height, pretarsal skin height, crease height, inferior eyelid height and the palpebral fissure height were performed before and after treatment. Success was defined as a total disappearance or a decrease in size (less than one millimeter). Success was achieved in all of 25 patients. Recurrence occurred in 3.0% after 5 to 6 weeks. During a mean +/-SD of 4.7 months +/-2.9 of follow-up, fistula (3.0%) was noted as postincision ocular complication. After treatment, a significant decrease of pretarsal skin (P = 0.018) and inferior eyelid height (P=0.004) measurements and an increase in palpebral fissure height measurement (P = 0.025) were noted. Incision and curettage in chalazion treatment appears to be effective in managing chalazion in black African patients as reported in previous studies in Caucasian patients.

  14. A Modified Single Mini-Incision Complete Urinary Tract Exenteration for Urothelial Carcinoma in Dialysis Patients

    Directory of Open Access Journals (Sweden)

    I-Hsuan Chen


    Full Text Available Objective. To present our experience with single mini-incision complete urinary tract exenteration (CUTE for female dialysis patients suffering from urothelial carcinoma (UC. Patients and Methods. Institutional review board approval was obtained. From 2005 through 2012, 14 female dialysis patients with UC underwent single mini-incision CUTE, in combination with radical hysterectomy and bilateral salpingo-oophorectomy. All were placed in the modified dorsal lithotomy position without repositioning. An infraumbilical midline mini-incision was made. Bilateral nephroureterectomy was first performed entirely extraperitoneally, followed by radical cystectomy with removal of the uterus and ovaries transperitoneally. Results. All procedures were done successfully without major complications. The median operative time was 242.5 minutes, and estimated blood loss was 500 mL. The median time to oral intake was 2 postoperative days; the median hospital stay was 11 days. Ten patients remained cancer-free at a median follow-up of 46.5 months; six patients were confirmed as having preoperatively undetectable UC or renal cell carcinoma, even after reviewing preoperative computed tomography. Conclusions. This modified technique provides a time-saving complete urinary tract extirpation to eliminate preoperatively undetectable malignancy, reduce metachronous recurrences, and avert perioperative complications associated with pneumoperitoneum and repositioning. Good cancer control and early convalescence can mutually be achieved in experienced hands.

  15. Experimental evidence for climatically controlled changes between lateral erosion and incision of actively uplifting folds (United States)

    Bufe, Aaron; Paola, Chris; Burbank, Douglas; Thompson, Jessica


    The understanding of the incision and lateral erosion of rivers provides key data for the interpretation of landscapes as recorders of climatic and tectonic processes. We present results from six physical experiments on the erosion of a simple growing fold by antecedent streams. By varying uplift rates, sediment flux, and the width of alluvial fans upstream of the uplift, we produced a range of morphologies from narrow canyons through the fold to erosion of the entire uplift. The fraction of the uplift that was beveled by the river can be predicted by a dimensionless parameter linking the mobility of channels (strongly dependent on the sediment flux) and the rock-uplift rate. We apply these findings to a series of active folds in the foreland of the Tian Shan in NW China. Whereas the folds are incised today, they preserve uplifted, kilometer-wide beveled platforms. In the light of the experimental results, lateral migration rates required to explain such extensive beveling are similar to the lateral mobility of alluvial streams in areas much wetter than the presently arid northwestern Tarim Basin and suggest that major changes in water and sediment influxes are the probable cause of switches between lateral erosion and incision of active uplifts in the foreland of the Tian Shan. This finding is supported by the clustering of ages of fluvial terrace and alluvial fan deposition in that region.

  16. Characteristics of Bone Injuries Resulting from Knife Wounds Incised with Different Forces. (United States)

    Humphrey, Caitlin; Kumaratilake, Jaliya; Henneberg, Maciej


    The aim of this research was to experimentally determine the characteristics of incised bone wounds, which are commonly found in defense injuries. A specially constructed pivoting arm device was used to inflict wounds with controlled forces and direction. Five knives were selected to inflict the wounds on porcine forelimbs. Eight incised wounds were made per knife per force. A larger knife and a greater force caused longer and wider bone wounds. Comparisons of individual knives at the two forces produced varying results in the bone wounds. A correlation was seen between the force and the length (r = 0.69), width (r = 0.63), and depth (r = 0.57) of bone wounds. Serrated-edge and nonserrated knives can be distinguished from the appearance of the wound. The outcomes may be applicable in forensic investigations to ascertain the forces associated with incised wounds and identify the specific knife used. © 2017 American Academy of Forensic Sciences.

  17. Appendectomy and pregnancy: gestational age does not affect the position of the incision. (United States)

    de Moya, Marc A; Sideris, Antonios C; Choy, Garry; Chang, Yuchiao; Landman, Wendy B; Cropano, Catrina M; Cohn, Stephen M


    The position of the base of the appendix during advancing gestational age is based on inadequate data. Therefore, the proper location for an appendectomy incision during pregnancy is highly unclear. This study investigated the location of the appendix during pregnancy to determine the optimal location for an incision in pregnant patients with appendicitis relative to McBurney's point. Magnetic resonance images (MRIs) were reviewed independently by two fellowship-trained abdominal MRI radiologists blinded to the imaging report. The distance of the appendix from anatomic landmarks was measured in a total of 114 pregnant women with an abdominal or pelvic MRI who were admitted between 2001 and 2011 at a Level I trauma center. Patients with a history of appendectomy were excluded. The distance from the base of the appendix to McBurney's point changed over the course of the gestation by only 1.2 cm and which did not amount to a clinically or statistically significant change in position. Our data provide evidence that there is minimal upward or lateral displacement of the appendix during pregnancy, and therefore its distance from the McBurney's point remains essentially unchanged. These findings justify the use of the McBurney's incision for appendectomy during pregnancy regardless of the trimester.

  18. Transecting versus avoiding incision of the anterior placenta previa during cesarean delivery. (United States)

    Verspyck, Eric; Douysset, Xavier; Roman, Horace; Marret, Stephane; Marpeau, Loïc


    To compare maternal outcomes after transection and after avoiding incision of the anterior placenta previa during cesarean delivery. In a retrospective study, records were reviewed for women who had anterior placenta previa and delivered by cesarean after 24 weeks of pregnancy at a tertiary center in Rouen, France. During period A (January 2000 to December 2006), the protocol was to systematically transect the placenta when it was unavoidable. During period B (January 2007 to December 2010), the technique was to avoid incision by circumventing the placenta and passing a hand around its margin. Logistic regression was used to identify independent risk factors associated with maternal transfusion of packed red blood cells. Eighty-four women were included (period A: n=43; period B: n=41). During period B, there was a reduction in frequency of intraoperative hemorrhage (>1000 mL) (P=0.02), intraoperative hemoglobin loss (P=0.005), and frequency of blood transfusion (P=0.02) as compared with period A. In multivariable analysis, period B was associated with a reduced risk of maternal transfusion (odds ratio 0.27; 95% confidence interval 0.09-0.82; P=0.02). Avoiding incision of the anterior placenta previa was found to reduce frequency of maternal blood transfusion during or after cesarean delivery. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  19. No-Drain Single Incision Liposuction Pull-Through Technique for Gynecomastia. (United States)

    Khalil, Ashraf A; Ibrahim, Amr; Afifi, Ahmed M


    Several different methods have been proposed for treatment of gynecomastia, depending on the amount of breast enlargement and skin redundancy. The liposuction pull-through technique has been proposed as an efficacious treatment for many gynecomastia cases. This work aims to study the outcome of this technique when applied as an outpatient procedure, without the use of drains and through a single incision. Fifty-two patients with bilateral gynecomastia without significant skin excess were included in this study. The liposuction pull-through technique was performed through a single incision just above the inframammary fold and without the use of drains. Patients were followed up for 6 months. The proposed technique was able to treat the gynecomastia in all patients, with a revision rate of 1.9% to remove residual glandular tissues. There were no seromas, hematomas, nipple distortion, permanent affection of nipple sensation or wound healing problems. The liposuction pull-through technique is an effective treatment for gynecomastia without significant skin redundancy. It combines the benefits of the direct excision of glandular tissues, with the minimally invasive nature of liposuction. Performing the procedure through a single incision without the use of drains and without general anesthesia is a safe alternative. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors .

  20. Single-incision versus conventional laparoscopic appendectomy in 688 patients: a retrospective comparative analysis (United States)

    Liang, Hung-Hua; Hung, Chin-Sheng; Wang, Weu; Tam, Ka-Wai; Chang, Chun-Chao; Liu, Hui-Hsiung; Yen, Ko-Li; Wei, Po-Li


    Background Laparoscopic surgery has become the standard for treating appendicitis. The cosmetic benefits of using single-incision laparoscopy are well known, but its duration, complications and time to recovery have not been well documented. We compared 2 laparoscopic approaches for treating appendicitis and evaluated postoperative pain, complications and time to full recovery. Methods We retrospectively reviewed the cases of consecutive patients with appendicitis and compared those who underwent conventional laparoscopic appendectomy (CLA) performed using 3 incisions and those who underwent single-incision laparoscopic appendectomy (SILA). During SILA, the single port was prepared to increase visibility of the operative site. Results Our analysis included 688 consecutive patients: 618 who underwent CLA and 70 who underwent SILA. Postsurgical complications occurred more frequently in the CLA than the SILA group (18.1% v. 7.1%, p = 0.018). Patients who underwent SILA returned to oral feeding sooner than those who underwent CLA (median 12 h v. 22 h, p cosmetic advantages, SILA led to rapid recovery and no increase in postsurgical pain or complications. PMID:24869622

  1. Gas Hydrate Formation Amid Submarine Canyon Incision: Investigations From New Zealand's Hikurangi Subduction Margin (United States)

    Crutchley, G. J.; Kroeger, K. F.; Pecher, I. A.; Mountjoy, J. J.; Gorman, A. R.


    We investigate gas hydrate system dynamics beneath a submarine canyon on New Zealand's Hikurangi subduction margin using seismic reflection data and petroleum systems modeling. High seismic velocities just above the base of gas hydrate stability (BGHS) indicate that concentrated gas hydrates exist beneath the canyon. Two-dimensional gas hydrate formation modeling shows how the process of canyon incision at this location alters the distribution and concentration of gas hydrate. The key modeling result is that free gas is trapped beneath the gas hydrate layer and then "captured" into a concentrated gas hydrate deposit as a result of a downward-shift in the BGHS driven by canyon incision. Our study thus provides new insight into the functioning of this process. From our data, we also conceptualize two other models to describe how canyons could significantly change gas hydrate distribution and concentration. One scenario is related to deflection of fluid flow pathways from over-pressured regions at the BGHS toward the canyon, and the other is based on relationships between simultaneous seafloor uplift and canyon incision. The relationships and processes described are of global relevance because of considerations of gas hydrate as an energy resource and the influence of both submarine canyons and gas hydrate systems on seafloor biodiversity.

  2. The longitudinal epineural incision and complete nerve transection method for modeling sciatic nerve injury

    Directory of Open Access Journals (Sweden)

    Xing-long Cheng


    Full Text Available Injury severity, operative technique and nerve regeneration are important factors to consider when constructing a model of peripheral nerve injury. Here, we present a novel peripheral nerve injury model and compare it with the complete sciatic nerve transection method. In the experimental group, under a microscope, a 3-mm longitudinal incision was made in the epineurium of the sciatic nerve to reveal the nerve fibers, which were then transected. The small, longitudinal incision in the epineurium was then sutured closed, requiring no stump anastomosis. In the control group, the sciatic nerve was completely transected, and the epineurium was repaired by anastomosis. At 2 and 4 weeks after surgery, Wallerian degeneration was observed in both groups. In the experimental group, at 8 and 12 weeks after surgery, distinct medullary nerve fibers and axons were observed in the injured sciatic nerve. Regular, dense myelin sheaths were visible, as well as some scarring. By 12 weeks, the myelin sheaths were normal and intact, and a tight lamellar structure was observed. Functionally, limb movement and nerve conduction recovered in the injured region between 4 and 12 weeks. The present results demonstrate that longitudinal epineural incision with nerve transection can stably replicate a model of Sunderland grade IV peripheral nerve injury. Compared with the complete sciatic nerve transection model, our method reduced the difficulties of micromanipulation and surgery time, and resulted in good stump restoration, nerve regeneration, and functional recovery.

  3. Distinction of infected and non-infected post-surgical incisions with In-111-WBC scintigraphy

    International Nuclear Information System (INIS)

    Abdel-Nabi, H.; Hinkle, G.H.; Olsen, J.O.


    To determine if In-111-WBCs scintigraphy can distinguish between healing and infection in post-surgical wounds, a prospective study was performed in patients with 3-14 day old surgical incisions. Eighteen patients (11 males and 7 females) were scanned 24 hrs after injection of 0.5 mCi of In-111 labeled autologous leukocytes. The scan findings were correlated with blood and/wound cultures results and diagnosis at time of discharge. Incisional uptake of In-111-WBCs was noted in 9 patients with infected surgical wounds and was absent in those 9 patients with non-infected surgical wounds. The results of the authors' study show that In-111-WBCs do not accumulate in non-infected surgical incisions. This confirms their previous findings in rats. The high specificity of In-111 leukocytes imaging makes it a valuable study in the evaluation of post-operative patients with suspected surgical wound infections. In-111 WBCs scintigraphy can distinguish between normal healing and infection at the site of recent (3-14 days) surgical incisions

  4. Review of various liver retraction techniques in single incision laparoscopic surgery for the exposure of hiatus. (United States)

    Palanivelu, Praveenraj; Patil, Kedar Pratap; Parthasarathi, Ramakrishnan; Viswambharan, Jaiganesh K; Senthilnathan, Palanisami; Palanivelu, Chinnusamy


    The main aspect of concern for upper GI procedures has been the retraction of the liver especially large left lobes as commonly encountered in Bariatric surgery. Not doing so would compromise the view of the hiatus, hence theoretically reducing the quality of the surgery and increasing the possibility of complications. The aim of this study was to review the various liver retraction techniques in single incision surgery being done at our institute and analyze them. A retrospective study of the various techniques and a subsequent analysis was made based on advantages and disadvantages of each method. Objectively a quantitative measure of hiatal exposure was done using a scoring system based on the grade of exposure after reviewing the surgical videos. From January 2011 to January 2013 total 104 patients underwent single incision surgery with the various liver retraction techniques with following grades of exposure -liver suspension tube technique with naso gastric tubing (2.11) and with corrugated drain (2.09) needlescopic method (1.2), Umbilical tape sling (1.95), crural stitch method (2.5). Needeloscopic method has the best grade of exposure and is the easiest to start with. The average time to create the liver retraction was 2.8 to 8.6 min.There was no procedure related morbidity or mortality. The mentioned liver retraction techniques are cost effective and easy to learn. We recommend using these techniques to have a good exposure of hiatus, without compromising the safety of surgery in single incision surgery.

  5. [Laparoscopic cholecystectomy with three-port and 25 millimeters long incision. (United States)

    Gómez Tagle-Morales, Enrique David


    Background: three-port and 25 mm total incision laparoscopic cholecystectomy has shown benefits compared to conventional laparoscopy. The aim was to examine the safety and feasibility of this technique. Methods: a three-port laparoscopic cholecystectomy trial was conducted through Cinvestav metasearcher, Seriunam and Rencis. The eligibility criteria were: three port laparoscopic cholecystectomy, 25 mm total incision, and score = 17 on Data Review System. Trials which employed instruments smaller than 5 mm in diameter were excluded. The comparative variables were documented and results obtained in the selected trials were described. Results: four trials were selected, comprising 1767 cases (1329 females and 438 males), average age was 44.3 years. Chronic cholecystitis was documented in 84.3 %, and acute cholecystitis in 14.7 %. Average surgical time was 54.5 minutes. An additional port was required in 4.8 % and 1.4 % was converted to open technique. Bile duct injury was presented in 0.11 %. The success rate was 94.9 %. Conclusions: three port and 25 mm total incision in laparoscopic cholecystectomy is safe and feasible.

  6. Single-incision laparoscopic partial gastrectomy for gastric submucosal tumors without compromising transumbilical stapling. (United States)

    Takata, Akihiro; Nakajima, Kiyokazu; Kurokawa, Yukinori; Takahashi, Tsuyoshi; Yamasaki, Makoto; Miyata, Hiroshi; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro


    Although SILS has become an increasingly popular type of surgery, its application for gastric submucosal tumors (SMT) has been only sporadically reported. We herein describe 12 recent cases with gastric SMT located in the greater curvature or anterior wall. The aim is to validate technical feasibility and safety of single-incision laparoscopic partial gastrectomy. Thus far, this is one of the largest series of patients with gastric SMT who underwent SILS. From July 2009 to April 2013, single-incision laparoscopic partial gastrectomy was attempted in 12 consecutive patients with gastric SMT. Three trocars were assembled in the umbilical incision, and the lesion was mobilized and staple-resected with endoscopic stapling devices. SILS surgery was successfully completed without any additional trocars. The median operating time was 96.5 min, and median blood loss was 7.5 mL. The median tumor size was 30 mm, with histopathologic diagnosis of gastrointestinal stromal tumor (10) and schwannoma (2). There was no immediate postoperative morbidity. During a median follow-up of 12 months, all patients were on full regular diet without any gastrointestinal symptoms. SILS with transumbilical gastric stapling is a safe and practical alternative to conventional multiport laparoscopy in patients with gastric SMT, except for cases originating in the lesser curvature and close to the cardia/ pylorus. © 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

  7. Different air-water spray regulations affect the healing of Er,Cr:YSGG laser incisions. (United States)

    Sperandio, Felipe Fornias; Meneguzzo, Daiane T; Ferreira, Leila S; da Ana, Patrícia A; Azevedo, Luciane H; de Sousa, Suzana C O M


    Surgeries performed with high-intensity laser devices may be improved with accurate protocols, including the air-water spray regulation. Thus, this study sought to investigate the healing process of wounds made on the dorsum of rat tongues using an Er,Cr:YSGG laser device with different air-water spray regulations. The incisions were made on the dorsum of Wistar rat tongues using an Er,Cr:YSGG laser with three different air-water spray regulations (100/0%, 50/50%, 11/7%). Scalpel incisions functioned as controls. The sacrifices occurred between 0 and 14 days after surgery. Morphological, histological, and immunohistochemical (fibronectin and type III collagen) analysis of the wounds were performed. The air-water spray regulation influenced wound healing and the inflammatory response, especially in the earlier stages. Incisions performed using the 100/0% air/water spray regulation had the worst results, expressing a greater amount of fibronectin and type III collagen. The 50/50% air/water spray regulation brought in a non-clear surgical field and poor laser interaction with the tissue. The 11/7% air/water spray regulation showed the best clinical results and less pronounced histological events. According to the results encountered, the air-water spray should be regulated to improve surgery.

  8. A novel locally operated master-slave robot system for single-incision laparoscopic surgery. (United States)

    Horise, Yuki; Matsumoto, Toshinobu; Ikeda, Hiroki; Nakamura, Yuta; Yamasaki, Makoto; Sawada, Genta; Tsukao, Yukiko; Nakahara, Yujiro; Yamamoto, Masaaki; Takiguchi, Shuji; Doki, Yuichiro; Mori, Masaki; Miyazaki, Fumio; Sekimoto, Mitsugu; Kawai, Toshikazu; Nishikawa, Atsushi


    Single-incision laparoscopic surgery (SILS) provides more cosmetic benefits than conventional laparoscopic surgery but presents operational difficulties. To overcome this technical problem, we have developed a locally operated master-slave robot system that provides operability and a visual field similar to conventional laparoscopic surgery. A surgeon grasps the master device with the left hand, which is placed above the abdominal wall, and holds a normal instrument with the right hand. A laparoscope, a slave robot, and the right-sided instrument are inserted through one incision. The slave robot is bent in the body cavity and its length, pose, and tip angle are changed by manipulating the master device; thus the surgeon has almost the same operability as with normal laparoscopic surgery. To evaluate our proposed system, we conducted a basic task and an ex vivo experiment. In basic task experiments, the average object-passing task time was 9.50 sec (SILS cross), 22.25 sec (SILS parallel), and 7.23 sec (proposed SILS). The average number of instrument collisions was 3.67 (SILS cross), 14 (SILS parallel), and 0.33 (proposed SILS). In the ex vivo experiment, we confirmed the applicability of our system for single-port laparoscopic cholecystectomy. We demonstrated that our proposed robot system is useful for single-incision laparoscopic surgery.

  9. Transtibial technique versus two incisions in anterior cruciate ligament reconstruction: tunnel positioning, isometricity and functional evaluation

    Directory of Open Access Journals (Sweden)

    Ricardo Hideki Yanasse


    Full Text Available ABSTRACT OBJECTIVE: To compare the transtibial and two-incision techniques for anterior cruciate ligament (ACL reconstruction using a single band. METHODS: A prospective and randomized study was conducted in blocks. Patients underwent ACL reconstruction by means of two techniques: transtibial (group 1: 20 patients or two incisions (group 2: 20 patients. The radiographic positioning of the tunnel, inclination of the graft, graft isometricity and functional results (IKDC and Lysholm were evaluated. RESULTS: The positioning of the femoral tunnel on the anteroposterior radiograph, expressed as a mean percentage relative to the medial border of the tibial plateau, was 54.6% in group 1 and 60.8% in group 2 (p 0.05. Group 2 had better results from the pivot-shift maneuver (p < 0.05. CONCLUSION: The technique of two incisions allowed positioning of the femoral tunnel that was more lateralized and anteriorized, such that the graft was more inclined and there was a clinically better result from the pivot-shift maneuver. There was no difference in isometricity and no final functional result over the short follow-up time evaluated.

  10. NSLS-II filling pattern measurement

    International Nuclear Information System (INIS)

    Yong Hu; Dalesio, L.B.; Kiman Ha; Pinayev, I.


    Multi-bunch injection will be deployed at NSLS-II. High bandwidth diagnostic beam monitors with high speed digitizers are used to measure bunch-by-bunch charge variation. In order to minimize intensity-correlated orbit oscillations due to uneven bunch patterns, we need to measure the filling pattern (also named bunch pattern or bunch structure). This paper focuses on filling pattern measurements: how to measure bunch structure and make this information available in EPICS-based control system. This measurement requires combination of 3 types of beam monitors (Wall Current Monitor, Fast Current Transformer and Beam Position Monitor), data acquisition and controls (fast digitizer, EPICS software, etc.) and Event Timing system. High-bandwidth filling pattern monitor requires high-speed digitizer to sample its analog output signal. The evaluation results of commercial fast digitizer Agilent Acqiris and high bandwidth detector Bergoz FCT are presented. We have also tested the algorithm software for filling pattern measurement as well as the interface to event timing system. It appears that filling pattern measurement system is well understood and the tests for control hardware and software have given good results

  11. Outlying Mississippi Valley-type mineralization, Fillmore County, Minnesota

    Energy Technology Data Exchange (ETDEWEB)

    Runkel, A.C.; Morey, G.B.; Lively, R.S.; Mossler, J.H. (Minnesota Geological Survey, St. Paul, MN (United States))


    A recently discovered sulfide-rich mineralized zone in the Lower Ordovician Oneota Dolomite exposed in a quarry in Fillmore, Co., Minnesota, is the northernmost known occurrence of carbonate-hosted mineralization that has features characteristic of the classic deposits in the main Upper Mississippi Valley (UMV) mining district. Mineralization is stratiform and appears to be restricted to an algal reef facies at least 4 m thick and over 60 m in diameter. The sulfides occur as vein fillings in narrow fractures, along the laminae of algal domes and mats, as cavity fillings in vugs and brecciated zones, and possibly as disseminations by replacement. This deposit lies along the axis of the northern part of the Allamakee (Mineral Point) anticline, which trends southeastward and extends into Iowa and wisconsin where it is associated with several mines within and in the fringes of the main UMV mining district. The genesis of this stratiform body may be related both to its position on the anticline and to the abundance of algal features, which locally enhanced porosity compared to less porous, massive Oneota Dolomite elsewhere in the area. Although preliminary assays of samples from this deposit show only slightly anomalous Pb, Cu and Zn values, many features typical of mined deposits to the south indicate potential for the discovery of economic orebodies in Minnesota. Because it is an outlying deposit far from the postulated source of ore-bearing fluids responsible for UMV mineralization, additional study may also yield important information concerning the regional genesis of these orebodies.

  12. Photosensitive Epilepsy In Kashmir Valley

    Directory of Open Access Journals (Sweden)

    Saleem S M


    Full Text Available A random population of 618 people with epilepsy hailing from different parts of Kashmir valley was screened for photosensitivity both clinically and on a standard protocol of intermittent photic stimulation (IPS provoked EEG recordings. Six (0.9% patients with a mean age of 15+6.57 years were found to be photosensitive; five had generalized and one had absence seizures. The baseline EEG in all patients showed generalized epileptiform discharges. On IPS, similar EEG findings were obtained with a narrow range of stimulus frequency i.e. 7-12 cycles/sec. There appears to be a low prevalence of photo-sensitivity in our epileptic population, possibly related to genetic factors.

  13. Regional dust storm modeling for health services: The case of valley fever (United States)

    Sprigg, William A.; Nickovic, Slobodan; Galgiani, John N.; Pejanovic, Goran; Petkovic, Slavko; Vujadinovic, Mirjam; Vukovic, Ana; Dacic, Milan; DiBiase, Scott; Prasad, Anup; El-Askary, Hesham


    On 5 July 2011, a massive dust storm struck Phoenix, Arizona (USA), raising concerns for increased cases of valley fever (coccidioidomycosis, or, cocci). A quasi-operational experimental airborne dust forecast system predicted the event and provides model output for continuing analysis in collaboration with public health and air quality communities. An objective of this collaboration was to see if a signal in cases of valley fever in the region could be detected and traced to the storm - an American haboob. To better understand the atmospheric life cycle of cocci spores, the DREAM dust model (also herein, NMME-DREAM) was modified to simulate spore emission, transport and deposition. Inexact knowledge of where cocci-causing fungus grows, the low resolution of cocci surveillance and an overall active period for significant dust events complicate analysis of the effect of the 5 July 2011 storm. In the larger context of monthly to annual disease surveillance, valley fever statistics, when compared against PM10 observation networks and modeled airborne dust concentrations, may reveal a likely cause and effect. Details provided by models and satellites fill time and space voids in conventional approaches to air quality and disease surveillance, leading to land-atmosphere modeling and remote sensing that clearly mark a path to advance valley fever epidemiology, surveillance and risk avoidance.

  14. A refined model of Quaternary valley downcutting emphasizing the interplay between tectonically triggered regressive erosion and climatic cyclicity (United States)

    Demoulin, A.; Beckers, A.; Rixhon, G.; Braucher, R.; Bourlès, D.; Siame, L.


    While climatic models of valley downcutting discuss the origin of terrace staircases in valleys of middle Europe within the frame of alternating cold and temperate periods of the Quaternary, other models, starting from a base level fall imposed by an initial tectonic signal, describe the response of the drainage network mainly as the propagation of an erosion wave from the place of base level fall (the margin of the uplifted region) toward the headwaters, the two types of model being rarely confronted. In the Ardennes (West Europe), cosmogenic 10Be and 26Al ages have recently been calculated for the abandonment of the Younger Main Terrace (YMT) level (Rixhon et al., 2011), a prominent feature at mid-height of the valleysides marking the starting point of the mid-Pleistocene phase of deep river incision in the massif. These ages show that the terrace has been abandoned diachronically as the result of a migrating erosion wave that started at 0.73 Ma in the Meuse catchment just north of the massif, soon entered the latter, and is still visible in the current long profiles of the Ardennian Ourthe tributaries as knickpoints disturbing their upper reaches. At first glance, these new findings are incompatible with the common belief that the terraces of the Ardennian rivers were generated by a climatically triggered stepwise general incision of the river profiles. However, several details of the terrace staircases (larger than average vertical spacing between the YMT and the next younger terrace, varying number of post-YMT terraces in trunk stream, tributaries and subtributaries) show that a combination of the climatic and tectonic models of river incision is able to satisfactorily account for all available data. The cosmogenic ages of the YMT also point out a particular behaviour of the migrating knickpoints, which apparently propagated on average more slowly in the main rivers than in the tributaries, in contradiction with the relation that makes knickpoint celerity

  15. Control of port-site bleeding from smaller incisions after laparoscopic cholecystectomy surgery: a new, innovative, and easier technique. (United States)

    Rastogi, Vijay; Dy, Victor


    Laparoscopic cholecystectomy has become the standard of care for patients with acute cholecystitis, symptomatic cholelithiasis, and biliary dyskinesia. Most surgeons now perform this procedure as outpatient surgery. In a standard laparoscopic cholecystectomy procedure, three trocar incisions are made outside the umbilicus. Stopping the bleeding from these port sites can be problematic because of the small size of the incision and the fact that these bleeding points are situated deep in the incision. This is especially true in obese patients and patients taking Asprin or Plavix and undergoing emergency cholecystectomy. In these circumstances, control of the bleeding requires either enlargement of the incision or placement of deep sutures, leading to an ugly scar. We present a simple and innovative technique for controlling port-site bleeding, which involves plugging the port-site hole with Surgicel (Johnson & Johnson Medical, Inc., Arlington, Texas). Our experience with 20 patients to date has shown wound healing to be excellent, with no complications such as hematoma or infection.

  16. Investigation of postoperative intraocular pressure in cases of silicone oil removal using 25-gauge transconjunctival sutureless vitrectomy with oblique incisions. (United States)

    Takashina, Hirotsugu; Watanabe, Akira; Tsuneoka, Hiroshi


    The purpose of this study was to investigate postoperative intraocular pressure (IOP) in cases of silicone oil (SO) removal when using 25-gauge transconjunctival sutureless vitrectomy (TSV) with oblique incisions. We enrolled ten consecutive eyes with SO removal (SO group) and eleven consecutive eyes with idiopathic epiretinal membrane (ERM) as the initial vitrectomy (ERM group) in cases using 25-gauge TSV with oblique incisions. Postoperative IOPs were compared between the two groups at each of the four examination periods. No significant differences were identified in any of the periods examined. The use of 25-gauge TSV with oblique incisions resulted in almost equivalent postoperative IOPs between cases with SO removal and idiopathic ERM as the initial operation. Self-sealing sclerotomy in 25-gauge TSV with oblique incisions may primarily involve the valve architecture, and be complemented by vitreous incarceration.

  17. Surgical site wound infection in relation to antibiotic prophylaxis given before skin incision and after cord clamping during cesarean delivery. (United States)

    Shrestha, B; Marhatha, R; Giri, A; Jaisi, S; Maskey, U


    Surgical site infection is one of the most common complications following Lower Segment Cesarean Section, which accounts for prolonged hospital stay thereby increasing expense. Prophylactic antibiotics in cesarean section reduces surgical site infection significantly. The best protection is provided when tissue level of antibiotics are adequate before incision, without prejudice to neonatal infectious morbidity. The objective of this study was to compare the incidence of surgical site wound infection with prophylactic antibiotics given before skin incision and after cord clamping following delivery of baby. This was a prospective, hospital based study, in which hundred cases of cesarean deliveries who received antibiotics prophylaxis one hour before the skin incision were compared with another 100 cases where antibiotic was given after cord clamping following delivery of the baby. Surgical site infection occurred in 3% of women who received antibiotics prophylaxis before skin incision as compared to 6% in whom antibiotic was given after cord clamping. It was statistically not significant (p = 0.465).

  18. Posterior bulk-filled resin composite restorations.

    DEFF Research Database (Denmark)

    van Dijken, Jan WV; Pallesen, Ulla


    Purpose/aim: To evaluate in a randomized controlled study the 5-year clinical durability of a flowable resin composite bulk-fill technique in Class I and Class II restorations. Materials and methods: 38 pairs Class I and 62 pairs Class II restorations were placed in 44 male and 42 female (mean age...... 52.4 years). Each patient received at least two, as similar as possible, extended Class I or Class II restorations. In all cavities, a 1-step self-etch adhesive (Xeno V+) was applied. Randomized, one of the cavities of each pair received the flowable bulk-filled resin composite (SDR), in increments...... up to 4mm as needed to fill the cavity 2mm short of the occlusal cavosurface. The occlusal part was completed with the nano-hybrid resin composite (Ceram X mono+). In the other cavity, the resin composite-only (Ceram X mono+) was placed in 2mm increments. The restorations were evaluated using...

  19. Fissure fillings from Finnsjoen and Studsvik Sweden

    International Nuclear Information System (INIS)

    Tullborg, E.-L.; Larsson, S.Aa.


    Samples were taken from cores and collected at different levels. The bedrock at Finnsjoen is a Svecokarelian granite-granodiorite, the most frequent mineral in the fissures being calcite. The water from boreholes have a mean S 18 O value of -12 per thousand and saturated by calcite. Isotopically three different groups of calcite have been distinguished. Ages of 29+-13x10 3 years to 79+-25x10 3 years were estimated. Two generations of quartz were recognized the minerals prehnite and lanmontite were found Most fissure filling materials have cation exchange capacities. The bedrock at Studsvik is a Svecokarelian gneiss of sedimentary type which is migmatized with calcite and chlorite as fissure filling minerals. Most fissure fillings are thin and simple Claby minerals of smectite type are also frequent. (G.B.)

  20. One-dimensional Gromov minimal filling problem

    International Nuclear Information System (INIS)

    Ivanov, Alexandr O; Tuzhilin, Alexey A


    The paper is devoted to a new branch in the theory of one-dimensional variational problems with branching extremals, the investigation of one-dimensional minimal fillings introduced by the authors. On the one hand, this problem is a one-dimensional version of a generalization of Gromov's minimal fillings problem to the case of stratified manifolds. On the other hand, this problem is interesting in itself and also can be considered as a generalization of another classical problem, the Steiner problem on the construction of a shortest network connecting a given set of terminals. Besides the statement of the problem, we discuss several properties of the minimal fillings and state several conjectures. Bibliography: 38 titles.

  1. Cervical and incisal marginal discrepancy in ceramic laminate veneering materials: A SEM analysis

    Directory of Open Access Journals (Sweden)

    Hemalatha Ranganathan


    Full Text Available Context: Marginal discrepancy influenced by the choice of processing material used for the ceramic laminate veneers needs to be explored further for better clinical application. Aims: This study aimed to evaluate the amount of cervical and incisal marginal discrepancy associated with different ceramic laminate veneering materials. Settings and Design: This was an experimental, single-blinded, in vitro trial. Subjects and Methods: Ten central incisors were prepared for laminate veneers with 2 mm uniform reduction and heavy chamfer finish line. Ceramic laminate veneers fabricated over the prepared teeth using four different processing materials were categorized into four groups as Group I - aluminous porcelain veneers, Group II - lithium disilicate ceramic veneers, Group III - lithium disilicate-leucite-based veneers, Group IV - zirconia-based ceramic veneers. The cervical and incisal marginal discrepancy was measured using a scanning electron microscope. Statistical Analysis Used: ANOVA and post hoc Tukey honest significant difference (HSD tests were used for statistical analysis. Results: The cervical and incisal marginal discrepancy for four groups was Group I - 114.6 ± 4.3 μm, 132.5 ± 6.5 μm, Group II - 86.1 ± 6.3 μm, 105.4 ± 5.3 μm, Group III - 71.4 ± 4.4 μm, 91.3 ± 4.7 μm, and Group IV - 123.1 ± 4.1 μm, 142.0 ± 5.4 μm. ANOVA and post hoc Tukey HSD tests observed a statistically significant difference between the four test specimens with regard to cervical marginal discrepancy. The cervical and incisal marginal discrepancy scored F = 243.408, P < 0.001 and F = 180.844, P < 0.001, respectively. Conclusion: This study concluded veneers fabricated using leucite reinforced lithium disilicate exhibited the least marginal discrepancy followed by lithium disilicate ceramic, aluminous porcelain, and zirconia-based ceramics. The marginal discrepancy was more in the incisal region than in the cervical region in all the groups.

  2. Incision and Landsliding Lead to Coupled Increase in Sediment Flux and Grain Size Export (United States)

    Roda-Boluda, D. C.; Brooke, S.; D'Arcy, M. K.; Whittaker, A. C.; Armitage, J. J.


    The rates and grain sizes of sediment fluxes modulate the dynamics and timing of landscape response to tectonics, and dictate the depositional patterns of sediment in basins. Over the last decades, we have gained a good quantitative understanding on how sediment flux and grain size may affect incision and basin stratigraphy. However, we comparably still have limited knowledge on how these variables change with varying tectonic rates. To address this question, we have studied 152 catchments along 8 normal fault-bounded ranges in southern Italy, which are affected by varying fault slip rates and experiencing a transient response to tectonics. Using a data set of 38 new and published 10Be erosion rates, we calibrate a sediment flux predictive equation (BQART), in order to estimate catchment sediment fluxes. We demonstrate that long-term sediment flux is governed by fault slip rates and the tectonically-controlled transient incision, and that sediment flux estimates from the BQART, steady-state assumptions, and incised volumes are highly correlated. This is supported by our 10Be erosion rates, which are controlled by fault slip and incision rates, and the associated landsliding. Based on a new landslide inventory, we show that erosion rate differences are likely due to differences in incision-related landslide activity across these catchments, and that landslides are a major component of sediment fluxes. From a data set of >13000 grain size counts on hillslope grain size supply and fluvial sediment at catchment outlets, we observe that landslides deliver material 20-200% coarser than other sediment sources, and that this coarse supply has an impact on the grain size distributions being exported from the catchments. Combining our sediment flux and grain size data sets, we are able to show that for our catchments, and potentially also for any areas that respond to changes in climate or tectonics via enhanced landsliding, sediment flux and grain size export increase

  3. Prime incision: A minimally invasive approach to breast cancer surgical treatment-A 2 cohort retrospective comparison with conventional breast conserving surgery.

    Directory of Open Access Journals (Sweden)

    Silvio Eduardo Bromberg

    Full Text Available The prime incision technique is an oncoplastic surgery aimed to remove both the breast tumor and the sentinel lymph node through one incision, thus providing better aesthetic results than the conventional breast conservative two incision technique. We retrospectively evaluated 2 cohorts of 60 consecutive breast cancer patients operated by either conventional breast conservative surgery (N = 26 or one incision surgery (N = 34. There were no recurrence or death events observed in any group. No difference was seen regarding the incidence of surgical complications. In the prime incision group the breast volume removed was significantly lower than in the conventional surgery group as well as was the surgical time and the number of dissected lymph nodes. Aesthetical results were better in the one incision group. Further prospective studies are needed to validate the one incision technique as a surgical option for selected early stage breast cancer patients.

  4. Geology and geomorphology of Bear Lake Valley and upper Bear River, Utah and Idaho (United States)

    Reheis, M.C.; Laabs, B.J.C.; Kaufman, D.S.


    levels have decreased from as high as 1830 m to 1806 m above sea level since the early Pleistocene due to episodic downcutting by the Bear River. The oldest exposed lacustrine sediments in Bear Lake Valley are probably of Pliocene age. Several high-lake phases during the early and middle Pleistocene were separated by episodes of fluvial incision. Threshold incision was not constant, however, because lake highstands of as much as 8 m above bedrock threshold level resulted from aggradation and possibly landsliding at least twice during the late-middle and late Pleistocene. Abandoned stream channels within the low-lying, fault-bounded region between Bear Lake and the modern Bear River show that Bear River progressively shifted northward during the Holocene. Several factors including faulting, location of the fluvial fan, and channel migration across the fluvial fan probably interacted to produce these changes in channel position. Late Quaternary slip rates on the east Bear Lake fault zone are estimated by using the water-level history of Bear Lake, assuming little or no displacement on dated deposits on the west side of the valley. Uplifted lacustrine deposits representing Pliocene to middle Pleistocene highstands of Bear Lake on the footwall block of the east Bear Lake fault zone provide dramatic evidence of long-term slip. Slip rates during the late Pleistocene increased from north to south along the east Bear Lake fault zone, consistent with the tectonic geomorphology. In addition, slip rates on the southern section of the fault zone have apparently decreased over the past 50 k.y. Copyright ?? 2009 The Geological Society of America.

  5. Alkaline earth filled nickel skutterudite antimonide thermoelectrics (United States)

    Singh, David Joseph


    A thermoelectric material including a body centered cubic filled skutterudite having the formula A.sub.xFe.sub.yNi.sub.zSb.sub.12, where A is an alkaline earth element, x is no more than approximately 1.0, and the sum of y and z is approximately equal to 4.0. The alkaline earth element includes guest atoms selected from the group consisting of Be, Mb, Ca, Sr, Ba, Ra and combinations thereof. The filled skutterudite is shown to have properties suitable for a wide variety of thermoelectric applications.

  6. Evaluation of the hydrologic system and selected water-management alternatives in the Owens Valley, California (United States)

    Danskin, Wesley R.


    The Owens Valley, a long, narrow valley along the east side of the Sierra Nevada in eastcentral California, is the main source of water for the city of Los Angeles. The city diverts most of the surface water in the valley into the Owens River?Los Angeles Aqueduct system, which transports the water more than 200 miles south to areas of distribution and use. Additionally, ground water is pumped or flows from wells to supplement the surface-water diversions to the river? aqueduct system. Pumpage from wells needed to supplement water export has increased since 1970, when a second aqueduct was put into service, and local residents have expressed concerns that the increased pumping may have a detrimental effect on the environment and the native vegetation (indigenous alkaline scrub and meadow plant communities) in the valley. Native vegetation on the valley floor depends on soil moisture derived from precipitation and from the unconfined part of a multilayered ground-water system. This report, which describes the evaluation of the hydrologic system and selected water-management alternatives, is one in a series designed to identify the effects that ground-water pumping has on native vegetation and evaluate alternative strategies to mitigate any adverse effects caused by pumping. The hydrologic system of the Owens Valley can be conceptualized as having three parts: (1) an unsaturated zone affected by precipitation and evapotranspiration; (2) a surface-water system composed of the Owens River, the Los Angeles Aqueduct, tributary streams, canals, ditches, and ponds; and (3) a saturated ground-water system contained in the valley fill. Analysis of the hydrologic system was aided by development of a ground-water flow model of the ?aquifer system,? which is defined as the most active part of the ground-water system and which includes nearly all of the Owens Valley except for the area surrounding the Owens Lake. The model was calibrated and verified for water years 1963?88 and

  7. Intermittent surface water connectivity: Fill and spill vs. fill and merge dynamics (United States)

    Leibowitz, Scott G.; Mushet, David M.; Newton, Wesley E.


    Intermittent surface connectivity can influence aquatic systems, since chemical and biotic movements are often associated with water flow. Although often referred to as fill and spill, wetlands also fill and merge. We examined the effects of these connection types on water levels, ion concentrations, and biotic communities of eight prairie pothole wetlands between 1979 and 2015. Fill and spill caused pulsed surface water connections that were limited to periods following spring snow melt. In contrast, two wetlands connected through fill and merge experienced a nearly continuous, 20-year surface water connection and had completely coincident water levels. Fill and spill led to minimal convergence in dissolved ions and macroinvertebrate composition, while these constituents converged under fill and merge. The primary factor determining differences in response was duration of the surface water connection between wetland pairs. Our findings suggest that investigations into the effects of intermittent surface water connections should not consider these connections generically, but need to address the specific types of connections. In particular, fill and spill promotes external water exports while fill and merge favors internal storage. The behaviors of such intermittent connections will likely be accentuated under a future with more frequent and severe climate extremes.

  8. Large flood on a mountain river subjected to restoration: effects on aquatic habitats, channel morphology and valley infrastructure (United States)

    Hajdukiewicz, Hanna; Wyżga, Bartłomiej; Mikuś, Paweł; Zawiejska, Joanna; Radecki-Pawlik, Artur


    The Biała River, Polish Carpathians, was considerably modified by channelization and channel incision in the twentieth century. To restore the Biała, establishing an erodible corridor was proposed in two river sections located in its mountain and foothill course. In these sections, longer, unmanaged channel reaches alternate with short, channelized reaches; and channel narrowing and incision increases in the downstream direction. In June 2010 an 80-year flood occurred on the river; and this study aims at determining its effects on physical habitat conditions for river biota, channel morphology, and valley-floor infrastructure. Surveys of 10 pairs of closely located, unmanaged and channelized cross sections, performed in 2009 and in the late summer 2010, allowed us to assess the flood-induced changes to physical habitat conditions. A comparison of channel planforms determined before (2009) and after (2012) the flood provided information on the degree of channel widening as well as changes in the width of particular elements of the river's active zone in eight stretches of the Biała. The impact of the flood on valley-floor infrastructure was confronted with the degree of river widening in unmanaged and channelized river reaches. Before the flood, unmanaged cross sections were typified by finer bed material and greater lateral variability in depth-averaged and near-bed flow velocity than channelized cross sections. The flood tended to equalize habitat conditions in both types of river cross sections, obliterating differences (in particular physical habitat parameters) between channelized and unmanaged channel reaches. River widening mostly reflected an increase in the area of channel bars, whereas the widening of low-flow channels was less pronounced. A comparison of channel planform from 2009 and 2012 indicated that intense channel incision typical of downstream sections limited river widening by the flood. Active channel width increased by half in the unmanaged


    Lin, Junshan; Li, Dumiao; Zhang, Jianxing; Wu, Qiang; Xu, Yali; Lin, Li


    To investigate effectiveness of advanced skin flap and V-shaped ventral incision along the root of penile shaft for concealed penis in children. Between July 2007 and January 2015, 121 boys with concealed penis were treated with advanced skin flap and V-shaped ventral incision along the root of penile shaft. The age varied from 18 months to 13 years (mean, 7.2 years). Repair was based on a vertical incision in median raphe, complete degloving of penis and tacking its base to the dermis of the skin. Advanced skin flap and a V-shaped ventral incision along the root of penile shaft were used to cover the penile shaft. The operation time ranged from 60 to 100 minutes (mean, 75 minutes). Disruption of wound occurred in 1 case, and was cured after dressing change; and primary healing of incision was obtained in the others. The follow-up period ranged from 3 months to 7 years (median, 24 months). All patients achieved good to excellent cosmetic results with a low incidence of complications. The results were satisfactory in exposure of penis and prepuce appearance. No obvious scar was observed. The penis had similar appearance to that after prepuce circumcision. A combination of advanced skin flap and V-shaped ventral incision along the root of penile shaft is a simple, safe, and effective procedure for concealed penis with a similar appearance result to the prepuce circumcision.

  10. A step-by-step oncoplastic breast conservation surgical atlas of reproducible dissection techniques and anatomically ideal incision placement. (United States)

    Mitchell, Sunny D


    To develop an atlas for oncoplastic surgery (OPS) with template dissection techniques via anatomically ideal incisions for breast conservation surgery. The evolution of breast conservation techniques has evolved from placing an incision directly over the lesion to the incorporation of a thoughtful decision making process utilizing oncoplastic surgical (OPS) techniques to combining OPS with incision placement in anatomically advantageous sites. The high survival rates of breast cancer and effect of breast surgery on quality of life reinforce emphasis of optimal oncologic as well as aesthetic outcome. OPS results in greater patient satisfaction, fewer surgeries, and is oncologically safe. Today's breast surgeon is tasked with optimizing both oncologic and aesthetic outcomes. Presentation of reproducible dissection techniques and incision placement strategies to afford surgeons a step-by-step approach of OPS via anatomically ideal incisions in breast conservation surgery. Demonstration of reproducible techniques to facilitate the decision making process of optimal breast conservation surgery, eliminate knowledge gaps for surgeons, optimize outcome for individuals undergoing breast conservation surgery, and decrease disparity of care. Adoption of OPS techniques utilizing an anatomically ideal incision in breast conservation surgery is a feasible and reproducible practice for breast surgeons. Application of these techniques results in maintained optimal shape, size, and contour without the typical overlying skin envelope scars. OPS techniques performed under the skin envelope result in expected OPS oncologic and aesthetic outcomes with the addition of the resulting scar(s) in anatomically discrete position(s).

  11. Seismic response of the geologic structure underlying the Roman Colosseum and a 2-D resonance of a sediment valley


    Mozco, P.; Rovelli, A.; Labak, P.; Malagnini, L.


    The seismic response of the geologic structure beneath the Colosseum is investigated using a two-dimensional modeling for a vertically incident plane SH wave. Computations indicate that the southern part of the Colosseum may be exposed to a seismic ground motion with significantly larger amplitudes, differential motion and longer duration than the northern part. because the southern part of the Colosseum is underlain by a sedimentfilled valley created by sedimentary filling of the former trib...

  12. Repeated catastrophic valley infill following medieval earthquakes in the Nepal Himalaya. (United States)

    Schwanghart, Wolfgang; Bernhardt, Anne; Stolle, Amelie; Hoelzmann, Philipp; Adhikari, Basanta R; Andermann, Christoff; Tofelde, Stefanie; Merchel, Silke; Rugel, Georg; Fort, Monique; Korup, Oliver


    Geomorphic footprints of past large Himalayan earthquakes are elusive, although they are urgently needed for gauging and predicting recovery times of seismically perturbed mountain landscapes. We present evidence of catastrophic valley infill following at least three medieval earthquakes in the Nepal Himalaya. Radiocarbon dates from peat beds, plant macrofossils, and humic silts in fine-grained tributary sediments near Pokhara, Nepal's second-largest city, match the timing of nearby M > 8 earthquakes in ~1100, 1255, and 1344 C.E. The upstream dip of tributary valley fills and x-ray fluorescence spectrometry of their provenance rule out local sources. Instead, geomorphic and sedimentary evidence is consistent with catastrophic fluvial aggradation and debris flows that had plugged several tributaries with tens of meters of calcareous sediment from a Higher Himalayan source >60 kilometers away. Copyright © 2016, American Association for the Advancement of Science.

  13. Repeated catastrophic valley infill following medieval earthquakes in the Nepal Himalaya (United States)

    Schwanghart, Wolfgang; Bernhardt, Anne; Stolle, Amelie; Hoelzmann, Philipp; Adhikari, Basanta R.; Andermann, Christoff; Tofelde, Stefanie; Merchel, Silke; Rugel, Georg; Fort, Monique; Korup, Oliver


    Geomorphic footprints of past large Himalayan earthquakes are elusive, although they are urgently needed for gauging and predicting recovery times of seismically perturbed mountain landscapes. We present evidence of catastrophic valley infill following at least three medieval earthquakes in the Nepal Himalaya. Radiocarbon dates from peat beds, plant macrofossils, and humic silts in fine-grained tributary sediments near Pokhara, Nepal’s second-largest city, match the timing of nearby M > 8 earthquakes in ~1100, 1255, and 1344 C.E. The upstream dip of tributary valley fills and x-ray fluorescence spectrometry of their provenance rule out local sources. Instead, geomorphic and sedimentary evidence is consistent with catastrophic fluvial aggradation and debris flows that had plugged several tributaries with tens of meters of calcareous sediment from a Higher Himalayan source >60 kilometers away.

  14. Physical subdivision and description of the water-bearing sediments of the Santa Clara Valley, California (United States)

    Wentworth, Carl M.; Jachens, Robert C.; Williams, Robert A.; Tinsley, John C.; Hanson, Randall T.


    A thick Quaternary alluvial section fills a sedimentary basin beneath the Santa Clara Valley, California, located within the San Andreas Fault system at the south end of San Francisco Bay. This section consists of an upper sequence about 1,000 feet thick containing eight sedimentary cycles and a lower fine-grained unit as thick as several hundred feet. Together these constitute the Quaternary Santa Clara Basin. The section overlies an irregular unconformity with more than 1,200 feet of relief cut into the underlying bedrock. This stratigraphy is determined through study of new wells and seismic reflection profiles, together with a sample of the many thousands of water wells in the valley. It represents a major change and improvement in understanding of the basin, particularly with regard to the upper cyclic sequence, which forms a large groundwater system that is an important resource in the San Francisco Bay region.

  15. The structure of filled skutterudites and the local vibration behavior of the filling atom

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Xiaojuan [Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Dongguan Institute of Neutron Science, Dongguan 523808 (China); University of Chinese Academy of Sciences, Beijing 100049 (China); Zong, Peng-an [State Key Laboratory of New Ceramics and Fine Processing, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai 200050 (China); Chen, Xihong [Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai 200050 (China); Tao, Juzhou, E-mail: [Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Dongguan Institute of Neutron Science, Dongguan 523808 (China); Lin, He, E-mail: [Shanghai Institute of Applied Physics, Chinese Academy of Science, Shanghai 201204 (China)


    Both of atomic pair distribution function (PDF) and extended x-ray absorption fine structure (EXAFS) experiments have been carried out on unfilled and Yb-filled skutterudites Yb{sub x}Co{sub 4}Sb{sub 12} (x=0, 0.15, 0.2 and 0.25) samples. The structure refinements on PDF data confirm the large amplitude vibration of Yb atom and the dependence of Yb vibration amplitude on the filling content. Temperature dependent EXAFS experiment on filled skutterudites have been carried out at Yb L{sub Ⅲ}-edge in order to explore the local vibration behavior of filled atom. EXAFS experiments show that the Einstein temperature of the filled atom is very low (70.9 K) which agrees with the rattling behavior.

  16. Electroviscous effects in capillary filling of nanochannels

    DEFF Research Database (Denmark)

    Mortensen, Asger; Kristensen, Anders


    We theoretically examine the widespread hypothesis of an electroviscous origin of the increase in apparent viscosity observed in recent experiments on capillary filling of nanochannels. Including Debye-layer corrections to the hydraulic resistance, we find that the apparent viscosity reaches...

  17. Biomineral nanoparticles are space-filling (United States)

    Yang, Li; Killian, Christopher E.; Kunz, Martin; Tamura, Nobumichi; Gilbert, P. U. P. A.


    Sea urchin biominerals have been shown to form from aggregating nanoparticles of amorphous calcium carbonate (ACC), which then crystallize into macroscopic single crystals of calcite. Here we measure the surface areas of these biominerals and find them to be comparable to those of space-filling macroscopic geologic calcite crystals. These biominerals differ from synthetic mesocrystals, which are invariably porous. We propose that space-filling ACC is the structural precursor for echinoderm biominerals.Sea urchin biominerals have been shown to form from aggregating nanoparticles of amorphous calcium carbonate (ACC), which then crystallize into macroscopic single crystals of calcite. Here we measure the surface areas of these biominerals and find them to be comparable to those of space-filling macroscopic geologic calcite crystals. These biominerals differ from synthetic mesocrystals, which are invariably porous. We propose that space-filling ACC is the structural precursor for echinoderm biominerals. This article was submitted as part of a Themed Issue on Crystallization and Formation Mechanisms of Nanostructures. Other papers on this topic can be found in issue 11 of vol. 2 (2010). This issue can be found from the Nanoscale homepage [

  18. Safety distances for hydrogen filling stations

    NARCIS (Netherlands)

    Matthijsen, A J C M; Kooi, E S


    In the context of spatial planning the Dutch Ministry of Housing, Spatial Planning and the Environment asked the Centre for External Safety of the National Institute for Public Health and the Environment (RIVM) to advice on safe distances pertaining to hydrogen filling stations. The RIVM made use of

  19. Stock keeping unit fill rate specification

    NARCIS (Netherlands)

    Teunter, R. H.; Syntetos, A. A.; Babai, M. Z.


    The fill rate is the most widely applied service level measure in industry and yet there is minimal advice available on how it should be differentiated on an individual Stock Keeping Unit (SKU) basis given that there is an overall system target service level. The typical approach utilized in

  20. Stability of fruit bases and chocolate fillings

    Directory of Open Access Journals (Sweden)

    Joice Natali Miquelim


    Full Text Available Syrups with high sugar content and dehydrated fruits in its composition can be added to chocolate fillings to reduce the need of artificial flavor and dyes attributing a natural appeal to the product. Fruit bases were produced with lyophilized strawberry, passion fruit, and sliced orange peel. Rheological dynamic oscillatory tests were applied to determine the products stability and tendency of shelf life. Values of G´ G´´ were found for orange flavor during the 90 days of storage. It was observed that shear stress values did not vary significantly suggesting product stability during the studied period. For all fillings, it was found a behavior similar to the fruit base indicating that it has great influence on the filling behavior and its stability. The use of a sugar matrix in fillings provided good shelf life for the fruit base, which could be kept under room temperature conditions for a period as long as one year. The good stability and storage conditions allow the use of fruit base for handmade products as well as for industrialized products.

  1. Banach spaces that realize minimal fillings

    Energy Technology Data Exchange (ETDEWEB)

    Bednov, B. B.; Borodin, P. A., E-mail:, E-mail: [Faculty of Mechanics and Mathematics, Moscow State University (Russian Federation)


    It is proved that a real Banach space realizes minimal fillings for all its finite subsets (a shortest network spanning a fixed finite subset always exists and has the minimum possible length) if and only if it is a predual of L{sub 1}. The spaces L{sub 1} are characterized in terms of Steiner points (medians). Bibliography: 25 titles. (paper)

  2. Form Filling with Self-Compacting Concrete

    DEFF Research Database (Denmark)

    Thrane, Lars Nyholm


    This paper describes a newly started Ph.D. project with the aim of simulating the form filling ability of Self-Compacting Concrete (SCC) taking into account the form geometry, reinforcement configuration, casting technique, and the rheological properties of the concrete. Comparative studies...

  3. Creep of granulated loose-fill insulation

    DEFF Research Database (Denmark)

    Rasmussen, Torben Valdbjørn

    with SP-Building Physics in Sweden and VTT Building Technology in Finland. For the round robin test a cellulosic fibre insulation material was used. The proposed standardised method for creep tests and theories are limited to cases when the granulated loose-fill material is exposed to a constant......, Organisation for Testing in Scandinavia funded the Nordtest....

  4. Dielectric properties of nanosilica filled epoxy nanocomposites

    Indian Academy of Sciences (India)

    M G Veena

    This paper presents the development of epoxy-silica nanocomposites and characterized for dielectric properties. The effect of ... However, at higher silica loading TEM showed inter-contactity of the particles. The dielectric constant (e. 0. ) ..... of the mechanical and permeability properties of nano- and micron-TiO2 filled epoxy ...

  5. Reconstructing the formation and in-filling of Lake Manuherikia, Otago: Linking geodynamics and surface processes (United States)

    Upton, P.; Duclaux, G.; Craw, D.; Salles, T. B.; Walcott, R.


    The Miocene geography of Central Otago, New Zealand was dominated by a long-lived region of subsidence culminating in an orogen-scale large lake complex that existed for at least 10 Ma. Subsidence was terminated by uplift of orogen-perpendicular ranges with orogen-parallel subsidiary ranges infilling of the lake and coincident major drainage reorientation. We used a combination of a 3D numerical model with geophysical and geological observations to show that the subsidence is a predictable consequence of the lithospheric structure and tectonic history of the region. A weak lower crust beneath Otago, bounded along strike by two stronger regions, subjected to dextral strike-slip tectonics produces characteristic topography including uplift to the north and subsidence to the south. Second-order features such as pre-existing faults influenced local topography and regional drainage reorientation. We then model the Pliocene in-filling of Lake Manuherikia using a surface dynamics code in which we constrain uplift rates, precipitation, underlying structure (pre-existing faults) and track Plio-Pleistocene sediments. As the Central Otago ranges shed coarse sediment into the lake eventually drowning it, the dominant river system shifted from draining southwest to draining to the east. Fault zones, cored by weak gouge zones, facilitated erosion through the uplifting ranges and allowed the Clutha River to incise a path from the Main Divide to the south-eastern Otago coast. To unravel the complex topographic evolution of the region since the early Miocene, it is essential to constrain our surface process models with information about the underlying lithosphere. In this situation, the rheology of the lower crust is important for the first order topographic development while the pre-existing structure controls second order features such as river incision and local topography.

  6. 76 FR 22746 - Conecuh Valley Railway, LLC-Acquisition and Operation Exemption-Conecuh Valley Railroad Co., Inc. (United States)


    ... Surface Transportation Board Conecuh Valley Railway, LLC--Acquisition and Operation Exemption--Conecuh Valley Railroad Co., Inc. Conecuh Valley Railway, LLC (CVR), a noncarrier, has filed a verified notice of exemption under 49 CFR 1150.31 to acquire from Conecuh Valley Railroad Co., Inc. (COEH), and to operate...

  7. Valley-filtered edge states and quantum valley Hall effect in gated bilayer graphene. (United States)

    Zhang, Xu-Long; Xu, Lei; Zhang, Jun


    Electron edge states in gated bilayer graphene in the quantum valley Hall (QVH) effect regime can carry both charge and valley currents. We show that an interlayer potential splits the zero-energy level and opens a bulk gap, yielding counter-propagating edge modes with different valleys. A rich variety of valley current states can be obtained by tuning the applied boundary potential and lead to the QVH effect, as well as to the unbalanced QVH effect. A method to individually manipulate the edge states by the boundary potentials is proposed.

  8. Minimal geometry for valley filtering in graphene (United States)

    Asmar, Mahmoud M.; Ulloa, Sergio E.


    The possibility to effect valley splitting of an electronic current in graphene represents the essential component in the new field of valleytronics in such two-dimensional materials. Based on a symmetry analysis of the scattering matrix, we show that if the spatial distribution of multiple potential scatterers breaks mirror symmetry about the axis of incoming electrons, then a splitting of the current between two valleys is observed. This leads to the appearance of the valley Hall effect. We illustrate the effect of mirror-symmetry breaking in a minimal system of two symmetric impurities, demonstrating the splitting between valleys via the differential cross sections and nonvanishing skew parameter. We further discuss the role that these effects may play in transport experiments.

  9. VALMET-A valley air pollution model

    Energy Technology Data Exchange (ETDEWEB)

    Whiteman, C.D.; Allwine, K.J.


    Following a thorough analysis of meteorological data obtained from deep valleys of western Colorado, a modular air-pollution model has been developed to simulate the transport and diffusion of pollutants released from an elevated point source in a well-defined mountain valley during the nighttime and morning transition periods. This initial version of the model, named VALMET, operates on a valley cross section at an arbitrary distance down-valley from a continuous point source. The model has been constructed to include parameterizations of the major physical processes that act to disperse pollution during these time periods. The model has not been fully evaluated. Further testing, evaluations, and development of the model are needed. Priorities for further development and testing are provided.

  10. Meie ingel Silicon Valleys / Raigo Neudorf

    Index Scriptorium Estoniae

    Neudorf, Raigo


    Ettevõtluse Arendamise Sihtasutuse esinduse töölepanekust USAs Silicon Valleys räägib esinduse juht Andrus Viirg. Vt. ka: Eestlasi leidub San Franciscos omajagu; Muljetavaldav karjäär; USAga ammune tuttav

  11. Meie mees Silicon Valleys / Kertu Ruus

    Index Scriptorium Estoniae

    Ruus, Kertu, 1977-


    Ilmunud ka: Delovõje Vedomosti 5. dets. lk. 4. Peaminister Andrus Ansip avas Eesti Ettevõtluse Sihtasutuse esinduse Silicon Valley pealinnas San Joses. Vt. samas: Ränioru kliima on tehnoloogiasõbralik; Andrus Viirg

  12. Silicon Valley Smart Corridor : draft evaluation strategy (United States)


    This document outlines the strategy for evaluating the integrated freeway, arterial, and incident management system known as the Silicon Valley Smart Corridor (SVSC). Centered in San Jose, California, the SVSC is one of approximately 65 deployments o...

  13. Burrowing Owl - Palo Verde Valley [ds197 (United States)

    California Department of Resources — These burrowing owl observations were collected during the spring and early summer of 1976 in the Palo Verde Valley, eastern Riverside County, California. This is an...

  14. Hydrothermal system of Long Valley caldera, California

    Energy Technology Data Exchange (ETDEWEB)

    Sorey, M.L.; Lewis, R.E.; Olmsted, F.H.


    The geologic and hydrologic setting of the hydrothermal system are described. The geochemical and thermal characteristics of the system are presented. A mathematical model of the Long Valley caldera is analyzed. (MHR)

  15. Sedimentary Filling of the Submarine Canyon "Swatch of No Ground", Bengal Shelf (United States)

    Palamenghi, L.; Schwenk, T.; Kudrass, H. R.; Spiess, V.


    The submarine canyon "Swatch of No Ground" (SoNG), deeply incised into the Bengal Shelf, plays an important role in the source to sink system Himalaya-Bengal Fan by connecting the Ganges and Brahmaputra rivers, which drain the Himalayas, with the largest submarine fan on Earth. It is believed that around one third of the delivered sediments of at least 1 billion ton per year are transported through this canyon to the deep sea fan. In general the SoNG acts as a temporary trap and releases the sediments episodically by turbidity currents to the fan. Transportation of the sediments to the head of the canyon under quite weather conditions is done by tidal currents during high discharge periods. More effective, passages of cyclones remobilize shelf sediments and transport them to the canyon, and trigger also failures in the canyon flanks with consequent mass wasting downward. Finally all processes lead to high sedimentation rates of 50 cm per year in the head of the canyon. To understand the filling architecture and depositional processes, high-resolution multichannel seismic data were collected in summer 2006 in the upper canyon with the German research vessel "Sonne". Additionally, multibeam and sediment echosounder data were gathered, together with gravity cores. Hydroacoustic data and cores were also already collected on cruises in 1994 and 1997 and consequently, some lines and stations were revisited to study the deposition within the last years. The seismic data, shot on a dense grid of lines along and across the axis including flanks and shoulders, reveal a thick (1.5 sec TWT) sedimentary fill. Well stratified layer alternate with transparent to chaotic units intercalated by filled channels. Two main unconformities could be identified in the seismic data. Faulting is also found in the study area, probably caused by sediment compaction. The data set should be used to develop an IODP proposal to drill into this unique high resolution archive.

  16. Root canal filling using Resilon: a review.

    LENUS (Irish Health Repository)

    Shanahan, D J


    Root canal treatment is achieved by chemo-mechanical debridement of the root canal system followed by filling. The filling material \\'entombs\\' residual bacteria and acts as a barrier which prevents the entrance of oral microorganisms and reinfection of the root canal system through microleakage. However, filling with contemporary root filling materials such as gutta-percha offers limited long-term resistance to microorganisms; as a result other materials such as Resilon have been investigated as alternatives. The aim of this review was to analyse the literature to consider whether Resilon is a suitable root canal filling material. A MEDLINE and Cochrane library search including various keyword searches identified several papers which investigated or discussed Resilon or RealSeal\\/Epiphany. Analysis of the literature demonstrated that the bulk of the literature is in vitro in nature, based largely on leakage-type studies, and demonstrates a wide variety of methodologies with conflicting findings; as a result meaningful conclusions are difficult. Within the limit of these in vitro studies Resilon appears to perform adequately in comparison to gutta-percha, however, as a result of the questionable merit of such studies, it cannot presently be considered an evidence-based alternative to the current gold standard gutta-percha. It is imperative that before Resilon is considered as a replacement material, a better understanding of the physical properties of the resin sealer and the reality of the adhesive \\'monoblock\\' are elucidated. The literature also demonstrates a paucity of quality long-term clinical outcome studies which will need to be addressed before firm conclusions can be reached.

  17. Distal biceps brachii tendon repairs: a single-incision technique using a cortical button with interference screw versus a double-incision technique using suture fixation through bone tunnels. (United States)

    Shields, Edward; Olsen, Joshua R; Williams, Richard B; Rouse, Lucien; Maloney, Michael; Voloshin, Ilya


    Distal biceps brachii tendon repairs performed with a tension