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Sample records for intraosseous access route

  1. Complication with Intraosseous Access: Scandinavian Users' Experience

    Directory of Open Access Journals (Sweden)

    Peter Hallas

    2013-09-01

    Full Text Available Introduction: Intraosseous access (IO is indicated if vascular access cannot be quickly established during resuscitation. Complication rates are estimated to be low, based on small patient series, model or cadaver studies, and case reports. However, user experience with IO use in real-life emergency situations might differ from the results in the controlled environment of model studies and small patient series. We performed a survey of IO use in real-life emergency situations to assess users’ experiences of complications.Methods: An online questionnaire was sent to Scandinavian emergency physicians, anesthesiologists and pediatricians.Results: 1,802 clinical cases of IO use was reported by n=386 responders. Commonly reported complications with establishing IO access were patient discomfort/pain (7.1%, difficulties with penetration of periosteum with IO needle (10.3%, difficulties with aspiration of bone marrow (12.3%, and bended/broken needle (4.0%. When using an established IO access the reported complications were difficulties with injection fluid and drugs after IO insertion (7.4%, slow infusion (despite use of pressure bag (8.8%, displacement after insertion (8.5%, and extravasation (3.7%. Compartment syndrome and osteomyelitis occurred in 0.6% and 0.4% of cases respectively.Conclusion: In users’ recollection of real-life IO use, perceived complications were more frequent than usually reported from model studies. The perceived difficulties with using IO could affect the willingness of medical staff to use IO. Therefore, user experience should be addressed both in education of how to use, and research and development of IOs. [West J Emerg Med. 2013;14(5:440–443.

  2. Reasons for not using intraosseous access in critical illness

    DEFF Research Database (Denmark)

    Hallas, Peter; Brabrand, Mikkel; Folkestad, Lars

    2010-01-01

    Aim To identify reasons for not using intraosseous access (IO) when intravenous access is difficult during resuscitation. Methods Questionnaire made available to members of selected Scandinavian medical societies. Results Of 759 responders to the questionnaire, 23.5% (n=178) had experienced one...... lack of equipment and lack of training. The authors recommend increased training in IO use and greater availability of IO equipment for front-line staff in Scandinavian countries. The use of non-purpose-designed needles for IO should be evaluated....

  3. Intraosseous vascular access in disasters and mass casualty events: A review of the literature.

    Science.gov (United States)

    Burgert, James M

    2016-01-01

    The intraosseous (IO) route of vascular access has been increasingly used to administer resuscitative fluids and drugs to patients in whom reliable intravenous (IV) access could not be rapidly or easily obtained. It is unknown that to what extent the IO route has been used to gain vascular access during disasters and mass casualty events. The purpose of this review was to examine the existing literature to answer the research question, "What is the utility of the IO route compared to other routes for establishing vascular access in patients resulting from disasters and mass casualty events?" Keyword-based online database search of PubMed, CINAHL, and the Cochrane Database of Systematic Reviews. University-based academic research cell. Included evidence were randomized and nonrandomized trials, systematic reviews with and without meta-analysis, case series, and case reports. Excluded evidence included narrative reviews and expert opinion. Not applicable. Of 297 evidence sources located, 22 met inclusion criteria. Located evidence was organized into four categories including chemical agent poisoning, IO placement, while wearing chemical protective clothing (PPE), military trauma, and infectious disease outbreak. Evidence indicates that the IO route of infusion is pharmacokinetically equal to the IV route and superior to the intramuscular (IM) and endotracheal routes for the administration of antidotal drugs in animal models of chemical agent poisoning while wearing full chemical PPE. The IO route is superior to the IM route for antidote administration during hypovolemic shock. Civilian casualties of explosive attacks and mass shootings would likely benefit from expanded use of the IO route and military resuscitation strategies. The IO route is useful for fluid resuscitation in the management of diarrheal and hemorrhagic infectious disease outbreaks.

  4. Intraosseous access EZ-IO in a prehospital emergency service.

    Science.gov (United States)

    Torres, Francisco; Galán, Maria Dolores; Alonso, Maria del Mar; Suárez, Rosa; Camacho, Carmen; Almagro, Veronica

    2013-09-01

    Several scientific and professional associations have made reports and recommendations to regulate the use of intraosseous (IO) access as an alternative to conventional intravenous access (IA) in emergency situations when IA cannot be obtained. It has been well documented that IO access is safe and effective for fluid resuscitation, drug delivery, and blood collection. IO access is attainable in all age groups. The objective of this prospective study was to test the use of a semi-automatic IO infusion system (EZ-IO) as an alternative to vascular access in critical patients treated in a prehospital emergency setting. This prospective, cross-sectional study included patients who required immediate peripheral vascular access. This study was performed by reviewing clinical records and through a questionnaire (created by and for nurses who perform the insertion with the EZ-IO). During the study period we identified 107 patients who underwent EZ-IO insertion (114 insertions were performed). Patients were predominantly male (66%) and middle aged (mean age 56 years; range 3-94). Overall, insertion was performed via the proximal tibia (49.4%) distal tibia (25.2%), radius (14.9%), and humerus (10.5%). During the study period, 14 insertions were performed in 2007, 44 in 2008, and 56 in 2009. A majority of patients (50.9%) had medical cardiac arrest, (25.4%) were injured trauma patients, and 12.3% had traumatic cardiac arrest. All patients were transported to a hospital with 2 sites of peripheral vascular access. The first site of access in these patients was IO (100% of cases) and the second site (in 79% of cases) was peripheral intravenous access. All EZ-IO insertions were achieved within 30 seconds and were successful upon the first attempt. The use of the EZ-IO provides a quick (100% performed within 30 seconds), easy, and reliable alternative to conventional venous access in critically ill patients. Traditional peripheral venous access requires a minimal preparation that

  5. How many training modalities are needed to obtain procedural confidence in intraosseous access?

    DEFF Research Database (Denmark)

    Hallas, Peter; Folkestad, Lars; Brabrand, Mikkel

    2011-01-01

    Participants in advanced resuscitation courses are often expected to learn to perform intraosseous access (IO). But how many learning modalities are needed to achieve procedural confidence in IO? We distributed an online questionnaire to members of emergency medicine, paediatric and anaesthesiolo...

  6. Overview: Routes to Open Access

    OpenAIRE

    Tullney, Marco; van Wezenbeek, Wilma

    2017-01-01

    Slides of an overview presentation given at a CESAER workshop on Open Access, February 2nd, 2017, in Brussels Cover major routes to more open access as discussed in the Task Force Open Science of CESAER: (national) open access strategies open access mandates open access incentives open access awareness open access publishing open access infrastructure

  7. Intraosseous vascular access in adults using the EZ-IO in an emergency department.

    Science.gov (United States)

    Ngo, Adeline Su-Yin; Oh, Jen Jen; Chen, Yuming; Yong, David; Ong, Marcus Eng Hock

    2009-08-11

    Intraosseous (IO) access is an alternative to conventional intravenous access. We evaluate the use of the EZ-IO as an alternative vascular access for patients in the emergency department. A non-randomized, prospective, observational study was performed in adults using the EZ-IO powered drill device. Twenty-four patients were recruited. There were 35 intraosseous insertions, including 24 tibial and 11 humeral insertions. All EZ-IO insertions were achieved within 20 s and were successful at the first attempt except for one. Of the intraosseous insertions, 88.6% were reported to be easier than intravenous cannulation. We found flow rates to be significantly faster using a pressure bag. The seniority of operators did not affect the success of insertion. Complications included a glove being caught in the drill device and extravasation of fluid although they were easily preventable. The use of the EZ-IO provides a fast, easy and reliable alternative mode of venous access, especially in the resuscitation of patients with no venous vascular access in the emergency department. Flow rates may be improved by the use of pressure bags.

  8. Intraosseous vascular access defect: fracture mimic in the skeletal survey for child abuse

    Energy Technology Data Exchange (ETDEWEB)

    Harty, Mary P.; Kao, Simon C. [Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA (United States)

    2002-03-01

    Two infants were transferred to the emergency department for injuries suggestive of child abuse. Skeletal surveys showed cortical bone defects in the proximal tibiae that were initially interpreted as healing fractures. Further investigation, however, revealed that intraosseous (IO) vascular access needles had been placed at these sites in both infants. In the appropriate clinical setting, a cortical lesion in the proximal tibia corresponding to the site of IO needle insertion should not be mistaken for a radiographic sign of child abuse. (orig.)

  9. Intraosseous vascular access defect: fracture mimic in the skeletal survey for child abuse

    International Nuclear Information System (INIS)

    Harty, Mary P.; Kao, Simon C.

    2002-01-01

    Two infants were transferred to the emergency department for injuries suggestive of child abuse. Skeletal surveys showed cortical bone defects in the proximal tibiae that were initially interpreted as healing fractures. Further investigation, however, revealed that intraosseous (IO) vascular access needles had been placed at these sites in both infants. In the appropriate clinical setting, a cortical lesion in the proximal tibia corresponding to the site of IO needle insertion should not be mistaken for a radiographic sign of child abuse. (orig.)

  10. Rapid and complete bioavailability of antidotes for organophosphorus nerve agent and cyanide poisoning in minipigs after intraosseous administration.

    Science.gov (United States)

    Murray, Douglas B; Eddleston, Michael; Thomas, Simon; Jefferson, Robert D; Thompson, Adrian; Dunn, Mick; Vidler, Daniel S; Clutton, R Eddie; Blain, Peter G

    2012-10-01

    Management of chemical weapon casualties includes the timely administration of antidotes without contamination of rescuers. Personal protective equipment makes intravenous access difficult but does not prevent intraosseous drug administration. We therefore measured the systemic bioavailability of antidotes for organophosphorus nerve agent and cyanide poisoning when administered by the intraosseous, intravenous, and intramuscular routes in a small study of Göttingen minipigs. Animals were randomly allocated to sequentially receive atropine (0.12 mg/kg by rapid injection), pralidoxime (25 mg/kg by injection during 2 minutes), and hydroxocobalamin (75 mg/kg during 10 minutes) by the intravenous or intraosseous route, or atropine and pralidoxime by the intramuscular route. Plasma concentrations were measured for 6 hours to characterize the antidote concentration-time profiles for each route. Maximum plasma concentrations of atropine and pralidoxime occurred within 2 minutes when administered by the intraosseous route compared with 8 minutes by the intramuscular route. Maximum plasma hydroxocobalamin concentration occurred at the end of the infusion when administered by the intraosseous route. The mean area under the concentration-time curve by the intraosseous route was similar to the intravenous route for all 3 drugs and similar to the intramuscular route for atropine and pralidoxime. This study showed rapid and substantial antidote bioavailability after intraosseous administration that appeared similar to that of the intravenous route. The intraosseous route of antidote administration should be considered when intravenous access is difficult. Copyright © 2012. Published by Mosby, Inc.

  11. Intraosseous Administration of Antidotes in the Chemical Weapons Victim - An Alternative to the Intravenous Route

    International Nuclear Information System (INIS)

    Borron, S. W.; Arias, J. C.

    2007-01-01

    Hazardous materials paradigms call for definitive treatment of chemical victims to begin in the 'warm zone' during decontamination. This delay may result in lethal outcomes, particularly in the case of multiple victims, where rescue may be delayed due to insufficient numbers of rescue teams. It is virtually impossible for rescuers in full protective gear to establish intravenous lines. In recent years, significant advances have been made in intraosseous (IO) infusion devices. An IO device developed in our institution, the EZ-IO, is very easily placed by rescuers in typical work uniforms. IO placement takes longer while in protective gear, but is feasible. The IO is equivalent to an intravenous line, allowing more rapid administration of antidotes in the event of chemical mass casualties. Antidotes not amenable to intramuscular administration and even those often given IM may be more effective given IO. IO administration has the following possible advantages over intravenous or intramuscular antidote administration: 1. Drugs administered IO reach the vascular system virtually instantaneously. 2. IO administration may be performed in protective clothing and could theoretically be employed while awaiting rescue. 3. IO administration may be preferred over intravenous administration in the warm zone. In summary, IO administration of antidotes should be further evaluated for use in chemical disasters. The ease and speed of placement, ready access to the vascular tree, and potential for earlier intervention make it a potentially ideal means of vascular access and antidotal administration in the mass casualty situation. (author)

  12. Salvage intraosseous thrombolysis and extracorporeal membrane oxygenation for massive pulmonary embolism

    Directory of Open Access Journals (Sweden)

    Luke Cameron Northey

    2015-01-01

    Full Text Available Intraosseous access is an alternative route of pharmacotherapy during cardiopulmonary resuscitation. Extracorporeal membrane oxygenation (ECMO provides cardiac and respiratory support when conventional therapies fail. This case reports the use of intraosseous thrombolysis and ECMO in a patient with acute massive pulmonary embolism (PE. A 34-year-old female presented to the emergency department with sudden onset severe shortness of breath. Due to difficulty establishing intravenous access, an intraosseous needle was inserted into the left tibia. Echocardiography identified severe right ventricular dilatation with global systolic impairment and failure, indicative of PE. Due to the patient′s hemodynamic compromise a recombinant tissue plasminogen activator (Alteplase bolus was administered through the intraosseous route. After transfer to the intensive care unit, venous-arterial ECMO was initiated as further therapy. The patient recovered and was discharged 36 days after admission. This is the first report of combination intraosseous thrombolysis and ECMO as salvage therapy for massive PE.

  13. Saving the critically injured trauma patient: a retrospective analysis of 1000 uses of intraosseous access.

    Science.gov (United States)

    Lewis, Philippa; Wright, Chris

    2015-06-01

    Intraosseous access (IO) is becoming increasingly accepted in adult populations as an alternative to peripheral vascular access; however, there is still insufficient evidence in large patient groups supporting its use. Retrospective review. This paper reports on the use of IO devices over a 7-year period from August 2006 to August 2013 during combat operations in Afghanistan. A database search of the Joint Theatre Trauma Registry (JTTR) was carried out looking for all the incidences of IO access use during this time. Excel (Microsoft) was used to manage the dataset and perform descriptive statistics on the patient demographics, injuries, treatments and complications that were retrieved. 1014 IO devices were used in 830 adult patients with no major complications. The rate of minor complications, the majority of which were device failure, was 1.38%. 5124 separate infusions of blood products or fluids occurred via IO access, with 36% being of packed red cells. On average, each casualty received 6.95 different infusions of blood products and fluids, and 3.28 separate infusions of drugs through IO access. 32 different drugs were infused to 367 patients via IO, the most frequent being anaesthetic agents. IO access was used in the prehospital environment, during tactical helicopter evacuation and within hospitals. IO access can be used to administer a wide variety of life-saving medications quickly, easily and with low-complication rates. This highlights its valuable role as an alternative method of obtaining vascular access, vital when resuscitating the critically injured trauma patient. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  14. An observational, prospective study comparing tibial and humeral intraosseous access using the EZ-IO.

    Science.gov (United States)

    Ong, Marcus Eng Hock; Chan, Yiong Huak; Oh, Jen Jen; Ngo, Adeline Su-Yin

    2009-01-01

    Intraosseous (IO) access is an alternative to conventional intravenous access. The proximal tibia and proximal humerus have been proposed as suitable sites for IO access. A nonrandomized, prospective, observational study comparing flow rates and insertion success with tibial and humeral IO access in adults using the EZ-IO-powered drill device was conducted. The tibia was the first site of insertion, and a second IO was inserted in the humerus if clinically indicated for the same patient. Twenty-four patients were recruited, with 24 tibial and 11 humeral insertions. All EZ-IO insertions were successful at the first attempt except for 1 tibial insertion that was successful on the second attempt. All insertions were achieved within 20 seconds. Mean ease of IO insertion score (1=easiest to 10=most difficult) was 1.1 for both sites. We found tibial flow rates to be significantly faster using a pressure bag (165 mL/min) compared with those achieved without a pressure bag (73 mL/min), with a difference of 92 mL/min (95% confidence interval [CI]: 52, 132). Similarly, humeral flow rates were significantly faster using a pressure bag (153 mL/min) compared with humeral those achieved without pressure bag (84 mL/min), with a difference of 69 mL/min (95% CI: 39, 99). Comparing matched pairs (same patient), there was no significant difference in flow rates between tibial and humeral sites, with or without pressure bag infusion. Both sites had high-insertion success rates. Flow rates were significantly faster with a pressure bag infusion than without. However, we did not find any significant difference in tibial or humeral flow rates.

  15. Intraosseous (IO) route

    African Journals Online (AJOL)

    MBY

    bone marrow aspiration needles were used in12.8% and 5.3% patients respectively and hypodermic needles were used in 5.13% patients. Fluid, blood, antibiotics, glucose, diazepam, and furosemide were given successfully with resultant effect. One child developed cellulites and osteomylitis following extravasations.

  16. Intraosseous (IO) route

    African Journals Online (AJOL)

    MBY

    evidence record of cellulite-s or osteomyelitis on subsequent follow up. Two patients though received the required calculated fluid died after 48 hours stay in the hospital. The possible cause of death was sepsis with clinical evidence of disseminated intravascular coagulopathy and established renal failure. Discussion.

  17. Intraosseous meningioma

    International Nuclear Information System (INIS)

    Daffner, R.H.; Yakulis, R.; Maroon, J.C.

    1998-01-01

    A 71-year-old woman with a long history of slowly progressive proptosis was found to have an intraosseous meningioma of the right sphenoid bone. Radiologically, the lesion resembled fibrous dysplasia. The key to the diagnosis is irregularity of the inner table of the skull. The histologic appearance is characteristic. Intraosseous meningioma is one part of the spectrum of diseases known as primary extraneuraxial meningioma. In this paper we discuss the theories of cellular origin as well as the radiologic differential diagnosis. (orig.)

  18. Paramedics successfully perform humeral EZ-IO intraosseous access in adult out-of-hospital cardiac arrest patients.

    Science.gov (United States)

    Wampler, David; Schwartz, Daniel; Shumaker, Joi; Bolleter, Scotty; Beckett, Robert; Manifold, Craig

    2012-09-01

    Studies on humeral placement of the EZ-IO (Vidacare, Shavano Park, TX, USA) have shown mixed results. We performed a study to determine the first-attempt success rate at humeral placement of the EZ-IO by paramedics among prehospital adult cardiac arrest patients. A retrospective cohort analysis of data prospectively collected over a 9-month period. Data are a subset extracted from a prehospital cardiac arrest study. The cohort consisted of adult cardiac arrest patients in whom the EZ-IO placement was attempted in the humerus by paramedics. Choice of vascular access was at the discretion of the paramedic; options included tibial or humeral EZ-IO and intravenous. Primary outcome is the percentage of successful placements (stable, flow, without extravasation) on first attempt. Secondary outcomes are overall successful placement, complications, and reason for failure. Data were collected during a post-cardiac arrest interview. Humeral intraosseous (IO) access was attempted in 61% (n = 247) of 405 cardiac arrests evaluated with mean age of 63 (±16) years, 58% male. First-attempt successful placement was 91%. Successful placement was 94%, considering the second attempts. In the unsuccessful attempts, 2% reported obesity as the cause, 1% reported stable placement without flow, and 2% reported undocumented causes for failure. There were also 2% reports of successful placement with subsequent dislodgement. The results of this study suggest a high degree of paramedic proficiency in establishment of IO access in the proximal humerus of the out-of-hospital cardiac arrest. Few complications suggest that proximal humeral IO access is a reliable method for vascular access in this patient population. Copyright © 2012 Elsevier Inc. All rights reserved.

  19. Comparison of routes for achieving parenteral access with a focus on the management of patients with Ebola virus disease

    Science.gov (United States)

    Ker, Katharine; Tansley, Gavin; Beecher, Deirdre; Perner, Anders; Shakur, Haleema; Harris, Tim; Roberts, Ian

    2015-01-01

    Background Dehydration is an important cause of death in patients with Ebola virus disease (EVD). Parenteral fluids are often required in patients with fluid requirements in excess of their oral intake. The peripheral intravenous route is the most commonly used method of parenteral access, but inserting and maintaining an intravenous line can be challenging in the context of EVD. Therefore it is important to consider the advantages and disadvantages of different routes for achieving parenteral access (e.g. intravenous, intraosseous, subcutaneous and intraperitoneal). Objectives To compare the reliability, ease of use and speed of insertion of different parenteral access methods. Search methods We ran the search on 17 November 2014. We searched the Cochrane Injuries Group's Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library), Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily, Ovid MEDLINE(R) and Ovid OLDMEDLINE(R), Embase Classic + Embase (OvidSP), CINAHL (EBSCOhost), clinicaltrials.gov and screened reference lists. Selection criteria Randomised controlled trials comparing different parenteral routes for the infusion of fluids or medication. Data collection and analysis Two review authors examined the titles and abstracts of records obtained by searching the electronic databases to determine eligibility. Two review authors extracted data from the included trials and assessed the risk of bias. Outcome measures of interest were success of insertion; time required for insertion; number of insertion attempts; number of dislodgements; time period with functional access; local site reactions; clinicians' perception of ease of administration; needlestick injury to healthcare workers; patients' discomfort; and mortality. For trials involving the administration of fluids we also collected data on the volume of fluid infused, changes in serum electrolytes and markers of renal function. We rated the

  20. Efficacy of the EZ-IO needle driver for out-of-hospital intraosseous access--a preliminary, observational, multicenter study.

    Science.gov (United States)

    Schalk, Richard; Schweigkofler, Uwe; Lotz, Gösta; Zacharowski, Kai; Latasch, Leo; Byhahn, Christian

    2011-10-26

    Intraosseous (IO) access represents a reliable alternative to intravenous vascular access and is explicitly recommended in the current guidelines of the European Resuscitation Council when intravenous access is difficult or impossible. We therefore aimed to study the efficacy of the intraosseous needle driver EZ-IO in the prehospital setting. During a 24-month period, all cases of prehospital IO access using the EZ-IO needle driver within three operational areas of emergency medical services were prospectively recorded by a standardized questionnaire that needed to be filled out by the rescuer immediately after the mission and sent to the primary investigator. We determined the rate of successful insertion of the IO needle, the time required, immediate procedure-related complications, the level of previous experience with IO access, and operator's subjective satisfaction with the device. 77 IO needle insertions were performed in 69 adults and five infants and children by emergency physicians (n = 72 applications) and paramedics (n = 5 applications). Needle placement was successful at the first attempt in all but 2 adults (one patient with unrecognized total knee arthroplasty, one case of needle obstruction after placement). The majority of users (92%) were relative novices with less than five previous IO needle placements. Of 22 responsive patients, 18 reported pain upon fluid administration via the needle. The rescuers' subjective rating regarding handling of the device and ease of needle insertion, as described by means of an analogue scale (0 = entirely unsatisfied, 10 = most satisfied), provided a median score of 10 (range 1-10). The EZ-IO needle driver was an efficient alternative to establish immediate out-of-hospital vascular access. However, significant pain upon intramedullary infusion was observed in the majority of responsive patients.

  1. Complication with intraosseous access

    DEFF Research Database (Denmark)

    Hallas, Peter; Brabrand, Mikkel; Folkestad, Lars

    2013-01-01

    .5%), and extravasation (3.7%). Compartment syndrome and osteomyelitis occurred in 0.6% and 0.4% of cases respectively. CONCLUSION: In users' recollection of real-life IO use, perceived complications were more frequent than usually reported from model studies. The perceived difficulties with using IO could affect...

  2. Access Routes of Internet Finance Dictionaries: Present Solutions ...

    African Journals Online (AJOL)

    ... dictionaries that can provide effective and efficient solutions to lexicographical problems. Keywords: Dictionary, Paper Dictionary, Internet Dictionary, Lsp Dictionary, Finance Dictionary, Financial Terms, Lexicography, Lexicographical Functions, Text Reception, User Needs, User Situation, Access Routes, Search Options, ...

  3. EZ-IO(®) intraosseous device implementation in a pre-hospital emergency service: A prospective study and review of the literature.

    Science.gov (United States)

    Santos, David; Carron, Pierre-Nicolas; Yersin, Bertrand; Pasquier, Mathieu

    2013-04-01

    Intraosseous access is increasingly recognised as an effective alternative vascular access to peripheral venous access. We aimed to prospectively study the patients receiving prehospital intraosseous access with the EZ-IO(®), and to compare our results with those of the available literature. Every patient who required an intraosseous access with the EZ-IO from January 1st, 2009 to December 31st, 2011 was included. The main data collected were: age, sex, indication for intraosseous access, localisation of insertion, success rate, drugs and fluids administered, and complications. All published studies concerning the EZ-IO device were systematically searched and reviewed for comparison. Fifty-eight patients representing 60 EZ-IO procedures were included. Mean age was 47 years (range 0.5-91), and the success rate was 90%. The main indications were cardiorespiratory arrest (74%), major trauma (12%), and shock (5%). The anterior tibia was the main route. The main drugs administered were adrenaline (epinephrine), atropine and amiodarone. No complications were reported. We identified 30 heterogeneous studies representing 1603 EZ-IO insertions. The patients' characteristics and success rate were similar to our study. Complications were reported in 13 cases (1.3%). The EZ-IO provides an effective way to achieve vascular access in the pre-hospital setting. Our results were similar to the cumulative results of all studies involving the use of the EZ-IO, and that can be used for comparison for further studies. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  4. Intraosseous Hydroxocobalamin in the Treatment of Acute, Severe Cyanide Induced Cardiotoxicity in a Swine (Sus Scrofa) Model - An Alternate Administration Route for Chemical Mass Casualties

    Science.gov (United States)

    2012-04-05

    Ut:IVI:I... I 11:111VI:> Hydroxocobalamin, hypotension, cyanide , poisoning , intraosseous, Vitamin B 12a, Vitamin B 12 I 1:). :>CI...U I111 T L.L~:>:>II...Il l Ll:. ~IIIU :>Utili I Ll: :>a. I...UIIIII1~1... I IIIVIVItll:l1 lntraosseous hydroxocobalamin in the treatment of acute, severe cyanide induced...between 2 groups of swine in acute cyanide toxicity and treated with IV HOC or 10 HOC. We also compared blood cyanide , lactate, pH, nitrotyrosine levels

  5. EZ-IO in the ED: an observational, prospective study comparing flow rates with proximal and distal tibia intraosseous access in adults.

    Science.gov (United States)

    Tan, Boon Kiat Kenneth; Chong, Stephanie; Koh, Zhi Xiong; Ong, Marcus Eng Hock

    2012-10-01

    Intraosseous (IO) access is an important alternative to conventional intravenous access when intravenous access is difficult. A nonrandomized, prospective, observational study comparing flow rates with distal and proximal tibia IO access in adults using the EZ-IO-powered drill device. The proximal tibia was the first site of insertion, and a second IO was inserted in the distal tibia if clinically indicated. Intravenous saline infusion was started for all patients, initially without, then with a pressure bag device applied. From September 19, 2008 to November 3, 2010, 22 patients were recruited, with 20 proximal tibial and 22 distal tibia insertions. Two patients had only distal tibia IO insertions. Five distal tibia and 3 proximal tibia insertions had no flow when initiating normal saline infusion without pressure. Upon comparing the mean flow rates without pressure bag, it is significantly faster in the proximal tibia, 4.96 mL/min, compared with distal tibia, 2.07 ml/min, difference of 2.89 ml/min (95% CI 1.20-4.58). Flow rates with pressure bags also revealed a similar result. Flow rates in the proximal tibia were significantly faster, 7.70 ml/min to that of distal tibia, 3.80 ml/min, difference of 3.89 ml/min (95% CI 1.68-6.10). In both proximal and distal tibia groups, the flow rates are also significantly faster with pressure bags compared with without. Flow rates are significantly faster in the proximal tibia compared with the distal tibia. In addition, flow rates with pressure bags are significantly faster than without pressure bags in both groups. Copyright © 2012 Elsevier Inc. All rights reserved.

  6. Atypical calcaneal intraosseous lipoma

    OpenAIRE

    Alkan, Ender

    2017-01-01

    IntroductionAlthoughthere is large amount of fatty tissue in bone marrow, intraosseous lipomaoccurs very rarely with %0.1-2.1 prevelance (1-2-3).  Calcaneus bone is reported to be the mostfrequent place of intraosseous lipomas by Milgram (4). In this manuscript, we present an unusual case of calcanealintraosseous lipoma with contrast enhancement in the fatty component.CaseA22 years old male patient who was suffering pain on right heel had noabnormality in laboratory results. Whereas on direct...

  7. Current use of intraosseous infusion in Danish emergency departments: a cross-sectional study

    DEFF Research Database (Denmark)

    Molin, Rune; Hallas, Peter; Brabrand, Mikkel

    2010-01-01

    Intraosseous infusion (IOI) is recommended when intravenous access cannot be readily established in both pediatric and adult resuscitation. We evaluated the current use of IOI in Danish emergency departments (EDs).......Intraosseous infusion (IOI) is recommended when intravenous access cannot be readily established in both pediatric and adult resuscitation. We evaluated the current use of IOI in Danish emergency departments (EDs)....

  8. Bilateral lunate intraosseous ganglia

    International Nuclear Information System (INIS)

    Pablos, J.M.; Valdes, J.C.; Gavilan, F.

    1998-01-01

    An intraosseous ganglion is a relatively uncommon, benign, cyst-like lesion that occurs in young and middle-aged adults. Most commonly seen adjacent to the hip, ankle, knee, or wrist, they are histologically identical to their soft tissue counterparts. A review of the literature revealed only two previously reported examples of bilateral symmetrical ganglia of the lunate bones. (orig.)

  9. Primary intraosseous meningiomas

    International Nuclear Information System (INIS)

    Arana, E.; Diaz, C.; Latorre, F.F.; Menor, F.; Revert, A.; Beltran, A.; Navarro, M.

    1996-01-01

    Purpose: A retrospective study was performed to evaluate the clinical, radiological and histological findings of 14 intraosseous meningiomas. Material and Methods: 14 histologically proved intraosseous meningiomas were studied with plain skull film and CT. Pathological records were reviewed. Results: We found 9 calvarial cases and 5 spheno-orbital ones. The most common symptom in the calvarial cases was a lump in the scalp, and in the spheno-orbital lesions it was exophtalmos. Hyperostosis was present in all 5 spheno-orbital cases and in 3 out of the 9 calvarial ones; in the other 6 cases it had a mixed pattern. Enhanced dura was present in 3 calvarial cases and in 2 sphenoidal ones. Dura was involved in 5 cases: 2 with inflammatory changes, 2 with a minimal intradural tumour and one with a subdural tumour. Conclusion: CT better detected both the bony reaction and the intraosseous extension of the tumour. The dural changes were not specific of tumoural involvement. The differential diagnosis comprises: fibrous dysplasia, osteomas, blastic metastasis and mainly meningioma en plaque (MEP). Comparing our findings with other series, we noticed that in some cases the term MEP was used for similar cases. As the name MEP is merely descriptive and both entities share a larger number of similarities than differences, we believe that a differentiation between hyperostotic en plaque meningioma and intraosseous meningioma can hardly be made. (orig.)

  10. Intraosseous acinic cell carcinoma

    African Journals Online (AJOL)

    2011-12-17

    Dec 17, 2011 ... provisional diagnosis of benign odontogenic tumor was given. Intraosseous acinic cell carcinoma. V Hiremath, N Mishra1, SG Patil2. Departments of Oral Pathology and 1Oral Medicine and Radiology, Mansarovar Dental College, Bhopal, 2 Department Of. Oral and Maxillofacial Surgery, H.K.E' S.N. Dental ...

  11. Successful intraosseous infusion in the critically ill patient does not require a medullary cavity.

    LENUS (Irish Health Repository)

    McCarthy, Gerard

    2012-02-03

    OBJECTIVES: To demonstrate that successful intraosseous infusion in critically ill patients does not require bone that contains a medullary cavity. DESIGN: Infusion of methyl green dye via standard intraosseous needles into bones without medullary cavity-in this case calcaneus and radial styloid-in cadaveric specimens. SETTING: University department of anatomy. PARTICIPANTS: Two adult cadaveric specimens. MAIN OUTCOME MEASURES: Observation of methyl green dye in peripheral veins of the limb in which the intraosseous infusion was performed. RESULTS: Methyl green dye was observed in peripheral veins of the chosen limb in five out of eight intraosseous infusions into bones without medullary cavity-calcaneus and radial styloid. CONCLUSIONS: Successful intraosseous infusion does not always require injection into a bone with a medullary cavity. Practitioners attempting intraosseous access on critically ill patients in the emergency department or prehospital setting need not restrict themselves to such bones. Calcaneus and radial styloid are both an acceptable alternative to traditional recommended sites.

  12. Sight Word Reading in Prereaders: Use of Logographic vs. Alphabetic Access Routes.

    Science.gov (United States)

    Scott, Judith Anne; Ehri, Linnea C.

    1990-01-01

    Investigates whether prereaders who knew all their letters are better at forming logographic access routes than letter-sound access routes into memory from words read by sight. Concludes that prereaders become capable of forming letter-sound access routes when they learn letters well enough to take advantage of the phonetic cues the letters…

  13. Solitary intraosseous neurofibroma of mandible.

    Directory of Open Access Journals (Sweden)

    Vivek N

    2006-01-01

    Full Text Available Solitary intraosseous neurofibroma is a rare benign non-odontogenic tumor. Although neurofibromas occur predominantly as a feature of neurofibromatosis affecting the soft tissue, a few cases of solitary intraosseous neurofibromas of the jaw have been reported. We herewith report a case of solitary intraosseous neurofibroma of mandible in a middle-aged woman with a discussion on its clinical, radiological, and histopathological presentation along with review of cases.

  14. Intraosseous schwannoma in schwannomatosis

    Energy Technology Data Exchange (ETDEWEB)

    Kashima, T.G.; Gibbons, M.R.J.P.; Whitwell, D.; Gibbons, C.L.M.H.; Bradley, K.M.; Ostlere, S.J.; Athanasou, N.A. [University of Oxford, Nuffield Orthopaedic Centre, Department of Pathology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford (United Kingdom)

    2013-12-15

    This study investigates the clinical, radiological, and pathological features of two cases of intraosseous schwannoma that arose in patients with multiple soft tissue schwannomas. In both cases, the patients were adult females and the tibial bone was affected. Vestibular schwannomas were not identified, indicating that these were not cases of neurofibromatosis 2 (NF2). Radiographs showed a well-defined lytic lesion in the proximal tibia; in one case, this was associated with a pathological fracture. Histologically, both cases showed typical features of benign schwannoma. Molecular analysis of one of the excised tumors showed different alterations in the NF2 gene in keeping with a diagnosis of schwannomatosis. Our findings show for the first time that intraosseous schwannomas can occur in schwannomatosis. (orig.)

  15. Vascular access in pediatric patients in the emergency department: types of access, indications, and complications [digest].

    Science.gov (United States)

    Whitney, Rachel; Langhan, Melissa; Pade, Kathryn H

    2017-06-22

    Vascular access is a potentially life-saving procedure that is a mainstay of emergency medicine practice. There are a number of challenges associated with obtaining and maintaining vascular access, and the choice of the route of access and equipment used will depend on patient- and provider-specific factors. In this issue, the indications and complications of peripheral intravenous access, intraosseous access, and central venous access are reviewed. Timely and effective assessment and management of difficult-access patients, pain control techniques that can assist vascular access, and contraindications to each type of vascular access are also discussed. [Points & Pearls is a digest of Pediatric Emergency Medicine Practice].

  16. Optical multiple access techniques for on-board routing

    Science.gov (United States)

    Mendez, Antonio J.; Park, Eugene; Gagliardi, Robert M.

    1992-03-01

    The purpose of this research contract was to design and analyze an optical multiple access system, based on Code Division Multiple Access (CDMA) techniques, for on board routing applications on a future communication satellite. The optical multiple access system was to effect the functions of a circuit switch under the control of an autonomous network controller and to serve eight (8) concurrent users at a point to point (port to port) data rate of 180 Mb/s. (At the start of this program, the bit error rate requirement (BER) was undefined, so it was treated as a design variable during the contract effort.) CDMA was selected over other multiple access techniques because it lends itself to bursty, asynchronous, concurrent communication and potentially can be implemented with off the shelf, reliable optical transceivers compatible with long term unattended operations. Temporal, temporal/spatial hybrids and single pulse per row (SPR, sometimes termed 'sonar matrices') matrix types of CDMA designs were considered. The design, analysis, and trade offs required by the statement of work selected a temporal/spatial CDMA scheme which has SPR properties as the preferred solution. This selected design can be implemented for feasibility demonstration with off the shelf components (which are identified in the bill of materials of the contract Final Report). The photonic network architecture of the selected design is based on M(8,4,4) matrix codes. The network requires eight multimode laser transmitters with laser pulses of 0.93 ns operating at 180 Mb/s and 9-13 dBm peak power, and 8 PIN diode receivers with sensitivity of -27 dBm for the 0.93 ns pulses. The wavelength is not critical, but 830 nm technology readily meets the requirements. The passive optical components of the photonic network are all multimode and off the shelf. Bit error rate (BER) computations, based on both electronic noise and intercode crosstalk, predict a raw BER of (10 exp -3) when all eight users are

  17. 76 FR 27287 - Port Access Route Study: In the Bering Strait; Extension of Comment Period

    Science.gov (United States)

    2011-05-11

    ... SECURITY Coast Guard 33 CFR Part 167 Port Access Route Study: In the Bering Strait; Extension of Comment...: In the Bering Strait. In this action, USCG is providing notice that the public comment period is... of Study and request for comments for the Port Access Route Study: In the Bering Strait (75 FR 68568...

  18. EZ-IO(®) intraosseous device implementation in German Helicopter Emergency Medical Service.

    Science.gov (United States)

    Helm, Matthias; Haunstein, Benedikt; Schlechtriemen, Thomas; Ruppert, Matthias; Lampl, Lorenz; Gäßler, Michael

    2015-03-01

    Intraosseous access (IO) is a rapid and safe alternative when peripheral venous access is difficult. Our aim was to summarize the first three years experience with the use of a semi-automatic IO device (EZ-IO(®)) in German Helicopter Emergency Medical Service (HEMS). Included were all patients during study period (January 2009-December 2011) requiring an IO access performed by HEMS team. Outcome variables were IO rate, IO insertion success rates, site of IO access, type of EZ-IO(®) needle set used, strategy of vascular access, procedure related problems and operator's satisfaction. IO rate was 0.3% (348/120.923). Overall success rate was 99.6% with a first attempt success rate of 85.9%; there was only one failure (0.4%). There were three insertion sites: proximal tibia (87.2%), distal tibia (7.5%) and proximal humerus (5.3%). Within total study group IO was predominantly the second-line strategy (39% vs. 61%, pIO was more often first-line strategy (64% vs. 28%, pIO access were significantly younger (41.7±28.7 vs. 56.5±24.4 years; pIO access generally presented with more severely compromised vital signs associated with the need for more invasive resuscitation actions such as intubation, chest drains, CPR and defibrillation. In 93% EZ-IO(®) needle set handling was rated "good". Problems were reported in 1.6% (needle dislocation 0.8%, needle bending 0.4% and parafusion 0.4%). The IO route was generally used in the most critically ill of patients. Our relatively low rate of usage would indicate that this would be compatible with the recommendations of established guidelines. The EZ-IO(®) intraosseous device proved feasible with a high success rate in adult and pediatric emergency patients in HEMS. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  19. The eternal enigma in prostatic biopsy access route

    Directory of Open Access Journals (Sweden)

    Andrea Fabiani

    2017-10-01

    Full Text Available Dear Editors,We read with interest the article by Di Franco and co-workers (1. The introduction of prostatic magnetic resonance and the relative fusion-biopsy have not yet allowed the expected improvements in prostate biopsy. To our knowledge, there are no works that demonstrate the superiority of fusion techniques on the remaining ultrasound guided prostate biopsies that are still the widely used in the diagnosis of prostate cancer. Furthemore, these technologies are expensive exams and they are not yet available in all centers, especially in those minors. We work at a “minor” center and we always keep in mind that the goal of  prostatic biopsy is the diagnosis and the staging of prostatic neoplasms.. However, it remains uncertain which of the two techniques, transperineal (TP or transrectal (TR, is superior in terms of detection rate during first biopsy setting. Several studies have compared the prostate cancer detection rate but TR and TP access route in prostatic gland sampling seems to be equivalent in terms of efficiency and complications, as reported by Shen PF et al. (2, despite several methodological limitations recognized in their work. The results reported by Di Franco CA et al. represent the real life experience of most urologists that perform the PB based on their own training experience and available technical devices. From an historical viewpoint, the TP route has been the first one to be used to reach the prostate, both for diagnostic and therapeutic purposes. To date, because it seems to be more invasive and difficult, the TP route is less used worldwide than the TR one (2. Theoretically, the TP approach should detect more prostate cancer than the TR way  because the cores of the TP approach are directed longitudinally to the peripheral zone and the anterior part of the prostate (4. The results reported by Di Franco et al. seems to confirm these considerations. However, our real life experience differ from the conclusions

  20. [A case of intraosseous meningioma].

    Science.gov (United States)

    Yuge, T; Shigemori, M; Tokutomi, T; Tokunaga, T; Kozima, K; Yamamoto, T; Kuramoto, S; Iwai, K; Ichinomiya, T

    1991-01-01

    A case of intraosseous meningioma at the posterior fossa was reported. Intraosseous meningioma is very rate and only six cases have been reported in Japanese literature. A 64 year-old woman complained of progressive headache and was admitted to Ichinomiya Neurosurgical Hospital. On admission, neurological examination did not reveal any abnormalities. However, plain skull X-p showed a hyperostotic lesion in the right posterior fossa. CT scan demonstrated homogeneously enhanced mass by contrast medium. MRI showed a mass lesion of the posterior fossa on T1 and T2 weighted images. The right vertebral angiogram showed an avascular area in the right posterior fossa and no tumor stain. The tumor, which was partially attached to the underlying dura, was successfully removed surgically. The operative finding confirmed an intraosseous meningioma which had arisen from the right asterion. The post operative course was uneventful. Histological examination revealed fibroblastic meningioma.

  1. Intraosseous blood samples for point-of-care analysis: agreement between intraosseous and arterial analyses.

    Science.gov (United States)

    Jousi, Milla; Saikko, Simo; Nurmi, Jouni

    2017-09-11

    Point-of-care (POC) testing is highly useful when treating critically ill patients. In case of difficult vascular access, the intraosseous (IO) route is commonly used, and blood is aspirated to confirm the correct position of the IO-needle. Thus, IO blood samples could be easily accessed for POC analyses in emergency situations. The aim of this study was to determine whether IO values agree sufficiently with arterial values to be used for clinical decision making. Two samples of IO blood were drawn from 31 healthy volunteers and compared with arterial samples. The samples were analysed for sodium, potassium, ionized calcium, glucose, haemoglobin, haematocrit, pH, blood gases, base excess, bicarbonate, and lactate using the i-STAT® POC device. Agreement and reliability were estimated by using the Bland-Altman method and intraclass correlation coefficient calculations. Good agreement was evident between the IO and arterial samples for pH, glucose, and lactate. Potassium levels were clearly higher in the IO samples than those from arterial blood. Base excess and bicarbonate were slightly higher, and sodium and ionised calcium values were slightly lower, in the IO samples compared with the arterial values. The blood gases in the IO samples were between arterial and venous values. Haemoglobin and haematocrit showed remarkable variation in agreement. POC diagnostics of IO blood can be a useful tool to guide treatment in critical emergency care. Seeking out the reversible causes of cardiac arrest or assessing the severity of shock are examples of situations in which obtaining vascular access and blood samples can be difficult, though information about the electrolytes, acid-base balance, and lactate could guide clinical decision making. The analysis of IO samples should though be limited to situations in which no other option is available, and the results should be interpreted with caution, because there is not yet enough scientific evidence regarding the agreement of IO

  2. Solitary Intraosseous Neurofibroma of the Mandible

    Directory of Open Access Journals (Sweden)

    Hamideh Kadeh

    2014-07-01

    Full Text Available Neurofibroma is a benign neoplasm derived from peripheral nerve cells. Neurofibroma can occur as a solitary tumor also it may associate with neurofibromatosis. Intraosseous neurofibroma is a rare tumor particularly in the oral cavity. So far, few cases of solitary intraosseous neurofibroma of the mandible have been reported. In the present study, a 39 years old woman which has a diagnosis of solitary intraosseous neurofibroma of the mandible is reported. Clinical, radiographic, histopathologic and immunohistochemical features are described.

  3. Powered intraosseous device (EZ-IO) for critically ill patients.

    Science.gov (United States)

    Oksan, Derinoz; Ayfer, Keles

    2013-07-01

    We reviewed the charts of 25 patients who underwent powered intraosseous line insertion between July 1, 2008 and August 31, 2010 to determine its users, indications, procedural details, success rates, and complications. Intraosseous (IO) line was inserted in the anteromedial aspect of the proximal tibia in all patients. The first attempt was successful in 80%, and the median duration for insertion of the IO line was 4 hours. Extravasation was the most common complication. Ninety-six percent of the physicians had undergone prior training in IO insertion. Because of its high success and short procedure time, IO access should be the first alternative to failed vascular access in critically ill children. Training in IO should be extended to all who care for pediatric patients in inpatient as well as in prehospital and emergency department settings.

  4. 49 CFR 37.185 - Fleet accessibility requirement for OTRB fixed-route systems of large operators.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Fleet accessibility requirement for OTRB fixed....185 Fleet accessibility requirement for OTRB fixed-route systems of large operators. Each large... percent of the buses in its fleet with which it provides fixed-route service are readily accessible to and...

  5. The use of intraosseous needles for injection of contrast media for computed tomographic angiography of the thoracic aorta.

    Science.gov (United States)

    Winkler, Michael; Talley, Cynthia; Woodward, Connor; Kingsbury, Alexander; Appiah, Frank; Elbelasi, Hossam; Landwher, Kevin; Li, Xingzhe; Fleischmann, Dominik

    The objective of this study is to evaluate the safety and quality of computed tomographic angiography of the thoracic aorta (CTA-TA) exams performed using intraosseous needle intravenous access (ION-IVA) for contrast media injection (CMI). All CTA-TA exams at the study institution performed between 1/1/2013 and 8/14/2015 were reviewed retrospectively to identify those exams which had been performed using ION-IVA (ION-exams). ION-exams were then analyzed to determine aortic attenuation and contrast-to-noise ratio (CNR). Linear regression was used to determine how injection rate and other variables affected image quality for ION-exams. Patient electronic medical records were reviewed to identify any adverse events related to CTA-TA or ION-IVA. 17 (∼0.2%) of 7401 exams were ION-exams. ION-exam CMI rates varied between 2.5 and 4 ml/s. Mean attenuation was 312 HU (SD 88 HU) and mean CNR was 25 (SD 9.9). A strong positive linear association between attenuation and injection rate was found. No immediate or delayed complications related to the ION-exams, or intraosseous needle use in general, occurred. For CTA-TA, ION-IVA appears to be a safe and effective route for CMI at rates up to 4 ml/s. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  6. 76 FR 76927 - Port Access Route Study: The Atlantic Coast From Maine to Florida

    Science.gov (United States)

    2011-12-09

    ... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 167 [USCG-2011-0351] Port Access Route... Coast from Maine to Florida. The goal of the Atlantic Coast PARS is to enhance navigational safety by... types such as tug and barge vs. deep draft vessels? (9) Should there be separate lanes for vessels...

  7. Analyzing the effect of routing protocols on media access control protocols in radio networks

    Energy Technology Data Exchange (ETDEWEB)

    Barrett, C. L. (Christopher L.); Drozda, M. (Martin); Marathe, A. (Achla); Marathe, M. V. (Madhav V.)

    2002-01-01

    We study the effect of routing protocols on the performance of media access control (MAC) protocols in wireless radio networks. Three well known MAC protocols: 802.11, CSMA, and MACA are considered. Similarly three recently proposed routing protocols: AODV, DSR and LAR scheme 1 are considered. The experimental analysis was carried out using GloMoSim: a tool for simulating wireless networks. The main focus of our experiments was to study how the routing protocols affect the performance of the MAC protocols when the underlying network and traffic parameters are varied. The performance of the protocols was measured w.r.t. five important parameters: (i) number of received packets, (ii) average latency of each packet, (iii) throughput (iv) long term fairness and (v) number of control packets at the MAC layer level. Our results show that combinations of routing and MAC protocols yield varying performance under varying network topology and traffic situations. The result has an important implication; no combination of routing protocol and MAC protocol is the best over all situations. Also, the performance analysis of protocols at a given level in the protocol stack needs to be studied not locally in isolation but as a part of the complete protocol stack. A novel aspect of our work is the use of statistical technique, ANOVA (Analysis of Variance) to characterize the effect of routing protocols on MAC protocols. This technique is of independent interest and can be utilized in several other simulation and empirical studies.

  8. Crural Amputation of a Newborn as a Consequence of Intraosseous Needle Insertion and Calcium Infusion

    DEFF Research Database (Denmark)

    Oesterlie, Gorm Erlend; Petersen, Klaus Kjaer; Knudsen, Lars

    2014-01-01

    Intraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn...... girl, where intraosseous cannulation of the tibia was lifesaving. Despite following most standard recommendations, the treatment resulted in transtibial amputation due to necrosis. We suspect that the necrosis was a consequence of extravasation of tissue-toxic calcium infusion....

  9. Crural Amputation of a Newborn as a Consequence of Intraosseous Needle Insertion and Calcium Infusion

    DEFF Research Database (Denmark)

    Oesterlie, Gorm Erlend; Petersen, Klaus Kjaer; Knudsen, Lars

    2014-01-01

    Intraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn...

  10. Safety and efficacy of the subclavian access route for TAVI in cases of missing transfemoral access.

    Science.gov (United States)

    Muensterer, Andrea; Mazzitelli, Domenico; Ruge, Hendrik; Wagner, Anke; Hettich, Ina; Piazza, Nicolo; Lange, Ruediger; Bleiziffer, Sabine

    2013-09-01

    We retrospectively analysed our experience with the subclavian access transcatheter aortic valve implantation (TAVI) with the self-expandable CoreValve prosthesis and compared the results with transfemorally treated patients. For TAVI, a subclavian access is alternatively used when the femoral arteries are diseased or very small. Between June 2007 and February 2011, 341 patients underwent CoreValve implantation in the German Heart Center, Munich through either transfemoral (n = 301) or subclavian (n = 40) approach. The subclavian approach was chosen where transfemoral approach was not possible. There was no difference in baseline characteristics between the groups. There were no significant differences between groups for parameters potentially related to improved valve positioning (contrast medium, fluoroscopy time, implantation of a second valve, post-implantation balloon dilatation, valve dislocation, pacemaker implantation, aortic regurgitation), while the procedure duration was longer (105 ± 40 vs. 82 ± 33 min, p = 0.001). With the Kaplan-Meier estimate, survival was not different among groups. Strokes, myocardial ischaemia, and access vessel complications occurred in 2.5, 0, and 7.5 % (subclavian group) vs. 4.3, 2.0, 10.6 % (transfemoral group), ns. Our results demonstrate the safety of the subclavian access for TAVI and comparability with the transfemoral approach. With longer duration of the procedure and no significant advantages in clinical outcome, the subclavian access will have an indication for selected patients, while transfemoral TAVI should be considered first choice.

  11. Mathematical Formulation and Comparison of Solution Approaches for the Vehicle Routing Problem with Access Time Windows

    Directory of Open Access Journals (Sweden)

    Rafael Grosso

    2018-01-01

    Full Text Available The application of the principles of sustainability to the implementation of urban freight policies requires the estimation of all the costs and externalities involved. We focus here on the case of access time windows, which ban the access of freight vehicles to central urban areas in many European cities. Even though this measure seeks to reduce congestion and emissions in the most crowded periods of the day, it also imposes additional costs for carriers and results in higher emissions and energy consumption. We present here a mathematical model for the Vehicle Routing Problem with Access Time Windows, a variant of the VRP suitable for planning delivery routes in a city subject to this type of accessibility restriction. We use the model to find exact solutions to small problem instances based on a case study and then compare the performance over larger instances of a modified savings algorithm, a genetic algorithm, and a tabu search procedure, with the results showing no clear prevalence of any of them, but confirming the significance of those additional costs and externalities.

  12. Accessibility of a cadeirante in a public institution of higher education: routes and routines

    Directory of Open Access Journals (Sweden)

    Rita de Cássia Silveira Cambruzzi

    2013-06-01

    Full Text Available The physical disability is group is heterogeneous, even within a “category”, since that covers a diversity, because each has a mechanism to organize in spaces in which attends but all participate of the same challenges. However, due to the challenges encountered by persons with disabilities in establishing routes and routines within a University is that we have developed this research. We chose search access of physically disabled person in your external displacement of student housing to the classroom and the classroom until the Secretariat Department that frequents. Research whose goal is the identification and analysis of routes as its accessibility, on the campus of a public institution of higher education. The survey was submitted to the Ethics Committee that approves their implementation. Direct observations were performed, as well as records via photos and footage, which were authorized by the University. The information collected were analyzed qualitatively as the standards of the Brazilian Association of technical norms and the guiding document for the Regional Council of engineering and architecture, Rio Grande do Sul, titled: Roadmap survey. In data analysis, we see that there are needs for providing accessibility with safety and convenience, as well as establish mechanisms for the community library and the University restaurant part of living as part of the University community and also, in the exercise of their constitutional rights.

  13. Effects of Intraosseous Tibial vs. Intravenous Vasopressin in a Hypovolemic Cardiac Arrest Model

    Directory of Open Access Journals (Sweden)

    Justin Fulkerson, MSN

    2016-03-01

    Full Text Available Introduction: This study compared the effects of vasopressin via tibial intraosseous (IO and intravenous (IV routes on maximum plasma concentration (Cmax, the time to maximum concentration (Tmax, return of spontaneous circulation (ROSC, and time to ROSC in a hypovolemic cardiac arrest model. Methods: This study was a randomized prospective, between-subjects experimental design. A computer program randomly assigned 28 Yorkshire swine to one of four groups: IV (n=7, IO tibia (n=7, cardiopulmonary resuscitation (CPR + defibrillation (n=7, and a control group that received just CPR (n=7. Ventricular fibrillation was induced, and subjects remained in arrest for two minutes. CPR was initiated and 40 units of vasopressin were administered via IO or IV routes. Blood samples were collected at 0.5, 1, 1.5, 2, 2.5, 3, and 4 minutes. CPR and defibrillation were initiated for 20 minutes or until ROSC was achieved. We measured vasopressin concentrations using highperformance liquid chromatography. Results: There was no significant difference between the IO and IV groups relative to achieving ROSC (p=1.0 but a significant difference between the IV compared to the CPR+ defibrillation group (p=0.031 and IV compared to the CPR-only group (p=0.001. There was a significant difference between the IO group compared to the CPR+ defibrillation group (p=0.031 and IO compared to the CPR-only group (p=0.001. There was no significant difference between the CPR + defibrillation group and the CPR group (p=0.127. There was no significant difference in Cmax between the IO and IV groups (p=0.079. The mean ± standard deviation of Cmax of the IO group was 58,709±25,463pg/mL compared to the IV group, which was 106,198±62,135pg/mL. There was no significant difference in mean Tmax between the groups (p=0.084. There were no significant differences in odds of ROSC between the tibial IO and IV groups. Conclusion: Prompt access to the vascular system using the IO route can circumvent

  14. Underwater acoustic sensor networks: Medium access control, routing and reliable transfer

    Science.gov (United States)

    Xie, Peng

    Recently there have been growing interests in monitoring aquatic environments for scientific exploration, commercial exploitation and coastline protection. The ideal vehicle for this type of extensive monitoring is a mobile underwater sensor network (M-UWSN), consisting of a large number of low cost underwater sensors that can move with water currents and dispersion. M-UWSNs are significantly different from terrestrial sensor networks: (1) Radio channels do not work well under water. They must be replaced by acoustic channels, which feature long propagation delays, low communication bandwidth and high channel error rates; (2) While most ground sensors are static, underwater sensor nodes may move with water currents (and other underwater activities), as introduces passive sensor mobility. Due to the very different environment properties and the unique characteristics of acoustic channels, the protocols developed for terrestrial sensor networks are not applicable to M-UWSNs, and new research at every level of the protocol suite is demanded. In this dissertation work, we investigate three fundamental networking problems in M-UWSN design: medium access control, multi-hop routing and reliable data transfer. (1) Medium access control (MAC): the long propagation delays and narrow communication bandwidth of acoustic channels pose the major challenges to the energy-efficient MAC design in M-UWSNs. For the first time, we formally investigate the random access and RTS/CTS techniques in networks with long propagation delays and low communication bandwidth (as in M-UWSNs). Based on this study, we propose a novel reservation-based MAC approach, called R-MAC, for dense underwater sensor networks with unevenly distributed (spatially and temporally) traffic. Simulation results show that R-MAC is not only energy efficient but also supports fairness. (2) Multi-hop routing: In M-UWSNs, energy efficiency and mobility handling are the two major concerns for multi-hop routing, which have

  15. Primary intraosseous mucoepidermoid carcinoma of the maxilla ...

    African Journals Online (AJOL)

    Primary intraosseous mucoepidermoid carcinoma (PIOC) is an infrequent malignancy of the head and neck that exhibits diverse biological behavior. The rareness of the location for a salivary gland tumor and the clinical and radiographic manifestations, suggestive of an odontogenic lesion often pose a diagnostic challenge ...

  16. Access road from State Route 240 to the 200 West Area, Hanford Site, Richland, Washington: Environmental assessment

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    The US Department of Energy (DOE) proposes to construct an access road on the Hanford Site, from State Route (SR) 240 to Beloit Avenue in the 200 West Area. Traffic volume during shift changes creates an extremely serious congestion and safety problem on Route 4S from the Wye barricade to the 200 Areas. A Risk Evaluation (Trost 1992) indicated that there is a probability of 1.53 fatal accidents on Route 4S within 2 years. To help alleviate this danger, a new 3.5-kilometer (2.2-mile)-long access road would be constructed from Beloit Avenue in the 200 West Area to SR 240. In addition, administrative controls such as redirecting traffic onto alternate routes would be used to further reduce traffic volume. The proposed access road would provide an alternative travel-to-work route for many outer area personnel, particularly those with destinations in the 200 West Area. This proposal is the most reasonable alternative to reduce the problem. While traffic safety would be greatly improved, a small portion of the shrub-steppe habitat would be disturbed. The DOE would offset any habitat damage by re-vegetation or other appropriate habitat enhancement activities elsewhere on the Hanford Site. This Environmental Assessment (EA) provides information about the environmental impacts of the proposed action, so a decision can be made to either prepare an Environmental Impact Statement or issue a Finding of No Significant Impact.

  17. Access Routes of Internet Finance Dictionaries: Present Solutions and Future Opportunities

    Directory of Open Access Journals (Sweden)

    Deny Arnos Kwary

    2011-10-01

    Full Text Available

    ABSTRACT: Lexicographers working on finance dictionaries have not properly exploited the fast development of the Internet. This is revealed by the poor utilization of the access routes found in current Internet finance dictionaries. Consequently, users cannot effectively and efficiently find answers to their lexicographical problems. Firstly, there are Internet finance dictionaries which lack technological features and can simply be called meagre Internet dictionaries. Secondly, there are Internet finance dictionaries which utilize so many technological features that users incur high lexicographical information costs. In order to create better access routes, a sound theoretical foundation has to be established. This article shows that the implementation of the modern theory of lexicographical functions, which focuses on the users, results in a better design for future Internet finance dictionaries. With the proper theoretical basis, lexicographers will be able to create state-ofthe- art dictionaries that can provide effective and efficient solutions to lexicographical problems.

    OPSOMMING: Toegangsroetes van Internet- finansiële woordeboeke: Huidige oplossings en toekomstige geleenthede. Leksikograwe wat aan finansiële woordeboeke werk, het nie die vinnige ontwikkeling van die Internet behoorlik benut nie. Dit blyk uit die gebrekkige aanwending van die toegangsroetes wat in huidige Internet- finansiële woordeboeke aangetref word. Gevolglik kan gebruikers nie doeltreffend en doelmatig antwoorde kry op hul leksikografiese probleme nie. Eerstens is daar Internet- finansiële woordeboeke waarin tegnologiese kenmerke ontbreek en wat gewoon karige Internetwoordeboeke genoem kan word. Tweedens is daar Internet- finansiële woordeboeke wat so baie tegnologiese kenmerke aanwend dat gebruikers hoë leksikografiese inligtingskoste oploop. Om beter toegangsroetes te skep, moet 'n deeglike teoretiese grondslag gevestig word. Hierdie artikel toon

  18. ABO and D typing and alloantibody screening in marrow samples: relevance to intraosseous blood transfusion.

    Science.gov (United States)

    Bäckman, Sari; Ångerman-Haasmaa, Susanne; Jousi, Milla; Siitonen, Sanna; Salmela, Katja

    2018-03-01

    Blood transfusion through the intraosseous route is gaining popularity in emergency medicine. Pretransfusion peripheral blood (PB) samples are usually not available in these patients, leading to discrepancies in blood group typing and a possible delay in transferring to group-specific blood products. The aim of this study was to assess the feasibility of ABO and D typing and red blood cell alloantibody screening in marrow (BM) samples. Direct and reverse ABO typing, D typing, and a two-cell alloantibody screen were performed in EDTA-anticoagulated BM samples with standard manual column agglutination techniques. EDTA-anticoagulated PB samples were used as controls. The mean age of the study subjects (n = 71) was 47 years (range, 1-82 years). All ABO groups and both D+ and D- types were represented. In all subjects, concordant results were observed for all analyses in BM and PB samples. In 15 (21%) of the samples, a discrepancy of one reaction strength step (1+) was observed in at least one of the analyses (Cohen's weighted κ = 0.993); this did not affect interpretation of the results. Blood group typing and alloantibody screening are feasible in BM samples, providing proof-of-concept that intraosseous samples for blood group serologic analyses can be collected from emergency patients before intraosseous blood transfusion. This will enable a timely transfer to group-specific blood products and enable conservation of the valuable universal-donor blood products. © 2018 AABB.

  19. Intraosseous pseudotumor in a child with hypofibrinogenemia

    International Nuclear Information System (INIS)

    Ozcan, H.N.; Ergen, Fatma Bilge; Aydingoz, Ustun

    2014-01-01

    Intraosseous pseudotumor (i.e. chronic, encapsulated, hemorrhagic fluid collection that can be seen in any portion of the tubular bones) is an uncommon complication of severe hemophilia; however, it can occur with other rare bleeding disorders. We present the case of an 11-year-old girl with hypofibrinogenemia who had multiple intramedullary lesions that were consistent with intramedullary pseudotumor associated with this rare bleeding disorder. Percutaneous biopsy of a pseudotumor is contraindicated due to the high prevalence of complications, including life-threatening bleeding. Therefore, radiologists should make the diagnosis with characteristic MR imaging findings in a patient with a severe coagulation disorder. (orig.)

  20. Subchondral synovial cysts (intra-osseous ganglion)

    International Nuclear Information System (INIS)

    Graf, L.; Freyschmidt, J.

    1988-01-01

    Twelve cases of subchondral synovial cysts (intra-osseous ganglion) have been seen and their clinical features, radiological findings and differential diagnosis are described. The lesion is a benign cystic tumour-like mass in the subchondral portion of a synovial joint. Our findings in respect of age, sex and localisation are compared with those of other authors. The aetiology and pathogenesis of the lesion is not completely understood. There is an increased incidence in middle life and joints with high dynamic and static stress are favoured, particularly in the lower extremities. Chronic stress or microtrauma, causing damage to the involved joint, therefore appears to be a plausible explanation. (orig.) [de

  1. Intraosseous pseudotumor in a child with hypofibrinogenemia

    Energy Technology Data Exchange (ETDEWEB)

    Ozcan, H.N. [Hacettepe University Medical School, Department of Pediatric Radiology, Cebeci, Ankara (Turkey); Ergen, Fatma Bilge; Aydingoz, Ustun [Hacettepe University Medical School, Department of Radiology, Ankara, (Turkey)

    2014-11-15

    Intraosseous pseudotumor (i.e. chronic, encapsulated, hemorrhagic fluid collection that can be seen in any portion of the tubular bones) is an uncommon complication of severe hemophilia; however, it can occur with other rare bleeding disorders. We present the case of an 11-year-old girl with hypofibrinogenemia who had multiple intramedullary lesions that were consistent with intramedullary pseudotumor associated with this rare bleeding disorder. Percutaneous biopsy of a pseudotumor is contraindicated due to the high prevalence of complications, including life-threatening bleeding. Therefore, radiologists should make the diagnosis with characteristic MR imaging findings in a patient with a severe coagulation disorder. (orig.)

  2. Uncommon presentations of intraosseous haemophilic pseudotumor in imaging diagnosis

    International Nuclear Information System (INIS)

    Santos, Marcel Koenigkam; Polezi, Mariana Basso; Pastorello, Monica Tempest; Simao, Marcelo Novelino; Engel, Edgard Eduard; Elias Junior, Jorge; Nogueira-Barbosa, Marcello Henrique

    2009-01-01

    Objective: The present study was aimed at describing uncommon presentations of intraosseous hemophilic pseudotumor in imaging diagnosis. Materials and methods: Retrospective study evaluating five hemophilic pseudotumors in bones of two patients with hemophilia A. Imaging findings were consensually evaluated by two musculoskeletal radiologists. Plain radiography, computed tomography and magnetic resonance imaging studies were analyzed. Results: At contrast-enhanced computed tomography images, one of the lesions on the left thigh was visualized with heterogeneously enhanced solid areas. This finding was later confirmed by anatomopathological study. Another uncommon finding was the identification of a healthy bone portion interposed between two intraosseous pseudotumors in the humerus. And, finally, a femoral pseudotumor with extension towards soft tissues and transarticular extension, and consequential tibial and patellar involvement. Conclusion: The above described imaging findings are not frequently reported in cases of intraosseous pseudotumors in hemophilic patients. It is important that radiologists be aware of these more uncommon presentations of intraosseous pseudotumors. (author)

  3. Diverse Imaging characteristics of a mandibular intraosseous vascular lesion

    Energy Technology Data Exchange (ETDEWEB)

    Handa, Hina; Naidu, Giridhar S.; Dara, Balaji Gandhi Babu; Deshpande, Ashwini; Raghavendra, Raju [Peoples Dental Academy, Bhopal (Iran, Islamic Republic of)

    2014-03-15

    Intraosseous vascular lesions of the maxillofacial region are rare, and the differential diagnosis of intraosseous vascular malformations from other jaw lesions can be challenging. In the present case, magnetic resonance imaging and three-dimensional computed tomographic angiography (CTA) was used for diagnosis, and the lesion was treated with surgical excision. Diverse characteristics such as the 'honeycomb' and 'sunburst' radiographic appearances and the absence of major peripheral feeder vessels in the CTA were noted. Intraosseous vascular malformations have a varied radiographic appearance, and the nomenclature of these lesions is equally diverse, with several overlapping terms. Pathologists do not generally differentiate among intraosseous vascular lesions on the basis of histopathology, although these lesions may present with contrasting immunohistochemical and clinical behaviors requiring varied treatment strategies. This case report highlights the need for multiple imaging modalities to differentiate among vascular lesions, as well as to better understand the behaviors of these unique lesions.

  4. 75 FR 68568 - Port Access Route Study: In the Bering Strait

    Science.gov (United States)

    2010-11-08

    ... that you include your name and a mailing address, an e-mail address, or a telephone number in the body... movements, which may decrease the potential for collisions, oil spills, and other events that could threaten... measures? Please describe. 4. What impacts, both positive and negative, would new routing measures have on...

  5. A solvent evaporation route towards fabrication of hierarchically porous ZSM-11 with highly accessible mesopores

    DEFF Research Database (Denmark)

    Song, Wen; Liu, Zhiting; Liu, Liping

    2015-01-01

    A route to generate hierarchically porous zeolite ZSM-11 has been paved via solvent evaporation induced self-assembly assisted by hexadecyltrimethoxysilane to produce a preformed dry gel, followed by its subsequent transformation into zeolite via steam-assisted-crystallization. The crystallization...

  6. An intraosseous lipoma of the calcaneus: a case report.

    Science.gov (United States)

    Pappas, Alexander J; Haffner, Kyle E; Mendicino, Samuel S

    2014-01-01

    Intraosseous lipomas are one of the rarest bone tumors found in the body. The incidence has been reported to be calcaneus include plantar fasciitis, retrocalcaneal bursitis, gout, stress fracture, unicameral bone cyst, aneurysmal bone cyst, osteoblastoma, enchondroma, chondromyxoid fibroma, nonossifying fibroma, giant cell tumor, chondroblastoma, fibrous dysplasia, and chondrosarcoma. It has been reported that 60% to 70% of patients with an intraosseous lipoma present with symptoms. This article describes a case of a pathologic fracture secondary to a large intraosseous lipoma, the surgical treatments, and the subsequent resolution of symptoms. The purpose of our report was 3-fold: (1) to increase awareness of intraosseous lipomas and their potential to cause pathologic fractures in the calcaneus; (2) to suggest a possible treatment protocol for intraosseous lipomas in the calcaneus; and (3) to describe a rare case of an intraosseous lipoma of the calcaneus not located exclusively in the neutral triangle. Copyright © 2014 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  7. Primary intraosseous carcinoma occurring in the maxilla

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Mi Ja [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    2004-03-15

    Primary intraosseous carcinoma (PIOC) is a rare odontogenic carcinoma defined as a squamous cell carcinoma arising within a jaw having no initial connection with the oral mucosa, and presumably developing from residues of the odontogenic epithelium. A 56-year-old patient who complained of delayed healing after extraction of upper left central incisor visited our department. The conventional radiographs showed a bony destructive lesion with ill-defined margin and moth-eaten appearance. On the computed tomographic images, the lesion perforated the labial cortex of alveolar bone, elevated the left nasal floor superiorly, and perforated partially both nasal floor. The magnetic resonance images showed low signal intensity at T2 and T1 weighted images at the area and adjacent soft tissue. Histologically, there were irregular epithelial islands with cell atypia, nuclear hyperchromatism, pleomorphism, atypical mitosis. The final diagnosis was PIOC.

  8. Primary intraosseous carcinoma occurring in the maxilla

    International Nuclear Information System (INIS)

    Kim, Mi Ja

    2004-01-01

    Primary intraosseous carcinoma (PIOC) is a rare odontogenic carcinoma defined as a squamous cell carcinoma arising within a jaw having no initial connection with the oral mucosa, and presumably developing from residues of the odontogenic epithelium. A 56-year-old patient who complained of delayed healing after extraction of upper left central incisor visited our department. The conventional radiographs showed a bony destructive lesion with ill-defined margin and moth-eaten appearance. On the computed tomographic images, the lesion perforated the labial cortex of alveolar bone, elevated the left nasal floor superiorly, and perforated partially both nasal floor. The magnetic resonance images showed low signal intensity at T2 and T1 weighted images at the area and adjacent soft tissue. Histologically, there were irregular epithelial islands with cell atypia, nuclear hyperchromatism, pleomorphism, atypical mitosis. The final diagnosis was PIOC.

  9. Feedback to the field: an assessment of sternal intraosseous (IO) infusion.

    Science.gov (United States)

    Harcke, H Theodore; Crawley, Geoffrey; Mazuchowski, Edward

    2011-01-01

    Intraosseous vascular infusion (IO) is a recognized alternative to peripheral intravenous infusion when access is inadequate. The sternum and proximal tibia are the preferred sites. A review of 98 cases at autopsy revealed successful sternal IO placement in 78 cases (80%). Assuming a worst case scenario for placement (pin mark and no tip in bone [17 cases] and tip present and not in the sternum [3 cases]), attempts were unsuccessful in 20 cases (20%). We draw no specific conclusions regarding sternal IO use, but hope that personnel placing these devices and those providing medical training can use the information. 2011.

  10. Radiologic features of intraosseous hemangioma: A diagnostic challenge

    Directory of Open Access Journals (Sweden)

    Preethi Balan

    2014-01-01

    Full Text Available Intraosseous vascular lesions are rare conditions, comprising only 0.5% to 1% of all intraosseous tumors. They present with variable and atypical radiographic appearances. Because of this variation, no pathognomonic sign exists that can be used to make a definite clinical diagnosis of these tumors. But, early diagnosis of central hemangioma is essential for preventing uncontrollable hemorrhage and even death during biopsy or surgery. The purpose of this article is to stress on the importance of radiology in the timely diagnosis of such lesions, which can prevent the disaster not only to the patient but also to oral surgeon in legal and professional aspects.

  11. Intraosseous hemangioblastoma of the cervical spine: case report.

    Science.gov (United States)

    Li, Zhenteng; Curtis, Brian; Layser, Robert; Selvarajan, Santosh Kumar; Harrop, James; Kenyon, Lawrence C; Parsons, Theodore; Rubin, Asa

    2017-09-01

    A 69-year-old woman presented with bilateral upper-extremity radiculopathy and neck pain after a mechanical fall. Admission CT and MRI of the cervical spine demonstrated a pathological C-4 fracture. Subsequent malignancy workup was negative. A CT-guided biopsy of the lesion showed intraosseous hemangioblastoma. Hemangioblastoma is a highly vascular, slow-growing tumor of the CNS; intraosseous location of this tumor is extremely rare. The authors review the diversity of its presentation and the treatment techniques of this rare tumor in an extremely rare location.

  12. Use of intraosseous blood to assess blood chemistries and hemoglobin during cardiopulmonary resuscitation with drug infusions.

    Science.gov (United States)

    Johnson, L; Kissoon, N; Fiallos, M; Abdelmoneim, T; Murphy, S

    1999-06-01

    To compare intraosseous with central venous blood samples for biochemical analyses and hemoglobin levels during cardiopulmonary resuscitation (CPR) and during cardiopulmonary resuscitation with infusion of sodium bicarbonate, epinephrine, and saline boluses through the intraosseous site. Prospective, complete repeated measures study. An animal laboratory at a university medical center. Thirty-two piglets (mean weight, 30 [range, 24-35] kg). Animals were anesthetized, instrumented, and subjected to hypoxic cardiac arrest. An intraosseous cannula was inserted into the tibia, and animals were randomly assigned to one of five groups: heparinized saline (n = 6), epinephrine infusions only (n = 6), saline infusions only (n = 6), sodium bicarbonate infusions only (n = 8), and epinephrine, saline, and sodium bicarbonate infusions through the same site (n = 6). CPR (chest compressions and mechanical ventilation) was performed in all groups. Simultaneous blood samples were taken from the central venous and intraosseous sites before arrest and after 5 and 30 mins of CPR. There were no differences (p CPR with infusions through the intraosseous cannula. At 30 mins, differences were apparent in magnesium, potassium, and sodium values between groups when the intraosseous cannula was used for infusions as well as sampling. Intraosseous potassium, glucose, and magnesium values were lower and sodium values were higher than central venous blood levels. No differences were seen at all sampling intervals if small-volume heparinized saline was given through the intraosseous site. Hemoglobin values were lower in the intraosseous group after 30 mins of CPR and infusions through the intraosseous site. After 30 mins of CPR, all hemoglobin values from the intraosseous site were CPR and infusions through the intraosseous site. Laboratory values may be erroneous when intraosseous blood is used during periods of resuscitation of >5 mins if drugs and fluid boluses have also been infused through

  13. Calf Compartment Syndrome associated with the Use of an Intra-osseous Line in an Adult Patient: A Case Report

    Directory of Open Access Journals (Sweden)

    Malhotra R

    2016-11-01

    Full Text Available We present a case of a lower limb compartment syndrome associated with the use of an intra-osseous line inserted into the proximal tibia in an adult patient. An unconscious 59-year old male with multiple injuries presented to our Emergency Department after a road traffic accident. Bilateral proximal tibial intra osseous-lines were inserted due to poor venous access. After resuscitation his left leg was noted to be tense and swollen with absent pulses. Acute compartment syndrome was diagnosed both clinically and with compartment pressure measurement. Two incision fasciotomy on his left lower leg was performed. Intra osseous-lines in the proximal tibia are increasingly used in adult patients in the pre-hospital setting by paramedics and emergency physicians. Their use, along with the possible complications of these devices, such as the development of compartment syndrome or osteomyelitis leading to amputation, is well reported in the paediatric literature. To the best of our knowledge, there have not been any previous reports of complications in the adult patient. We present a case of lower leg compartment syndrome developing from the use of an intra-osseous line in the proximal tibia in an adult patient. With the increasing use of intra-osseous lines in adult patients, clinicians should be aware of the possibility of developing compartment syndrome which may lead to disability or amputation in severe cases.

  14. Fertility tourism: circumventive routes that enable access to reproductive technologies and substances.

    Science.gov (United States)

    Bergmann, Sven

    2011-01-01

    “Fertility tourism” is a journalistic eye‐catcher focusing on the phenomenon of patients who search for a reproductive treatment in another country in order to circumvent laws, access restrictions, or waiting lists in their home country. In Europe, the reasons why people seek reproductive treatments outside their national boundaries are quite diverse, in part because regulations differ so much among countries. Beginning with four examples of people who crossed borders for an in vitro fertilization (IVF) treatment with gamete donation, this article provides some insight into these transnational circumvention practices based on material from ethnographic fieldwork and interviews in Spain, Denmark, and the Czech Republic. In all three countries, gamete donation is made strictly anonymous. Clinical practices such as egg donor recruitment and phenotypical matching between donors and recipients serve to naturalize the substitution of gametes and to install social legitimacy through resemblance markers with the prospective child. In comparison to other areas of medical tourism, which are subjects of debate as a consequence of neoliberal health politics and international medical competition, mobility in the area of reproductive technologies is deeply intertwined with new forms of doing kinship. For prospective parents, it holds a promise of generating offspring who could pass as biogenetically conceived children. Therefore, IVF with gamete donation is mostly modeled after conceptions of nature. Through anonymity and concealment it creates forms of nonrelatedness that leave space for future imaginings and traces of transnational genetic creators.

  15. Useful access to enantiomerically pure protected inositols from carbohydrates: the aldohexos-5-uloses route

    Directory of Open Access Journals (Sweden)

    Felicia D’Andrea

    2016-11-01

    Full Text Available The intramolecular aldol condensation of aldohexos-5-ulose derivatives of the D-xylo and L-ribo stereoseries has been studied. Only one of the four possible inososes was isolated from both stereoseries in reasonable yields (30–38%. The results obtained, together with the previous findings for the L-arabino and L-lyxo stereoseries, allowed for the rationalisation of a mechanism of the reaction based on open-transition-state models and electron-withdrawing inductive effects. Complementary reductions of the intermediate inososes were possible by changing the reaction conditions, and two isomeric inositol derivatives were obtained with complete stereoselection from each inosose. The presented approach permits us to control the configuration of three out of the six stereocentres of the inositol frame and gives access to seven of the nine inositols. Noteworthy, for the D-xylo derivative, the two-step sequence (condensation followed by reduction with NaBH(OAc3 represents the biomimetic synthesis of myo-inositol. Furthermore, the sugar-based pathway leads directly to enantiomerically pure selectively protected inositols and does not require any desymmetrisation procedure which is needed when myo-inositol and other achiral precursors are employed as starting materials. As an example of application of the method, the indirect selective protection of secondary inositols’ hydroxy functions, by placing specific protecting groups on the aldohexos-5-ulose precursor has been presented.

  16. Effect of a Connective Tissue Graft in Combination With a Single Flap Approach in the Regenerative Treatment of Intraosseous Defects [Formula: see text].

    Science.gov (United States)

    Trombelli, Leonardo; Simonelli, Anna; Minenna, Luigi; Rasperini, Giulio; Farina, Roberto

    2017-04-01

    In the attempt to limit the post-surgery increase in buccal gingival recession (bREC), effect of a connective tissue graft (CTG) when combined with a buccal single flap approach (SFA) in the regenerative treatment of intraosseous defects is evaluated. Data related to 30 patients with an intraosseous defect treated with a buccal SFA with (SFA+CTG group; n = 15) or without (SFA group; n = 15) placement of a CTG and regenerative treatment were retrospectively derived at three clinical centers. bREC and probing parameters were assessed at presurgery and 6 months post-surgery. In addition to a significant attachment gain and probing depth reduction, adjunctive use of a CTG to a buccal SFA in the regenerative treatment of periodontal intraosseous defects associated with a buccal bone dehiscence resulted in a limited post-surgery bREC, a lower prevalence of defects with a clinically detectable apical displacement of the gingival margin, and an increase in gingival width and thickness. Adjunctive use of a CTG in the regenerative treatment of intraosseous defects associated with buccal bone dehiscence accessed by buccal SFA may support the stability of the gingival profile.

  17. The Anesthetic Efficacy of the Intraosseous Injection in Irreversible Pulpitis.

    Science.gov (United States)

    1995-01-01

    The purpose of this study was to evaluate the anesthetic efficacy of an intraosseous injection in teeth diagnosed with irreversible pulpitis . Fifty...one healthy human subjects with symptomatic maxillary or mandibular posterior teeth diagnosed with irreversible pulpitis were used in this study. The

  18. Intraosseous disc prolapse: A diagnostic puzzle

    Directory of Open Access Journals (Sweden)

    Parasnis Rajesh

    2006-01-01

    Full Text Available Background : Schmorl′s node or intraosseous disc prolapse is herniation of the nucleus pulposus material through the vertebral end plates. Presence of Schmorl′s nodes as end plate lesions following trauma, tumours and osteoporosis further complicates diagnosis. The present study was done to understand diagnosis and approach to management of symptomatic Schmorl′s nodes. Methods : During a period of three years we came across 14 patients who presented with severe back pain. Conventional radiographs, CT Scans and MRI showed the presence of end plate lesions with varied radiological appearance. The first group, comprising of seven patients had lytic lesions without any sclerosis on only one side of the intervertebral disc as seen on the CT scan. The second group comprising of five patients had sclerotic lesions with new bone formation associated with disc space reduction. The two patients in the third group showed a combined lytic and sclerotic lesion without any soft tissue changes. MRI of eleven patients revealed hypointense lesion on T 1 and T 2 weighted images with surrounding zone of hyper intensity on T 2 weighted images. The remaining three patients, did not have this hyper intense zone on T 2 weighted images . In five patients multiple Schmorl′s nodes were observed. Diagnosis of symptomatic Schmorl′s nodes was mainly done by exclusion. All patients were given rest and anti-inflammatory drugs followed by exercises. Results : The first two groups of patients responded to the treatment and had complete relief of symptoms but both the patients in third group had persistent symptoms. MRI repeated after eight weeks showed an enhancing lesion with prevertebral soft tissue. A transpedicular core biopsy proved the lesion to be tuberculosis in one patient. Anti Koch′s therapy was promptly started and follow up study showed resolution of the lesions. At the end of the study period all the patients were asymptomatic and returned to their

  19. Intraosseous phlebography, intraosseous pressure measurements and sup(99m)Tc-polyphosphate scintigraphy in patients with various painful conditions in the hip and knee

    International Nuclear Information System (INIS)

    Arnoldi, C.C.; Djurhuus, J.C.; Heerfordt, J.; Karle, A.

    1980-01-01

    Twenty-five patients with pain in the knee or hip were examined by means of bilateral intraosseous phlebography, intraosseous pressure measurements and sup(99m) technetium polyphosphate scintigraphy. All patients with typical rest pain - either due to osteoarthritis or to the intraosseous engorgement-pain syndrome - showed venous statis and increased pressure in the bone marrow near the painful joint and abnormally high uptake of the radiotracer. In patients with other types of pain this correlation was absent. The results indicate that sup(99m)technetium polyphosphate scintigraphy can be used as a screening method in the diagnosis of the intraosseous engorgement-pain syndrome in patients with a typical history. However, increased isotope uptake in a joint region may be due to a variety of other causes. The identical findings with all three methods of investigation in patients with the intraosseous engorgement-pain syndrome and osteoarthritis suggest a common pathomechanism. (author)

  20. Anaerobic osteomyelitis of femoral head with intraosseous, intra-articular, bursal and muscle pneumatosis

    Energy Technology Data Exchange (ETDEWEB)

    Potocki, Jason [Department of Orthopaedic Surgery, Medical College of Virginia Hospital, Virginia Commonwealth University, PO Box 980257, Richmond, VA 23298-0615 (United States); Kaushik, Shaifali [Department of Radiology, Medical College of Virginia Hospital, Virginia Commonwealth University, 401 N 12th Street, 3-407A, PO Box 980615, Richmond, VA 23298-0615 (United States); Mira, Jose L. [Department of Pathology, Medical College of Virginia Hospital, Virginia Commonwealth University, PO Box 980662, Richmond, VA 23298-0662 (United States)

    2003-01-01

    A case is presented of anaerobic osteomyelitis with intraosseous pneumatosis resulting in extension of gas in soft tissue structures and femur in a patient with mitral valve vegetation and bacteremia. The finding of intraosseous pneumatosis and its extension into the hip joint, iliopsoas bursa and subgluteus medius bursa is depicted. Intraosseous pneumatosis is a rare but concerning finding for osteomyelitis in the absence of a penetrating wound, recent surgery, biopsy or fracture. (orig.)

  1. [Intraosseous infusion in the German Air Rescue Service : Guideline recommendations versus mission reality].

    Science.gov (United States)

    Helm, M; Schlechtriemen, T; Haunstein, B; Gäßler, M; Lampl, L; Braun, J

    2013-12-01

    In emergency medicine intraosseous access (IOA) has been established as an alternative to conventional intravenous access. Originally the use of IOA was strictly limited to children up to 6 years of age and to adults for cardiopulmonary resuscitation. These limitations have been relaxed and the indications for IOA have been expanded. A retrospective nationwide analysis of rescue missions by all helicopter emergency medical services of the German Automobile Club (ADAC) Air Rescue Service as well as the German Air Rescue (DRF) over a 7-year period was carried out. A total of 466,813 patients were treated during the study period and an IOA was established in 1,498 (0.32 %) patients. There was a significant increase in using an IOA from 0.1-0.5 % (p < 0.05) from 2005 to 2011. Furthermore, there was an increase in using an IOA in elderly patients and in patients with lower degrees of severity according to the National Advisory Committee for Aeronautics (NACA) scales (2005-2011): decreased use of IOA in patients up to 6 years of age from 92.4 % to 19.7 % (p < 0.05) and in patients with NACA grades VII/VI from 74.4 % to 46.6 % (p < 0.05) and temporarily limited increase of non-indicated IOA use in patients with NACA grade III between 2008 and 2010. Furthermore, there was an increase in the number of the different drug groups used for intraosseous infusion over the study period. The current guidelines and recommendations for the use of IOA in the prehospital setting are reflected more and more in mission reality for helicopter emergency medical services.

  2. [Intraosseous puncture in preclinical emergency medicine. Ten years experience in air rescue service].

    Science.gov (United States)

    Helm, M; Hauke, J; Bippus, N; Lampl, L

    2007-01-01

    The intraosseous puncture (IO) is a fast and safe alternative to the puncture of peripheral veins in emergency situations in children < or =6 years of age. The purpose of this paper is to summarize 10 years of experience on the prehospital use of the IO method by the Helicopter Emergency Medical Service (HEMS) "Christoph 22", Ulm. This was a retrospective study from 1 January 1996 to 31 December 2005. Out of a total of 9,549 missions, the proportion of children was 11.1%. In 27 children (4.2% of the children < or =6 years of age) an IO puncture was performed. Patients of the IO group were younger (1.0 vs. 3.7 years of age; p<0.001) and showed a higher degree of injury severity (NACA 6 vs. 4; p<0.001) compared to the total children group. In all children of the IO group (100%), the intraosseous puncture was the method of first choice to obtain access to the vascular system by the HEMS team. In 96.4% of these cases (26/27), the first IO puncture attempt was successful - in one child, a second puncture attempt was necessary. A standardized puncture technique was performed using the proximal tibia. The time required for successful placement of the IO infusion line was 60 s or less in all cases. In 37% of the cases (10/27) the IO infusion line was used for induction of general anaesthesia; dosage and onset of administered drugs were described as being equivalent to a peripheral infusion line. In all cases, the IO needle was replaced in-hospital within 2 h by a central or peripheral iv line. No complications were observed. The IO infusion technique is a simple, fast and safe alternative method for emergency access to the vascular system in children < or =6 years of age in the prehospital setting.

  3. Intraosseous pleomorphic adenoma: case report and review of the literature.

    Science.gov (United States)

    Aver-De-Araujo, L M; Chaves-Tarquinio, S B; Neuzling-Gomes, A P; Etges, A

    2002-01-01

    Pleomorphic adenoma is the most common neoplasm of the salivary glands, affecting mainly the parotid gland. The preferential intraoral site of this tumor is the palate. A case of a 31-year-old woman with an intraosseous pleomorphic adenoma located in the maxilla (left paramedian region), showing an approximate evolution of one year is reported. The present intraosseous case represents a rare location, with the tumor probably originating from glandular epithelial remnants captured during embryogenesis. In a review of the literature of 142 cases of intragnathic localization (24% in the maxilla) are identified. A slight predominance of women was observed (56%), with 55% of the patients being affected during the 5th to 7th decade of life. The tumors were malignant in 94% of the cases, with special predominance of mucoepidermoid carcinoma (65%). Intraosseous pleomorphic adenomas are rare, with the present patient being the 6th case reported in the literature and the second found in the maxilla. Mean age of the 5 previously reported cases was 58.8 years.

  4. Role of FNAC in the diagnosis of intraosseous jaw lesions.

    Science.gov (United States)

    Goyal, Surbhi; Sharma, Sonal; Kotru, Mrinalini; Gupta, Neelima

    2015-05-01

    FNAC of intraosseous jaw lesions has not been widely utilized for diagnosis due to rarity and diversity of these lesions, limited experience and lack of well established cytological features. Aim of the study was to determine the role of FNAC in the diagnosis of intraosseous jaw swellings. 42 patients underwent FNAC over a period of 7 years (2007-2013), of which 37 (88.1%) aspirates were diagnostic. Histopathology correlation was available in 33 cases and diagnostic accuracy of FNAC was calculated. Lesions were categorized into inflammatory 3, cysts/hamartomas 15 and neoplasms 19. Mandibular and maxillary involvement was seen in 21 and 16 patients respectively. Of these, benign cysts and malignant lesions were commonest, accounting for 27% lesions (10 cases) each. One case of cystic ameloblastoma was misdiagnosed as odontogenic cyst on cytology. Overall, sensitivity and specificity of FNAC were 94.7% and 100% respectively with a diagnostic accuracy of 97.3%. Definitive categorization of giant cell lesions, fibro-osseous lesions, odontogenic tumors and cystic lesions was not feasible on FNAC. FNAC is a simple, safe and minimally invasive first line investigation which can render an accurate preoperative diagnosis of intraosseous jaw lesions, especially the malignant ones in the light of clinic-radiological correlation.

  5. Spectral encoded optical label detection for dynamic routing of impulse radio ultra-wideband signals in metro-access networks

    DEFF Research Database (Denmark)

    Osadchiy, Alexey Vladimirovich; Yu, Xianbin; Yin, Xiaoli

    2010-01-01

    In this paper we propose and experimentally demonstrate the principle of coherent label detection for dynamic routing of wavelength division multiplexed impulse radio ultra-wideband signals by using four-tone spectral amplitude coded labels.......In this paper we propose and experimentally demonstrate the principle of coherent label detection for dynamic routing of wavelength division multiplexed impulse radio ultra-wideband signals by using four-tone spectral amplitude coded labels....

  6. Performance assessment of flexible time-wavelength routing for a self-aggregating transparent Metro-access interface

    DEFF Research Database (Denmark)

    Wieckowski, M.; Osadchiy, Alexey Vladimirovich; Turkiewicz, J. P.

    2009-01-01

    A time-WDM architecture with on-the-fly wavelength routing and traffic self-aggregation is proposed. Metro-accesss ligthpaths are established using ONUs with reflective modulators. Simulations results show the advantages of the proposed architecture......A time-WDM architecture with on-the-fly wavelength routing and traffic self-aggregation is proposed. Metro-accesss ligthpaths are established using ONUs with reflective modulators. Simulations results show the advantages of the proposed architecture...

  7. [Female patients with fibromyalgia syndrome in somatic and psychosomatic rehabilitation center - an exploratory study on access routes and differences in patient characteristics].

    Science.gov (United States)

    Ullrich, A; Glattacker, M; Sibold, M; Egle, U T; Ehlebracht-König, I; Geigges, W; Köllner, V; Kruse, M; Jäckel, W H

    2013-10-01

    Fibromyalgia syndrome (FMS) is characterized by e. g. chronic, multilocular pain, and mental health problems. In Germany, patients with FMS are treated in somatic and psychosomatic rehabilitation centers - specialized for rheumatic diseases (somatic) or psychosomatic diseases. The aim of this study is to identify the status quo of FMS patients' access routes to the rehabilitation system, and to identify their predictors for being assigned to one or the other indication group. Our cohort consists of 197 FMS patients from 3 psychosomatic (M=49.9 years) and 223 FMS patients (M=50.2 years) from 3 somatic rehabilitation centers. At the beginning of rehabilitation, patients filled out a questionnaire packet to identify their access routes to the rehabilitation centers and to record patients' disease-related, psychosocial and socio-demographic characteristics. To analyze the results we used descriptive calculations, calculated bivariate correlations, and conducted binary logistic regression analysis for the prediction of group membership. The access routes of FMS patients to a somatic or a psychosomatic rehabilitation center were often similar. Some items revealed significant group differences, i. e., a higher primary -rejection rate, longer waiting period between application for rehabilitation and its approval, and between the application itself and initiation of psychosomatic rehabilitation in comparison to somatic FMS patients. Prior experience of out-patient psychotherapy, and expectations ("psychological support") for the rehabilitation were predictive patient characteristics for the assignment into a psychosomatic rehabilitation center. Marriage, motivation, and expectations ("physical improvement" and "interaction with other patients") for the rehabilitation were predictive patient characteristics for the assignment in a somatic rehabilitation center. The predictors clarified 32% of the variance of group membership. Our results provide initial evidence of how FMS

  8. 76 FR 47529 - Port Access Route Study: In the Waters of Montauk Channel and Block Island Sound

    Science.gov (United States)

    2011-08-05

    ... recommended route was subsequently incorporated on nautical charts by the National Oceanic and Atmospheric... traffic patterns in Block Island Sound. No comments were received during the Notice of Study request for... particularly solicited with respect to these recommendations. A navigation chart with the proposed...

  9. Rapid Operational Access and Maneuver Support (ROAMS) Platform for Improved Military Logistics Lines of Communication and Operational Vessel Routing

    Science.gov (United States)

    2017-06-01

    Platform for Improved Military Logistics Lines of Communication and Operational Vessel Routing by Drew Loney, Kimberly Pevey, Jennifer McAlpin...classified into two types of activities: logistics and operational. Logistics activities are concerned with the establishment of lines of communication...obstacles such as shoals, reefs, and wreckage. The qualitative nature of the military logistics planning process causes direct comparison of LOC to be

  10. Fine-needle aspiration biopsy of intraosseous jaw lesions.

    Science.gov (United States)

    August, M; Faquin, W C; Ferraro, N F; Kaban, L B

    1999-11-01

    This study assessed diagnostic accuracy, determined reasons for error, and evaluated modifications to improve the reliability of fine-needle aspiration biopsy (FNAB) of primary jaw lesions. This was a retrospective review of 32 FNABs of intraosseous jaw lesions performed at the Massachusetts General and Children's Hospital between 1993 and 1998. A consistent, standardized technique was used, and each case was evaluated for 1) adequacy of cells to allow diagnosis, 2) presence of malignant cells, and 3) correlation between FNAB diagnosis and the final histopathology. Material obtained by FNAB was adequate for evaluation in 30 of 32 cases. No complications were reported. Malignant cells were found in 5 of 30 cases. FNAB diagnosis was confirmed by histopathology in all 5 of these specimens (100% accuracy). The FNAB diagnosis of benign lesions was confirmed in 17 of 25 cases (68%). The most common benign lesions were odontogenic cysts, ameloblastomas, and fibro-osseous and giant cell lesions. Incorrect diagnosis was related to lack of architectural context of the FNAB material, sampling of a nonrepresentative part of a large lesion, and inadequate quantity or quality of the aspirate. FNAB is a useful technique to distinguish between malignant and benign intraosseous jaw lesions. Its simplicity, suitability as an outpatient procedure, rapidity of interpretation, and minimal morbidity potentially make it the diagnostic tool of choice in the hospital setting.

  11. Intraosseous migration of tendinous calcifications: two case reports.

    Science.gov (United States)

    Marinetti, A; Sessa, M; Falzone, A; Della Sala, S W

    2018-01-01

    Calcific tendinopathy of the rotator cuff is a common cause of shoulder pain. Inflammation of the rotator cuff tendons may be complicated by adjacent bone erosion and subsequent migration of calcific deposits within the bone resulting in marrow inflammation. Bone marrow involvement is not readily visible using X-ray and ultrasound (US) and further testing is necessary. Magnetic resonance imaging (MRI) is a highly sensitive technique that can detect a focal bone T1 and T2-weighted hypointensity with bone marrow edema-like signal and cortical erosion. These findings can mislead the radiologist by suggesting an infectious or neoplastic lesion, often requiring further evaluation with computed tomography (CT) and biopsy. We report two cases of patients with shoulder pain in which different radiological approaches were used with pathological confirmation in one of them. In the first case, MRI revealed significant bone involvement in the head of the humerus and cortical erosion of the greater tuberosity. A CT examination and a biopsy was necessary for a final diagnosis of inflammatory bone reaction from intraosseous migration of tendinous calcifications. In the second case, similar MRI findings prompted re-evaluation of imaging to make a diagnosis of intraosseous migration of tendinous calcifications, obviating the need to perform CT and biopsy. We illustrate MRI signs of this complication that we think would allow to narrow the differential diagnosis potentially avoiding biopsy and additional CT examinations.

  12. Intraosseous migration of tendinous calcifications: two case reports

    International Nuclear Information System (INIS)

    Marinetti, A.; Sessa, M.; Falzone, A.; Della Sala, S.W.

    2018-01-01

    Calcific tendinopathy of the rotator cuff is a common cause of shoulder pain. Inflammation of the rotator cuff tendons may be complicated by adjacent bone erosion and subsequent migration of calcific deposits within the bone resulting in marrow inflammation. Bone marrow involvement is not readily visible using X-ray and ultrasound (US) and further testing is necessary. Magnetic resonance imaging (MRI) is a highly sensitive technique that can detect a focal bone T1 and T2-weighted hypointensity with bone marrow edema-like signal and cortical erosion. These findings can mislead the radiologist by suggesting an infectious or neoplastic lesion, often requiring further evaluation with computed tomography (CT) and biopsy. We report two cases of patients with shoulder pain in which different radiological approaches were used with pathological confirmation in one of them. In the first case, MRI revealed significant bone involvement in the head of the humerus and cortical erosion of the greater tuberosity. A CT examination and a biopsy was necessary for a final diagnosis of inflammatory bone reaction from intraosseous migration of tendinous calcifications. In the second case, similar MRI findings prompted re-evaluation of imaging to make a diagnosis of intraosseous migration of tendinous calcifications, obviating the need to perform CT and biopsy. We illustrate MRI signs of this complication that we think would allow to narrow the differential diagnosis potentially avoiding biopsy and additional CT examinations. (orig.)

  13. Intraosseous migration of tendinous calcifications: two case reports

    Energy Technology Data Exchange (ETDEWEB)

    Marinetti, A.; Sessa, M.; Falzone, A.; Della Sala, S.W. [Santa Maria del Carmine Hospital, Department of Radiology, Rovereto, TN (Italy)

    2018-01-15

    Calcific tendinopathy of the rotator cuff is a common cause of shoulder pain. Inflammation of the rotator cuff tendons may be complicated by adjacent bone erosion and subsequent migration of calcific deposits within the bone resulting in marrow inflammation. Bone marrow involvement is not readily visible using X-ray and ultrasound (US) and further testing is necessary. Magnetic resonance imaging (MRI) is a highly sensitive technique that can detect a focal bone T1 and T2-weighted hypointensity with bone marrow edema-like signal and cortical erosion. These findings can mislead the radiologist by suggesting an infectious or neoplastic lesion, often requiring further evaluation with computed tomography (CT) and biopsy. We report two cases of patients with shoulder pain in which different radiological approaches were used with pathological confirmation in one of them. In the first case, MRI revealed significant bone involvement in the head of the humerus and cortical erosion of the greater tuberosity. A CT examination and a biopsy was necessary for a final diagnosis of inflammatory bone reaction from intraosseous migration of tendinous calcifications. In the second case, similar MRI findings prompted re-evaluation of imaging to make a diagnosis of intraosseous migration of tendinous calcifications, obviating the need to perform CT and biopsy. We illustrate MRI signs of this complication that we think would allow to narrow the differential diagnosis potentially avoiding biopsy and additional CT examinations. (orig.)

  14. Intramuscular versus Intraosseous Delivery of Nerve Agent Antidote Pralidoxime Chloride in Swine.

    Science.gov (United States)

    Uwaydah, Nabeel I; Hoskins, Stephen L; Bruttig, Stephen P; Farrar, Henry; Copper, Nick C; Deyo, Donald J; Dubick, Michael A; Kramer, George C

    2016-01-01

    Exposure to nerve agents requires prompt treatment. We hypothesized that intraosseous (IO) injections of drug antidotes into the vascularized bone marrow will provide a more rapid and effective means to treat exposure to nerve agents than standard intramuscular (IM) injections. We compared the pharmacokinetics of IM and IO administration of pralidoxime chloride (2-PAM Cl) during normovolemia and hypovolemia, as well as their combined administration during normovolemia in swine. Ten normovolemic swine were randomly administered 2 mL, 660 mg 2-PAM Cl via the IM or IO route and monitored for 180 minutes. IM versus IO also was compared in 8 hypovolemic swine bled to a mean arterial pressure of 50 mmHg. In a combined group, an IO injection was administered followed by an IM injection 60 minutes later. Blood samples were collected at times over a 180-minute period to calculate standard pharmacokinetic variables to compare the 2 routes of administration. In the normovolemic swine, IM injection achieved therapeutic levels (4 μg/mL) in 2 minutes, whereas IO infusion achieved these levels in less than 15 seconds. 2-PAM-Cl concentrations fell below these levels at 60 minutes post-injection in both groups. In the hypovolemic swine, IM injection achieved therapeutic levels in 4 minutes compared to less than 15 seconds in the IO group. 2-PAM-Cl concentrations fell below therapeutic levels at 12 and 90 minutes post-injection in the IM and IO groups, respectively. In the combined IO-IM treatment, plasma levels remained above therapeutic levels for the entire experiment and had two concentration peaks that corresponded to IO and IM injections. The IO route for the delivery of 2-PAM Cl provides a significant time and high initial blood concentrations advantage compared to the IM route for the prehospital treatment of nerve agent exposure even under hypovolemic conditions. The initial concentration peak associated with IO, but not IM, may provide greater initial therapy at the

  15. Intraosseous adenoid cystic carcinoma of maxilla: A rare case report

    Directory of Open Access Journals (Sweden)

    Prasannasrinivas Suresh Deshpande

    2013-01-01

    Full Text Available Adenoid cystic carcinoma (ACC accounts for approximately 6-10% of all salivary gland tumors. Palatal minor salivary glands, parotid, and sub-mandibular glands are usually affected. Rarely, these lesions arising intraosseously have been reported. Mandible is commonly involved than maxilla. The present case is a giant ACC involving the right maxilla. A thorough clinical and radiographic evaluation was performed to assess the involvement of surrounding vital structures along with a meticulous metastatic work-up. Computed tomography showed a giant lesion in maxilla encroaching the left nasal fossa, antrum, buccal space, and oral cavity. No metastasis was noted. Histological evaluation from multiple sites showed both cribriform and solid patterns. Radiotherapy was given as patient did not comply for surgery. Though central ACC is extremely rare, especially in maxilla, it should be included in the differentials for lesions in maxilla. A prompt diagnosis with treatment and long-term follow-up is advised in such cases.

  16. Solitary intraosseous neurofibroma: Report of a unique case

    Directory of Open Access Journals (Sweden)

    Sagar Satish Jangam

    2014-01-01

    Full Text Available Neural tumors located centrally in jaw bones are relatively rare compared with soft tissue neurofibromas. Less than 50 cases have been reported in the literature with a predilection for mandible. This article aims to elucidate a unique case of intraosseous neurofibroma of mandible in a 62-year-old edentulous female patient associated with facial asymmetry due to the swelling extending from the right body of mandible to left body of mandible. The uniqueness of this case is related to the age and extensiveness of this lesion. A review of clinical, radiographic, histological, and immunohistochemical features, and the surgical management pertaining to this case are discussed along with a review of the literature.

  17. Effectiveness of a Drill-assisted Intraosseous Catheter versus Manual Intraosseous Catheter by Resident Physicians in a Swine Model

    Directory of Open Access Journals (Sweden)

    Hafner, John William

    2013-11-01

    Full Text Available Introduction: Our objective was to compare the effectiveness, speed, and complication rate of the traditional manually placed intraosseous (IO catheter to a mechanical drill-assisted IO catheter by emergency medicine (EM resident physicians in a training environment. Methods: Twenty-one EM residents participated in a randomized prospective crossover experiment placing 2 intraosseous needles (Cook® Intraosseous Needle, Cook Medical, Bloomington, IN; and EZ-IO® Infusion System, Vidacare, San Antonio, TX. IO needles were placed in anesthetized mixed breed swine (mass range: 25 kg to 27.2 kg. The order of IO placement and puncture location (proximal tibia or distal femur were randomly assigned. IO placement time was recorded from skin puncture until the operator felt they had achieved successful placement. We used 3 verification criteria: aspiration of marrow blood, easy infusion of 10 mL saline mixed with methylene blue, and lack of stained soft tissue extravasation. Successful placement was defined as meeting 2 out of the 3 predetermined criteria. We surveyed participants regarding previous IO experience, device preferences, and comfort levels using multiple choice, Likert scale, and visual analog scale (VAS questions. IO completion times, VAS, and mean Likert scales were compared using Student’s t-test and success rates were compared using Fisher’s exact test with p<0.05 considered significant.Results: Drill-assisted IO needle placement was faster than manually placed IO needle placement (3.66 vs. 33.57 seconds; p=0.01. Success rates were 100% with the drill-assisted IO needle and 76.2% with the manual IO needle (p=0.04. The most common complication of the manual IO insertion was a bent needle (33.3% of attempts. Participants surveyed preferred the drill-assisted IO insertion more than the manual IO insertion (p<0.0001 and felt the drill-assisted IO was easier to place (p<0.0001.Conclusion: In an experimental swine model, drill-assisted IO

  18. Analysis of intraosseous blood samples using an EPOC point of care analyzer during resuscitation.

    Science.gov (United States)

    Tallman, Crystal Ives; Darracq, Michael; Young, Megann

    2017-03-01

    In the early phases of resuscitation in a critically ill patient, especially those in cardiac arrest, intravenous (IV) access can be difficult to obtain. Intraosseous (IO) access is often used in these critical situations to allow medication administration. When no IV access is available, it is difficult to obtain blood for point of care analysis, yet this information can be crucial in directing the resuscitation. We hypothesized that IO samples may be used with a point of care device to obtain useful information when seconds really do matter. Patients presenting to the emergency department requiring resuscitation and IO placement were prospectively enrolled in a convenience sample. 17 patients were enrolled. IO and IV samples obtained within five minutes of one another were analyzed using separate EPOC® point of care analyzers. Analytes were compared using Bland Altman Plots and intraclass correlation coefficients. In this analysis of convenience sampled critically ill patients, the EPOC® point of care analyzer provided results from IO samples. IO and IV samples were most comparable for pH, bicarbonate, sodium and base excess, and potentially for lactic acid; single outliers for bicarbonate, sodium and base excess were observed. Intraclass correlation coefficients were excellent for sodium and reasonable for pH, pO2, bicarbonate, and glucose. Correlations for other variables measured by the EPOC® analyzer were not as robust. IO samples can be used with a bedside point of care analyzer to rapidly obtain certain laboratory information during resuscitations when IV access is difficult. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Comparison of routes for achieving parenteral access with a focus on the management of patients with Ebola virus disease

    DEFF Research Database (Denmark)

    Ker, Katharine; Tansley, Gavin; Beecher, Deirdre

    2015-01-01

    the reliability, ease of use and speed of insertion of different parenteral access methods. SEARCH METHODS: We ran the search on 17 November 2014. We searched the Cochrane Injuries Group's Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library), Ovid MEDLINE(R) In...... of interest were success of insertion; time required for insertion; number of insertion attempts; number of dislodgements; time period with functional access; local site reactions; clinicians' perception of ease of administration; needlestick injury to healthcare workers; patients' discomfort; and mortality....... For trials involving the administration of fluids we also collected data on the volume of fluid infused, changes in serum electrolytes and markers of renal function. We rated the quality of the evidence as 'high', 'moderate', 'low' or 'very low' according to the GRADE approach for the following outcomes...

  20. Effect of Poor Access to Water and Sanitation As Risk Factors for Soil-Transmitted Helminth Infection: Selectiveness by the Infective Route.

    Science.gov (United States)

    Echazú, Adriana; Bonanno, Daniela; Juarez, Marisa; Cajal, Silvana P; Heredia, Viviana; Caropresi, Silvia; Cimino, Ruben O; Caro, Nicolas; Vargas, Paola A; Paredes, Gladys; Krolewiecki, Alejandro J

    2015-09-01

    Soil-transmitted helminth (STH) infections are a public health problem in resource-limited settings worldwide. Chronic STH infection impairs optimum learning and productivity, contributing to the perpetuation of the poverty-disease cycle. Regular massive drug administration (MDA) is the cardinal recommendation for its control; along with water, sanitation and hygiene (WASH) interventions. The impact of joint WASH interventions on STH infections has been reported; studies on the independent effect of WASH components are needed to contribute with the improvement of current recommendations for the control of STH. The aim of this study is to assess the association of lacking access to water and sanitation with STH infections, taking into account the differences in route of infection among species and the availability of adequate water and sanitation at home. Cross-sectional study, conducted in Salta province, Argentina. During a deworming program that enrolled 6957 individuals; 771 were randomly selected for stool/serum sampling for parasitological and serological diagnosis of STH. Bivariate stratified analysis was performed to explore significant correlations between risk factors and STH infections grouped by mechanism of entry as skin-penetrators (hookworms and Strongyloides stercoralis) vs. orally-ingested (Ascaris lumbricoides and Trichuris trichiura). After controlling for potential confounders, unimproved sanitation was significantly associated with increased odds of infection of skin-penetrators (adjusted odds ratio [aOR] = 3.9; 95% CI: 2.6-5.9). Unimproved drinking water was significantly associated with increased odds of infection of orally-ingested (aOR = 2.2; 95% CI: 1.3-3.7). Lack of safe water and proper sanitation pose a risk of STH infections that is distinct according to the route of entry to the human host used by each of the STH species. Interventions aimed to improve water and sanitation access should be highlighted in the recommendations for the

  1. Effect of Poor Access to Water and Sanitation As Risk Factors for Soil-Transmitted Helminth Infection: Selectiveness by the Infective Route.

    Directory of Open Access Journals (Sweden)

    Adriana Echazú

    2015-09-01

    Full Text Available Soil-transmitted helminth (STH infections are a public health problem in resource-limited settings worldwide. Chronic STH infection impairs optimum learning and productivity, contributing to the perpetuation of the poverty-disease cycle. Regular massive drug administration (MDA is the cardinal recommendation for its control; along with water, sanitation and hygiene (WASH interventions. The impact of joint WASH interventions on STH infections has been reported; studies on the independent effect of WASH components are needed to contribute with the improvement of current recommendations for the control of STH. The aim of this study is to assess the association of lacking access to water and sanitation with STH infections, taking into account the differences in route of infection among species and the availability of adequate water and sanitation at home.Cross-sectional study, conducted in Salta province, Argentina. During a deworming program that enrolled 6957 individuals; 771 were randomly selected for stool/serum sampling for parasitological and serological diagnosis of STH. Bivariate stratified analysis was performed to explore significant correlations between risk factors and STH infections grouped by mechanism of entry as skin-penetrators (hookworms and Strongyloides stercoralis vs. orally-ingested (Ascaris lumbricoides and Trichuris trichiura. After controlling for potential confounders, unimproved sanitation was significantly associated with increased odds of infection of skin-penetrators (adjusted odds ratio [aOR] = 3.9; 95% CI: 2.6-5.9. Unimproved drinking water was significantly associated with increased odds of infection of orally-ingested (aOR = 2.2; 95% CI: 1.3-3.7.Lack of safe water and proper sanitation pose a risk of STH infections that is distinct according to the route of entry to the human host used by each of the STH species. Interventions aimed to improve water and sanitation access should be highlighted in the recommendations

  2. Anesthetic efficacy of X-tip intraosseous injection using 2% lidocaine with 1:80,000 epinephrine in patients with irreversible pulpitis after inferior alveolar nerve block: A clinical study

    Science.gov (United States)

    Verma, Pushpendra Kumar; Srivastava, Ruchi; Ramesh, Kumar M

    2013-01-01

    Introduction: The inferior alveolar nerve block (IAN) is the most frequently used mandibular injection technique for achieving local anesthesia in endodontics. Supplemental injections are essential to overcome failure of IAN block in patients with irreversible pulpitis. Aim: To evaluate the anesthetic efficacy of X-tip intraosseous injection (2% lidocaine with 1:80,000 epinephrine) in patients with irreversible pulpitis in mandibular posterior teeth when conventional IAN block failed. Materials and Methods: Thirty emergency patients diagnosed with irreversible pulpitis in a mandibular posterior tooth received an IAN block and experienced moderate to severe pain on endodontic access or initial instrumentation. The X-tip system was used to administer 1.8 ml of 2% lidocaine with 1:80,000 epinephrine. The success of X-tip intraosseous injection was defined as none or mild pain (Heft-Parker visual analogue scale ratings irreversible pulpitis. PMID:23716971

  3. Correction to: Cone beam computed tomography and ultrasonography imaging of benign intraosseous jaw lesion: a prospective radiopathological study.

    Science.gov (United States)

    Bayrakdar, Ibrahim Sevki; Yilmaz, Ahmet Berhan; Caglayan, Fatma; Ertas, Umit; Gundogdu, Cemal; Gumussoy, Ismail

    2018-02-08

    In the original version of this article, '123 lytic intraosseous jaw lesions diagnosed in 112 patients' was incorrectly presented as '123 lytic intraosseous jaw lesions diagnosed in 121 patients' and 'an average age of 31.7 ± 15.4 (range, 6-72)' was incorrectly presented as 'average age of 15.4 ± 31.7 (range, 6-72)'.

  4. Effects of intraosseous erythropoietin during hemorrhagic shock in swine.

    Directory of Open Access Journals (Sweden)

    Vesna Borovnik-Lesjak

    Full Text Available OBJECTIVE: To determine whether erythropoietin given during hemorrhagic shock (HS ameliorates organ injury while improving resuscitation and survival. METHODS: Three series of 24 pigs each were studied. In an initial series, 50% of the blood volume (BV was removed in 30 minutes and normal saline (threefold the blood removed started at minute 90 infusing each third in 30, 60, and 150 minutes with shed blood reinfused at minute 330 (HS-50BV. In a second series, the same HS-50BV protocol was used but removing an additional 15% of BV from minute 30 to 60 (HS-65BV. In a final series, blood was removed as in HS-65BV and intraosseous vasopressin given from minute 30 (0.04 U/kg min(-1 until start of shed blood reinfusion at minute 150 (HS-65BV+VP. Normal saline was reduced to half the blood removed and given from minute 90 to 120 in half of the animals. In each series, animals were randomized 1:1 to receive erythropoietin (1,200 U/kg or control solution intraosseously after removing 10% of the BV. RESULTS: In HS-50BV, O2 consumption remained near baseline yielding minimal lactate increases, 88% resuscitability, and 60% survival at 72 hours. In HS-65BV, O2 consumption was reduced and lactate increased yielding 25% resuscitability. In HS-65BV+VP, vasopressin promoted hemodynamic stability yielding 92% resuscitability and 83% survival at 72 hours. Erythropoietin did not affect resuscitability or subsequent survival in any of the series but increased interleukin-10, attenuated lactate increases, and ameliorated organ injury based on lesser troponin I, AST, and ALT increases and lesser neurological deficits in the HS-65BV+VP series. CONCLUSIONS: Erythropoietin given during HS in swine failed to alter resuscitability and 72 hour survival regardless of HS severity and concomitant treatment with fluids and vasopressin but attenuated acute organ injury. The studies also showed the efficacy of vasopressin and restrictive fluid resuscitation for hemodynamic

  5. Cone beam computed tomography and ultrasonography imaging of benign intraosseous jaw lesion: a prospective radiopathological study.

    Science.gov (United States)

    Bayrakdar, Ibrahim Sevki; Yilmaz, Ahmet Berhan; Caglayan, Fatma; Ertas, Umit; Gundogdu, Cemal; Gumussoy, Ismail

    2017-10-18

    We assessed whether ultrasonography (US) can be used in combination with cone beam computed tomography (CBCT) to image intraosseous jaw lesions. Using CBCT and US, we evaluated 123 lytic intraosseous jaw lesions diagnosed in 121 patients with guidance from the CBCT findings. The lesions were classified into two groups based on histopathological evaluation: (1) cysts and (2) tumors and tumor-like lesions. US and histopathological findings on the lesions of the two groups and their relationships with each other were also assessed. Results are reported as means ± standard errors, and p lesions were evaluated; 74 (60.2%) were cysts and 49 (39.8%) were tumors or tumor-like lesions. The CBCT and US findings were compatible as far as dimensional measurements of the lesions in the three planes (p lesions correlated (p jaw lesions. Because it offers no valid Hounsfield unit (HU) value, it does not differentiate between solid and cystic masses. Thus, US can be used with CBCT to image intraosseous jaw lesions caused by buccal cortical thinning or perforation. US provides useful information about intraosseous jaw lesions and can be used with CBCT to image such lesions caused by buccal cortical thinning or perforation. Clinicians can take this information into consideration when evaluating intraosseous jaw pathology.

  6. Evaluation of clinical and paraclinical effects of intraosseous vs intravenous administration of propofol on general anesthesia in rabbits

    Directory of Open Access Journals (Sweden)

    Ramin Mazaheri-Khameneh

    2012-06-01

    Full Text Available This prospective study aimed to compare the intraosseous (IO and intravenous (IV effects of propofol on selected blood parameters and physiological variables during general anesthesia in rabbits. Thirty New Zealand White rabbits were studied. Six rabbits received IV propofol (group 1 and another 6 rabbits, were injected propofol intraosseously (Group 2 for 30 minutes (experimental groups. Rabbits of the third and fourth groups received IV and IO normal saline at the same volume given to the experimental groups, respectively. In the fifth group IO cannulation was performed but neither propofol nor normal saline were administered. Blood profiles were assayed before induction and after recovery of anesthesia. Heart and respiratory rates, rectal temperature, saturation of peripheral oxygen and mean arterial blood pressure were recorded. Heart rate increased significantly 1 to 5 minutes after induction of anesthesia in experimental groups (P < 0.05. Although mean arterial blood pressure decreased significantly from baseline, values remained above 60 mm Hg (P < 0.05. Respiratory rate decreased significantly in experimental groups, but remained higher in group 2 (P < 0.05. The lymphocyte count decreased significantly in group 1 (P < 0.05. The concentration of alkaline phosphatase in all rabbits, aspartate aminotransferase and gamma- glutamyl transferase in the first group and gamma-glutamyl transferase in the third group increased significantly (P < 0.05. Total bilirubin decreased significantly in group 2 (P < 0.05. All measured values remained within normal limits. Based on the least significant physiological, hematological and biochemical effects, the IO injection of propofol appears to be safe and suitable method of anesthesia in rabbits with limited vascular access.

  7. CT Guided Bone Biopsy Using a Battery Powered Intraosseous Device

    Energy Technology Data Exchange (ETDEWEB)

    Schnapauff, Dirk, E-mail: dirk.schnapauff@charite.de; Marnitz, Tim, E-mail: tim.marnitz@charite.de; Freyhardt, Patrick, E-mail: Patrick.freyhardt@charite.de; Collettini, Federico, E-mail: Federico.collettini@charite.de [Charite Universitaetsmedizin Berlin, Campus Virchow-Klinikum, Department of Radiology (Germany); Hartwig, Kerstin, E-mail: kerstin.hartwig@charite.de [Charite Universitaetsmedizin Berlin, Campus Charite Mitte, Department of Haematology and Oncology (Germany); Joehrens, Korinna, E-mail: korinna.joehrens@charite.de [Charite Universitaetsmedizin Berlin, Campus Charite Mitte, Department of Pathology (Germany); Hamm, Bernd, E-mail: bernd.hamm@charite.de; Kroencke, Thomas, E-mail: thomas.kroencke@charite.de; Gebauer, Bernhard, E-mail: Bernhard.gebauer@charite.de [Charite Universitaetsmedizin Berlin, Campus Virchow-Klinikum, Department of Radiology (Germany)

    2013-10-15

    Purpose: To evaluate the feasibility of a battery powered intraosseous device to perform CT-fluoroscopy guided bone biopsy. Methods: Retrospective analysis of 12 patients in whom bone specimen were acquired from different locations under CT-fluoroscopy guidance using the OnControl bone marrow biopsy system (OBM, Vidacare, Shavano Park, TX, USA). Data of the 12 were compared to a historic cohort in whom the specimen were acquired using the classic Jamshidi Needle, as reference needle using manual force for biopsy. Results: Technical success was reached in 11 of 12 cases, indicated by central localisation of the needle within the target lesion. All specimen sampled were sufficient for histopathological workup. Compared to the historical cohort the time needed for biopsy decreased significantly from 13 {+-} 6 to 6 {+-} 4 min (P = 0.0001). Due to the shortened intervention time the radiation dose (CTDI) during CT-fluoroscopy was lowered significantly from 169 {+-} 87 to 111 {+-} 54 mGy Multiplication-Sign cm (P = 0.0001). Interventional radiologists were confident with the performance of the needle especially when using in sclerotic or osteoblastic lesions. Conclusion: The OBM is an attractive support for CT-fluoroscopy guided bone biopsy which is safe tool and compared to the classical approach using the Jamshidi needle leading to significantly reduced intervention time and radiation exposure.

  8. Intraosseous Ameloblastoma with a Prominent Extraosseous Component: Pitfalls in Diagnosis

    Science.gov (United States)

    Mishima, Kenji; Yamada, Hiroyuki; Kikuchi, Kentaro; Saito, Ichiro; Kusama, Kaoru

    2010-01-01

    For many years, gingival tumors of what appear to be peripherally located intraosseous ameloblastoma (IA) arising from the alveolar bone surface have often been confused with peripheral ameloblastoma (PA) causing resorption of the underlying bone. We analyzed a series of five cases of ameloblastoma that demonstrated a combined PA and IA architecture. The tumor commonly involved the anterior-premolar area, mostly in the maxilla and mainly in middle-aged men. The clinical presentation was an exophytic gingival mass inferior to which was a small bone defect. The predominant extraosseous component showed a papillary gross surface, reflecting the histologic proof of fusion between the submucosal tumor and the surface epithelium. In addition to the PA-like growth pattern, common to all was the presence of neoplastic destruction of the alveolar process, corresponding to an associated radiolucent lesion. This restrained component was acceptable as IA. In two cases, recurrence was observed deep in the alveolar bone with no involvement of the gingiva. These tumors appear to be IA that arose from the marginal alveolar bone and grew preferentially in the gingiva, forming a PA-like appearance. From diagnostic, therapeutic and prognostic points of view, this type of IA should not be confused with PA. PMID:20549402

  9. Unusual primary intraosseous meningioma, mimicking cranial osteoid osteoma: A radiological clue to the differential diagnosis

    Directory of Open Access Journals (Sweden)

    Tsuyoshi Izumo

    2014-01-01

    Full Text Available Primary intraosseous meningioma of the skull is rare. We report a patient who presented with a history of an enlarging scalp mass over 30 years. Noncontrast computed tomography demonstrated a densely calcified right frontal extra-axial mass lesion. Magnetic resonance imaging of the lesion demonstrated heterogeneous hypointensity on T1-and T2-wieghted images and without evidence of gadolinium contrast enhancement. And the mass showed heterogeneous isointensity on diffusion weighted image. Preoperative diagnosis for the lesion was osteoid osteoma of the right frontoparietal bone, and total excision of the tumor was carried out. Histological examination showed intraosseous meningothelial meningioma. We should be aware of the primary intraosseous meningioma showing the classical radiological findings of cranial osteoid osteoma. The radiological clue for the accurate diagnosis is discussed.

  10. Intraosseous atypical chondroid tumor or chondrosarcoma grade 1 in patients with multiple osteochondromas.

    Science.gov (United States)

    Goud, Annemarie L; Wuyts, Wim; Bessems, Johannes; Bramer, Jos; van der Woude, Henk Jan; Ham, John

    2015-01-07

    The autosomal dominant condition multiple osteochondromas, formerly called multiple hereditary exostoses, is associated with a risk of malignant progression of osteochondroma into secondary peripheral chondrosarcoma. Most patients with multiple osteochondromas have exostosin-1 or exostosin-2 gene mutations. To our knowledge, it has not been previously reported that patients may also harbor intraosseous (central) chondroid neoplasms, enchondromas, or atypical chondroid tumors or central chondrosarcomas. The combination of osteochondroma and enchondromas also exists in patients with metachondromatosis, a disorder associated with a protein tyrosine phosphatase non-receptor type 11 gene mutation. This study aims to establish any correlation between multiple osteochondromas and intraosseous cartilaginous neoplasms. We retrospectively reviewed all histologically proven intraosseous atypical chondroid tumors or chondrosarcomas in our prospective nationwide Dutch tertiary referral multiple osteochondromas database. Demographic, clinical, radiographic, histological, and genetic data were recorded. The institutional medical ethics review board approved the study. From 195 adult patients, seven (3.6%) were identified with intraosseous atypical chondroid tumor or chondrosarcoma World Health Organization grade 1 and had a mean age of forty-two years; five of these patients were male. In all cases, radiographic and genetic findings were consistent with multiple osteochondromas, not metachondromatosis; three patients had an exostosin-1 mutation, four patients had an exostosin-2 mutation, and no patients had a protein tyrosine phosphatase, non-receptor type 11 mutation. Six patients underwent successful operative treatment without complications or recurrences after a mean follow-up duration of forty-eight months (range, twelve to 144 months). One patient was scheduled for surgery after biopsy and histologic confirmation. Of the seven patients, five (71%) also developed a

  11. Solitary Intra-Osseous Myofibroma of the Jaw: A Case Report and Review of Literature.

    Science.gov (United States)

    Dhupar, Anita; Carvalho, Karla; Sawant, Poonam; Spadigam, Anita; Syed, Shaheen

    2017-10-24

    Myofibroma is a rare benign spindle cell neoplasm in children that usually affects both soft tissue and bone in the head and neck region. Approximately one third of these cases are seen within jaw bones as solitary lesions. Solitary intra-osseous myofibroma of the jaw bone shares its clinical, radiographic and histological features with other spindle cell tumors. The rarity of this lesion can make diagnosis difficult for clinicians and pathologists. We report a case of a solitary intra-osseous myofibroma in the mandible of a nine-year-old child.

  12. Accessibility

    DEFF Research Database (Denmark)

    Brooks, Anthony Lewis

    2017-01-01

    This contribution is timely as it addresses accessibility in regards system hardware and software aligned with introduction of the Twenty-First Century Communications and Video Accessibility Act (CVAA) and adjoined game industry waiver that comes into force January 2017. This is an act created...... by the USA Federal Communications Commission (FCC) to increase the access of persons with disabilities to modern communications, and for other purposes. The act impacts advanced communications services and products including text messaging; e-mail; instant messaging; video communications; browsers; game...... platforms; and games software. However, the CVAA has no legal status in the EU. This text succinctly introduces and questions implications, impact, and wider adoption. By presenting the full CVAA and game industry waiver the text targets to motivate discussions and further publications on the subject...

  13. Intraosseous anesthesia with solution injection controlled by a computerized system versus conventional oral anesthesia: A preliminary study

    Science.gov (United States)

    Beneito-Brotons, Rut; Peñarrocha-Oltra, David; Ata-Ali, Javier

    2012-01-01

    Objective: To compare a computerized intraosseous anesthesia system with the conventional oral anesthesia techniques, and analyze the latency and duration of the anesthetic effect and patient preference. Design: A simple-blind prospective study was made between March 2007 and May 2008. Each patient was subjected to two anesthetic techniques: conventional and intraosseous using the Quicksleeper® system (DHT, Cholet, France). A split-mouth design was adopted in which each patient underwent treatment of a tooth with one of the techniques, and treatment of the homologous contralateral tooth with the other technique. The treatments consisted of restorations, endodontic procedures and simple extractions. Results: The study series comprised 12 females and 18 males with a mean age of 36.8 years. The 30 subjects underwent a total of 60 anesthetic procedures. Intraosseous and conventional oral anesthesia caused discomfort during administration in 46.3% and 32.1% of the patients, respectively. The latency was 7.1±2.23 minutes for the conventional technique and 0.48±0.32 for intraosseous anesthesia – the difference being statistically significant. The depth of the anesthetic effect was sufficient to allow the patients to tolerate the dental treatments. The duration of the anesthetic effect in soft tissues was 199.3 minutes with the conventional technique versus only 1.6 minutes with intraosseous anesthesia – the difference between the two techniques being statistically significant. Most of the patients (69.7%) preferred intraosseous anesthesia. Conclusions: The described intraosseous anesthetic system is effective, with a much shorter latency than the conventional technique, sufficient duration of anesthesia to perform the required dental treatments, and with a much lesser soft tissue anesthetic effect. Most of the patients preferred intraosseous anesthesia. Key words:Anesthesia, intraosseous, oral anesthesia, infiltrating, mandibular block, Quicksleeper®. PMID

  14. Calcific tendinopathy of the shoulder with intraosseous extension: outcomes of ultrasound-guided percutaneous irrigation.

    Science.gov (United States)

    Klontzas, Michail E; Vassalou, Evangelia E; Karantanas, Apostolos H

    2017-02-01

    Rotator cuff calcific tendinopathy (RCCT) with intraosseous extension is a rare complication of tendinous and peritendinous involvement. The purpose of our study is to evaluate the outcome of ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) in patients with intraosseous involvement. From January 2011 to June 2014, patients with a clinical and imaging diagnosis of RCCT were prospectively categorised in two groups based on imaging findings: group A (10 patients) with intraosseous RCCT and group B (control group 35 patients) without osseous involvement. US-PICT followed by subacromial injection was applied to all patients in groups A and B. During a 1-year follow-up, treatment outcome in terms of pain and functional improvement was evaluated at 3 weeks, 3 months, 6 months, and 1 year, with the use of a four-grade scale. The study has been approved by our hospital's ethics committee. Mean improvement scores of group A were significantly lower than those of group B at all time points (p < 0.0001). Improvement of group B was noted mainly within the first 3 months post-treatment (p = 0.016). Outcomes of ultrasound-guided treatment in cases of RCCT with intraosseous extension are significantly less favourable than in purely tendinous or peritendinous disease.

  15. Calcific tendinopathy of the shoulder with intraosseous extension: outcomes of ultrasound-guided percutaneous irrigation

    Energy Technology Data Exchange (ETDEWEB)

    Klontzas, Michail E. [University Hospital and Department of Radiology, University of Crete, Department of Medical Imaging, Heraklion, Crete (Greece); Imperial College London, Department of Chemical Engineering, London (United Kingdom); Vassalou, Evangelia E.; Karantanas, Apostolos H. [University Hospital and Department of Radiology, University of Crete, Department of Medical Imaging, Heraklion, Crete (Greece)

    2017-02-15

    Rotator cuff calcific tendinopathy (RCCT) with intraosseous extension is a rare complication of tendinous and peritendinous involvement. The purpose of our study is to evaluate the outcome of ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) in patients with intraosseous involvement. From January 2011 to June 2014, patients with a clinical and imaging diagnosis of RCCT were prospectively categorised in two groups based on imaging findings: group A (10 patients) with intraosseous RCCT and group B (control group 35 patients) without osseous involvement. US-PICT followed by subacromial injection was applied to all patients in groups A and B. During a 1-year follow-up, treatment outcome in terms of pain and functional improvement was evaluated at 3 weeks, 3 months, 6 months, and 1 year, with the use of a four-grade scale. The study has been approved by our hospital's ethics committee. Mean improvement scores of group A were significantly lower than those of group B at all time points (p < 0.0001). Improvement of group B was noted mainly within the first 3 months post-treatment (p = 0.016). Outcomes of ultrasound-guided treatment in cases of RCCT with intraosseous extension are significantly less favourable than in purely tendinous or peritendinous disease. (orig.)

  16. Cyanide Antidotes for Mass Casualties: Comparison of Intramuscular Injector by Autoinjector, Intraosseous Injection, and Inhalational Delivery

    Science.gov (United States)

    2015-12-01

    Public Release; Distribution Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT Current antidotes for cyanide poisoning must be administered by intravenous... Cyanide Poisoning ; Intramuscular Injection; Intraosseous Injection; Inhalational Delivery 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT...required in cyanide - poisoned victims, since they may be hypotensive with collapsed peripheral veins. Thus, intravenous antidote administration would not

  17. Magnetic resonance imaging of intraosseous lipomas: a radiologic-pathologic correlation

    International Nuclear Information System (INIS)

    Blacksin, M.F.; Ende, N.; Benevenia, J.

    1995-01-01

    Four patients with intraosseous lipomas were studied with magnetic resonance imaging. The imaging features and histology of each tumor were compared. Magnetic resonance imaging was very helpful in establishing a pathologic diagnosis. If a severe degree of involution was present, then the magnetic resonance findings could be ambiguous, making diagnosis more difficult. (orig.)

  18. [Primary intraosseous carcinoma of the jaws: results of treatment of 9 cases and proposed classification].

    Science.gov (United States)

    Zwetyenga, N; Majoufre-Lefebvre, C; Pinsolle, V; Rivel, J; Faucher, A; Siberchicot, F

    2003-10-01

    Primary intraosseous carcinoma of the jaws is a rare squamous cell carcinoma arising in the jaw, having no initial connection with the oral mucosa and presumably developing from residues of the odontogenic epithelium. To present 9 cases and to propose a staging system of primary intraosseous carcinoma of the jaws. Careful assessment of the clinical, radiological and histological examination of the specimens identified 9 patients with primary intraosseous carcinoma of the jaws. The male/female ratio was 8/1 and the mean age of patients at the time of diagnosis was 61.7 years. All lesions were located in the mandible. Usually, clinical symptoms had benign aspect and delay the diagnosis. Radiographic features were unilocular osteolytic lesion and ill-defined margins were usually noted with a mean tumor size of 3.4 centimeters. The mean delay of the diagnosis was 4.9 months. Surgery at the tumor site consisted of hemi-mandibulectomy in all cases. All patients but one had neck dissection. The postoperative radiotherapy mean dose was 62.6 Gy. Histologically, most squamous cell carcinomas were well differentiated with keratinization. All lymph nodes metastasis had capsular involved. Complications occurred in 2 cases. Four patients had recurrences in the mean delay of 13.8 months. The estimated overall 2-and 5-years survival was 65% and 46.5% respectively. Primary intra-osseous carcinoma of the jaws is a rare tumor none classified by UICC with poor prognosis. We recommend an aggressive treatment with postoperative radiotherapy. We propose a computer tomographic classification: T1 (tumor strictly intra-osseous), T2 (tumor with cortical destruction without involvement of adjacent soft-tissues) and T3 (tumor involvement of adjacent soft-tissues).

  19. Uncommon presentations of intraosseous haemophilic pseudotumor in imaging diagnosis; Apresentacoes incomuns no diagnostico por imagem do pseudotumor intraosseo do hemofilico

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Marcel Koenigkam; Polezi, Mariana Basso; Pastorello, Monica Tempest; Simao, Marcelo Novelino [Universidade de Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Faculdade de Medicina. Hospital das Clinicas; Engel, Edgard Eduard [Universidade de Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Faculdade de Medicina. Dept. de Biomecanica, Medicina e Reabilitacao do Aparelho Locomotor; Elias Junior, Jorge; Nogueira-Barbosa, Marcello Henrique [Universidade de Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Faculdade de Medicina. Div. de Radiologia], e-mail: marcellonog@yahoo.com

    2009-05-15

    Objective: The present study was aimed at describing uncommon presentations of intraosseous hemophilic pseudotumor in imaging diagnosis. Materials and methods: Retrospective study evaluating five hemophilic pseudotumors in bones of two patients with hemophilia A. Imaging findings were consensually evaluated by two musculoskeletal radiologists. Plain radiography, computed tomography and magnetic resonance imaging studies were analyzed. Results: At contrast-enhanced computed tomography images, one of the lesions on the left thigh was visualized with heterogeneously enhanced solid areas. This finding was later confirmed by anatomopathological study. Another uncommon finding was the identification of a healthy bone portion interposed between two intraosseous pseudotumors in the humerus. And, finally, a femoral pseudotumor with extension towards soft tissues and transarticular extension, and consequential tibial and patellar involvement. Conclusion: The above described imaging findings are not frequently reported in cases of intraosseous pseudotumors in hemophilic patients. It is important that radiologists be aware of these more uncommon presentations of intraosseous pseudotumors. (author)

  20. [Intraosseous puncture in preclincal emergency medicine. Experiences of an air rescue service].

    Science.gov (United States)

    Helm, M; Breschinski, W; Lampl, L; Frey, W; Bock, K H

    1996-12-01

    In prehospital emergency treatment, the timely establishment of a secure vascular access, especially in infants and small children, can be difficult or even impossible. An alternative to the puncture of peripheral or central veins is intraosseous (IO) puncture However, experience with this method in prehospital emergency medicine within the Federal Republic of Germany is extremely limited at present. After intensive theoretical and practical training of our trauma anaesthesiologists, IO puncture was introduced in our rescue helicopter program "Christoph 22" as an alternative to peripheral or central venous puncture in the prehospital treatment of patients up to 6 years of age. IO puncture is indicated after a maximum of three failed peripheral venous puncture attempts. The purpose of this study was to collect data and summarise first-hand experience on the prehospital use of the IO method as well as the practicability of our prescribed IO puncture algorithm in order to subject them to critical review and evaluation. A restrospective study by the rescue helicopter service "Christoph 22" was carried out for the period 1 June 1993-31 August 1995. In a total of 1,455 primary rescue missions flown, the proportion of patients < and = 6 years of age, was 6.2% (n = 90). Ten patients in this partial collective (11.1%) were subjected to IO puncture (Fig. 3). In all of these cases (10/10), the first IO puncture attempt was successful. A standardized puncture technique was performed using the proximal tibia. The time required to successful placement of the IO infusion line was < and = 60 s in all cases. Complications, especially incorrect needle position, did not occur during the study period. Materials infused by IO infusion before hospitalisation included crystalloids (Lactated Ringer's, Päd OP) as well as colloids (hydroxyethylstarch, human albumin), adrenaline, atropine, ketamine, thiopentone, diazepam, fentanyl, succinylcholine, and vecuronium (Table 3). Prehospital

  1. Giant notochordal hamartoma of intraosseous origin: a newly reported benign entity to be distinguished from chordoma. Report of two cases

    International Nuclear Information System (INIS)

    Mirra, J.M.; Brien, E.W.

    2001-01-01

    Two cases are reported of a newly described intraosseous entity of vertebral bodies deemed ''giant notochordal hamartoma of intraosseous origin''. This entity is commonly mistaken for chordoma and must be distinguished from it as the consequences of misinterpretation may be serious. The clinical, radiological and histologic criteria that can be used to distinguish these two entities are emphasized. Included is a proposed pathogenesis for this lesion, its probable notochordal origin, and a review of other probable cases. (orig.)

  2. Importance of increased intraosseous pressure in the development of osteonecrosis of the femoral head: implications for treatment

    International Nuclear Information System (INIS)

    Hungerford, D.S.; Lennox, D.W.

    1985-01-01

    Early diagnosis of osteonecrosis by radiograph, bone scan, CT scan, magnetic resonance imaging (MRI), intraosseous pressure measurement, or intraosseous venogram can lead to early successful treatment. For early (Ficat stages I and II) osteonecrosis of the hip, core decompression can provide diagnostic confirmation and pain relief and may prevent progression of disease. For more advanced disease (Ficat stages II and IV), osteotomy, endoprosthetic or bipolar prosthetic replacement, total hip arthroplasty, and arthrodesis are surgical options.86 references

  3. Importance of increased intraosseous pressure in the development of osteonecrosis of the femoral head: implications for treatment

    Energy Technology Data Exchange (ETDEWEB)

    Hungerford, D.S.; Lennox, D.W.

    1985-10-01

    Early diagnosis of osteonecrosis by radiograph, bone scan, CT scan, magnetic resonance imaging (MRI), intraosseous pressure measurement, or intraosseous venogram can lead to early successful treatment. For early (Ficat stages I and II) osteonecrosis of the hip, core decompression can provide diagnostic confirmation and pain relief and may prevent progression of disease. For more advanced disease (Ficat stages II and IV), osteotomy, endoprosthetic or bipolar prosthetic replacement, total hip arthroplasty, and arthrodesis are surgical options.86 references.

  4. Intraosseous Lipoma of the Maxilla in a Patient with Henoch-Schönlein Purpura: A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Soysal Baş

    2017-12-01

    Full Text Available Intraosseous lipomas are rare benign tumors of the bone that are mostly seen in the metaphysis of long bones and the calcaneus. Intraosseous lipomas are generally asymptomatic, and surgically removed when they are symptomatic or cause cosmetic concerns. Intraosseous lipomas of the maxillary bone have rarely been reported. In this report, we present a case of maxillary intraosseous lipoma in an 11-year-old girl with Henoch-Schönlein purpura-a rare case reported for the first time in the literature.

  5. Primary Benign Intraosseous Meningioma on {sup 18}F-FDG PET/CT Mimicking Malignancy

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ho Seong; Kim, Seok Hwi; Kim, Hyung Jin; Kang, Se Woong; Kim, Soo Jeong; Lee, Joo Hee; Hong, Sun Pyo; Cho, Young Seok; Choi, Joon Young [Sungkyunkwan Univ. School of Medicine, Seoul (Korea, Republic of)

    2014-06-15

    We present a case of primary benign intraosseous meningioma in the sphenoid bone mimicking malignancy. A 44-year-old female patient who had a protruding right eye and headache came to our hospital. MRI showed a large, destructive, heterogeneously well-enhancing soft tissue mass in the right sphenoid bone suggesting malignancy. {sup 18}F-FDG PET/CT showed a hypermetabolic mass in the same site with an SUV{sub max} of 9.1 The pathological diagnosis by surgery revealed that this tumor was a WHO grade I transitional meningioma. This case suggests that primary benign intraosseous meningioma may show high {sup 18}F-FDG uptake mimicking a malignancy.

  6. Primary intraosseous smooth muscle tumor of uncertain malignant potential: original report and molecular characterization

    Directory of Open Access Journals (Sweden)

    Lauren Kropp

    2016-11-01

    Full Text Available We report the first case of primary intraosseous smooth muscle tumor of uncertain malignant potential (STUMP which is analogous to borderline malignant uterine smooth muscle tumors so designated. The tumor presented in the femur of an otherwise healthy 30-year-old woman. Over a 3-year period, the patient underwent 11 biopsies or resections and 2 cytologic procedures. Multiple pathologists reviewed the histologic material including musculoskeletal pathologists but could not reach a definitive diagnosis. However, metastases eventually developed and were rapidly progressive and responsive to gemcitabine and docetaxel. Molecular characterization and ultrastructural analysis was consistent with smooth muscle origin, and amplification of unmutated chromosome 12p and 12q segments appears to be the major genomic driver of this tumor. Primary intraosseous STUMP is thought to be genetically related to leiomyosarcoma of bone, but likely representing an earlier stage of carcinogenesis. Wide excision and aggressive followup is warranted for this potentially life-threatening neoplasm.

  7. Primary Intraosseous Smooth Muscle Tumor of Uncertain Malignant Potential: Original Report and Molecular Characterization.

    Science.gov (United States)

    Kropp, Lauren; Siegal, Gene P; Frampton, Garrett M; Rodriguez, Michael G; McKee, Svetlana; Conry, Robert M

    2016-11-17

    We report the first case of primary intraosseous smooth muscle tumor of uncertain malignant potential (STUMP) which is analogous to borderline malignant uterine smooth muscle tumors so designated. The tumor presented in the femur of an otherwise healthy 30-year-old woman. Over a 3-year period, the patient underwent 11 biopsies or resections and 2 cytologic procedures. Multiple pathologists reviewed the histologic material including musculoskeletal pathologists but could not reach a definitive diagnosis. However, metastases eventually developed and were rapidly progressive and responsive to gemcitabine and docetaxel. Molecular characterization and ultrastructural analysis was consistent with smooth muscle origin, and amplification of unmutated chromosome 12p and 12q segments appears to be the major genomic driver of this tumor. Primary intraosseous STUMP is thought to be genetically related to leiomyosarcoma of bone, but likely representing an earlier stage of carcinogenesis. Wide excision and aggressive follow-up is warranted for this potentially life-threatening neoplasm.

  8. Primary intraosseous carcinoma arising from odontogenic keratocyst with parotid lymph node metastasis. A case report

    Directory of Open Access Journals (Sweden)

    Siddesh Shenoy

    2007-01-01

    Full Text Available Squamous cell carcinoma (SCC arising from odontogenic cyst lining is rare. The exact incidence of carcinoma arising in odontogenic cyst is unknown, but it is estimated to vary between 1 and 2/1000. The pathogenesis is unknown, but a long-standing inflammation and continuous intracystic pressure have been suggested as possible causative factors. Metastasis from these lesions is not common (< 20%, and most of the carcinomas are moderately to well differentiated. To qualify as a primary intraosseous carcinoma, there must be no initial connection with the oral mucosa, overlying skin, or antral or nasal mucosa. This paper presents a case of primary intraosseous carcinoma arising from odontogenic keratocyst in the anterior mandible with metastasis to left parotid lymph nodes.

  9. Intraosseous verrucous carcinoma arising from an infected dentigerous cyst—A case report

    Directory of Open Access Journals (Sweden)

    Chih-Yu Peng

    2015-08-01

    Full Text Available Intraosseous verrucous carcinoma (IOVC arising from an odontogenic cyst is extremely rare. We report a case of intraosseous verrucous carcinoma in a 74-year-old male who presented with a left mandibular swelling with recurrent pus discharge from gingiva of tooth #35. Panoramic radiography revealed an impacted tooth #34 and a large well-defined, radiolucent lesion surrounding the crown of tooth #34. The clinical diagnosis was an infected dentigerous cyst. Surgical excision of the cyst together with extraction of tooth #34 was performed. Histopathological examination showed proliferation of hyperparakeratotic stratified squamous cyst lining epithelium and down-growth of broad and bulbous epithelial ridges with pushing border invasion into the fibrous cystic wall. A verrucous carcinoma arising from an infected dentigerous cyst was diagnosed. There was no recurrence of the tumor 5 months after surgery.

  10. Use of the intraosseous screw for unilateral upper molar distalization and found well balanced occlusion

    Directory of Open Access Journals (Sweden)

    Buyukyilmaz Tamer

    2006-11-01

    Full Text Available Abstract Background The aim of this study was to present a temporary anchorage device with intraosseous screw for unilateral molar distalization to make a space for the impacted premolar and to found well balanced occlusion in a case. Case presentation A 13-year-old male who have an impacted premolar is presented with skeletal Class I and dental Class 2 relationship. The screw was placed and immediately loaded to distalize the left upper first and second molar. The average distalization time to achieve an overcorrected Class I molar relationship was 3.6 months. There was no change in overjet, overbite, or mandibular plane angle measurements. Mild protrusion (0.5 mm of the upper left central incisor was also recorded. Conclusion Immediately loaded intraosseous screw-supported anchorage unit was successful in achieving sufficient unilateral molar distalization without anchorage loss. This treatment procedure was an alternative treatment to the extraction therapy.

  11. Jaw Intraosseous Lesions Biopsied Extracted From 1998 to 2010 in an Iranian Population.

    Science.gov (United States)

    Jamshidi, Shokoofeh; Shojaei, Setareh; Roshanaei, Ghodratollah; Modabbernia, Shirin; Bakhtiary, Esmaeel

    2015-06-01

    Jaw bones might be potential locations for different lesions. Differences in prevalence and the type of lesions can help in designing and programming prevention procedures in health care centers. The aim of the present study was to evaluate the prevalence of intraosseous lesions in the jaws of patients referred to diagnostic and therapeutic centers in Hamadan during 1990-2010. This cross-sectional descriptive analytical study was carried out in Hamadan in 2011. Data sheets of the subjects were used to collect all the data of patients with intraosseous lesions, including their age, gender, location of the lesion, the radiographic view of lesions, and their type and histopathological diagnoses. Data were analyzed with SPSS, using means and frequencies. A total of 284 intraosseous lesions were reported in our study. The mean age of the subjects was 28.8 ± 15.2 years. The lesions were distributed in males and females almost similarly. The most prevalent lesions were cystic lesions (54.58%), manifestations of systemic conditions in jaw bones (18.3%), benign tumors (15.5%), malignant lesions (6.7%), and inflammatory lesions (4.92%), in a descending order. The most common cystic lesion was radicular cyst; the most common manifestation of systemic conditions in jaw bones was central giant cell granuloma; the most common benign tumor was ameloblastoma; the most common malignant lesion was osteosarcoma; and the most common inflammatory lesion was periapical granuloma. Our data provided information on the prevalence and types of intraosseous lesions among an Iranian population. This study provided baseline information to help in designing and programming procedures in health care centers in every community so that preventive therapeutic measures can be adopted.

  12. Comparative study between manual injection intraosseous anesthesia and conventional oral anesthesia

    Science.gov (United States)

    Ata-Ali, Javier; Oltra-Moscardó, María J.; Peñarrocha-Diago, María; Peñarrocha, Miguel

    2012-01-01

    Objective: To compare intraosseous anesthesia (IA) with the conventional oral anesthesia techniques. Materials and methods: A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for res-pective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two operations were similar and affected the same two teeth in opposite quadrants. Results: A total of 200 oral anesthetic procedures were carried out in 100 patients. The mean patient age was 28.6±9.92 years. Fifty-five vestibular infiltrations and 45 mandibular blocks were performed. All patients were also subjected to IA. The type of intervention (conservative or endodontic) exerted no significant influence (p=0.58 and p=0.62, respectively). The latency period was 8.52±2.44 minutes for the conventional techniques and 0.89±0.73 minutes for IA – the difference being statistically significant (p<0.05). Regarding patient anesthesia sensation, the infiltrative techniques lasted a maximum of one hour, the inferior alveolar nerve blocks lasted between 1-3 hours, and IA lasted only 2.5 minutes – the differences being statistically significant (p≤0.0000, Φ=0.29). Anesthetic success was recorded in 89% of the conventional procedures and in 78% of the IA. Most patients preferred IA (61%) (p=0.0032). Conclusions: The two anesthetic procedures have been compared for latency, duration of anesthetic effect, anesthetic success rate and patient preference. Intraosseous anesthesia has been shown to be a technique to be taken into account when planning conservative and endodontic treatments. Key words: Anesthesia, intraosseous, oral anesthesia, Stabident®, infiltrative, mandibular block. PMID:22143700

  13. Intraosseous Erythropoietin for Acute Tissue Protection in Battlefield Casualties Suffering Hypovolemic Shock

    Science.gov (United States)

    2013-11-01

    Effects of intraosseous erythropoietin during hemorrhagic shock in swine. Borovnik-Lesjak V; Whitehouse K; Baetiong A; Miao Y ; Currie B; Velmurugan S...Resuscitation. Universidad Católica de la Santísima Concepción, Facultad de Ciencias de la Salud. May 7-8. Concepción, Chile. 1997 Advances in CPR...2. 2012 Targeting Mitochondria during CPR (lecture, September 9); State-of-the- Art in Critical Care (panel, September 8); Quality of CPR (panel

  14. Isolated intraosseous gout in hallux sesamoid mimicking a bone tumor in a teenaged patient

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Shi-Zuo; Yeh, LeeRen; Chen, Clement Kuen-Huang; Pan, Huay-Ban [Department of Radiology, Kaohsiung Veterans General Hospital, 386 Ta-Chung first Rd., 813, Kaohsiung, Taiwan (Taiwan); Chou, Yi-Jiun [Department of Orthopedics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan (Taiwan)

    2003-11-01

    We are reporting an unusual case of isolated intraosseous tophus in medial hallux sesamoid presenting as tumor-like lesion in a teenage patient without prior history of gouty attack and underlying systemic disorders. The lesion manifested isointensity to surrounding muscles with internal low signal on spin echo (SE) T1-weighted images, and heterogeneous low signal intensity on fast spin echo (FSE) T2-weighted images. Computed tomography (CT) scan disclosed expansion and diffusely increased attenuation of the medial hallux sesamoid with focal cortical erosion and extraosseous extension of high attenuation content. The subsequent resection and pathology revealed intraosseous tophus deposition, which is particularly rare at this site and at this age. Imaging studies revealed some characteristic imaging features which can retrospectively be attributed to gouty tophus. When an expansile osteolytic lesion manifesting low signal intensity on T2-weighted image and internal calcifications on CT scan is encountered, the possibility of intraosseous tophus should be included in the list of differential diagnoses, even in a teenage patient without prior history of gout. (orig.)

  15. Isolated intraosseous gout in hallux sesamoid mimicking a bone tumor in a teenaged patient

    International Nuclear Information System (INIS)

    Liu, Shi-Zuo; Yeh, LeeRen; Chen, Clement Kuen-Huang; Pan, Huay-Ban; Chou, Yi-Jiun

    2003-01-01

    We are reporting an unusual case of isolated intraosseous tophus in medial hallux sesamoid presenting as tumor-like lesion in a teenage patient without prior history of gouty attack and underlying systemic disorders. The lesion manifested isointensity to surrounding muscles with internal low signal on spin echo (SE) T1-weighted images, and heterogeneous low signal intensity on fast spin echo (FSE) T2-weighted images. Computed tomography (CT) scan disclosed expansion and diffusely increased attenuation of the medial hallux sesamoid with focal cortical erosion and extraosseous extension of high attenuation content. The subsequent resection and pathology revealed intraosseous tophus deposition, which is particularly rare at this site and at this age. Imaging studies revealed some characteristic imaging features which can retrospectively be attributed to gouty tophus. When an expansile osteolytic lesion manifesting low signal intensity on T2-weighted image and internal calcifications on CT scan is encountered, the possibility of intraosseous tophus should be included in the list of differential diagnoses, even in a teenage patient without prior history of gout. (orig.)

  16. Intraosseous access can be taught to medical students using the four-step approach

    DEFF Research Database (Denmark)

    Afzali, Monika; Kvisselgaard, Ask Daffy; Lyngeraa, Tobias Stenbjerg

    2017-01-01

    was evaluated by an objective structured clinical examination (OSCE) and rated using a weighted checklist. To evaluate the validity of the checklist, three raters rated performance and Cohen's kappa was performed to assess inter-rater reliability (IRR). To examine the strength of the overall IRR, Randolph...

  17. Cardiopulmonary and anesthetic effects of propofol administered intraosseously to green iguanas.

    Science.gov (United States)

    Bennett, R A; Schumacher, J; Hedjazi-Haring, K; Newell, S M

    1998-01-01

    To determine cardiopulmonary effects of intraosseous administration of propofol in green iguanas (Iguana iguana). Prospective study. 14 green iguanas. Anesthesia was induced in 4 iguanas with propofol (10 mg/kg [4.5 mg/lb] of body weight, intraosseously). Heart and respiratory rates, functional hemoglobin oxygen saturation (SpO2), end-tidal CO2 concentration, and cloacal temperature were recorded. Ten additional iguanas were given propofol intraosseously for induction (5 mg/kg [2.3 mg/lb] and maintenance (0.5 mg/kg/min [0.23 mg/lb/min], q 30 min) of anesthesia. Heart and respiratory rates, cloacal temperature, and SpO2 were recorded. Mean induction time for the first 4 iguanas was 1.2 minutes. A significant decrease in heart rate was seen 1 minute after induction of anesthesia. All iguanas were apneic, but spontaneous ventilation resumed within 5 minutes. End-tidal CO2 concentration decreased from 46 mm of Hg 4 minutes after induction of anesthesia to 32 mm of Hg 30 minutes after induction of anesthesia. Mean duration of anesthesia was 27 minutes. Mean induction time for the other 10 iguanas was 3 minutes. A significant decrease in heart rate was detected 35 minutes after induction of anesthesia and persisted until 120 minutes. Mean SpO2 value decreased from 79% 5 minutes after induction of anesthesia to 64% 30 minutes after induction of anesthesia. Mean recovery time was 57 minutes. Propofol is an effective anesthetic agent for use in green iguanas. It is recommended that iguanas be intubated, provided oxygen, and given assisted ventilation after administration of propofol to prevent hypoxemia and hypercapnia.

  18. Side effects and complications of intraosseous anesthesia and conventional oral anesthesia

    Science.gov (United States)

    Peñarrocha-Oltra, David; Ata-Ali, Javier; Oltra-Moscardó, María J.; Peñarrocha, Miguel

    2012-01-01

    Objective: To analyze the side effects and complications following intraosseous anesthesia (IA), comparing them with those of the conventional oral anesthesia techniques. Material and method: A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for respective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two operations were similar and affected the same two teeth in opposite quadrants. Heart rate was recorded in all cases before injection of the anesthetic solution and again 30 seconds after injection. The complications observed after anesthetic administration were recorded. Results: A total of 200 oral anesthetic procedures were carried out in 100 patients. Both IA and conventional anesthesia resulted in a significant increase in heart rate, though the increase was greater with the latter technique. Incidents were infrequent with either anesthetic technique, with no significant differences between them. Regarding the complications, there were significant differences in pain at the injection site, with more intense pain in the case of IA (x2=3.532, p=0.030, Φ2=0.02), while the limitation of oral aperture was more pronounced with conventional anesthesia (x2=5.128, p<0.05, Φ2=0.014). Post-anesthetic biting showed no significant differences (x2=4.082, p=0.121, Φ2=0.009). Conclusions: Both anesthetic techniques significantly increased heart rate, and IA caused comparatively more pain at the injection site, while limited oral aperture was more frequent with conventional anesthesia. Post-anesthetic biting showed no significant differences between the two techniques. Key words:Intraosseous anesthesia, oral anesthesia, mandibular block, heart rate, adrenalin, complications. PMID:22143716

  19. Intraosseous malignant peripheral nerve sheath tumor in a patient with neurofibromatosis

    International Nuclear Information System (INIS)

    Terry, D.G.; Sauser, D.D.; Gordon, M.D.

    1998-01-01

    Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon sarcomas that almost always arise in soft tissue. They can develop in pre-existing neurofibromas or schwannomas, de novo from peripheral nerves, or following radiation therapy. Primary intraosseous MPNST is rare and has been reported most frequently in the mandible. Of the reported cases involving the long bones, none has been associated with neurofibromatosis type 1 (NF-1). We report a case of MPNST arising in the femur in a patient with NF-1. (orig.)

  20. Intraosseous migration of tendinous calcifications: cortical erosions, subcortical migration and extensive intramedullary diffusion, a SIMS series

    Energy Technology Data Exchange (ETDEWEB)

    Malghem, Jacques; Omoumi, Patrick; Lecouvet, Frederic; Berg, Bruno vande [Universite Catholique de Louvain, Departement de radiologie et d' imagerie medicale, Bruxelles (Belgium)

    2015-10-15

    Calcium hydroxyapatite crystal deposition is a common disorder, which sometimes causes acute pain as calcifications dissolve and migrate into adjacent soft tissue. Intraosseous calcium penetration has also been described. We illustrate the appearance of these lesions using a series of 35 cases compiled by members of the French Society of Musculoskeletal Imaging (Societe d'Imagerie Musculo-Squelettique, SIMS). The first group in our series (7 cases) involved calcification-related cortical erosions of the humeral and femoral diaphyses, in particular at the pectoralis major and gluteus maximus insertions. A second group (28 cases) involved the presence of calcium material in subcortical areas. The most common site was the greater tubercle of the humerus, accompanying a calcifying tendinopathy of the supraspinatus. In addition, an extensive intramedullary diffusion of calcium deposits was observed in four of these cases, associated with cortical erosion in one case and subcortical lesions in three cases. Cortical erosions and intraosseous migration of calcifications associated with calcific tendinitis may be confused with neoplasm or infection. It is important to recognize atypical presentations of hydroxyapatite deposition to avoid unnecessary investigation or surgery. (orig.)

  1. A rare case of intraosseous benign notochordal cell tumor of the coccyx.

    Science.gov (United States)

    Uglialoro, Anthony D; Beebe, Kathleen S; Hameed, Meera; Benevenia, Joseph

    2009-06-01

    This article presents a case of a 53-year-old woman who presented with intermittent, dull, poorly localized lower back and buttock pain. The pain worsened in a seated position or after long periods of standing. A T1-weighted magnetic resonance image (MRI) of the sacrum and coccyx revealed a well-demarcated intraosseous lesion with homogeneous low signal intensity, while T2-weighted MRIs demonstrated homogeneous high signal intensity. An excisional biopsy revealed benign notochord cell tumor. The biopsy proved to be effective, as it relieved the patient's coccydynia. Due to the rarity of intraosseous benign notochordal cell tumors, it is essential to document and review this type of tumor. Only 2 benign notochordal cell tumors involving the coccyx have been previously reported, both of which presented with the same clinical symptoms of chronic coccydynia as our patient, likely due to the location of the involved lesion. The other leading diagnosis in our patient was chordoma, a malignant and locally aggressive neoplasm that is important to consider and exclude. Although chordomas have been well characterized in the surgery, pathology, and radiology literature, the benign notochordal cell tumor is a relative newcomer.

  2. Intraosseous rotation of the scaphoid: assessment by using a 3D CT model - an anatomic study

    Energy Technology Data Exchange (ETDEWEB)

    Schmidle, Gernot; Gabl, Markus [Medical University Innsbruck, Department of Trauma Surgery, Innsbruck (Austria); Rieger, Michael [Regional Hospital Hall, Department of Radiology, Hall in Tirol (Austria); Klauser, Andrea Sabine; Thauerer, Michael [Medical University Innsbruck, Department of Radiology, Innsbruck (Austria); Hoermann, Romed [Medical University Innsbruck, Department of Anatomy, Histology and Embryology-Division of Clinical and Functional Anatomy, Innsbruck (Austria)

    2014-06-15

    The purpose of this study was to assess intraosseous rotation as the third dimension of scaphoid anatomy on a 3D CT model using common volume rendering software to impact anatomical reconstruction of scaphoid fractures. CT images of 13 cadaver wrist pairs were acquired. Reference axes for the alignment of distal and proximal scaphoid poles were defined three-dimensionally. Two methods for rotation measurement - the reference axis method (RAM) and the scapho-trapezio-trapezoidal joint method (STTM) - were developed and compared by three independent observers. Rotation measured by the RAM averaged 66.9 ± 7 for the right and 67.2 ± 5.8 for the left wrists. Using the STTM there was a mean rotation of 68.6 ± 6.6 for the right and 68.6 ± 6.8 for the left wrists. The overall results showed a significant variability of the measured values between different specimens (P < 0.05). There was no significant difference between left and right wrists of the same specimen, neither for the RAM (P = 0.268) nor for the STTM (P = 0.774). Repeatability coefficients between the observers were low, indicating good repeatability. The presented methods are practical tools to quantify intraosseous rotation between distal and proximal scaphoid poles using common volume rendering software. For clinical application the opposite side provides the best reference values to assess malrotation in scaphoid fracture cases. (orig.)

  3. X-tip intraosseous injection system as a primary anesthesia for irreversible pulpitis of posterior mandibular teeth: A randomized clinical trail

    Science.gov (United States)

    Razavian, Hamid; Kazemi, Shantia; Khazaei, Saber; Jahromi, Maryam Zare

    2013-01-01

    Background: Successful anesthesia during root canal therapy may be difficult to obtain. Intraosseous injection significantly improves anesthesia's success as a supplemental pulpal anesthesia, particularly in cases of irreversible pulpitis. The aim of this study was to compare the efficacy of X-tip intraosseous injection and inferior alveolar nerve (IAN) block in primary anesthesia for mandibular posterior teeth with irreversible pulpitis. Materials and Methods: Forty emergency patients with an irreversible pulpitis of mandibular posterior teeth were randomly assigned to receive either intraosseous injection using the X-tip intraosseous injection system or IAN block as the primary injection method for pulpal anesthesia. Pulpal anesthesia was evaluated using an electric pulp tester and endo ice at 5-min intervals for 15 min. Anesthesia's success or failure rates were recorded and analyzed using SPSS version 12 statistical software. Success or failure rates were compared using a Fisher's exact test, and the time duration for the onset of anesthesia was compared using Mann–Whitney U test. P < 0.05 was considered significant. Results: Intraosseous injection system resulted in successful anesthesia in 17 out of 20 patients (85%). Successful anesthesia was achieved with the IAN block in 14 out of 20 patients (70%). However, the difference (15%) was not statistically significant (P = 0.2). Conclusion: Considering the relatively expensive armamentarium, probability of penetrator separation, temporary tachycardia, and possibility of damage to root during drilling, the authors do not suggest intraosseous injection as a suitable primary technique. PMID:23946738

  4. X-tip intraosseous injection system as a primary anesthesia for irreversible pulpitis of posterior mandibular teeth: A randomized clinical trail

    Directory of Open Access Journals (Sweden)

    Hamid Razavian

    2013-01-01

    Full Text Available Background: Successful anesthesia during root canal therapy may be difficult to obtain. Intraosseous injection significantly improves anesthesia′s success as a supplemental pulpal anesthesia, particularly in cases of irreversible pulpitis. The aim of this study was to compare the efficacy of X-tip intraosseous injection and inferior alveolar nerve (IAN block in primary anesthesia for mandibular posterior teeth with irreversible pulpitis. Materials and Methods: Forty emergency patients with an irreversible pulpitis of mandibular posterior teeth were randomly assigned to receive either intraosseous injection using the X-tip intraosseous injection system or IAN block as the primary injection method for pulpal anesthesia. Pulpal anesthesia was evaluated using an electric pulp tester and endo ice at 5-min intervals for 15 min. Anesthesia′s success or failure rates were recorded and analyzed using SPSS version 12 statistical software. Success or failure rates were compared using a Fisher′s exact test, and the time duration for the onset of anesthesia was compared using Mann-Whitney U test. P < 0.05 was considered significant. Results: Intraosseous injection system resulted in successful anesthesia in 17 out of 20 patients (85%. Successful anesthesia was achieved with the IAN block in 14 out of 20 patients (70%. However, the difference (15% was not statistically significant ( P = 0.2. Conclusion: Considering the relatively expensive armamentarium, probability of penetrator separation, temporary tachycardia, and possibility of damage to root during drilling, the authors do not suggest intraosseous injection as a suitable primary technique.

  5. Bilateral Intraosseous Migration of Mandibular Second Premolars in a Patient with Nine Missing Teeth

    Directory of Open Access Journals (Sweden)

    H. Shahoon

    2010-03-01

    Full Text Available Intraosseous migration is an unusual developmental dental anomaly, which demonstrates horizontal movement of unerupted teeth only affecting the permanent dentition of the lower jaw. Mandibular second premolar is the most common impacted tooth after the thirdmolars and maxillary canines. Distal migration of the second premolar is rare and early loss of the permanent first molar is one of the most important predisposing factors of intrabony migration of this tooth. Bilateral migration of the mandibular premolars is veryrare compared to unilateral migration. Hereby, we present an 18-year-old man with bilateral intrabony migration of the mandibular second premolars to the mandibular angle (at the inferior and buccal side of the mandibular canal in the presence of first molars. Thepatient also had nine congenitally missing teeth without any systemic complication or abnormality in the skeleton. The teeth were surgically extracted. The clinical and diagnostic features and treatment of this case are discussed.

  6. Intraosseous lipoma - A rare cause of ‘cystic’ lesion of calcaneum

    Directory of Open Access Journals (Sweden)

    P Vijayan

    2016-09-01

    Full Text Available Intraosseous lipoma is an uncommon benign bone neoplasm with most of them detected incidentally on multimodality imaging while being evaluated for an unrelated pathology. Long and cancellous bones are commonly involved. This lesion can present a diagnostic challenge to those uninitiated in its appearence because they can be often mistaken for other benign or malignant bone lesions such as enchondroma, fibrous dysplasia, osteoblastoma, bone infarct, bone cyst and chondrosarcoma.   Here we report a case of symptomatic calcaneal lipoma in a 50 year old lady who presented with heel pain. Plain X-ray suggested cystic lesion of calcaneum. MRI revealed the presence of intralesional fat and histopathological examination confirmed the diagnosis. We present this report for its rarity and  the clinching MRI features of this lesion, the excellent prognosis and near negligible recurrence rates, so that misdiagnosis leading to unnecessary workup, biopsy and treatment may be avoided, especially in asymptomatic patients.

  7. Intraosseous polymorphous low-grade adenocarcinoma of mandible: A rare entity

    Directory of Open Access Journals (Sweden)

    Gayathri Ramesh

    2012-01-01

    Full Text Available Polymorphous low-grade adenocarcinoma is a rare type of minor salivary gland malignancy. The characteristic features of these tumors are the varied histomorphology and the malignant, albeit indolent behavior. It occurs commonly in the minor salivary glands, with the palate (58.5% being the most common intra oral site. Maxillary area (2%, mandibular mucosal area (1.5% and posterior trigone region (0.5% are the least affected areas. An occasional case has been reported arising from an intraosseous location i.e the maxilla, and only two cases have been reported in the English literature originating from the mandible. One such very rare case of polymorphous low-grade adenocarcinoma of the mandible, which radiographically has a soap bubble appearance, is reported here.

  8. INTRAOSSEOUS AND EXTRAOSSEOUS VARIANTS OF DENTINOGENIC GHOST CELL TUMOR: TWO CASE REPORTS

    Directory of Open Access Journals (Sweden)

    Merva SOLUK TEKKESIN

    2015-01-01

    Full Text Available This paper aims to present both intraosseous and extraosseous variant of dentinogenic ghost cell tumor as well as a review of the literature. An 11-year old female patient presented a swelling and pain in the molar area of the mandible and a 15-year-old female patient reported a complaint of swelling in the right vestibular region of teeth 12 and 13(FDI 2-digit classification system. Microscopic examinations showed similar features which characterized by ameloblastoma-like islands of epithelial cells, containing numerous ghost cells. The patients have been disease-free for one year. This paper aims to describe this rare tumor and to increase the number of cases in the literature to better understand its biologic behavior and treatment options.

  9. Arrested pneumatization of the sphenoid sinus mimicking intraosseous lesions of the skull base

    Energy Technology Data Exchange (ETDEWEB)

    Jalali, Elnaz; Tadinada, Aditya [Dept. of Oral and Maxillofacial Radiology, University of Connecticut School of Dental Medicine, Farmington (United States)

    2015-03-15

    Arrested pneumatization of the sphenoid sinus is a developmental variant that is not always well recognized and is often confused with other pathologies associated with the skull base. This report describes the case of a patient referred for cone-beam computed tomography (CBCT) imaging for dental implant therapy. CBCT demonstrated a well-defined incidental lesion in the left sphenoid sinus with soft tissue-like density and sclerotic borders with internal curvilinear opacifications. The differential diagnoses included intraosseous lipoma, arrested pneumatization of the sphenoid sinus, chondrosarcoma, chondroid chordoma, and ossifying fibroma. The radiographic diagnosis of arrested pneumatization was based on the location of the lesion, its well-defined nature, the presence of internal opacifications, and lack of expansion. Gray-scale CBCT imaging of the area demonstrated values similar to fatty tissue. This case highlighted the fact that benign developmental variants associated with the skull base share similar radiographic features with more serious pathological entities.

  10. Giant intraosseous cyst-like lesions in rheumatoid arthritis report of a case.

    Science.gov (United States)

    Lohse, Anne; Carbillet, Jean-Pierre; Onimus, Michel; Stevenel, Françoise; Toussirot, Eric; Wendling, Daniel

    2003-02-01

    The term "intraosseous synovial cyst" is used to designate both the epiphyseal cyst-like lesions seen in patients with rheumatoid arthritis (RA) and mucoid cysts, which occur in a different setting. We report the case of a patient in whom a 4-cm cyst-like lesion developed in the left tibia 18 years after onset of RA and 6 years after osmic acid synovectomy of the left knee. Positive contrast arthrography and magnetic resonance imaging visualized a communication between the lesion and the joint space. Preexisting bone and joint lesions and increased intraarticular pressure play a major role in the genesis of cyst-like lesions in RA. In our patient, the osmic acid synovectomy may have contributed to the development of the lesion. "Synovial cyst" is a misnomer for these giant lesions, which are geodes rather than cysts. Despite their low incidence, these lesions deserve attention because they raise diagnostic and therapeutic problems.

  11. Snow route optimization.

    Science.gov (United States)

    2016-01-01

    Route optimization is a method of creating a set of winter highway treatment routes to meet a range of targets, including : service level improvements, resource reallocation and changes to overriding constraints. These routes will allow the : operato...

  12. Hurricane Evacuation Routes

    Data.gov (United States)

    Department of Homeland Security — Hurricane Evacuation Routes in the United States A hurricane evacuation route is a designated route used to direct traffic inland in case of a hurricane threat. This...

  13. REHABILITATION OF SEVERELY ATROPHIED UPPER JAW WITH INTRAOSSAL DENTAL IMPLANTS - clinical case

    Directory of Open Access Journals (Sweden)

    Ivan Chenchev

    2010-07-01

    Full Text Available Objective: The purpose of this presentation is to show the difficulty in prosthetization of a clinical case with a pronounced atrophy of the upper jaw and the various types and nature of restrictions imposed by the requirements of the patient. Methods: The clinical analysis, surgical protocol and prosthetic solution are presented in the treatment of 72 year-old woman with a pronounced atrophy of the upper jaw. OPG, standard CT of the upper jaw was used in the planning and a special surgical template was fabricated, helping us to find intraoperatively the exact locations of implants. The preliminary analysis of the number, height and diameter of intraossal implants helped us to find the exact prosthetic solution in this clinical case. The preparation of the implant bed was done by conical osteotomy in order to expand and condense the existing bone, which allowed us to use endoossal implants with a possible maximum size in a very limited maxillary volume and the reluctance of the patient to use other methods and surgical techniques. Conical threaded and self-tapping intraossal implants were used, placed according to a classic two-stage methodology with a flap and a long-term functional loading after a period of four months.Results and Conclusion: The applied surgical and prosthetic solution allowed us to achieve a good functional and aesthetic rehabilitation in this case of severe atrophy of the upper jaw, following a number of restrictions imposed on us by the reluctance of the patient to use other surgical solutions. This shows that in the case of severe atrophy of the upper jaw, a good clinical result can be achieved. For this reason, the use of CT,a well-planned surgical template, sufficient preparation ,the maximum use of available bone volume and the choice of a good prosthetic solution is very important.

  14. Anesthetic efficacy of the supplemental X-tip intraosseous injection using 4% articaine with 1:100,000 adrenaline in patients with irreversible pulpitis: An in vivo study

    Science.gov (United States)

    Bhuyan, Atool Chandra; Latha, Satheesh Sasidharan; Jain, Shefali; Kataki, Rubi

    2014-01-01

    Introduction: Pain management remains the utmost important qualifying criteria in minimizing patient agony and establishing a strong dentist–patient rapport. Symptomatic irreversible pulpitis is a painful condition necessitating immediate attention and supplemental anesthetic techniques are often resorted to in addition to conventional inferior alveolar nerve block. Aim: The purpose of the study was to evaluate the anesthetic efficacy of X-tip intraosseous injection in patients with symptomatic irreversible pulpitis, in mandibular posterior teeth, using 4% Articaine with 1:100,000 adrenaline as local anesthetic, when the conventional inferior alveolar nerve block proved ineffective. Materials and Methods: X-tip system was used to administer 1.7 ml of 4% articaine with 1:100,000 adrenaline in 30 patients diagnosed with irreversible pulpitis of mandibular posterior teeth with moderate to severe pain on endodontic access after administration of an inferior alveolar nerve block. Results: The results of the study showed that 25 X-tip injections (83.33%) were successful and 5 X-tip injections (16.66%) were unsuccessful. Conclusion: When the inferior alveolar nerve block fails to provide adequate pulpal anesthesia, X-tip system using 4% articaine with 1:100,000 adrenaline was successful in achieving pulpal anesthesia in patients with irreversible pulpitis. PMID:25506137

  15. Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome: MRI features of intraosseous fat necrosis involving the feet and knees.

    Science.gov (United States)

    Kang, Dong Joo; Lee, Sun Joo; Choo, Hye Jung; Her, Minyoung; Yoon, Hye Kyoung

    2017-02-01

    Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is extremely rare and presents as a triad of the three diseases. The patient usually presents with mild or absent abdominal symptoms. Here, we report on a case of a 66-year-old male who presented with pain and swelling in both legs and mild abdominal pain. He was diagnosed with acute pancreatitis by pancreatic enzyme analysis and abdominal computed tomography (CT) and with skin lesions of panniculitis through a biopsy. Magnetic resonance imaging (MRI) revealed multifocal intraosseous fat necrosis and arthritis involving both the feet and the knees. Therefore, we report a case of PPP syndrome with intraosseous fat necrosis involving both the feet and the knees.

  16. Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome: MRI features of intraosseous fat necrosis involving the feet and knees

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Dong Joo; Lee, Sun Joo; Choo, Hye Jung [Busan Paik Hospital, Department of Radiology, Inje University College of Medicine, Busan (Korea, Republic of); Her, Minyoung [Busan Paik Hospital, Division of Rheumatology, Department of Internal Medicine, Inje University College of Medicine, Busan (Korea, Republic of); Yoon, Hye Kyoung [Busan Paik Hospital, Department of Pathology, Inje University College of Medicine, Busan (Korea, Republic of)

    2017-02-15

    Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is extremely rare and presents as a triad of the three diseases. The patient usually presents with mild or absent abdominal symptoms. Here, we report on a case of a 66-year-old male who presented with pain and swelling in both legs and mild abdominal pain. He was diagnosed with acute pancreatitis by pancreatic enzyme analysis and abdominal computed tomography (CT) and with skin lesions of panniculitis through a biopsy. Magnetic resonance imaging (MRI) revealed multifocal intraosseous fat necrosis and arthritis involving both the feet and the knees. Therefore, we report a case of PPP syndrome with intraosseous fat necrosis involving both the feet and the knees. (orig.)

  17. Treating osteoporotic vertebral compression fractures with intraosseous vacuum phenomena using high-viscosity bone cement via bilateral percutaneous vertebroplasty.

    Science.gov (United States)

    Guo, Dan; Cai, Jun; Zhang, Shengfei; Zhang, Liang; Feng, Xinmin

    2017-04-01

    Osteoporotic vertebral compression fractures with intraosseous vacuum phenomena could cause persistent back pains in patients, even after receiving conservative treatment. The aim of this study was to evaluate the efficacy of using high-viscosity bone cement via bilateral percutaneous vertebroplasty in treating patients who have osteoporotic vertebral compression fractures with intraosseous vacuum phenomena.Twenty osteoporotic vertebral compression fracture patients with intraosseous vacuum phenomena, who received at least 2 months of conservative treatment, were further treated by injecting high-viscosity bone cement via bilateral percutaneous vertebroplasty due to failure of conservative treatment. Treatment efficacy was evaluated by determining the anterior vertebral compression rates, visual analog scale (VAS) scores, and Oswestry disability index (ODI) scores at 1 day before the operation, on the first day of postoperation, at 1-month postoperation, and at 1-year postoperation.Three of 20 patients had asymptomatic bone cement leakage when treated via percutaneous vertebroplasty; however, no serious complications related to these treatments were observed during the 1-year follow-up period. A statistically significant improvement on the anterior vertebral compression rates, VAS scores, and ODI scores were achieved after percutaneous vertebroplasty. However, differences in the anterior vertebral compression rate, VAS score, and ODI score in the different time points during the 1-year follow-up period was not statistically significant (P > 0.05).Within the limitations of this study, the injection of high-viscosity bone cement via bilateral percutaneous vertebroplasty for patients who have osteoporotic vertebral compression fractures with intraosseous vacuum phenomena significantly relieved their back pains and improved their daily life activities shortly after the operation, thereby improving their life quality. In this study, the use of high-viscosity bone

  18. Preoperative incisional and intraoperative frozen section biopsy techniques have comparable accuracy in the diagnosis of benign intraosseous jaw pathology.

    Science.gov (United States)

    Guthrie, David; Peacock, Zachary S; Sadow, Peter; Dodson, Thomas B; August, Meredith

    2012-11-01

    To compare the accuracy of intraoperative frozen section (FS) and preoperative incisional biopsy (IB) techniques to diagnose benign intraosseous jaw lesions. This is a retrospective cohort study composed of subjects with benign intraosseous jaw lesions. The predictor variable was the technique for establishing a preliminary diagnosis of the lesion, preoperative IB or intraoperative FS. The outcome variable was the accuracy of the biopsy technique when compared with the final histologic diagnosis and was classified as concordant or discordant. The comparative diagnostic accuracy of the techniques was assessed with the χ(2) test. A total of 71 subjects met inclusion criteria. The mean age was 39 years (range, 5 to 85 years), and 58% (41) were male patients. Of the subjects, 20 (28%) underwent IB. In 14 (70%) of these, the results of biopsy agreed with the final diagnosis. 51 (72%) underwent intraoperative FS and in 31 (62%) of these, the results of biopsy agreed with the final diagnosis. The difference in diagnostic accuracy between IB (70%) and FS (61%) was statistically insignificant (P = .48). Sources of biopsy error included sampling error (46%), insufficient epithelial tissue (15%), inflammation (15%), pathologist's experience (8%), and artifact (4%). Preoperative IB and intraoperative FS provide comparable accuracy of diagnosis in patients with benign intraosseous jaw pathology. Sampling error was the most common reason for discordant results. Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  19. Intraosseous lipoma: radiological findings Lipoma intra-ósseo: achados radiológicos

    Directory of Open Access Journals (Sweden)

    Özgür Öztekin

    2008-04-01

    Full Text Available OBJECTIVE: Intraosseous lipomas may be less rare lesions than previously suggested in the literature. They have frequently been misdiagnosed as other benign bone lesions. A combination of computed tomography, magnetic resonance imaging and radiography is essential for decreasing misdiagnosis rates. MATERIALS AND METHODS: This retrospective study presents ten cases of intraosseous lipoma. The patients' ages ranged from 25 to 80 years, and six of them were female. Six patients presented with bone pain, whereas four patients were asymptomatic with incidentally discovered lesions. The involved bones were: femur (four patients, tibia (two patients, calcaneus (one patient, sacrum (one patient, iliac bone (one patient, navicular bone (one patient. All of the patients were assessed by means of conventional radiography, computed tomography and magnetic resonance imaging of the affected region. RESULTS: In all of the cases, plain films revealed well-defined lytic lesions. Both computed tomography and magnetic resonance imaging were quite useful in demonstrating fat within the femur. The histologic pattern of all tumors was that of mature adipose tissue. CONCLUSION: Intraosseous lipoma is a well-defined entity that may develop with varying presentations. Plain radiographs alone cannot establish the diagnosis of this lesion. However, both computed tomography and magnetic resonance imaging are quite useful methods in these cases.OBJETIVO: Lipomas intra-ósseos podem ser lesões menos raras do que anteriormente sugerido na literatura. Freqüentemente têm sido erroneamente diagnosticados como outras lesões ósseas benignas. A combinação de tomografia computadorizada, ressonância magnética e radiografia é essencial para reduzir as taxas de erro diagnóstico. MATERIAIS E MÉTODOS: Este estudo retrospectivo apresenta dez casos de lipoma intra-ósseo. As idades dos pacientes variavam entre 25 e 80 anos, e seis deles eram do sexo feminino. Seis pacientes

  20. Routing in opportunistic networks

    CERN Document Server

    Dhurandher, Sanjay; Anpalagan, Alagan; Vasilakos, Athanasios

    2013-01-01

    This book provides a comprehensive guide to selected topics, both ongoing and emerging, in routing in OppNets. The book is edited by worldwide technical leaders, prolific researchers and outstanding academics, Dr. Isaac Woungang and co-editors, Dr. Sanjay Kumar Dhurandher, Prof. Alagan Anpalagan and Prof. Athanasios Vasilakos. Consisting of contributions from well known and high profile researchers and scientists in their respective specialties, the main topics that are covered in this book include mobility and routing, social-aware routing, context-based routing, energy-aware routing, incentive-aware routing, stochastic routing, modeling of intermittent connectivity, in both infrastructure and infrastructure-less OppNets. Key Features: Discusses existing and emerging techniques for routing in infrastructure and infrastructure-less OppNets. Provides a unified covering of otherwise disperse selected topics on routing in infrastructure and infrastructure-less OppNets.  Includes a set of PowerPoint slides and g...

  1. Intraosseous myofibroma of mandible: A rarity of jaws: With clinical, radiological, histopathological and immunohistochemical features.

    Science.gov (United States)

    Sundaravel, Subbaraj; Anuthama, Krishnamurthy; Prasad, Harikrishnan; Sherlin, Herald J; Ilayaraja, Vadivel

    2013-01-01

    Myofibroma is an uncommon benign mesenchymal neoplasm composed of myofibroblasts, but it can be confused with more aggressive spindle cell tumors. Solitary myofibroma is common in soft tissues of head and neck, but rare in the jaw bones with only 38 cases of central myofibroma of mandible reported in English medical literature. When encountered in the jaws, lesions exhibit clinical and radiographic features suggestive of odontogenic cysts/tumors or other neoplastic conditions. We hereby present the 39(th) case of intraosseous myofibroma of the mandible which had been reported to our institution. A 16-year-old male reported with a chief complaint of swelling in the right side of face. Intraorally there was a firm, nontender swelling in the right buccal aspect of the mandible. Radiologically the lesion was osteolytic, destroying the buccal cortical plate. Histologically, characteristic biphasic pattern of myofibroma was noticed. Immunoreactivity was positive for vimentin and αSMA but negative for desmin, thus confirming our diagnosis. The patient was treated by local-wide surgical excision of the lesion. A 3-year follow-up revealed no signs of recurrence. Occurrence of myofibroma involving the jaw bones is common in the younger age groups and represents a unique diagnostic and therapeutic challenge. Differentiating this lesion from other benign and malignant neoplasms is crucial in deciding between a radical and a conservative treatment approach.

  2. Randomized Clinical Trial of Intraosseous Methylprednisolone Injection for Acute Pulpitis Pain.

    Science.gov (United States)

    Bane, Khaly; Charpentier, Emmanuel; Bronnec, François; Descroix, Vianney; Gaye-N'diaye, Fatou; Kane, Abdoul Wahabe; Toledo, Rafael; Machtou, Pierre; Azérad, Jean

    2016-01-01

    The present study reports the results of a randomized clinical trial comparing local intraosseous methylprednisolone injection and emergency pulpotomy in the management of acute pulpitis on efficacy, safety, and efficiency end points. After providing prior informed written consent, 94 patients consulting for acute irreversible pulpitis pain at university-affiliated teaching hospital dental clinics in Dakar, Senegal were randomly assigned to either the methylprednisolone treatment group (n = 47) or the pulpotomy treatment group (n = 47). Patients were followed up at 1 week and assessed 6 months later to evaluate the therapeutic outcome of their treatment. At day 7 the patients in the methylprednisolone group reported less intense spontaneous and percussion pain in the day 0-day 7 period than the patients in the pulpotomy group. Methylprednisolone treatment took approximately 7 minutes (4.6-9.3) less to accomplish than pulpotomy (or about half the time). No difference in the therapeutic outcome was found between the 2 treatment groups at 6 months (all credible intervals span 0). This study establishes that methylprednisolone injection for acute pulpitis is relieved by a minimally invasive pharmacologic approach more effectively than by the reference pulpotomy and conserves scarce dental resources (ie, endodontic equipment and supplies, dental surgeon's time). Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  3. Effects of humeral intraosseous versus intravenous epinephrine on pharmacokinetics and return of spontaneous circulation in a porcine cardiac arrest model: A randomized control trial

    Directory of Open Access Journals (Sweden)

    Don Johnson

    2015-09-01

    Seven HIO swine, 4 IV swine, and no control swine had ROSC. There were no significant differences in ROSC, maximum concentration; except at 30 s, and time-to-concentration-maximum between the HIO and IV groups. Significant differences existed between the experimental groups and the control. The HIO delivers a higher concentration of epinephrine than the IV route at 30 s which may be a survival advantage. Clinicians may consider using the IO route to administer epinephrine during CA when there is no preexisting IV access or when IV access is unobtainable.

  4. Hazmat Routes (National)

    Data.gov (United States)

    Department of Transportation — The Federal Motor Carrier Safety Administration (FMCSA) Hazardous Material Routes (NTAD) were developed using the 2004 First Edition TIGER/Line files. The routes are...

  5. Proximal Row Carpectomy for Coexisting Kienböck’s Disease and Giant Intraosseous Ganglion of the Scaphoid: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Miguel Morón

    2014-01-01

    Full Text Available The etiologies of Keinböck’s disease and intraosseous ganglion remain unknown. Both entities are rare and the coexistence of these two pathologies in the same patient and hand is even less frequent. We report the case of a 40-year-old man with a longstanding history of martial arts practice (karate who developed an avascular necrosis of the lunate concomitant with a giant intraosseous ganglion of the scaphoid bone successfully managed by proximal row carpectomy. We review the literature of these two diseases.

  6. Combination of Intra-Articular and Intraosseous Injections of Platelet Rich Plasma for Severe Knee Osteoarthritis: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Mikel Sánchez

    2016-01-01

    Full Text Available The aim of this study was to assess a novel approach to treating severe knee osteoarthritis by targeting synovial membrane, superficial articular cartilage, synovial fluid, and subchondral bone by combining intra-articular injections and intraosseous infiltrations of platelet rich plasma. We explored a new strategy consisting of intraosseous infiltrations of platelet rich plasma into the subchondral bone in combination with the conventional intra-articular injection in order to tackle several knee joint tissues simultaneously. We assessed the clinical outcomes through osteoarthritis outcome score (KOOS and the inflammatory response by quantifying mesenchymal stem cells in synovial fluid. There was a significant pain reduction in the KOOS from baseline (61.55±14.11 to week 24 (74.60±19.19, after treatment (p=0.008, in the secondary outcomes (symptoms, p=0.004; ADL, p=0.022; sport/rec., p=0.017; QOL, p=0.012, as well as VAS score (p<0.001 and Lequesne Index (p=0.008. The presence of mesenchymal stem cells in synovial fluid and colony-forming cells one week after treatment decreased substantially from 7.98±8.21 MSC/μL to 4.04±5.36 MSC/μL (p=0.019 and from 601.75±312.30 to 139.19±123.61  (p=0.012, respectively. Intra-articular injections combined with intraosseous infiltrations of platelet rich plasma reduce pain and mesenchymal stem cells in synovial fluid, besides significantly improving knee joint function in patients with severe knee osteoarthritis. This trial is registered on EudraCT with the number 2013-003982-32.

  7. State alternative route designations

    International Nuclear Information System (INIS)

    1989-07-01

    Pursuant to the Hazardous Materials Transportation Act (HMTA), the Department of Transportation (DOT) has promulgated a comprehensive set of regulations regarding the highway transportation of high-level radioactive materials. These regulations, under HM-164 and HM-164A, establish interstate highways as the preferred routes for the transportation of radioactive materials within and through the states. The regulations also provide a methodology by which a state may select alternative routes. First,the state must establish a ''state routing agency,'' defined as an entity authorized to use the state legal process to impose routing requirements on carriers of radioactive material (49 CFR 171.8). Once identified, the state routing agency must select routes in accordance with Large Quantity Shipments of Radioactive Materials or an equivalent routing analysis. Adjoining states and localities should be consulted on the impact of proposed alternative routes as a prerequisite of final route selection. Lastly, the states must provide written notice of DOT of any alternative route designation before the routes are deemed effective

  8. Primary intraosseous atypical inflammatory meningioma presenting as a lytic skull lesion: Case report with review of literature

    Directory of Open Access Journals (Sweden)

    Sangita Bohara

    2016-01-01

    Full Text Available Primary extradural meningiomas of the skull comprise 1% of all meningiomas, and lytic skull meningiomas are still rarer and are said to be more aggressive. We present a case of 38-year-old male with an extradural tumor which on histopathological examination showed features of inflammatory atypical meningioma (WHO Grade II. The intense inflammatory nature of osteolytic primary intraosseous meningioma has not been reported before. This entity deserves special mention because of the need for adjuvant therapy and proper follow-up.

  9. Microscopic intraosseous extension of osteosarcoma: assessment on dynamic contrast-enhanced MRI

    International Nuclear Information System (INIS)

    Iwasawa, Tae; Tanaka, Yukichi; Aida, Noriko; Okuzumi, Shigeharu; Nishihira, Hirokazu; Nishimura, Gen

    1997-01-01

    Objective. This study investigated whether dynamic MRI could determine microscopic intraosseous invasion in osteosarcoma. Patients. Six patients with osteosarcoma who underwent total resection of the tumor after chemotherapy were studied. Design. The steepest slope value of the time-intensity curve was calculated on the basis of the first-pass method on dynamic MRI performed after chemotherapy. Slope value modified log=[100.(SI b -SI a )/(T b -T a )/SI a [, where SI a and SI b represent the signal intensity at time points T a and T b when the steepest slope started and ended, respectively. The slope value was correlated with the histological findings of the surgical specimens. The findings on conventional MRI were also reviewed. Results and conclusions. In five of six patients microscopic tumor invasion ranging from 1 to 3.5 cm in depth was pathologically proven. The slope value within the microscopic invasion (-0.052 ±0.267) was significantly greater than that of tumour-free marrow (-0.609 ±0.220) and less than that in areas showing macroscopic tumor invasion (0.595 ±0.483) (P <0.001). Histological examination disclosed the dilatation of small vessels within the macroscopic and microscopic invasion. Findings on conventional MRI varied among patients; microscopic invasion was not detected in one, underestimated in two, and overestimated in two. It is concluded that calculation of the slope value on dynamic MRI can discriminate regions of microscopic invasion from tumor-free marrow in patients with osteosarcoma after chemotherapy. (orig.). With 8 figs., 3 tabs

  10. Primary intraosseous desmoplastic small round cell tumor of the calvarium: Case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Vadim Khachaturov, MD

    2015-03-01

    Full Text Available Desmoplastic small round cell tumor (DSRCT is a rare, aggressive malignancy typically occurring intra-abdominally in young adolescent males. Rare extra-abdominal primaries have been reported in the mediastinum, head and neck area, central nervous system, paratesticular region, visceral organs, and soft tissue. We report a primary intraosseous DSRCT of the calvarium in a 6-year-old male who presented with right ear pain and swelling. Imaging showed an aggressive-appearing permeative mixed lytic and sclerotic lesion of the right sphenoid and temporal bones with extensive periosteal reaction, clinically concerning for osteosarcoma. An open biopsy was performed, and the tumor was composed of primitive round cells with perinuclear cytoplasmic clearing, arranged in diffuse sheets and ill-defined nests and surrounded by a prominent desmoplastic stroma. Immunohistochemically the tumor cells were reactive for desmin (dot-like, CD99 (membranous and cytokeratin AE1/3 (focal. EWSR1-WT1 chimeric fusion transcript was detected by reverse transcriptase-polymerase chain reaction. Sequencing of the fusion transcript revealed a rare in-frame junction of EWSR1 exon 10 to WT1 exon 8. This is the third documented case of an intraosseous DSRCT with molecular confirmation, but it is the first reported case to arise in the calvarium. While the diagnosis of DSRCT is usually straightforward in the classic clinical setting of an intra-abdominal mass, awareness that this entity may present as a bone primary is necessary to prevent misclassification as osteosarcoma or other malignancy.

  11. Effect of an intraosseous injection of depo-medrol on pulpal concentrations of PGE2 and IL-8 in untreated irreversible pulpitis.

    Science.gov (United States)

    Isett, James; Reader, Al; Gallatin, Eric; Beck, Mike; Padgett, David

    2003-04-01

    The purpose of this prospective, randomized, double-blind study was to evaluate the pulpal concentrations of prostaglandin E2 (PGE2) and interleukin-8 (IL-8) in untreated teeth with irreversible pulpitis after the administration of an intraosseous injection of Depo-Medrol. Forty emergency patients with a clinical diagnosis of irreversible pulpitis experiencing moderate to severe pain participated. After receiving local anesthesia, patients randomly received, in a double-blind manner, an intraosseous injection of either 1 ml of Depo-Medrol (40 mg) (20 patients) or 1 ml of sterile saline placebo (control) (20 patients). No endodontic treatment was initiated. At 1 or 3 days after the intraosseous injection, the teeth were extracted and the pulpal tissue harvested. Prostaglandin E2 and interleukin-8 concentrations were determined by enzyme immunoassay. Results demonstrated a significantly (p concentration of prostaglandin E2 compared to the saline group at day 1. There were no significant (p > 0.05) differences between the two groups at day 3. The pulpal concentrations of prostaglandin E2 were reduced at 1 day after the intraosseous injection of Depo-Medrol.

  12. The combined use of enamel matrix proteins and a tetracycline-coated expanded polytetrafluoroethylene barrier membrane in the treatment of intra-osseous defects

    NARCIS (Netherlands)

    Sipos, PM; Loos, BG; Abbas, F; Timmerman, MF; van der Velden, U

    Objectives: The purpose of this split-mouth study was to evaluate the clinical response of enamel matrix proteins (EMPs, Emdogain Gel((R))) in intra-osseous defects with or without a combined application of a tetracycline-coated expanded polytetrafluoroethylene barrier membrane (e-PTFE,

  13. The combined use of enamel matrix proteins and a tetracyclinecoated expanded polytetrafluoroethylene barrier membrane in the treatment of intra-osseous defects

    NARCIS (Netherlands)

    Sipos, P.M.; Loos, B.G.; Abbas, F.; Timmerman, M.F.; Velden, U. van der

    2005-01-01

    Objectives: The purpose of this split-mouth study was to evaluate the clinical response of enamel matrix proteins (EMPs, Emdogain Gel) in intra-osseous defects with or without a combined application of a tetracycline-coated expanded polytetrafluoroethylene barrier membrane (e-PTFE, Gore-Tex).

  14. Route Scherrer and Route Einstein closed for construction work

    CERN Multimedia

    2015-01-01

    Please note that Route Scherrer will be inaccessible for two and a half months from the beginning of March and that part of Route Einstein will be closed for two weeks from the end of February.   Figure 1. The part of Route Scherrer between Building 510 and Building 53 (see Figure 1) will be closed from the beginning of March until mid-May for civil engineering works.   The superheated water pipes supplying the buildings in this area date back to 1959 and therefore present a significant risk of leakage. In order to ensure the reliable supply of superheated water, and, by extension, heating, to all premises near the Main Building (i.e. Buildings 500, 501, 503, 60, 62, 63 and 64), a new buried service duct will be installed between the basements of Buildings 53 and 61 to house a new superheated water pipe. Figure 2. The following car parks will, however, remain accessible for the duration of the works: the Cèdres car park, the car park for Buildings 4 and 5, and the ca...

  15. Contact Graph Routing

    Science.gov (United States)

    Burleigh, Scott C.

    2011-01-01

    Contact Graph Routing (CGR) is a dynamic routing system that computes routes through a time-varying topology of scheduled communication contacts in a network based on the DTN (Delay-Tolerant Networking) architecture. It is designed to enable dynamic selection of data transmission routes in a space network based on DTN. This dynamic responsiveness in route computation should be significantly more effective and less expensive than static routing, increasing total data return while at the same time reducing mission operations cost and risk. The basic strategy of CGR is to take advantage of the fact that, since flight mission communication operations are planned in detail, the communication routes between any pair of bundle agents in a population of nodes that have all been informed of one another's plans can be inferred from those plans rather than discovered via dialogue (which is impractical over long one-way-light-time space links). Messages that convey this planning information are used to construct contact graphs (time-varying models of network connectivity) from which CGR automatically computes efficient routes for bundles. Automatic route selection increases the flexibility and resilience of the space network, simplifying cross-support and reducing mission management costs. Note that there are no routing tables in Contact Graph Routing. The best route for a bundle destined for a given node may routinely be different from the best route for a different bundle destined for the same node, depending on bundle priority, bundle expiration time, and changes in the current lengths of transmission queues for neighboring nodes; routes must be computed individually for each bundle, from the Bundle Protocol agent's current network connectivity model for the bundle s destination node (the contact graph). Clearly this places a premium on optimizing the implementation of the route computation algorithm. The scalability of CGR to very large networks remains a research topic

  16. Route Availabililty Planning Tool -

    Data.gov (United States)

    Department of Transportation — The Route Availability Planning Tool (RAPT) is a weather-assimilated decision support tool (DST) that supports the development and execution of departure management...

  17. Calcium phosphate cement as a "barrier-graft" for the treatment of human periodontal intraosseous defects

    Directory of Open Access Journals (Sweden)

    Rajesh J

    2009-01-01

    Full Text Available Background : Calcium phosphate cements (CPC are apparently good candidates for periodontal treatment by virtue of their biocompatibility, mouldability and osteoconductivity. However, the clinical efficacy in this regard has not been established. This study is aimed at the evaluation of the efficacy of a formulation of CPC in healing human periodontal intraosseous defects in comparison with hydroxyapatite ceramic granules. Materials and Methods : In this clinical study, 60 patients with periodontal defects were divided into 2 test groups and 1 control group. The defect sites in the test groups were repaired with CPC and hydroxyapatite ceramic granules (HAG. Debridement alone was given in the control group. The progress was assessed at 3, 6, 9 and 12 months observation intervals through soft tissue parameters (probing depth, attachment level and gingival recession. Results: CPC showed significantly better outcome. Probing depth reduction values of CPC, HAG and Control at 6 months were 5.40 ± 1.43, 3.75 ± 1.71 and 2.90 ± 1.48, and those at 12 months were 6.20 ± 1.80, 4.5 ± 1.91 and 2.95 ± 1.73. Clinical attachment gain values of CPC, HAG and Control at 6 months were 5.15 ± 1.50, 3.45 ± 1.96 and 2.25 ± 1.52, and those at 12 months were 5.80 ± 2.02, 3.55 ± 2.06 and 2.30 ± 1.78, In both cases the P value was < 0.001 showing high significance. The gingival recession over 12 months, for the CPC group is lesser than that in the HAG group and the value for the control group is marginally higher than both. Soft-tissue measurements were appended by postoperative radiographs and surgical re-entry in selected cases. Conclusions: Calcium phosphate cement is found to be significantly better than hydroxyapatite ceramic granules. The material could be considered as a "barrier-graft".

  18. Understanding individual routing behaviour.

    Science.gov (United States)

    Lima, Antonio; Stanojevic, Rade; Papagiannaki, Dina; Rodriguez, Pablo; González, Marta C

    2016-03-01

    Knowing how individuals move between places is fundamental to advance our understanding of human mobility (González et al. 2008 Nature 453, 779-782. (doi:10.1038/nature06958)), improve our urban infrastructure (Prato 2009 J. Choice Model. 2, 65-100. (doi:10.1016/S1755-5345(13)70005-8)) and drive the development of transportation systems. Current route-choice models that are used in transportation planning are based on the widely accepted assumption that people follow the minimum cost path (Wardrop 1952 Proc. Inst. Civ. Eng. 1, 325-362. (doi:10.1680/ipeds.1952.11362)), despite little empirical support. Fine-grained location traces collected by smart devices give us today an unprecedented opportunity to learn how citizens organize their travel plans into a set of routes, and how similar behaviour patterns emerge among distinct individual choices. Here we study 92 419 anonymized GPS trajectories describing the movement of personal cars over an 18-month period. We group user trips by origin-destination and we find that most drivers use a small number of routes for their routine journeys, and tend to have a preferred route for frequent trips. In contrast to the cost minimization assumption, we also find that a significant fraction of drivers' routes are not optimal. We present a spatial probability distribution that bounds the route selection space within an ellipse, having the origin and the destination as focal points, characterized by high eccentricity independent of the scale. While individual routing choices are not captured by path optimization, their spatial bounds are similar, even for trips performed by distinct individuals and at various scales. These basic discoveries can inform realistic route-choice models that are not based on optimization, having an impact on several applications, such as infrastructure planning, routing recommendation systems and new mobility solutions. © 2016 The Author(s).

  19. Comparing the efficiency of transport routes and corridors

    Directory of Open Access Journals (Sweden)

    Liviu Gabriel GHIŢULEASA

    2011-03-01

    Full Text Available In the broader context of the importance granted to accessibility by the European spatial planning policies, comparing the efficiency of European and national transportation routes and corridors constitutes an issue of particular relevance for Romania. In order to resolve it, this paper proposes a methodology based on potential accessibility, determined by the total population served, and the efficiency of the path, by analogy with the least squares method. Both approaches were applied to internal and European routes.

  20. Routes and Stations

    Data.gov (United States)

    Department of Homeland Security — he Routes_Stations table is composed of fixed rail transit systems within the Continental United States, Alaska, Hawaii, the District of Columbia, and Puerto Rico....

  1. Class network routing

    Science.gov (United States)

    Bhanot, Gyan [Princeton, NJ; Blumrich, Matthias A [Ridgefield, CT; Chen, Dong [Croton On Hudson, NY; Coteus, Paul W [Yorktown Heights, NY; Gara, Alan G [Mount Kisco, NY; Giampapa, Mark E [Irvington, NY; Heidelberger, Philip [Cortlandt Manor, NY; Steinmacher-Burow, Burkhard D [Mount Kisco, NY; Takken, Todd E [Mount Kisco, NY; Vranas, Pavlos M [Bedford Hills, NY

    2009-09-08

    Class network routing is implemented in a network such as a computer network comprising a plurality of parallel compute processors at nodes thereof. Class network routing allows a compute processor to broadcast a message to a range (one or more) of other compute processors in the computer network, such as processors in a column or a row. Normally this type of operation requires a separate message to be sent to each processor. With class network routing pursuant to the invention, a single message is sufficient, which generally reduces the total number of messages in the network as well as the latency to do a broadcast. Class network routing is also applied to dense matrix inversion algorithms on distributed memory parallel supercomputers with hardware class function (multicast) capability. This is achieved by exploiting the fact that the communication patterns of dense matrix inversion can be served by hardware class functions, which results in faster execution times.

  2. Comparison of hyaluronic acid and PRP intra-articular injection with combined intra-articular and intraosseous PRP injections to treat patients with knee osteoarthritis.

    Science.gov (United States)

    Su, Ke; Bai, Yuming; Wang, Jun; Zhang, Haisen; Liu, Hao; Ma, Shiyun

    2018-05-01

    The aim of this study was to evaluate the benefit provided by intraosseous infiltration combined with intra-articular injection of platelet-rich plasma to treat mild and moderate stages of knee joint degeneration (Kellgren-Lawrence score II-III) compared with other treatments, specifically intra-articular injection of PRP and of HA. Eighty-six patients with grade II to grade III knee OA according to the Kellgren-Lawrence classification were randomly assigned to intra-articular combined with intraosseous injection of PRP (group A), intra-articular PRP (group B), or intra-articular HA (group C). Patients in group A received intra-articular combined with intraosseous injection of PRP (administered twice, 2 weeks apart). Patients in group B received intra-articular injection of PRP every 14 days. Patients in group C received a series of five intra-articular injections of HA every 7 days. All patients were evaluated using the Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities (WOMAC) score before the treatment and at 1, 3, 6, 12, and 18 months after treatment. There were significant improvements at the end of the 1st month. Notably, group A patients had significantly superior VAS and WOMAC scores than were observed in groups B and C. The VAS scores were similar in groups B and group C after the 6th month. Regarding the WOMAC scores, groups B and C differed at the 1st, 3rd, 6th, and 12th months; however, no significant difference was observed at the 18th month. The combination of intraosseous with intra-articular injections of PRP resulted in a significantly superior clinical outcome, with sustained lower VAS and WOMAC scores and improvement in quality of life within 18 months.

  3. Intraosseous focal venous malformation of the mandibular body: Cone beam computed tomography planning followed by piezoelectric knife resection and free bone graft reconstruction

    Directory of Open Access Journals (Sweden)

    Nikolić Živorad S.

    2017-01-01

    Full Text Available Introduction. Intraosseous vascular malformation could be life-threatening due to uncontrolled hemorrhage after tooth extraction. According to biological behavior of this lesion, adequate diagnostic and treatment strategies are necessary in order to avoid possible complications. We reported cone beam computed tomography (CBCT planning of an urgent en bloc resection of an intraosseous venous malformation by piezoelectric knife. Case report. A 55-year-old man was submitted to CBCT planning followed by piezoelectric knife resection of an intraosseous focal venous malformation of the mandibular body. Immediate reconstruction of the defect using iliac bone free graft was performed. The surgical treatment was uneventful and a 2-year follow-up revealed no signs of recurrence. Conclusion. Piezoelectric knife could provide precise, safe and bloodless procedure which is especially important in this pathology. Advantages of this technique are: lower risk of damaging soft tissue structures, precise osteotomy and bloodless surgery. Moreover, using piezosurgery bone knife, blood transfusion and blood transmitted diseases could be avoided. This case highlights the importance of CBCT as planning tool for resection of the mandible, using piezoelectric knife as safe method to achieve bloodless surgery. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175075

  4. Optimizing well intervention routes

    Energy Technology Data Exchange (ETDEWEB)

    Paiva, Ronaldo O. [PETROBRAS S.A., Vitoria, ES (Brazil); Schiozer, Denis J.; Bordalo, Sergio N. [Universidade Estadual de Campinas, SP (Brazil). Faculdade de Engenharia Mecanica. Centro de Estudo do Petroleo (CEPETRO)]. E-mail: denis@dep.fem.unicamp.br; bordalo@dep.fem.unicamp.br

    2000-07-01

    This work presents a method for optimizing the itinerary of work over rigs, i.e., the search for the route of minimum total cost, and demonstrates the importance of the dynamics of reservoir behaviour. The total cost of a route includes the rig expenses (transport, assembly and operation), which are functions of time and distances, plus the losses of revenue in wells waiting for the rig, which are also dependent of time. A reservoir simulator is used to evaluate the monetary influence of the well shutdown on the present value of the production curve. Finally, search algorithms are employed to determine the route of minimal cost. The Simulated Annealing algorithm was also successful in optimizing the distribution of a list of wells among different work over rigs. The rational approach presented here is recommended for management teams as a standard procedure to define the priority of wells scheduled for work over. (author)

  5. Routing and scheduling problems

    DEFF Research Database (Denmark)

    Reinhardt, Line Blander

    be that the objects routed have an availability time window and a delivery time window or that locations on the path have a service time window. When routing moving transportation objects such as vehicles and vessels schedules are made in connection with the routing. Such schedules represent the time for the presence......In today’s globalized society, transport contributes to our daily life in many different ways. The production of the parts for a shelf ready product may take place on several continents and our travel between home and work, vacation travel and business trips has increased in distance the last...... couple of decades. To deliver competitive service and price, transportation today needs to be cost effective. A company requiring for things to be shipped will aim at having the freight shipped as cheaply as possible while often satisfying certain time constraints. For the transportation company...

  6. Collective network routing

    Science.gov (United States)

    Hoenicke, Dirk

    2014-12-02

    Disclosed are a unified method and apparatus to classify, route, and process injected data packets into a network so as to belong to a plurality of logical networks, each implementing a specific flow of data on top of a common physical network. The method allows to locally identify collectives of packets for local processing, such as the computation of the sum, difference, maximum, minimum, or other logical operations among the identified packet collective. Packets are injected together with a class-attribute and an opcode attribute. Network routers, employing the described method, use the packet attributes to look-up the class-specific route information from a local route table, which contains the local incoming and outgoing directions as part of the specifically implemented global data flow of the particular virtual network.

  7. Advanced routing protocols for wireless networks

    CERN Document Server

    Campista , Miguel Elias Mitre

    2014-01-01

    This text introduces the principles of routing protocols and metrics as they affect wireless networking environments, specifically in urban areas. Timely because of the recent rise in small city life, this topic includes the consideration of ad hoc, mesh, vehicular, sensor, and delay tolerant networks. These approaches are each unique, and author Miguel Mitre Campista provides a thorough, but accessible, explanation of their individual characteristics for engineers, computer scientists, IT professionals, and curious Internet users.

  8. Whirlpool routing for mobility

    KAUST Repository

    Lee, Jung Woo

    2010-01-01

    We present the Whirlpool Routing Protocol (WARP), which efficiently routes data to a node moving within a static mesh. The key insight in WARP\\'s design is that data traffic can use an existing routing gradient to efficiently probe the topology, repair the routing gradient, and communicate these repairs to nearby nodes. Using simulation, controlled testbeds, and real mobility experiments, we find that using the data plane for topology maintenance is highly effective due to the incremental nature of mobility updates. WARP leverages the fact that converging flows at a destination make the destination have the region of highest traffic. We provide a theoretical basis for WARP\\'s behavior, defining an "update area" in which the topology must adjust when a destination moves. As long as packets arrive at a destination before it moves outside of the update area, WARP can repair the topology using the data plane. Compared to existing protocols, such as DYMO and HYPER, WARP\\'s packet drop rate is up to 90% lower while sending up to 90% fewer packets.

  9. Reliable Internet Routing

    Science.gov (United States)

    2011-09-01

    subprefixes. We refer to this attack as sub-prefix hijacking. 66 There are other variants of prefix hijacking, such as wormhole [49] attacks. Wormhole attacks...are a countermeasure the adversary can employ against secure routing protocols. Wormhole attacks are not discussed in this chapter because in our

  10. SET-Routes programme

    CERN Multimedia

    Marietta Schupp, EMBL Photolab

    2008-01-01

    Dr Sabine Hentze, specialist in human genetics, giving an Insight Lecture entitled "Human Genetics – Diagnostics, Indications and Ethical Issues" on 23 September 2008 at EMBL Heidelberg. Activities in a achool in Budapest during a visit of Angela Bekesi, Ambassadors for the SET-Routes programme.

  11. Vertical Osseodistraction with a New Intraosseous Alveolar Distractor Prototype for Dental Implant Rehabilitation: A Pilot Study in Dogs.

    Science.gov (United States)

    Esposito, Marco; Trullenque-Eriksson, Anna; Vila, Carlos Navarro; Peñarrocha, Miguel; García, Abel; Sánchez, Arturo; Muñoz-Guzón, Fernando; Martínez Martín, José Manuel

    To evaluate in dogs a newly developed intraosseous alveolar distractor (Mozo-Grau Alveolar Distractor) for vertical bone augmentation to allow placement of dental implants. Four dogs had their posterior teeth removed, and sockets were left to heal for 20 weeks. The right and left sides of the posterior mandibles were randomly allocated, according to a split-mouth design, to receive either two distractors, distracting a 32-mm-long bone segment, or two distractors supporting one bony segment 20 mm long and one 8 mm long. Each side of the jaw was treated by a different operator. Eight days after placement, distractors were activated with one complete turn (corresponding to 0.75 mm of vertical distraction) per day for 8 days, followed by a latency period of 10 weeks. Distractors were removed, and seven dental implants of two randomly allocated designs were placed in each dog. Implants were submerged for 2 months, and the dogs were sacrificed. Outcome measures were: success of the augmentation procedure (defined as a vertical gain of at least 5 mm of bone), any complications, implant failure, bone-to-implant contact (BIC), and peri-implant marginal bone level changes. One dog was withdrawn because of a mandible fracture. Eight complications occurred, and six osseodistractors were lost, but no implant failed. Only two segments in one dog achieved a vertical bone gain of at least 5 mm. The mean radiographic vertical bone gain was 2.28 mm, whereas the mean histologic vertical bone gain was 3.16 mm. Histologically, all the implants were osseointegrated. The mean BIC for implants placed in new distracted bone was 34.78% ± 11.60% and 35.66% ± 8.84% for those placed in native bone. The mean peri-implant marginal bone level loss was 0.56 ± 0.54 mm. It is possible to achieve vertical augmentation using intraosseous alveolar distractors to allow successful implantation of dental implants; however, the technique still requires surgical refinements and a dedicated training of

  12. GIS for the Valorization of Hardly Accessible Alpine Areas with Complex Potentials for Tourism, with a View to Their Inclusion in Tourist Routes. Development of the Valleys of Lotru and Olteţ

    Directory of Open Access Journals (Sweden)

    OANA POPESCU

    2008-01-01

    Full Text Available VALOT originates in the experience of European countries from the Alpine Space that succeeded to establish three top priorities for hardly accessible mountain areas based on communitarian programs (Natura 2000, Interreg IIIB – AlpNa Tour, VIADVENTURE, RegioMarket, etc.: competitiveness and attractiveness of the Alpine Space, accessibility and connectivity between high altitude settlements, environmental protection and prevention of natural hazards and disasters (snow falls, land slides, etc.. Starting from the project of Law on Approving the National Spatial Plan – Section VI – Tourism, the project aims at evaluating the current resources of hardly accessible mountain areas with complex potentials for tourism according to the experience of the European Union. GIS analysis will underline national/regional disparities of these areas, leading to conclusions on their typology and intervention proposals. The second part will focus on a case study of a hardly accessible area with a high landscape value and still un-valorized potentials for tourism. The existing situation of the area between the Lotru and Parâng mountains, consisting of the territories of four communes and a city, belonging to the counties of Vâlcea and Gorj, will be analyzed. Based on a spatial development scenario using selected statistical and geographic indicators, intervention priorities will be analyzed with the SPATIAL ANALYST, as well as funding possibilities for the creation of a cluster of mountain resorts (Rânca, Vidra, Voineasa in order to valorize the recreational and balneary patrimony of the area, observing principles and objectives of sustainable development in mountain areas. The project will create a methodology for diagnosing problems and dysfunctions of such areas, development possibilities based on the experience of the pilot study, proposals for improving the institutional framework for implementing, monitoring and evaluating the results and (last but not

  13. A tree routing protocol for cognitive radio network

    Directory of Open Access Journals (Sweden)

    Mohammed Hashem

    2017-07-01

    Full Text Available Cognitive Radio (CR technology is an agile solution for spectrum congestion and spectrum access utilization problems that result from the legacy fixed spectrum management policies. CR technology can exploit unused licensed band to meet the increasing demand for radio frequency. The routing process faces many challenges in CR Network (CRN such as the absence of centralized infrastructure, the coordination between the routing module and spectrum management module, in addition to the frequent link failure due to the sudden appearance of PUs. In this paper we propose a Tree routing protocol for cognitive radio network (C-TRP that jointly utilizes the tree routing algorithm with a spectrum management module in routing decisions, and also we proposed a new metric used in taking the best route decisions. In addition, we enhance the traditional tree routing algorithm by using a neighbor table technique that speeds up the forwarding data packets. Moreover, we add a robust recovery module to C-TRP to resume the network in case of the link failure. The main motivation in the design of C-TRP is quick data transmission and maximization of date rates. The performance evaluation is carried out in NS2 simulator. The simulation results proved that C-TRP protocol achieves better performance in terms of average “PDR”, “end-to-end delay” and “routing overhead ratio “compared to “CTBR” and “STOD-RP” routing protocols.

  14. Roots and routes

    DEFF Research Database (Denmark)

    Christensen, Ann-Dorte; Jensen, Sune Qvotrup

    2011-01-01

    This article is about transnational migrants, how they construct belonging to ‘new’ places where they have arrived, and how the feelings of belonging to their places of origin change when they go back. The theoretical part of the article outlines the relationship between migration and belonging...... arguing that there is a dynamic interplay between roots and routes in people's lives. The empirical point of departure is narratives about roots and routes by ethnic minorities settled in Aalborg East, an underprivileged neighbourhood in northern Denmark. One of the main findings is a gap between....... A somewhat paradoxical finding is that it appears to be more difficult for transnational migrants to maintain their roots in the country of origin when they go back than it was to establish new roots in the host country...

  15. Modulation of Synovial Fluid-Derived Mesenchymal Stem Cells by Intra-Articular and Intraosseous Platelet Rich Plasma Administration

    Directory of Open Access Journals (Sweden)

    Emma Muiños-López

    2016-01-01

    Full Text Available The aim of this study was to evaluate the effect of intra-articular (IA or a combination of intra-articular and intraosseous (IO infiltration of Platelet Rich Plasma (PRP on the cellular content of synovial fluid (SF of osteoarthritic patients. Thirty-one patients received a single infiltration of PRP either in the IA space (n=14 or in the IA space together with two IO infiltrations, one in the medial femoral condyle and one in the tibial plateau (n=17. SF was collected before and after one week of the infiltration. The presence in the SF of mesenchymal stem cells (MSCs, monocytes, and lymphocytes was determined and quantified by flow cytometry. The number and identity of the MSCs were further confirmed by colony-forming and differentiation assays. PRP infiltration into the subchondral bone (SB and the IA space induced a reduction in the population of MSCs in the SF. This reduction in MSCs was further confirmed by colony-forming (CFU-F assay. On the contrary, IA infiltration alone did not cause variations in any of the cellular populations by flow cytometry or CFU-F assay. The SF of osteoarthritic patients contains a population of MSCs that can be modulated by PRP infiltration of the SB compartment.

  16. Electronic route information panels (DRIPs).

    NARCIS (Netherlands)

    2008-01-01

    Also in the Netherlands, the term Dynamic Route Information Panel (DRIP) is used for an electronic route information panel. A DRIP usually indicates whether there are queues on the various routes to a particular destination and how long they are. On certain locations DRIPS also give the estimated

  17. Stochastic vehicle routing with recourse

    DEFF Research Database (Denmark)

    Gørtz, Inge Li; Nagarajan, Viswanath; Saket, Rishi

    2012-01-01

    We study the classic Vehicle Routing Problem in the setting of stochastic optimization with recourse. StochVRP is a two-stage problem, where demand is satisfied using two routes: fixed and recourse. The fixed route is computed using only a demand distribution. Then after observing the demand inst...

  18. Robustness of airline route networks

    Science.gov (United States)

    Lordan, Oriol; Sallan, Jose M.; Escorihuela, Nuria; Gonzalez-Prieto, David

    2016-03-01

    Airlines shape their route network by defining their routes through supply and demand considerations, paying little attention to network performance indicators, such as network robustness. However, the collapse of an airline network can produce high financial costs for the airline and all its geographical area of influence. The aim of this study is to analyze the topology and robustness of the network route of airlines following Low Cost Carriers (LCCs) and Full Service Carriers (FSCs) business models. Results show that FSC hubs are more central than LCC bases in their route network. As a result, LCC route networks are more robust than FSC networks.

  19. Immunohistochemical and histochemical characterization of intraosseous arteriovenous malformations of the jaws: analysis of 16 cases with emphasis on GLUT-1 immunophenotype.

    Science.gov (United States)

    Taleb, Reda; Koutlas, Ioannis G; Argyris, Prokopios P

    2017-08-01

    Intraosseous vascular lesions of the craniofacial region are rare and may cause diagnostic and therapeutic challenges. The purpose of this study was to characterize 16 cases of intraosseous arteriovenous malformations (AVMs) affecting the jaws. Immunohistochemical evaluation was performed using antibodies against α-smooth muscle actin (α-SMA), desmin, CD31, D2-40, and glucose transporter 1 (GLUT-1). Staining with elastic Verhoeff-Van Gieson and Masson trichrome histochemical stains was also performed. No gender predilection (female:male ratio = 1:1) was observed, with patients' mean age being 50.8 years (SD of ±13.9; range 28-71 years). Predilection for the mandible was observed (12 of 16 [75%]). Immunohistochemically, diffuse endothelial CD31 staining was noted, and α-SMA strongly highlighted smooth muscle cells and pericytes. Desmin-positive vessels were identified in 9 of 16 AVMs (56.3%). D2-40 was uniformly negative in all specimens. AVMs were negative for GLUT-1 (11 of 14 [78.6%]) except for 2 cases (2 of 14 [14.3%]) exhibiting focal limited cytoplasmic GLUT-1 immunoreactivity. One case was equivocal for GLUT-1. Masson trichrome highlighted smooth muscle cells, and elastic fibers were identified in thick-walled arteries. AVMs of the jaws generally lack expression of GLUT-1, similar to soft tissue vascular malformations. Clinicoradiographic features of intraosseous AVMs in the present study were consistent with the findings of previous studies, although mean age was higher. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. The simple transverse intraosseous phalangeal suture for zone 1 flexor digitorum profundus injuries: case series and review of the literature.

    Science.gov (United States)

    Markeson, Daniel Benjamin; Evgeniou, Evgenios; Choa, Robert; Iyer, Srinivasan

    2013-05-01

    Zone 1 flexor digitorum profundus injury often precludes the use of a simple core suture as a result of a distal remnant that is too short. The aim of this study was to assess the senior author's (S.I.) simple technique for reinsertion of the flexor digitorum profundus tendon. The case series consisted of 12 patients who required a primary flexor digitorum profundus repair in zone 1, with all repairs performed by the senior author. A Bruner incision was extended to the pulp to expose the base of the distal phalanx. A two-strand repair was anchored to the distal phalanx using the author's technique, which involved passing a 3-0 polypropylene suture on a straight needle through a hypodermic needle that had been drilled through the base of the distal phalanx. This provided a stable, intraosseous, internal repair, allowing a standard early active mobilization regimen. Two patients had excellent results and 10 had good results in terms of distal interphalangeal joint range of movement (mean, 57 degrees; range, 51 to 80 degrees) and Quick Disabilities of the Arm, Shoulder and Hand questionnaire scores (mean, 12; range, 0 to 31.8). There were no reported tendon ruptures at the time of writing this article (range, 6 to 37 months after surgery). The authors present a technique for the repair of zone 1 flexor digitorum profundus injuries that is simple, can be performed quickly, is easily learned, and has results that compare favorably with other techniques in the literature. Furthermore, there is limited morbidity to surrounding fingertip structures. Therapeutic, IV.

  1. Comparison of intraosseous pentobarbital administration and thoracic compression for euthanasia of anesthetized sparrows (Passer domesticus) and starlings (Sturnus vulgaris).

    Science.gov (United States)

    Paul-Murphy, Joanne R; Engilis, Andrew; Pascoe, Peter J; Williams, D Colette; Gustavsen, Kate A; Drazenovich, Tracy L; Keel, M Kevin; Polley, Tamsen M; Engilis, Irene E

    2017-08-01

    OBJECTIVE To compare intraosseous pentobarbital treatment (IPT) and thoracic compression (TC) on time to circulatory arrest and an isoelectric electroencephalogram (EEG) in anesthetized passerine birds. ANIMALS 30 wild-caught adult birds (17 house sparrows [Passer domesticus] and 13 European starlings [Sturnus vulgaris]). PROCEDURES Birds were assigned to receive IPT or TC (n = 6/species/group). Birds were anesthetized, and carotid arterial pulses were monitored by Doppler methodology. Five subdermal braided-wire electrodes were used for EEG. Anesthetic depth was adjusted until a continuous EEG pattern was maintained, then euthanasia was performed. Times from initiation of euthanasia to cessation of carotid pulse and irreversible isoelectric EEG (indicators of death) were measured. Data (medians and first to third quartiles) were summarized and compared between groups within species. Necropsies were performed for all birds included in experiments and for another 6 birds euthanized under anesthesia by TC (4 sparrows and 1 starling) or IPT (1 sparrow). RESULTS Median time to isoelectric EEG did not differ significantly between treatment groups for sparrows (19.0 and 6.0 seconds for TC and IPT, respectively) or starlings (88.5 and 77.5 seconds for TC and IPT, respectively). Median times to cessation of pulse were significantly shorter for TC than for IPT in sparrows (0.0 vs 18.5 seconds) and starlings (9.5 vs 151.0 seconds). On necropsy, most (14/17) birds that underwent TC had grossly visible coelomic, pericardial, or perihepatic hemorrhage. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that TC might be an efficient euthanasia method for small birds. Digital pressure directly over the heart during TC obstructed venous return, causing rapid circulatory arrest, with rupture of the atria or vena cava in several birds. The authors propose that cardiac compression is a more accurate description than TC for this procedure.

  2. Improving routing efficiency through intermediate target based geographic routing

    Directory of Open Access Journals (Sweden)

    Zongming Fei

    2015-08-01

    Full Text Available The greedy strategy of geographical routing may cause the local minimum problem when there is a hole in the routing area. It depends on other strategies such as perimeter routing to find a detour path, which can be long and result in inefficiency of the routing protocol. In this paper, we propose a new approach called Intermediate Target based Geographic Routing (ITGR to solve the long detour path problem. The basic idea is to use previous experience to determine the destination areas that are shaded by the holes. The novelty of the approach is that a single forwarding path can be used to determine a shaded area that may cover many destination nodes. We design an efficient method for the source to find out whether a destination node belongs to a shaded area. The source then selects an intermediate node as the tentative target and greedily forwards packets to it, which in turn forwards the packet to the final destination by greedy routing. ITGR can combine multiple shaded areas to improve the efficiency of representation and routing. We perform simulations and demonstrate that ITGR significantly reduces the routing path length, compared with existing geographic routing protocols.

  3. An overview of smart grid routing algorithms

    Science.gov (United States)

    Wang, Junsheng; OU, Qinghai; Shen, Haijuan

    2017-08-01

    This paper summarizes the typical routing algorithm in smart grid by analyzing the communication business and communication requirements of intelligent grid. Mainly from the two kinds of routing algorithm is analyzed, namely clustering routing algorithm and routing algorithm, analyzed the advantages and disadvantages of two kinds of typical routing algorithm in routing algorithm and applicability.

  4. Vertex routing models

    International Nuclear Information System (INIS)

    Markovic, D; Gros, C

    2009-01-01

    A class of models describing the flow of information within networks via routing processes is proposed and investigated, concentrating on the effects of memory traces on the global properties. The long-term flow of information is governed by cyclic attractors, allowing to define a measure for the information centrality of a vertex given by the number of attractors passing through this vertex. We find the number of vertices having a nonzero information centrality to be extensive/subextensive for models with/without a memory trace in the thermodynamic limit. We evaluate the distribution of the number of cycles, of the cycle length and of the maximal basins of attraction, finding a complete scaling collapse in the thermodynamic limit for the latter. Possible implications of our results for the information flow in social networks are discussed.

  5. Articaine (4%) with epinephrine (1:100,000 or 1:200,000) in intraosseous injections in symptomatic irreversible pulpitis of mandibular molars: anesthetic efficacy and cardiovascular effects.

    Science.gov (United States)

    Pereira, Leandro Augusto Pinto; Groppo, Francisco Carlos; Bergamaschi, Cristiane de Cássia; Meechan, John Gerard; Ramacciato, Juliana Cama; Motta, Rogério Heládio Lopes; Ranali, José

    2013-08-01

    The aim of this study was to compare the cardiovascular effects and the anesthetic efficacy of intraosseous injections of 4% articaine with 1:100,000 epinephrine (EPI100) or 4% articaine with 1:200,000 epinephrine (EPI200). In this prospective, randomized, double-blind study, 0.9 mL EPI100 and EPI200 solutions were administered for endodontic treatment of mandibular molars with symptomatic irreversible pulpitis in 60 patients. The anesthetic success and pain during anesthesia were evaluated by visual analog scale. The cardiovascular parameters evaluated were heart rate, diastolic/systolic blood pressure, pulse oximetry, and electrocardiogram changes. Both solutions provided high anesthetic efficacy (96.8% and 93.1% for EPI100 and EPI200, respectively; P > .05), and the cardiovascular parameters showed minimal incidences of significant differences throughout the clinical procedure. The epinephrine concentration did not affect the efficacy of 4% articaine, and both solutions produced a high success level of pulpal anesthesia. Intraosseous delivery by slow speed of injection did not induce significant clinical changes in cardiovascular parameters. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. Effective ANT based Routing Algorithm for Data Replication in MANETs

    Directory of Open Access Journals (Sweden)

    N.J. Nithya Nandhini

    2013-12-01

    Full Text Available In mobile ad hoc network, the nodes often move and keep on change its topology. Data packets can be forwarded from one node to another on demand. To increase the data accessibility data are replicated at nodes and made as sharable to other nodes. Assuming that all mobile host cooperative to share their memory and allow forwarding the data packets. But in reality, all nodes do not share the resources for the benefits of others. These nodes may act selfishly to share memory and to forward the data packets. This paper focuses on selfishness of mobile nodes in replica allocation and routing protocol based on Ant colony algorithm to improve the efficiency. The Ant colony algorithm is used to reduce the overhead in the mobile network, so that it is more efficient to access the data than with other routing protocols. This result shows the efficiency of ant based routing algorithm in the replication allocation.

  7. The future of route survey?

    NARCIS (Netherlands)

    Burger, H.H.; Groot, T. de

    1995-01-01

    Several NATO Navies carry out route survey operations as a peace time operation aimed to improve the MCM efficiency in times of crisis or war. The main result of route survey operations is information about the environmental conditions of an area, and about the mine like contacts present in the

  8. Perception bias in route choice

    NARCIS (Netherlands)

    Vreeswijk, Jacob Dirk; Thomas, Tom; van Berkum, Eric C.; van Arem, Bart

    2014-01-01

    Travel time is probably one of the most studied attributes in route choice. Recently, perception of travel time received more attention as several studies have shown its importance in explaining route choice behavior. In particular, travel time estimates by travelers appear to be biased against non-

  9. Perception bias in route choice

    NARCIS (Netherlands)

    Vreeswijk, Jacob Dirk; Thomas, Tom; van Berkum, Eric C.; van Arem, Bart

    2014-01-01

    Travel time is probably one of the most studied attributes in route choice. Recently, perception of travel time received more attention as several studies have shown its importance in explaining route choice behavior. In particular, travel time estimates by travelers appear to be biased against

  10. The vehicle routing problem with edge set costs

    DEFF Research Database (Denmark)

    Reinhardt, Line Blander; Jepsen, Mads Kehlet; Pisinger, David

    We consider an important generalization of the vehicle routing problem with time windows in which a fixed cost must be paid for accessing a set of edges. This fixed cost could reflect payment for toll roads, investment in new facilities, the need for certifications and other costly investments...

  11. Dissecting antigen processing and presentation routes in dermal vaccination strategies

    NARCIS (Netherlands)

    Platteel, Anouk C M; Henri, Sandrine; Zaiss, Dietmar M; Sijts, Alice J A M

    2017-01-01

    The skin is an attractive site for vaccination due to its accessibility and presence of immune cells surveilling this barrier. However, knowledge of antigen processing and presentation upon dermal vaccination is sparse. In this study we determined antigen processing routes that lead to CD8(+) T cell

  12. The Adversarial Route Analysis Tool: A Web Application

    Energy Technology Data Exchange (ETDEWEB)

    Casson, William H. Jr. [Los Alamos National Laboratory

    2012-08-02

    The Adversarial Route Analysis Tool is a type of Google maps for adversaries. It's a web-based Geospatial application similar to Google Maps. It helps the U.S. government plan operations that predict where an adversary might be. It's easily accessible and maintainble and it's simple to use without much training.

  13. "To Control Tibet, First Pacify Kham": Trade Routes and "Official Routes" (Guandao in Easternmost Kham

    Directory of Open Access Journals (Sweden)

    Patrick Booz

    2016-06-01

    Full Text Available This article focuses on the trade routes in the western Sichuan borderlands that facilitated contact and trade between Chinese counties and Eastern Tibet. In particular, the article offers a description of “official routes” (guandao—which the Chinese emperor twice proclaimed to be the vital mode of access between China and Tibet—from Chengdu, Sichuan’s provincial capital, to Khampa areas, with Lhasa as the final destination. The exchange of goods in this region followed various routes during different periods. From the tenth to sixteenth centuries, transactions occurred primarily along the borders of Amdo (Tib. A mdo, Northeastern Tibet, but for political, economic, and practical reasons, such exchanges became more limited geographically and eventually focused along the Sichuan–Kham/Ngawa border. Many routes shifted to the towns of Kangding (Tib. Dartsedo and Songpan (Tib. Zungchu, the main sites of distribution, where rich opportunities for trade and a strictly limiting transport geography made them important entrepôts that evolved into centers of prosperity. The geographic range of this article reaches to these two towns and leaves the investigation of the routes that led to western centers such as Derge, Batang, Chamdo, and Jyekundo for future research.

  14. [Artificial nutrition in children (I): enteral access].

    Science.gov (United States)

    Estevão-Costa, José

    2014-01-01

    Appropriate nutritional support is crucial in the therapeutic approach of multiple conditions, which justifies the frequent and increasing use of specific access routes for enteral and parenteral nutrition. This article reviews the relevant literature concerning indications, procedures, effectiveness and complications of enteral access routes in children. The decision between gastric and postpyloric access, and between nasogastric tube and gastrostomy is thoroughly discussed. Percutaneous endoscopic gastrostomy is the most commonly used technique when a long-term gastric access is required, given its efficacy and safety although the associated morbidity is not negligible;laparoscopic gastrostomy emerges as a potentially advantageous alternative.

  15. Service-Oriented Access Control

    Science.gov (United States)

    2014-09-01

    backbone. A battalion may use this approach in conducting digital communications exercises , where the unit establishes this network test its digital...derivation, third scenario . . . . . . . . 60 ix THIS PAGE INTENTIONALLY LEFT BLANK x List of Acronyms and Abbreviations ACL access control list BGP...configuration, access control list ( ACL ) placement, or routing design). Changing the network’s logical organization affects how data flows in a

  16. Fatigue mitigation effects of en-route napping on commercial airline pilots flying international routes

    Science.gov (United States)

    Baldwin, Jarret Taylor

    The introduction of ultra-long range commercial aircraft and the evolution of the commercial airline industry has provided new opportunities for air carriers to fly longer range international route segments while deregulation, industry consolidation, and the constant drive to reduce costs wherever possible has pressured airline managements to seek more productivity from their pilots. At the same time, advancements in the understanding of human physiology have begun to make their way into flight and duty time regulations and airline scheduling practices. In this complex and ever changing operating environment, there remains an essential need to better understand how these developments, and other daily realities facing commercial airline pilots, are affecting their fatigue management strategies as they go about their rituals of getting to and from their homes to work and performing their flight assignments. Indeed, the need for commercial airline pilots to have access to better and more effective fatigue mitigation tools to combat fatigue and insure that they are well rested and at the top of their game when flying long-range international route segments has never been greater. This study examined to what extent the maximum fatigue states prior to napping, as self-accessed by commercial airline pilots flying international route segments, were affected by a number of other common flight assignment related factors. The study also examined to what extent the availability of scheduled en-route rest opportunities, in an onboard crew rest facility, affected the usage of en-route napping as a fatigue mitigation strategy, and to what extent the duration of such naps affected the perceived benefits of such naps as self-accessed by commercial airline pilots flying international route segments. The study utilized an online survey tool to collect data on crew position, prior flight segments flown in the same duty period, augmentation, commuting, pre-flight rest obtained in the

  17. Road Routes for Waste Disposal - MDC_RecyclingRoute

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — This CURBSIDE RECYCLING ROUTES BOUNDARIES LAYER IS A polygon feature class created for the Miami-Dade Department of Solid Waste Management (DSWM). It contains the...

  18. Access Routes of Internet Finance Dictionaries: Present Solutions ...

    African Journals Online (AJOL)

    rbr

    Internet finance dictionaries is needed, and, as De Schryver (2003: 188) states, a sound underlying theory is obviously needed in creating future electronic or. Internet dictionaries. 2. Theoretical Foundation. In order to improve the quality of IFDs, users should become the point of departure in creating the dictionary. This is in ...

  19. Partial differential equations an accessible route through theory and applications

    CERN Document Server

    Vasy, András

    2015-01-01

    This text on partial differential equations is intended for readers who want to understand the theoretical underpinnings of modern PDEs in settings that are important for the applications without using extensive analytic tools required by most advanced texts. The assumed mathematical background is at the level of multivariable calculus and basic metric space material, but the latter is recalled as relevant as the text progresses. The key goal of this book is to be mathematically complete without overwhelming the reader, and to develop PDE theory in a manner that reflects how researchers would think about the material. A concrete example is that distribution theory and the concept of weak solutions are introduced early because while these ideas take some time for the students to get used to, they are fundamentally easy and, on the other hand, play a central role in the field. Then, Hilbert spaces that are quite important in the later development are introduced via completions which give essentially all the fea...

  20. Pheromone based alternative route planning

    Directory of Open Access Journals (Sweden)

    Liangbing Feng

    2016-08-01

    Full Text Available In this work, we propose an improved alternative route calculation based on alternative figures, which is suitable for practical environments. The improvement is based on the fact that the main traffic route is the road network skeleton in a city. Our approach using nodes may generate a higher possibility of overlapping. We employ a bidirectional Dijkstra algorithm to search the route. To measure the quality of an Alternative Figures (AG, three quotas are proposed. The experiment results indicate that the improved algorithm proposed in this paper is more effective than others.

  1. Port Authority of Allegheny County Transit Routes

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Shapefile of Transit Routes - Please refer to each resource for active dates of the route information. Routes change over time,

  2. Routes to embodiment.

    Science.gov (United States)

    Körner, Anita; Topolinski, Sascha; Strack, Fritz

    2015-01-01

    Research on embodiment is rich in impressive demonstrations but somewhat poor in comprehensive explanations. Although some moderators and driving mechanisms have been identified, a comprehensive conceptual account of how bodily states or dynamics influence behavior is still missing. Here, we attempt to integrate current knowledge by describing three basic psychological mechanisms: direct state induction, which influences how humans feel or process information, unmediated by any other cognitive mechanism; modal priming, which changes the accessibility of concepts associated with a bodily state; sensorimotor simulation, which affects the ease with which congruent and incongruent actions are performed. We argue that the joint impact of these mechanisms can account for most existing embodiment effects. Additionally, we summarize empirical tests for distinguishing these mechanisms and suggest a guideline for future research about the mechanisms underlying embodiment effects.

  3. Predicting Catastrophic BGP Routing Instabilities

    National Research Council Canada - National Science Library

    Nguyen, Lien

    2004-01-01

    .... Currently, this critical function is performed by the Border Gateway Protocol (BGP) version 4 RF01771. Like all routing protocols, BGP is vulnerable to instabilities that reduce its effectiveness...

  4. Broadband Access

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. Broadband Access. Worldwide market for broadband access $30 Billion! Over 200 million broadband subscribers worldwide! Various Competing Broadband access. Digital Subscriber line; Wireless; Optical Fiber.

  5. New TPG bus route 28

    CERN Multimedia

    2003-01-01

    Geneva's Public Transport services (TPG) have recently inaugurated a new bus line 28, connecting the La Tour Hospital in Meyrin to the international organisations in Geneva, via the airport. All signs associated with this route will be yellow in colour. Timetables and route details can be found at http://www.tpg.ch. Relations with the Host States Service http://www.cern.ch/relations/ Tel. 72848

  6. Malformación vascular intraósea en el maxilar que se presenta en forma de sangrado gingival Intra-osseous vascular malformation in the maxilla

    Directory of Open Access Journals (Sweden)

    Naveenjayakumar

    2009-12-01

    Full Text Available Las malformaciones arterio-venosas intraóseas (MAVs en la región maxilofacial son entidades clínicas poco frecuentes. Ofrecen una amplia gama de presentación clínica y no siempre se diagnostican sin sorpresa. El tratamiento de estas lesiones siempre ha representado un reto para el cirujano debido a su intensa vascularización y a la elevada incidencia de recurrencia. Se presenta el caso de una malformación arterio-venosa intraósea en el maxilar superior que se manifiesta como sangrado gingival, cuyos exámenes radiológicos de rutina no fueron concluyentes. Se llevó a cabo la excisión quirúrgica y el empaquetado del hueso con cera, y se realizó el seguimiento del paciente durante 1 año sin que se produjera recurrencia. Las malformaciones vasculares deben tenerse en consideración en el diagnóstico diferencial del sangrado gingival con radiografías dentales no concluyentes.Intraosseous arterio-venous malformations (AVM in the maxillofacial region are rare clinical entities. They have a wide range of clinical presentation and are not always diagnosed without a surprise. Treatment of these lesions has always been a challenge to the surgeon due to extreme vascularity and the high recurrence rate. The case presented is that of an intraosseous arterio-venous malformation in the maxilla that started as gingival bleeding and routine radiographic examinations were inconclusive. Surgical excision and bone wax packing was performed there were no recurrences during 1-year of follow-up. Vascular malformations may be considered in differential diagnosis of gingival bleeding with inconclusive dental radiographs.

  7. Celestial data routing network

    Science.gov (United States)

    Bordetsky, Alex

    2000-11-01

    Imagine that information processing human-machine network is threatened in a particular part of the world. Suppose that an anticipated threat of physical attacks could lead to disruption of telecommunications network management infrastructure and access capabilities for small geographically distributed groups engaged in collaborative operations. Suppose that small group of astronauts are exploring the solar planet and need to quickly configure orbital information network to support their collaborative work and local communications. The critical need in both scenarios would be a set of low-cost means of small team celestial networking. To the geographically distributed mobile collaborating groups such means would allow to maintain collaborative multipoint work, set up orbital local area network, and provide orbital intranet communications. This would be accomplished by dynamically assembling the network enabling infrastructure of the small satellite based router, satellite based Codec, and set of satellite based intelligent management agents. Cooperating single function pico satellites, acting as agents and personal switching devices together would represent self-organizing intelligent orbital network of cooperating mobile management nodes. Cooperative behavior of the pico satellite based agents would be achieved by comprising a small orbital artificial neural network capable of learning and restructing the networking resources in response to the anticipated threat.

  8. Secure Multicast Routing Algorithm for Wireless Mesh Networks

    Directory of Open Access Journals (Sweden)

    Rakesh Matam

    2016-01-01

    Full Text Available Multicast is an indispensable communication technique in wireless mesh network (WMN. Many applications in WMN including multicast TV, audio and video conferencing, and multiplayer social gaming use multicast transmission. On the other hand, security in multicast transmissions is crucial, without which the network services are significantly disrupted. Existing secure routing protocols that address different active attacks are still vulnerable due to subtle nature of flaws in protocol design. Moreover, existing secure routing protocols assume that adversarial nodes cannot share an out-of-band communication channel which rules out the possibility of wormhole attack. In this paper, we propose SEMRAW (SEcure Multicast Routing Algorithm for Wireless mesh network that is resistant against all known active threats including wormhole attack. SEMRAW employs digital signatures to prevent a malicious node from gaining illegitimate access to the message contents. Security of SEMRAW is evaluated using the simulation paradigm approach.

  9. Intraosseous osteolytic lesions

    Energy Technology Data Exchange (ETDEWEB)

    Adler, C.P.; Wenz, W.

    1981-10-01

    Any pathological damage occurring in a bone will produce either an osteolytic or osteosclerotic lesion which can be seen in the macroscopic specimen as well as in the roentgenogram. Various bone lesions may lead to local destructions of the bone. An osteoma or osteoplastic osteosarcoma produces an osteosclerotic lesion showing a dense mass in the roentgenogram; a chondroblastoma or an osteoclastoma, on the other hand, induces an osteolytic focal lesion. This paper presents examples of different osteolytic lesions of the humerus. An osteolytic lesion seen in the roentgenogram may be either produced by an underlying non-ossifying fibroma of the bone, by fibrous dysplasia, osteomyelitis or Ewing's sarcoma. Differential diagnostic considerations based on the radiological picture include eosinophilic bone granuloma, juvenile or aneurysmal bone cyst, multiple myeloma or bone metastases. Serious differential diagnostic problems may be involved in case of osteolytic lesions occurring in the humerus. Cases of this type involving complications have been reported and include the presence of an teleangiectatic osteosarcoma as well as that of a hemangiosarcoma of the bone.

  10. Route Scherrer closed for construction work

    CERN Multimedia

    2015-01-01

    Please note that Route Scherrer will be inaccessible for two and a half months from the beginning of March.   The part of Route Scherrer between Building 510 and Building 53 (see Figure) will be closed from the beginning of March until mid-May for civil engineering works. The superheated water pipes supplying the buildings in this area date back to 1959 and therefore present a significant risk of leakage. In order to ensure the reliable supply of superheated water, and, by extension, heating, to all premises near the Main Building (i.e. Buildings 500, 501, 503, 60, 62, 63 and 64), a new buried service duct will be installed between the basements of Buildings 53 and 61 to house a new superheated water pipe. The following car parks will, however, remain accessible for the duration of the works: the Cèdres car park, the car park for Buildings 4 and 5, and the car park situated between Buildings 32, 38 and 168.

  11. Impact of Flooding on Traffic Route Choices

    Directory of Open Access Journals (Sweden)

    Othman M.H.

    2014-01-01

    Full Text Available Traffic route choice using road network modelling can play a key role in preventing and minimizing traffic problems during disasters. Using road network modelling, real road conditions during flooding are simulated in order to produce a response plan for road users to evacuate based on the roads' real risks and situation. Using a Geographical Information System (GIS we can forecast and provide road users with available alternatives when certain access roads or links need to be closed due to catastrophic hazards such as floods. This study focuses on floods as it is the most common form of natural disaster occurring in Malaysia, and due to the fact that the chance and risk of a flood occurring cannot be accurately predicted nor measured. Therefore, as a response to this problem, the outcome of this study is highly useful for the retrieval of information on flooded roads and the impacts on road users. Using GIS's capability to display both spatial and attributive information, we have provided an attractive alternative to conventional methods in order to show available traffic route choices and a transportation network plan.

  12. Vehicle Routing With User Generated Trajectory Data

    DEFF Research Database (Denmark)

    Ceikute, Vaida; Jensen, Christian S.

    Rapidly increasing volumes of GPS data collected from vehicles provide new and increasingly comprehensive insight into the routes that drivers prefer. While routing services generally compute shortest or fastest routes, recent studies suggest that local drivers often prefer routes that are neithe...

  13. Parent Safety Perceptions of Child Walking Routes.

    Science.gov (United States)

    Evers, Cody; Boles, Shawn; Johnson-Shelton, Deb; Schlossberg, Marc; Richey, David

    2014-06-01

    Walking rates to school remain low for U.S. children in large part due to parent concern for child safety. Little research has investigated the specific features of streets and intersection networks that parents associate with safe walking networks for children. To investigate which aspects of the child walking environment lead to parental concern, parent volunteers conducted an audit of streets leading to seven elementary schools in a suburban school district. Parents were most likely to feel concern about streets that lacked sidewalks or had sidewalks with obstructions. Wheelchair-accessible routes were seen as appropriate for walking children. Parents expressed concern over safety at intersections, particularly those involving large streets; traffic controls did not mollify their concern.

  14. Safety, Tolerability and Pharmacokinetics of Single Doses of Oxytocin Administered via an Inhaled Route in Healthy Females: Randomized, Single-blind, Phase 1 Study

    Directory of Open Access Journals (Sweden)

    Disala Fernando

    2017-08-01

    Interpretation: These data suggest that similar oxytocin systemic exposure can be achieved with IM and IH administration routes, and no safety concerns were identified with either route. The inhalation route may offer the opportunity to increase access to oxytocin for women giving birth in resource-poor settings.

  15. Accessibility tradeoffs in public transit planning

    Science.gov (United States)

    Murray, Alan T.; Wu, Xiaolan

    Spatial accessibility is a critical consideration in the provision of services, both public and private. In public transit planning, accessibility is comprised of access and geographic coverage. Interestingly, these two considerations are somewhat at odds with each other. Access is important because it is the process associated with getting to and departing from the service. Such access is typically perceived of in spatial terms as the physical proximity to transit stops or stations. Additional stops along a route usually mean greater access, because a stop is more likely to be within an acceptable walking/driving standard for a larger number of people. On the other hand, more stops and greater access slow transit travel speeds, thereby decreasing the area of service reachable given a travel time budget. More stops along a route translate to greater service interruption and longer travel times. The faster the travel time, the more desirable the service. Further, if travel times become excessive, then user demand for service will decrease. All of this means that stop spacing along a route is central to accessibility, as it is a tradeoff of access (more stops) and geographic coverage (service efficiency through less stops). This paper details modeling approaches for addressing accessibility concerns in an integrated fashion. Bus-based transit service in Columbus, Ohio will be utilized to illustrate the usefulness of these approaches in transit planning.

  16. Wireless Access

    Indian Academy of Sciences (India)

    First page Back Continue Last page Overview Graphics. Wireless Access. Wireless connect to the Base station. Easy and Convenient access. Costlier as compared to the wired technology. Reliability challenges. We see it as a complementary technology to the DSL.

  17. Excisão de tumor de células gigantes de bainha de tendão com envolvimento ósseo por dupla via de acesso: relato de caso Excision of giant cell tumor of tendon sheath with bone involvement by means of double access route: case report

    Directory of Open Access Journals (Sweden)

    Marcelo de Pinho Teixeira Alves

    2011-01-01

    Full Text Available O tumor de células gigantes de bainha de tendão (TCGBT é uma lesão frequente e é o segundo tumor mais frequente na mão, após o cisto sinovial. O diagnóstico é feito através do exame clínico e por exames complementares (radiografia simples e ressonância magnética. Ao exame radiológico, pode-se observar invasão ou erosão óssea da falange atingida. Na ressonância magnética, um "efeito fluorescente ou brilhoso" pode ser observado, devido à alta quantidade de hemossiderina encontrada no tumor. O tratamento cirúrgico é a prática mais comum, sendo a excisão completa importante para se evitar a recidiva do tumor, especialmente quando se observar invasão óssea nos exames de imagem, que geralmente se relaciona a uma maior recidiva do tumor. Neste trabalho, apresenta-se um caso de tumor de células gigantes de bainha de tendão, encontrado na falange média do terceiro dedo de uma paciente de 45 anos, tratado cirurgicamente com sucesso, por dupla via de acesso, dorsal e volar.Giant cell tumors of the tendon sheath are common lesions and are the second most frequent tumors in the hand, after synovial cysts. They are diagnosed by means of clinical examination and complementary examinations (simple radiography and magnetic resonance. Erosion and invasion of the phalangeal bone affected may be seen on radiological examination. Magnetic resonance may show a "fluorescent or radiant effect" may be observed, caused by the high quantity of hemosiderin inside the tumor. Surgical treatment is the commonest practice, and complete excision is important for avoiding recurrence of the tumor, especially when bone invasion is observed on imaging examinations, which is generally related to greater tumor recurrence. In this paper, a case of a giant cell tumor of the tendon sheath in the middle phalanx of the third finger of a 45-year-old female patient is presented. This was successfully treated by means of surgery using a double access route

  18. Dynamic Weather Routes Architecture Overview

    Science.gov (United States)

    Eslami, Hassan; Eshow, Michelle

    2014-01-01

    Dynamic Weather Routes Architecture Overview, presents the high level software architecture of DWR, based on the CTAS software framework and the Direct-To automation tool. The document also covers external and internal data flows, required dataset, changes to the Direct-To software for DWR, collection of software statistics, and the code structure.

  19. Roots/Routes: Part I

    Science.gov (United States)

    Swanson, Dalene M.

    2009-01-01

    This narrative and poetic rendering acts as an articulation of a journey of many routes. It is a storying of critical research issues and events as performances of lived experience. It is a metissage of hybrid, but interrelated, themes that find cohesion through fragmentation and coalescence, severance, and regrowth. These themes are invoked by…

  20. Roots/Routes: Part II

    Science.gov (United States)

    Swanson, Dalene M.

    2009-01-01

    This narrative acts as an articulation of a journey of many routes. Following Part I of the same research journey of rootedness/routedness, it debates the nature of transformation and transcendence beyond personal and political paradoxes informed by neoliberalism and related repressive globalizing discourses. Through a more personal, descriptive,…

  1. On the Most Innovative Outer Access Structure of any Bantu ...

    African Journals Online (AJOL)

    ... access structure and access route, and Section 6 compares Polis's work with a dictionary from the same region and period. Conclusions are offered in Section 7, chief among them the fact that Polis designed the most innovative outer access structure of any Bantu dictionary. Keywords: Bantu, Kikongo, Kintandu, French, ...

  2. Highway route controlled quantity shipment routing reports - An overview

    International Nuclear Information System (INIS)

    Cashwell, J.W.; Welles, B.W.; Welch, M.J.

    1989-01-01

    US Department of Transportation (DOT) regulations require a postnotification report from the shipper for all shipments of radioactive materials categorized as a Highway Route Controlled Quantity. These postnotification reports, filed in compliance with 49 CFR 172.203(d), have been compiled by the DOT in a database known as the Radioactive Materials Routing Report (RAMRT) since 1982. The data were sorted by each of its elements to establish historical records and trends of Highway Route Controlled Quantity shipments from 1982 through 1987. Approximately 1520 records in the RAMRT database were compiled for this analysis. Approximately half of the shipments reported for the study period were from the US Department of Energy (DOE) and its contractors, with the others being commercial movements. Two DOE installations, EG and G Idaho and Oak Ridge, accounted for nearly half of the DOE activities. Similarly, almost half of the commercial movements were reported by two vendors, Nuclear Assurance Corporation and Transnuclear, Incorporated. Spent fuel from power and research reactors accounted for approximately half of all shipments

  3. KAUST Open Access policy

    KAUST Repository

    Baessa, Mohamed A.

    2017-03-07

    The transition to open access (OA) is being driven by funders, libraries, researchers and publishers around the world, and is having an impact on us all. It is inevitable that different countries, organisations and disciplines are moving at different rates towards an OA model, and it is this that we will focus on in this session. Drawing on experiences from across Europe and the Middle East we will provide perspectives from both a global publisher and institutions based in the region. Taylor & Francis take a flexible, evidence-based approach to open access, providing a choice of publication routes for our authors, and a choice of agreements for our library customers. Carolyn will outline some of the open access developments, opportunities and challenges at Taylor & Francis. The library plays a critical role in facilitating open access for their researchers, from managing a repository to providing support and information on the OA publication process to their authors. Janis Tyhurst and Dr Imad Bachir will each give an overview of how this is being managed by their institution. There will be an opportunity for questions and discussion with the panel.

  4. Walk, ride and learn: students' discovery of nature and other evironmental elements on their routes to school

    Science.gov (United States)

    Whitney Knollenberg; Jeamok Kwon; Christine. Vogt

    2010-01-01

    America's youth face epidemic levels of childhood obesity and are suffering from a lack of exposure to the outdoors. The Safe Routes to School Program, sponsored by the U.S. Department of Transportation, National Highway Traffic Safety Administration, aims to improve access to safe routes to school for elementary and junior high school children. As a required...

  5. Estimated transportation routes to a candidate salt repository site in Deaf Smith County, Texas

    International Nuclear Information System (INIS)

    Joy, D.S.; Johnson, P.E.

    1987-10-01

    This report presents a preliminary analysis of possible highway and rail transportation routes within Texas, Oklahoma, and New Mexico for shipments of spent fuel to the candidate repository site in Deaf Smith County, Texas. Two cases are examined for highway shipments. The initial case analyzes shipments following the Department of Transportation's HM-164 regulations for shipment of spent fuel. The second case analyzes normal commercial routes. Three rail cases are also examined. Each case analyzes potential routes that would be used based for different access spurs into the repository site. Two appendices are included which examine additional scenarios generated by restricting routes from passing through various metropolitan areas. The major finding is that most shipments to the Deaf Smith site will pass through Amarillo, Texas. There are few, if any, feasible alternative routes which would significantly reduce the amount of traffic passing through Amarillo

  6. Shortest Paths and Vehicle Routing

    DEFF Research Database (Denmark)

    Petersen, Bjørn

    This thesis presents how to parallelize a shortest path labeling algorithm. It is shown how to handle Chvátal-Gomory rank-1 cuts in a column generation context. A Branch-and-Cut algorithm is given for the Elementary Shortest Paths Problem with Capacity Constraint. A reformulation of the Vehicle R...... Routing Problem based on partial paths is presented. Finally, a practical application of finding shortest paths in the telecommunication industry is shown....

  7. Critical Routes: Women Facing Violence

    OpenAIRE

    Stela Nazareth Meneghel; Sandra Regina Martini Vial

    2008-01-01

    This paper presents the Critical Routes International Seminar – Women Facing Violence , which took place in Porto Alegre in 2008. The seminar was promoted by the Graduate Program on Collective Health at Unisinos and by the Public Health School/RS and was supported by outstanding researchers working in the fields of collective health, and social and human sciences. Initially, we discuss some conceptual aspects about gender violence, its dimensions and its consequences for the health and ...

  8. Open access: brave new world requires bravery

    Directory of Open Access Journals (Sweden)

    Stephen Curry

    2013-03-01

    Full Text Available The year 2012 heralded significant developments in open access (OA that impacted the relationships between the major stakeholders in scholarly publishing: researchers, funders, publishers and governments. In the UK, the clear preference for a gold OA policy enunciated by the government-backed ‘Finch Report’ is now being implemented by the research councils. Although the policy has been modified to include green routes to OA publishing, arguments continue about the optimal route to a system of open access that can work on a global scale. Resolution of these disputes will require courage and imagination.

  9. Cultural Routes and Intangible Heritage

    Directory of Open Access Journals (Sweden)

    Enza Zabbini

    2012-08-01

    Full Text Available The theoretical interpretation of thematic routes helps to predict the effects on the territories visited by cultured tourists who want to enrich their cultural and emotional baggage. After the analysis of some interpretations, this paper will examine how the practical implementation of an itinerary approved by the Council of Europe has evolved over the years. And it will also reflect on the practical results in the areas involved in that project. "The Hannibal Pathway ", the main overland walk on the "Phoenician Route - Cultural Route recognized by the Council of Europe" – represents a case of study that allows to reflect over the impact of cultural tourism based on immaterial heritage. In fact, in the areas where the battle of 21 June 217 BC took place, nothing tangible is left, except the landscape that has kept its conformation intact. In these areas, thanks to the foresight of the local governments in the last three decades, the landscape of the plain has been preserved. This makes possible today to propose an historical path precisely based on the landscape and on the new techniques for the valorization of the heritage. In the Tuoro plain it is possible to see the battlefields, thus retracing the various stages of the battle, supported by the Documentation Centre of the Capra Palace and virtual reconstructions of high technical quality.

  10. Routing Data Authentication in Wireless Networks; TOPICAL

    International Nuclear Information System (INIS)

    TORGERSON, MARK D.; VAN LEEUWEN, BRIAN P.

    2001-01-01

    In this paper, we discuss several specific threats directed at the routing data of an ad hoc network. We address security issues that arise from wrapping authentication mechanisms around ad hoc routing data. We show that this bolt-on approach to security may make certain attacks more difficult, but still leaves the network routing data vulnerable. We also show that under a certain adversarial model, most existing routing protocols cannot be secured with the aid of digital signatures

  11. VANET Routing Protocols: Pros and Cons

    OpenAIRE

    Paul, Bijan; Ibrahim, Md.; Bikas, Md. Abu Naser

    2012-01-01

    VANET (Vehicular Ad-hoc Network) is a new technology which has taken enormous attention in the recent years. Due to rapid topology changing and frequent disconnection makes it difficult to design an efficient routing protocol for routing data among vehicles, called V2V or vehicle to vehicle communication and vehicle to road side infrastructure, called V2I. The existing routing protocols for VANET are not efficient to meet every traffic scenarios. Thus design of an efficient routing protocol h...

  12. Construction of a new waste-water treatment plant, building 676, route Maxwell

    CERN Multimedia

    TS Department

    2008-01-01

    A new waste-water treatment plant is being constructed on Route Maxwell to treat the effluents from the TS/MME/CCS surface treatment workshops. For this purpose, excavation work is being performed in two separate locations along Route Maxwell, causing a slight disruption to traffic in these areas. Site access through Gate C should, however, be maintained. The work is scheduled to continue until February 2009.

  13. Construction of a new wastewater treatment plant, building 676, route Maxwell

    CERN Multimedia

    SC Unit

    2008-01-01

    A new wastewater treatment plant is being constructed on Route Maxwell to treat the effluents from the TS/MME/CCS surface treatment workshops. For this purpose, excavation work is being performed in two separate locations along Route Maxwell, causing a slight disruption to traffic in these areas. Site access through Gate C should, however, be maintained. The work is scheduled to continue through until February 2009.

  14. The pyramidal capacitated vehicle routing problem

    DEFF Research Database (Denmark)

    Lysgaard, Jens

    2010-01-01

    This paper introduces the pyramidal capacitated vehicle routing problem (PCVRP) as a restricted version of the capacitated vehicle routing problem (CVRP). In the PCVRP each route is required to be pyramidal in a sense generalized from the pyramidal traveling salesman problem (PTSP). A pyramidal...

  15. Locating Depots for Capacitated Vehicle Routing

    DEFF Research Database (Denmark)

    Gørtz, Inge Li; Nagarajan, Viswanath

    2011-01-01

    We study a location-routing problem in the context of capacitated vehicle routing. The input to k-LocVRP is a set of demand locations in a metric space and a fleet of k vehicles each of capacity Q. The objective is to locate k depots, one for each vehicle, and compute routes for the vehicles so t...

  16. Developing an eco-routing application.

    Science.gov (United States)

    2014-01-01

    The study develops eco-routing algorithms and investigates and quantifies the system-wide impacts of implementing an eco-routing system. Two eco-routing algorithms are developed: one based on vehicle sub-populations (ECO-Subpopulation Feedback Assign...

  17. The Pyramidal Capacitated Vehicle Routing Problem

    DEFF Research Database (Denmark)

    Lysgaard, Jens

    This paper introduces the Pyramidal Capacitated Vehicle Routing Problem (PCVRP) as a restricted version of the Capacitated Vehicle Routing Problem (CVRP). In the PCVRP each route is required to be pyramidal in a sense generalized from the Pyramidal Traveling Salesman Problem (PTSP). A pyramidal...

  18. Effect of the Combination of Low-Speed Drilling and Cooled Irrigation Fluid on Intraosseous Heat Generation During Guided Surgical Implant Site Preparation: An In Vitro Study.

    Science.gov (United States)

    Barrak, Ibrahim; Joób-Fancsaly, Arpad; Varga, Endre; Boa, Kristof; Piffko, Jozsef

    2017-08-01

    Investigating the effect of the combination of low-speed drilling and cooled irrigation fluid on intraosseous temperature rise during guided and freehand implant surgery. Bovine ribs were used as bone specimens. Grouping determinants were as follows: drill diameter (2.0, 2.5, 3.0, and 3.5 mm), irrigation fluid temperature (10°C, 15°C, and 20°C), and surgical method (guided and freehand). Drilling speed was 800 rpm. Results were compared with previous ones using 1200 rpm. Temperature measurements were conducted using K-type thermocouples. No mean temperature change exceeded 1.0°C if irrigation fluid cooled to 10°C was used, regardless of the drill diameter or the surgical method, with the highest elevation being 2.10°C. No significant reduction was measured when comparing groups using 15°C and 20°C irrigation fluids, regardless of both drill diameter and surgical method. The use of irrigation fluid being cooled to 10°C combined with low-speed drilling (800 rpm) seems to be a safe method for implant site preparation and drilling through a drilling guide in terms of temperature control.

  19. Effect of intraosseous injection versus inferior alveolar nerve block as primary pulpal anaesthesia of mandibular posterior teeth with symptomatic irreversible pulpitis: a prospective randomized clinical trial.

    Science.gov (United States)

    Farhad, Alireza; Razavian, Hamid; Shafiee, Maryam

    2018-01-27

    This study sought to assess the success rate, effect on blood pressure, and pain of intraosseous injection (IO) and inferior alveolar nerve block (IANB) for pulpal anaesthesia of mandibular posterior teeth with symptomatic irreversible pulpitis as the primary anaesthetic technique. This randomized clinical trial (IRCT2013022712634N1) was conducted on 60 patients between 18 and 65 years suffering from symptomatic irreversible pulpitis of a mandibular posterior tooth. Patients were randomly divided into two groups. Group one received IO while group two received IANB with 3% mepivacaine. After anaesthetic injection, success rate of pulpal anaesthesia was assessed by pulp testing in the two groups. Systolic and diastolic blood pressures of patients were compared before and after the anaesthetic injections. Level of pain during injection was scored using a visual analogue scale. The data were analyzed using SPSS version 20, t-test and chi square test at p = .05 level of significance. Success rate of IO (56.7%) was significantly higher than that of IANB (23.3%) (p = .008). There was no significant difference in pain during anaesthetic injection (p = .304) or change in systolic (p = .80) and diastolic (p = .28) blood pressures following injection between the two techniques. IO had a higher success rate than IANB for pulpal anaesthesia of mandibular posterior teeth with symptomatic irreversible pulpitis. Neither technique provided profound pulpal anaesthesia.

  20. Current status of establishing a venous line in CPA patients by Emergency Life-Saving Technicians in the prehospital setting in Japan and a proposal for intraosseous infusion.

    Science.gov (United States)

    Isayama, Kenji; Nakatani, Toshio; Tsuda, Masanobu; Hirakawa, Akihiko

    2012-01-09

    It is important to have a venous line in cardiopulmonary arrest (CPA) patients as an emergency treatment measure in prehospital settings, but establishment of a peripheral venous line is difficult in such patients. This study aimed to investigate the current status of intravenous infusion (IVI) in CPA patients by Emergency Life-Saving Technicians (ELSTs) in Japan. We also considered alternative measures in case IVI was difficult or impossible. We investigated a nationwide database between 1 January 2005 and 31 December 2008. From a total of 431,968 CPA cases, we calculated the IVI success rate and related parameters.The Bone Injection Gun (BIG) and simulator legs (adult, pediatric, and infant) were used by 100 ELSTs selected for the study to measure the time required and the success rate for intraosseous infusion (IOI). The number of CPA patients, IVI, adrenaline administration, and the IVI success rate in adult CPA patients increased every year. However, the IVI success rate in pediatric CPA patients did not increase. Although adrenaline administration elevated the ROSC rate, there was no improvement in the 1-month survival rate. The time required for IOI with BIG was not different among the leg models. The success rates of IOI with BIG were 93%, 94%, and 84% (p BIG was easy and rapid, it may be necessary to consider IOI with BIG as an alternative option in case IVI is difficult or impossible in adult and pediatric patients.

  1. Comparison of transhepatic and extrahepatic routes for EUS-guided rendezvous procedure for distal CBD obstruction.

    Science.gov (United States)

    Dhir, Vinay; Bhandari, Suryaprakash; Bapat, Mukta; Joshi, Nitin; Vivekanandarajah, Suhirdan; Maydeo, Amit

    2013-04-01

    EUS-guided rendezvous procedure (EUS-RV) can be done by the transhepatic (TH) or the extrahepatic (EH) route. There is no data on the preferred access route when both routes are available. To compare the success, complications, and duration of hospitalization for patients undergoing EUS-RV by the TH or the EH route. Patients with distal common bile duct (CBD) obstruction, who failed selective cannulation, underwent EUS-RV by the TH route through the stomach or the EH route through the duodenum. A total of 35 patients were analysed (17 TH, 18 EH). The mean procedure time was significantly longer for the TH group (34.4 vs. 25.7 min; p = 0.0004). There was no difference in the technical success (94.1 vs. 100%). However, the TH group had a higher incidence of post-procedure pain (44.1 vs. 5.5%; p = 0.017), bile leak (11.7 vs. 0; p = 0.228), and air under diaphragm (11.7 vs. 0; p = 0.228). All bile leaks were small and managed conservatively. Duration of hospitalization was significantly higher for the TH group (2.52 vs. 0.17 days; p = 0.015). EUS-RV has similar success rate by the TH or the EH route. However, the TH route has higher post-procedure pain, longer procedure time, and longer duration of hospitalization. The EH route should be preferred for EUS-RV in patients with distal CBD obstruction when both access routes are technically feasible.

  2. Models of perceived cycling risk and route acceptability.

    Science.gov (United States)

    Parkin, John; Wardman, Mark; Page, Matthew

    2007-03-01

    Perceived cycling risk and route acceptability to potential users are obstacles to policy support for cycling and a better understanding of these issues will assist planners and decision makers. Two models of perceived risk, based on non-linear least squares, and a model of acceptability, based on the logit model, have been estimated for whole journeys based on responses from a sample of 144 commuters to video clips of routes and junctions. The risk models quantify the effect of motor traffic volumes, demonstrate that roundabouts add more to perceived risk than traffic signal controlled junctions and show that right turn manoeuvres increase perceived risk. Facilities for bicycle traffic along motor trafficked routes and at junctions are shown to have little effect on perceived risk and this brings into question the value of such facilities in promoting bicycle use. These models would assist in specifying infrastructure improvements, the recommending of least risk advisory routes and assessing accessibility for bicycle traffic. The acceptability model confirms the effect of reduced perceived risk in traffic free conditions and the effects of signal controlled junctions and right turns. The acceptability models, which may be used at an area wide level, would assist in assessing the potential demand for cycling and in target setting.

  3. Route activity tracking and management using available technology

    Directory of Open Access Journals (Sweden)

    Sam Yousef Khoury

    2012-01-01

    Full Text Available Small organizations that maintain their own fleet and make their own deliveries are responsible for ensuring their drivers are utilizing the most efficient routes while delivering products to their customers. Furthermore, efficient delivery requires that drivers spend as little time as possible dropping off and picking up products, since these activities are referred to as “non-value added activities,” although they are necessary tasks in the order cycle process. To aid in reducing order cycle times, large organizations that can afford it have employed transportation management systems. Unfortunately, small organizations with limited resources are less likely to adopt transportation management systems, despite the need for such automation. One solution is to use available productivity software to track and manage driver route activity in an effort to improve and maintain driver productivity by reducing non-value time and identifying optimal routes. This paper will outline how office productivity software such as Microsoft® Access can meet the needs of small organizations with limited resources by describing the development and use of a route activity database that employs an easy-to-use multi-user interface. This paper also includes the details of the underlying infrastructure and the user interface.

  4. Open Access

    Science.gov (United States)

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  5. Classification of Dynamic Vehicle Routing Systems

    DEFF Research Database (Denmark)

    Larsen, Allan; Madsen, Oli B.G.; Solomon, Marius M.

    2007-01-01

    This chapter discusses important characteristics seen within dynamic vehicle routing problems. We discuss the differences between the traditional static vehicle routing problems and its dynamic counterparts. We give an in-depth introduction to the degree of dynamism measure which can be used...... to classify dynamic vehicle routing systems. Methods for evaluation of the performance of algorithms that solve on-line routing problems are discussed and we list some of the most important issues to include in the system objective. Finally, we provide a three-echelon classification of dynamic vehicle routing...... systems based on their degree of dynamism and the system objective....

  6. A Genetic Algorithm on Inventory Routing Problem

    Directory of Open Access Journals (Sweden)

    Nevin Aydın

    2014-03-01

    Full Text Available Inventory routing problem can be defined as forming the routes to serve to the retailers from the manufacturer, deciding on the quantity of the shipment to the retailers and deciding on the timing of the replenishments. The difference of inventory routing problems from vehicle routing problems is the consideration of the inventory positions of retailers and supplier, and making the decision accordingly. Inventory routing problems are complex in nature and they can be solved either theoretically or using a heuristics method. Metaheuristics is an emerging class of heuristics that can be applied to combinatorial optimization problems. In this paper, we provide the relationship between vendor-managed inventory and inventory routing problem. The proposed genetic for solving vehicle routing problem is described in detail.

  7. A NOVEL RESOURCE CONSTRAINT SECURE(RCS ROUTING PROTOCOL FOR WIRELESS SENSOR NETWORK

    Directory of Open Access Journals (Sweden)

    R. GEETHA

    2017-02-01

    Full Text Available Geographic routing protocols are the most preferred routing protocols for Wireless Sensor Networks (WSN since they rely on geographic position information. Hence we propose geography based Resource Constraint Secure routing (RCS protocol. The existing routing protocol named Cost Aware SEcure Routing (CASER allows messages to be transmitted using random walking routing strategy. In the Random walking method, there is a chance of choosing low energy node as a relay node. RCS protocol overcomes this by transmitting the data via energy aware route only and it provides authentication by using Modified ElGammal Signature (MES scheme on Elliptic curve algorithm. For security purposes, the content of each message can also be encrypted by using a symmetric key encryption technique and decoded at the sink node by knowing the same secret key used by the source. So, unauthenticated person cannot access the original data. Therefore the protocol ensures a secure message delivery option to maximize the message delivery ratio under adversarial attacks. The performance evaluation results show that RCS performs better than CASER with respect to Packet Delivery Ratio, Energy Balance Factor and End-to-End Delay, Throughput and Routing overhead.

  8. A Neural Networks-Based Hybrid Routing Protocol for Wireless Mesh Networks

    Science.gov (United States)

    Kojić, Nenad; Reljin, Irini; Reljin, Branimir

    2012-01-01

    The networking infrastructure of wireless mesh networks (WMNs) is decentralized and relatively simple, but they can display reliable functioning performance while having good redundancy. WMNs provide Internet access for fixed and mobile wireless devices. Both in urban and rural areas they provide users with high-bandwidth networks over a specific coverage area. The main problems affecting these networks are changes in network topology and link quality. In order to provide regular functioning, the routing protocol has the main influence in WMN implementations. In this paper we suggest a new routing protocol for WMN, based on good results of a proactive and reactive routing protocol, and for that reason it can be classified as a hybrid routing protocol. The proposed solution should avoid flooding and creating the new routing metric. We suggest the use of artificial logic—i.e., neural networks (NNs). This protocol is based on mobile agent technologies controlled by a Hopfield neural network. In addition to this, our new routing metric is based on multicriteria optimization in order to minimize delay and blocking probability (rejected packets or their retransmission). The routing protocol observes real network parameters and real network environments. As a result of artificial logic intelligence, the proposed routing protocol should maximize usage of network resources and optimize network performance. PMID:22969360

  9. INTERLINE, a railroad routing model: program description and user's manual

    International Nuclear Information System (INIS)

    Peterson, B.E.

    1985-11-01

    INTERLINE is an interactive computer program that finds likely routes for shipments over the US railroad system. It is based on a shortest path algorithm modified both to reflect the nature of railroad company operations and to accommodate computer resource limitations in dealing with a large transportation network. The first section of the report discusses the nature of railroad operations and routing practices in the United States, including the tendency to concentrate traffic on a limited number of mainlines, the competition for traffic by different companies operating in the same corridors, and the tendency of originating carriers to retain traffic on their systems before transferring it to terminating carriers. The theoretical foundation and operation of shortest path algorithms are described, as well as the techniques used to simulate actual operating practices within this framework. The second section is a user's guide that describes the program operation and data structures, program features, and user access. 11 refs., 11 figs

  10. Speed limit on the Route de l’Europe

    CERN Multimedia

    2016-01-01

    Construction work to create a cycle path is under way on the Route de l’Europe, between CERN’s Meyrin and Prévessin sites. The new cycle path is expected to be ready for use in August.   On the part of the road under construction, only one lane is open and the speed limit is 30 km/h. Unfortunately, drivers frequently exceed this limit. Those who drive too fast put their own lives at risk as well as those of the people working on the site.  Please respect the speed limit.  In addition, access to the Route de l’Europe from the SM18, SM19 and BA1 areas and from the tunnel may be in the part of the road where only one lane is open. In this case, please join the road only when the traffic lights allow travel in the relevant direction.

  11. Routing strategies for underwater gliders

    Science.gov (United States)

    Davis, Russ E.; Leonard, Naomi E.; Fratantoni, David M.

    2009-02-01

    Gliders are autonomous underwater vehicles that achieve long operating range by moving at speeds comparable to those of, or slower than, typical ocean currents. This paper addresses routing gliders to rapidly reach a specified waypoint or to maximize the ability to map a measured field, both in the presence of significant currents. For rapid transit in a frozen velocity field, direct minimization of travel time provides a trajectory "ray" equation. A simpler routing algorithm that requires less information is also discussed. Two approaches are developed to maximize the mapping ability, as measured by objective mapping error, of arrays of vehicles. In order to produce data sets that are readily interpretable, both approaches focus sampling near predetermined "ideal tracks" by measuring mapping skill only on those tracks, which are laid out with overall mapping skill in mind. One approach directly selects each vehicle's headings to maximize instantaneous mapping skill integrated over the entire array. Because mapping skill decreases when measurements are clustered, this method automatically coordinates glider arrays to maintain spacing. A simpler method that relies on manual control for array coordination employs a first-order control loop to balance staying close to the ideal track and maintaining vehicle speed to maximize mapping skill. While the various techniques discussed help in dealing with the slow speed of gliders, nothing can keep performance from being degraded when current speeds are comparable to vehicle speed. This suggests that glider utility could be greatly enhanced by the ability to operate high speeds for short periods when currents are strong.

  12. Novel routes to nanodispersed semiconductors

    International Nuclear Information System (INIS)

    Green, M.A.

    1999-01-01

    Novel synthetic routes to nanodispersed compound semiconductors using organometallic precursors have been developed. The quantum dots have been studied by optical absorption spectroscopy, photoluminescence spectroscopy, transmission electron microscopy, high resolution transmission electron microscopy, infra red spectroscopy and nuclear magnetic resonance. Polar Lewis base solvents such as tri-n-octylphosphine oxide and 4-ethylpyridine were utilized as both passivating agent and dispersing medium. In the the search for new solvent systems and passivating agents, and investigation was also made into the use of dimethyl sulfoxide as a reaction solvent and capping agent in the preparation of nanocrystalline CdS. Existing routes using metal alkyls and silylated precursors in hot TOPO were improved by substituting the metal alkyl with an metal alkyl adduct. Cadmium monothiocarbamate and a related precursor, cadmium thioacetate were investigated as possible single source precursors to nanometer sized CdS. The thermolysis of diorganophosphides in the Lewis bases coordinating solvent (4-ethylpridine) has been investigated, including studies of decompositon mechanisms, and quantum dots of Cd 3 P 2 , Zn 3 P 2 , Inp and GaP have been prepared. The synthesis of InAs using the metal chloride and an aminoarsenide precursor in 4-ethylpridine has also been developed. A simple method for the organization of III-V materials into glass like aggregates has been described. (author)

  13. Apresentações incomuns no diagnóstico por imagem do pseudotumor intraósseo do hemofílico Uncommon presentations of intraosseous hemophilic pseudotumor in imaging diagnosis

    Directory of Open Access Journals (Sweden)

    Marcel Koenigkam Santos

    2009-06-01

    Full Text Available OBJETIVO: Este estudo tem como objetivo descrever apresentações incomuns do pseudotumor do hemofílico no diagnóstico por imagem. MATERIAIS E MÉTODOS: Estudo retrospectivo com avaliação de cinco pseudotumores ósseos do hemofílico em dois pacientes. Os achados de imagem em dois pacientes hemofílicos tipo A foram avaliados em consenso por dois radiologistas musculoesqueléticos. Foram estudados exames de radiografia simples, tomografia computadorizada e ressonância magnética. RESULTADOS: Em uma das lesões analisadas a fase pós-contraste intravenoso da tomografia computadorizada mostrou áreas de reforço heterogêneo e de aspecto sólido no interior da lesão da coxa direita. Este aspecto foi confirmado no exame anatomopatológico da lesão em questão. Outro achado raro foi a identificação de dois pseudotumores intraósseos no úmero, separados por segmento de osso normal. E, por fim, também um pseudotumor do fêmur com extensão para partes moles e transarticular, com conseqüente acometimento da tíbia e patela. CONCLUSÃO: Os achados de diagnóstico por imagem acima descritos não são comumente relatados para os pseudotumores ósseos do hemofílico. É importante que o radiologista tenha conhecimento dessas apresentações mais raras.OBJECTIVE: The present study was aimed at describing uncommon presentations of intraosseous hemophilic pseudotumor in imaging diagnosis. MATERIALS AND METHODS: Retrospective study evaluating five hemophilic pseudotumors in bones of two patients with hemophilia A. Imaging findings were consensually evaluated by two musculoskeletal radiologists. Plain radiography, computed tomography and magnetic resonance imaging studies were analyzed. RESULTS: At contrast-enhanced computed tomography images, one of the lesions on the left thigh was visualized with heterogeneously enhanced solid areas. This finding was later confirmed by anatomopathological study. Another uncommon finding was the identification of

  14. Escape route simulator utilizing augmented reality

    Energy Technology Data Exchange (ETDEWEB)

    Mattos, Karen Salazar Ribeiro de; Mó, Antônio Carlos de A.; Santo, André Cotelli do E.; Silva, Marcio Henrique, E-mail: karensalazar.1190@gmail.com [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Centro Universitário Carioca (UniCarioca), Rio de Janeiro, RJ (Brazil)

    2017-07-01

    Due to increasing demand and interest in the interaction of technology platforms and integration of different types of systems and technologies, some tools are already providing practical ways to develop integrated applications. The tools explored by this article are Unity, a platform for game development, and Vuforia, an SDK, software development kit, for augmented reality creation. The coalition proposal of these resources is to create an intuitive escape route that can be used for the evacuation of buildings or open spaces in view of imminent danger, such as radiation leakage, and that can be accessed from a target available at the institution. It has also the intention of simulating situations that involve training of personnel in order to obtain methods that allow to save financial resources, and even to avoid that those who are involved are exposed to risks unnecessarily. The simulator is expected to help design, test, and improve ways to maintain the physical integrity of the facility and provide end users with a better sense of immersion and attractiveness. (author)

  15. Escape route simulator utilizing augmented reality

    International Nuclear Information System (INIS)

    Mattos, Karen Salazar Ribeiro de; Mó, Antônio Carlos de A.; Santo, André Cotelli do E.; Silva, Marcio Henrique

    2017-01-01

    Due to increasing demand and interest in the interaction of technology platforms and integration of different types of systems and technologies, some tools are already providing practical ways to develop integrated applications. The tools explored by this article are Unity, a platform for game development, and Vuforia, an SDK, software development kit, for augmented reality creation. The coalition proposal of these resources is to create an intuitive escape route that can be used for the evacuation of buildings or open spaces in view of imminent danger, such as radiation leakage, and that can be accessed from a target available at the institution. It has also the intention of simulating situations that involve training of personnel in order to obtain methods that allow to save financial resources, and even to avoid that those who are involved are exposed to risks unnecessarily. The simulator is expected to help design, test, and improve ways to maintain the physical integrity of the facility and provide end users with a better sense of immersion and attractiveness. (author)

  16. Accessing memory

    Science.gov (United States)

    Yoon, Doe Hyun; Muralimanohar, Naveen; Chang, Jichuan; Ranganthan, Parthasarathy

    2017-09-26

    A disclosed example method involves performing simultaneous data accesses on at least first and second independently selectable logical sub-ranks to access first data via a wide internal data bus in a memory device. The memory device includes a translation buffer chip, memory chips in independently selectable logical sub-ranks, a narrow external data bus to connect the translation buffer chip to a memory controller, and the wide internal data bus between the translation buffer chip and the memory chips. A data access is performed on only the first independently selectable logical sub-rank to access second data via the wide internal data bus. The example method also involves locating a first portion of the first data, a second portion of the first data, and the second data on the narrow external data bus during separate data transfers.

  17. Personalized Alert Notifications and Evacuation Routes in Indoor Environments

    Directory of Open Access Journals (Sweden)

    Teresa Onorati

    2012-06-01

    Full Text Available The preparedness phase is crucial in the emergency management process for reaching an adequate level of readiness to react to potential threats and hazards. During this phase, emergency plans are developed to establish, among other procedures, evacuation and emergency escape routes. Information and Communication Technologies (ICT can support and improve these procedures providing appropriate, updated and accessible information to all people in the affected zone. Current emergency management and evacuation systems do not adapt information to the context and the profile of each person, so messages received in the emergency might be useless. In this paper, we propose a set of criteria that ICT-based systems could achieve in order to avoid this problem adapting emergency alerts and evacuation routes to different situations and people. Moreover, in order to prove the applicability of such criteria, we define a mechanism that can be used as a complement of traditional evacuation systems to provide personalized alerts and evacuation routes to all kinds of people during emergency situations in working places. This mechanism is composed by three main components: CAP-ONES for notifying emergency alerts, NERES for defining emergency plans and generating personalized evacuation routes, and iNeres as the interface to receive and visualize these routes on smartphones. The usability and understandability of proposed interface has been assessed through a user study performed in a fire simulation in an indoor environment. This evaluation demonstrated that users considered iNeres easy to understand, to learn and to use, and they also found very innovative the idea to use smartphones as a support for escaping instead of static signals on walls and doors.

  18. Scalable Lunar Surface Networks and Adaptive Orbit Access

    Science.gov (United States)

    Wang, Xudong

    2015-01-01

    Teranovi Technologies, Inc., has developed innovative network architecture, protocols, and algorithms for both lunar surface and orbit access networks. A key component of the overall architecture is a medium access control (MAC) protocol that includes a novel mechanism of overlaying time division multiple access (TDMA) and carrier sense multiple access with collision avoidance (CSMA/CA), ensuring scalable throughput and quality of service. The new MAC protocol is compatible with legacy Institute of Electrical and Electronics Engineers (IEEE) 802.11 networks. Advanced features include efficiency power management, adaptive channel width adjustment, and error control capability. A hybrid routing protocol combines the advantages of ad hoc on-demand distance vector (AODV) routing and disruption/delay-tolerant network (DTN) routing. Performance is significantly better than AODV or DTN and will be particularly effective for wireless networks with intermittent links, such as lunar and planetary surface networks and orbit access networks.

  19. Evaluation of Crosstalk Attacks in Access Networks

    DEFF Research Database (Denmark)

    Wagner, Christoph; Eiselt, Michael; Grobe, Klaus

    2016-01-01

    WDM-PON systems regained interest as low-cost solution for metro and access networks. We present a comparative analysis of resilience of wavelength-selective and wavelength-routed architectures against crosstalk attackers. We compare the vulnerability of these architectures against attacks...

  20. Effect of Alendronate with β - TCP Bone Substitute in Surgical Therapy of Periodontal Intra-Osseous Defects: A Randomized Controlled Clinical Trial.

    Science.gov (United States)

    Naineni, Rohini; Ravi, Vishali; Subbaraya, Dwijendra Kocherlakota; Prasanna, Jammula Surya; Panthula, Veerendranath Reddy; Koduganti, Rekha Rani

    2016-08-01

    Alendronate (ALN), an aminobisphosphonate, inhibits osteoclastic bone resorption and also stimulates osteogenesis. Beta-Tricalcium Phosphate (β-TCP) is an osteoconductive graft material which provides a scaffold for bone formation and also a widely used drug delivery vehicle for growth factors and antibiotics. Drug delivery vehicles, like β-TCP, improve the potency of the drugs by specific local site delivery of the drug, optimal release characteristics and easy handling. The aim of the this study was to evaluate the bone formation potential of 400μg ALN delivered in β-TCP in the treatment of periodontal intra-osseous defects. Thirty patients with periodontal defects were randomly assigned to 400μg ALN + β-TCP + Saline (test) group and β-TCP + Saline (active-control) group. Clinical parameters like Clinical Attachment Level (CAL) gain, Probing Depth (PD) reduction, post-operative Gingival Recession (GR) were assessed from the baseline, 3 months and 6 months recordings. Radiographic parameters like Linear Bone Growth (LBG), Percentage Bone Fill (%BF), and change in alveolar crest height (ACH) were assessed from baseline and 6 months radiographs. Mean measurements in the ALN test group for CAL gain (3.4 ± 0.74 mm), PD reduction (4.33 ± 0.82 mm), LBG (2.88 ± 0.88 mm), and %BF (51.98 ± 15.84%) were significantly greater with a p-value TCP bone graft material was effective in improving soft tissue parameters, inhibiting alveolar crestal resorption and enhancing bone formation, compared to β-TCP alone.

  1. Calcium hydroxyapatite crystal deposition with intraosseous penetration involving the posterior aspect of the cervical spine: a previously unreported cause of neck pain.

    Science.gov (United States)

    Urrutia, Julio; Contreras, Oscar

    2017-05-01

    Calcific tendinitis is a frequent disorder caused by hydroxyapatite crystal deposition; however, bone erosions from calcific tendinitis are unusual. The spinal manifestation of this disease is calcific tendinitis of the longus colli muscle; this disease has never been described in the posterior aspect of the spine. We report a case of calcium hydroxyapatite crystal deposition involving the posterior cervical spine eroding the bone cortex. A 57-year-old woman presented with a 5-month history of left-sided neck pain. Radiographs showed C4-C5 interspinous calcification with lytic compromise of the posterior arch of C4. Magnetic resonance imaging confirmed a lytic lesion of the posterior arch of C4, with a soft tissue mass extending to the C4-C5 interspinous space; calcifications were observed as very low signal intensity areas on T1 and T2 sequences, surrounded by gadolinium-enhanced soft tissues. A computed tomography (CT) scan confirmed the bone erosions and the soft tissue calcifications. A CT-guided needle biopsy was performed; it showed vascularized connective tissue with inflammatory histiocytic infiltration and multinucleated giant cells; Alizarin Red stain confirmed the presence of hydroxyapatite crystals. The patient was treated with anti-inflammatories for 2 weeks. She has been asymptomatic in a 6-month follow-up; a CT scan at the last follow-up revealed reparative remodeling of bone erosions. This is the first report of calcium hydroxyapatite crystal deposition with intraosseous penetration involving the posterior aspect of the cervical spine. Considering that this unusual lesion can be misinterpreted as a tumor or infection, high suspicion is required to avoid unnecessary surgical procedures.

  2. A comparison of proximal tibia, distal femur, and proximal humerus infusion rates using the EZ-IO intraosseous device on the adult swine (Sus scrofa) model.

    Science.gov (United States)

    Lairet, Julio; Bebarta, Vikhyat; Lairet, Kimberly; Kacprowicz, Robert; Lawler, Christopher; Pitotti, Rebecca; Bush, Anneke; King, James

    2013-01-01

    We sought to compare the flow rates of the proximal tibia, the distal femur, and the proximal humerus using high pressure (greater than 300 mmHg) through an intraosseous (IO) infusion needle in an adult swine model. We performed a prospective interventional study in 11 swine. After placement of central vein and arterial lines, blood was removed via the central line until the animal's mean arterial pressure decreased 25% from the recorded baseline. We inserted a 25-mm IO needle into the proximal tibia and 45-mm needles into the distal femur and proximal humerus. All extremities were utilized in each study animal. We infused normal saline at each site for 10 minutes with a pressure bag inflated to the highest achievable pressure (greater than 300 mmHg) as measured at the infusion site with a calibrated portable inline pressure gauge. We measured the volume of normal saline remaining and we calculated infusion rates for each site. We then compared infusion flow rates between the three locations. Statistical analysis and comparison of the infusion rates of all three study arms were as performed using analysis of variance (ANOVA). The average weight of the swine was 71 kg (range 64-84 kg). Successful placement of the IO needle was confirmed at all three sites. The mean infusion flow rate was 213 mL/min (standard deviation [SD] 53.2 mL/min) for the proximal humerus, 138 mL/min (SD 65.3 mL/min) for the distal femur, and 103 mL/min (SD 48.1 mL/min) for the proximal tibia (p IO placement, with a potential for higher flow rates than the proximal tibia and distal femur when resuscitating a patient.

  3. Isomorphic routing on a toroidal mesh

    Science.gov (United States)

    Mao, Weizhen; Nicol, David M.

    1993-01-01

    We study a routing problem that arises on SIMD parallel architectures whose communication network forms a toroidal mesh. We assume there exists a set of k message descriptors (xi, yi), where (xi, yi) indicates that the ith message's recipient is offset from its sender by xi hops in one mesh dimension, and yi hops in the other. Every processor has k messages to send, and all processors use the same set of message routing descriptors. The SIMD constraint implies that at any routing step, every processor is actively routing messages with the same descriptors as any other processor. We call this isomorphic routing. Our objective is to find the isomorphic routing schedule with least makespan. We consider a number of variations on the problem, yielding complexity results from O(k) to NP-complete. Most of our results follow after we transform the problem into a scheduling problem, where it is related to other well-known scheduling problems.

  4. Zone routing in a torus network

    Science.gov (United States)

    Chen, Dong; Heidelberger, Philip; Kumar, Sameer

    2013-01-29

    A system for routing data in a network comprising a network logic device at a sending node for determining a path between the sending node and a receiving node, wherein the network logic device sets one or more selection bits and one or more hint bits within the data packet, a control register for storing one or more masks, wherein the network logic device uses the one or more selection bits to select a mask from the control register and the network logic device applies the selected mask to the hint bits to restrict routing of the data packet to one or more routing directions for the data packet within the network and selects one of the restricted routing directions from the one or more routing directions and sends the data packet along a link in the selected routing direction toward the receiving node.

  5. Accessible Knowledge - Knowledge on Accessibility

    DEFF Research Database (Denmark)

    Kirkeby, Inge Mette

    2015-01-01

    Although serious efforts are made internationally and nationally, it is a slow process to make our physical environment accessible. In the actual design process, architects play a major role. But what kinds of knowledge, including research-based knowledge, do practicing architects make use of when...... designing accessible environments? The answer to the question is crucially important since it affects how knowledge is distributed and how accessibility can be ensured. In order to get first-hand knowledge about the design process and the sources from which they gain knowledge, 11 qualitative interviews...... were conducted with architects with experience of designing for accessibility. The analysis draws on two theoretical distinctions. The first is research-based knowledge versus knowledge used by architects. The second is context-independent knowledge versus context-dependent knowledge. The practitioners...

  6. Selecting Bicycle Commuting Routes Using GIS

    OpenAIRE

    Huang, Yuanlin; Ye, Gordon

    1995-01-01

    This study develops a procedure for using a geographic information system (GIS) to select bicycle routes in a city. The procedure includes: developing the required database, finding the most desirable route between each origin­ destination pair, and identifying the best bicycle routes in a city. The study shows that GIS is a powerful tool for developing a database from various readily available sources; that it can conveniently integrate quantitative analysis, data manipulation, and visualiza...

  7. Real-Time QoS Routing Protocols in Wireless Multimedia Sensor Networks: Study and Analysis.

    Science.gov (United States)

    Alanazi, Adwan; Elleithy, Khaled

    2015-09-02

    Many routing protocols have been proposed for wireless sensor networks. These routing protocols are almost always based on energy efficiency. However, recent advances in complementary metal-oxide semiconductor (CMOS) cameras and small microphones have led to the development of Wireless Multimedia Sensor Networks (WMSN) as a class of wireless sensor networks which pose additional challenges. The transmission of imaging and video data needs routing protocols with both energy efficiency and Quality of Service (QoS) characteristics in order to guarantee the efficient use of the sensor nodes and effective access to the collected data. Also, with integration of real time applications in Wireless Senor Networks (WSNs), the use of QoS routing protocols is not only becoming a significant topic, but is also gaining the attention of researchers. In designing an efficient QoS routing protocol, the reliability and guarantee of end-to-end delay are critical events while conserving energy. Thus, considerable research has been focused on designing energy efficient and robust QoS routing protocols. In this paper, we present a state of the art research work based on real-time QoS routing protocols for WMSNs that have already been proposed. This paper categorizes the real-time QoS routing protocols into probabilistic and deterministic protocols. In addition, both categories are classified into soft and hard real time protocols by highlighting the QoS issues including the limitations and features of each protocol. Furthermore, we have compared the performance of mobility-aware query based real-time QoS routing protocols from each category using Network Simulator-2 (NS2). This paper also focuses on the design challenges and future research directions as well as highlights the characteristics of each QoS routing protocol.

  8. Open access

    CERN Document Server

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder consent, and many authors, musicians, filmmakers, and other creators who depend on royalties are understandably unwilling to give their consent. But for 350 years, scholars have written peer-reviewed journal articles for impact, not for money, and are free to consent to open access without losing revenue. In this concise introduction, Peter Suber tells us what open access is and isn't, how it benefits authors and readers of research, how we pay for it, how it avoids copyright problems, how it has moved from the periphery to the mainstream, and what its future may hold. Distilling a decade of Suber's influential writing and thinking about open access, this is the indispe...

  9. IO versus IV access while wearing personal protective equipment in a HazMat scenario.

    Science.gov (United States)

    Suyama, Joe; Knutsen, Christian C; Northington, William E; Hahn, Michael; Hostler, David

    2007-01-01

    Determine the time difference obtaining intraosseous (IO) versus intravenous (IV) access while wearing personal protective equipment (PPE) in simulated HazMat scenarios. Twenty-two EMT-P providers established anterior tibial IO access using the EZ-IO system and routine antecubital IV access in three mannequin and PPE HazMat scenarios: 1) provider and mannequin not in PPE, 2) only provider in Level C PPE, and 3) provider and mannequin both wearing Level C PPE. Primary outcome measures were the average time in seconds for skin access, vascular access, and fluid infusion with each method in these configurations. For the provider and mannequin not in PPE condition, needle to skin time favored the IV (6.2 vs. 9.3 seconds; p IO approach. For the provider in PPE and mannequin not in PPE condition, needle to skin times were similar for IO and IV (10.4 vs. 12.7 seconds; p = 0.591), whereas vascular access time (14.0 vs. 46.0 seconds; p IO approach. With the provider and mannequin in PPE, needle to skin time (12.7 vs. 24.9 seconds; p IO approach. Fluid infusion times for the provider not in and in PPE (26.2 vs. 28.3 seconds; p IO device with the provider in PPE. Overall, the EZ-IO system under HazMat conditions provides vascular access and fluid more quickly than standard intravenous access. When providers and mannequins were both in PPE, the time differential between IO and IV access was the greatest, favoring the IO approach. Donning PPE did not hinder the providers' use of the EZ-IO device and may be useful for obtaining vascular access when wearing PPE.

  10. A Machine Learning Concept for DTN Routing

    Science.gov (United States)

    Dudukovich, Rachel; Hylton, Alan; Papachristou, Christos

    2017-01-01

    This paper discusses the concept and architecture of a machine learning based router for delay tolerant space networks. The techniques of reinforcement learning and Bayesian learning are used to supplement the routing decisions of the popular Contact Graph Routing algorithm. An introduction to the concepts of Contact Graph Routing, Q-routing and Naive Bayes classification are given. The development of an architecture for a cross-layer feedback framework for DTN (Delay-Tolerant Networking) protocols is discussed. Finally, initial simulation setup and results are given.

  11. Biocatalytic Route to Surface Active Lipid

    DEFF Research Database (Denmark)

    Cheong, Ling-Zhi; Xu, Xuebing

    Lipid can be structurally modified in order to attain improved functional properties. This work look into the possibilities of developing surface active lipids with improved functional properties through biocatalytic route. Biocatalytic route to surface active lipid are usually complex involving ...... distinct self assembling property and find useful application in surfactant industry.......Lipid can be structurally modified in order to attain improved functional properties. This work look into the possibilities of developing surface active lipids with improved functional properties through biocatalytic route. Biocatalytic route to surface active lipid are usually complex involving...

  12. New Hybrid Route to Biomimetic Synthesis

    National Research Council Canada - National Science Library

    Morse, Daniel

    2003-01-01

    To develop economical low-temperature routes to biomimetic synthesis of high-performance composite materials, with control of composition and structure based on the molecular mechanisms controlling...

  13. Access French

    CERN Document Server

    Grosz, Bernard

    2014-01-01

    Access is the major new language series designed with the needs of today's generation of students firmly in mind. Whether learning for leisure or business purposes or working towards a curriculum qualification, Access French is specially designed for adults of all ages and gives students a thorough grounding in all the skills required to understand, speak, read and write contemporary French from scratch. The coursebook consists of 10 units covering different topic areas, each of which includes Language Focus panels explaining the structures covered and a comprehensive glossary. Learning tips

  14. Route Choice in Subway Station during Morning Peak Hours: A Case of Guangzhou Subway

    Directory of Open Access Journals (Sweden)

    Jie Xu

    2015-01-01

    Full Text Available This paper is aimed at crowding phenomenon in the subway. As passengers are inclined to choose the route with minimum disutility, we put forward a route choice model which is constructed to achieve minimum objective function of feasibility for the optimal solution. Meanwhile we set passenger volume threshold values according to capacity of facilities. In the case of actual capacity exceeding the threshold, the decision node of constrained route will be selected; computing procedure about searching decision points will be presented. Then we should set rational restrictions at the decision node of the minimum utility function route to prevent too many passengers’ access to platform. Through certification, this series of methods can effectively ensure the safety of the station efficient operation.

  15. Evaluation and development the routing protocol of a fully functional simulation environment for VANETs

    Science.gov (United States)

    Ali, Azhar Tareq; Warip, Mohd Nazri Mohd; Yaakob, Naimah; Abduljabbar, Waleed Khalid; Atta, Abdu Mohammed Ali

    2017-11-01

    Vehicular Ad-hoc Networks (VANETs) is an area of wireless technologies that is attracting a great deal of interest. There are still several areas of VANETS, such as security and routing protocols, medium access control, that lack large amounts of research. There is also a lack of freely available simulators that can quickly and accurately simulate VANETs. The main goal of this paper is to develop a freely available VANETS simulator and to evaluate popular mobile ad-hoc network routing protocols in several VANETS scenarios. The VANETS simulator consisted of a network simulator, traffic (mobility simulator) and used a client-server application to keep the two simulators in sync. The VANETS simulator also models buildings to create a more realistic wireless network environment. Ad-Hoc Distance Vector routing (AODV), Dynamic Source Routing (DSR) and Dynamic MANET On-demand (DYMO) were initially simulated in a city, country, and highway environment to provide an overall evaluation.

  16. Wine routes as an element of the regional development of borderline regions

    Directory of Open Access Journals (Sweden)

    Vladimir Drozg

    1993-12-01

    Full Text Available The article examines the role of winw routes in promoting the development of wine-growing regions. It focuses both on the criteria for tracing wine routes (landscape value of a region, distribution of tourist supply settlements and events, natural and cultural monuments, existing road netivorks and transport accessibility, supplemenlary activities along the wine routes and on the impact that wine exert on the landscape/region (an increased income of individual households, better infrastructure equipment, recuttivation ol desert land lots, decreasing depopulalion and development of supplementary activities. The wine route through the Svečinske gorice region is presented as an example of countryside regulation.

  17. A Novel Linear Programming Formulation of Maximum Lifetime Routing Problem in Wireless Sensor Networks

    DEFF Research Database (Denmark)

    Cetin, Bilge Kartal; Prasad, Neeli R.; Prasad, Ramjee

    2011-01-01

    protocols, and the energy model for transmission. In this paper, we tackle the routing challenge for maximum lifetime of the sensor network. We introduce a novel linear programming approach to the maximum lifetime routing problem. To the best of our knowledge, this is the first mathematical programming......In wireless sensor networks, one of the key challenge is to achieve minimum energy consumption in order to maximize network lifetime. In fact, lifetime depends on many parameters: the topology of the sensor network, the data aggregation regime in the network, the channel access schemes, the routing...... of the maximum lifetime routing problem that considers the operation modes of the node. Solution of the linear programming gives the upper analytical bound for the network lifetime. In order to illustrate teh application of the optimization model, we solved teh problem for different parameter settings...

  18. Closure of the Route de Meyrin as of 11 February 2008

    CERN Multimedia

    DSU Department

    2008-01-01

    In the framework of the work on the new Cornavin-Meyrin-CERN tramline, an underpass is to be cut into the hill of Meyrin village where the Route de Meyrin meets the Avenue de Vaudagne and the Avenue Virginio-Malnati. As a result, the Route de Meyrin will be closed to through traffic for a period of two years, starting on Monday 11 February 2008. The following traffic diversions will be in operation: Traffic travelling in the Geneva-France direction will be diverted along the Avenue de Mategnin and the Avenue Louis-Rendu or the Route du Nant-d’Avril and the Route du Mandement, Traffic travelling in the France-Geneva direction will be diverted along the Route du Mandement and the Route du Nant-d’Avril. There will also be special diversion routes in the centre of Meyrin reserved for access to shops, houses and flats and the La Tour hospital. Full details of the project (in French) can be consulted on the following website: http://w...

  19. Closure of the Route de Meyrin as of 11 February 2008

    CERN Multimedia

    In the framework of the work on the new Cornavin-Meyrin-CERN tramline, an underpass is to be cut into the hill of Meyrin village where the Route de Meyrin meets the Avenue de Vaudagne and the Avenue Virginio-Malnati. As a result, the Route de Meyrin will be closed to through traffic for a period of two years, starting on Monday 11 February 2008. The following traffic diversions will be in operation: - Traffic travelling in the Geneva-France direction will be diverted along the Avenue de Mategnin and the Avenue Louis-Rendu or the Route du Nant-d'Avril and the Route du Mandement, - Traffic travelling in the France-Geneva direction will be diverted along the Route du Mandement and the Route du Nant-d'Avril. There will also be special diversion routes in the centre of Meyrin reserved for access to shops, houses and flats and the La Tour hospital. The map is available at the following link. Relations with the Host States Service Tel. 72848

  20. Transportation Routing Analysis Geographic Information System -- TRAGIS, progress on improving a routing tool

    International Nuclear Information System (INIS)

    Johnson, P.E.; Lester, P.B.

    1998-05-01

    The Transportation Routing Analysis Geographic Information System (TRAGIS) model provides a useful tool to calculate and analyze transportation routes for radioactive materials within the continental US. This paper outlines some of the features available in this model

  1. US Hazardous Materials Routes, Geographic WGS84, BTS (2006) [hazardous_material_routes_BTS_2006

    Data.gov (United States)

    Louisiana Geographic Information Center — The Federal Motor Carrier Safety Administration (FMCSA) Hazardous Material Routes were developed using the 2004 First Edition TIGER/Line files. The routes are...

  2. A Privacy-Preserving Prediction Method for Human Travel Routes

    Directory of Open Access Journals (Sweden)

    Wen-Chen Hu

    2014-12-01

    Full Text Available This paper proposes a kind of location-based research, human travel route prediction, which is to predict the track of a subject's future movements. The proposed method works as follows. The mobile user sends his/her current route along with several dummy routes to the server by using a 3D route matrix, which encodes a set of routes. The server restores the routes from the 3D matrix and matches the restored routes to the saved routes. The predicted route is found as the trunk of the tree, which is built by superimposing the matching results. The server then sends the predicted routes back to the user, who will apply the predicted route to a real-world problem such as traffic control and planning. Preliminary experimental results show the proposed method successfully predicts human travel routes based on current and previous routes. User privacy is also rigorously protected by using a simple method of dummy routes.

  3. The Use of an Improved Access Structure in Dictionaries*

    African Journals Online (AJOL)

    rbr

    the English words moonrise or moon-watch, should be quite sophisticated in dictionary using skills to ensure rapid access to the lemmata. Multiple niching decreases the accessibility of the external search route and the dictionary con- sultation procedure. Where bilingual dictionaries opt for a sinuous lemma file.

  4. Civil engineering work to raise the level of Route Goward

    CERN Multimedia

    2013-01-01

    Civil engineering work to raise the level of Route Goward will take place during Long Shutdown 1. The work will begin on 18 March 2013 and is expected to last around 5 months.   Route Goward runs over the top of the PS tunnel and is the only access route to the inside of the ring. The layer of shielding backfill beneath this road is the thinnest anywhere on the PS ring. As the purpose of this shielding is to protect against the ionising radiation emitted by the accelerator when in operation, this road has been classified as a “supervised radiation area” according to radiation protection regulations. This classification was merely a temporary solution and, on the recommendation of the PS Radiation Working Group (PSRWG), the decision has been taken to raise the surface level permanently by around 2 m in order to increase the thickness of the shielding and thus lower the dose rate to that of a non-designated area. As the PS tunnel itself is unable to withstand the weight of t...

  5. Assessing Routing Strategies for Cognitive Radio Sensor Networks

    Directory of Open Access Journals (Sweden)

    Kashif Saleem

    2013-09-01

    Full Text Available Interest in the cognitive radio sensor network (CRSN paradigm has gradually grown among researchers. This concept seeks to fuse the benefits of dynamic spectrum access into the sensor network, making it a potential player in the next generation (NextGen network, which is characterized by ubiquity. Notwithstanding its massive potential, little research activity has been dedicated to the network layer. By contrast, we find recent research trends focusing on the physical layer, the link layer and the transport layers. The fact that the cross-layer approach is imperative, due to the resource-constrained nature of CRSNs, can make the design of unique solutions non-trivial in this respect. This paper seeks to explore possible design opportunities with wireless sensor networks (WSNs, cognitive radio ad-hoc networks (CRAHNs and cross-layer considerations for implementing viable CRSN routing solutions. Additionally, a detailed performance evaluation of WSN routing strategies in a cognitive radio environment is performed to expose research gaps. With this work, we intend to lay a foundation for developing CRSN routing solutions and to establish a basis for future work in this area.

  6. Assessing routing strategies for cognitive radio sensor networks.

    Science.gov (United States)

    Zubair, Suleiman; Fisal, Norsheila; Baguda, Yakubu S; Saleem, Kashif

    2013-09-26

    Interest in the cognitive radio sensor network (CRSN) paradigm has gradually grown among researchers. This concept seeks to fuse the benefits of dynamic spectrum access into the sensor network, making it a potential player in the next generation (NextGen) network, which is characterized by ubiquity. Notwithstanding its massive potential, little research activity has been dedicated to the network layer. By contrast, we find recent research trends focusing on the physical layer, the link layer and the transport layers. The fact that the cross-layer approach is imperative, due to the resource-constrained nature of CRSNs, can make the design of unique solutions non-trivial in this respect. This paper seeks to explore possible design opportunities with wireless sensor networks (WSNs), cognitive radio ad-hoc networks (CRAHNs) and cross-layer considerations for implementing viable CRSN routing solutions. Additionally, a detailed performance evaluation of WSN routing strategies in a cognitive radio environment is performed to expose research gaps. With this work, we intend to lay a foundation for developing CRSN routing solutions and to establish a basis for future work in this area.

  7. Using Crowdsourced Indoor Geodata for the Creation of a Three-Dimensional Indoor Routing Web Application

    Directory of Open Access Journals (Sweden)

    Marcus Goetz

    2012-06-01

    Full Text Available Routing services for outdoor areas are omnipresent and also three-dimensional (3D visualization is quite common within this area. Recent research efforts are now trying to adapt well known outdoor routing services to complex indoor environments. However, most of the current indoor routing systems only focus on two-dimensional visualization, thus only one level can be depicted. Especially multi-level routes therefore lack visualization. Also, most of the (few existing 3D indoor routing services utilize proprietary software or plugins, thus a widespread accessibility for those services by using common computers or mobile devices is not feasible. Therefore this paper describes the development of a web-based 3D routing system based on a new HTML extension. The visualization of rooms as well as the computed routes is realized with XML3D. Since this emerging technology is based on WebGL and will likely be integrated into the HTML5 standard, the developed system is already compatible with most common browsers such as Google Chrome or Firefox. Another key difference of the approach presented in this paper is that all utilized data is actually crowdsourced geodata from OpenStreetMap (OSM. Such data is collaboratively collected by both amateurs and professionals and can be used at no charge under the Open Data Commons Open Database License (ODbL. Our research combines user-generated geo content of the Web 2.0 with future Internet technology for the provision of a ubiquitously accessible 3D indoor routing application.

  8. Vascular access in critical limb ischemia.

    Science.gov (United States)

    Kang, Won Yu; Campia, Umberto; Ota, Hideaki; Didier, Romain J; Negi, Smita I; Kiramijyan, Sarkis; Koifman, Edward; Baker, Nevin C; Magalhaes, Marco A; Lipinski, Michael J; Escarcega, Ricardo O; Torguson, Rebecca; Waksman, Ron; Bernardo, Nelson L

    2016-01-01

    Currently, percutaneous endovascular intervention is considered a first line of therapy for treating patients with critical limb ischemia. As the result of remarkable development of techniques and technologies, percutaneous endovascular intervention has led to rates of limb salvage comparable to those achieved with bypass surgery, with fewer complications, even in the presence of lower rates of long-term patency. Currently, interventionalists have a multiplicity of access routes including smaller arteries, with both antegrade and retrograde approaches. Therefore, the choice of the optimal access site has become an integral part of the success of the percutaneous intervention. By understanding the technical aspects, as well as the advantages and limitations of each approach, the interventionalists can improve clinical outcomes in patients with severe peripheral arterial disease. This article reviews the access routes in critical limb ischemia, their advantages and disadvantages, and the clinical outcomes of each. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Inventory routing for dynamic waste collection

    NARCIS (Netherlands)

    Mes, Martijn R.K.; Schutten, Johannes M.J.; Perez Rivera, Arturo Eduardo

    2014-01-01

    We consider the problem of collecting waste from sensor equipped underground containers. These sensors enable the use of a dynamic collection policy. The problem, which is known as a reverse inventory routing problem, involves decisions regarding routing and container selection. In more dense

  10. Routing of railway carriages: A case study

    NARCIS (Netherlands)

    Brucker, P.; Hurink, Johann L.; Rolfes, T.

    1999-01-01

    In the context of organizing timetables for railway companies the following railway carriage routing problem occurs. Given a timetable containing rail links with departure and destination times/stations and the composition of the trains, find a routing of railway carriages such that the required

  11. Layout and Routing Methods for Warehouses

    NARCIS (Netherlands)

    K.J. Roodbergen (Kees-Jan)

    2001-01-01

    textabstractLayout and Routing Methods for Warehouses discusses aspects of order picking in warehouses. Order picking is the process by which products are retrieved from storage to meet customer demand. Various new routing methods are introduced to determine efficient sequences in which products

  12. Optimizing Departure Times in Vehicle Routes

    NARCIS (Netherlands)

    Kok, A.L.; Hans, Elias W.; Schutten, Johannes M.J.

    2011-01-01

    Most solution methods for the vehicle routing problem with time windows (VRPTW) develop routes from the earliest feasible departure time. In practice, however, temporary traffic congestion make such solutions non-optimal with respect to minimizing the total duty time. Furthermore, the VRPTW does not

  13. Green-Aware Routing in GMPLS Networks

    DEFF Research Database (Denmark)

    Wang, Jiayuan; Ruepp, Sarah Renée; Fagertun, Anna Manolova

    2012-01-01

    -TE) protocol and a greenaware routing and wavelength assignment (RWA) algorithm for minimizing the GHG emissions by routing connection requests through green network elements (NE). The network behavior and the performance of the algorithm are analyzed through simulations under different scenarios, and results......-aware OSPF protocol....

  14. Routing in Wireless Multimedia Home Networks

    NARCIS (Netherlands)

    Scholten, Johan; Jansen, P.G.; Hop, Laurens

    This paper describes an adapted version of the destination sequenced distance vector routing protocol (DSDV) which is suitable to calculate routes in a wireless ¿real-time¿ home network. The home network is based on a IEEE 802.11b ad hoc network and uses a scheduled token to enforce real-time

  15. Routing in Wireless Multimedia Home Networks

    NARCIS (Netherlands)

    Scholten, Johan; Jansen, P.G.; Hop, Laurens

    This paper describes an adapted version of the destination sequenced distance vector routing protocol (DSDV) which is suitable to calculate routes in a wireless real-time home network. The home network is based on a IEEE 802.11b ad hoc network and uses a scheduled token to enforce real-time

  16. Environmental factors along the Northern Sea Route

    International Nuclear Information System (INIS)

    Fjeld, P.E.

    1993-01-01

    The Northern Sea Route runs ca 5,600 nautical miles across the top of Russia from Murmansk to Vladivostok, and includes half of the Arctic basin. An environmental impact assessment is needed for this route because of the potential for commercial shipping to disturb the vulnerable Arctic environment along the route. For example, Russian development of oil and gas resources in the area served by the route is expected to rise dramatically in the near future. Drilling in the route area offshore has already begun, and potential blowouts or tanker spills are of concern. A pilot study on the environment along this route was conducted in 1990/91, focusing on a study of the literature and communications with Russian scientists working on Arctic ecology. Existing data seem to be insufficient and generally only cover the westernmost and easternmost parts of the route. A five-year research plan is proposed to provide an inventory of Arctic species in the route area and levels of contaminants present, to assess the environmental sensitivity of the area, and analyze impacts that increased shipping might have on the environment. Protection measures will also be suggested. 1 fig

  17. 7 CFR 1000.3 - Route disposition.

    Science.gov (United States)

    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE GENERAL PROVISIONS OF FEDERAL MILK MARKETING ORDERS Definitions § 1000.3 Route disposition. Route disposition means a delivery to a retail or wholesale outlet...

  18. Routing in Optical and Stochastic Networks

    NARCIS (Netherlands)

    Yang, S.

    2015-01-01

    In most types of networks (e.g., optical or transportation networks), finding one or more best paths from a source to a destination, is one of the biggest concerns of network users and providers. This process is known as routing. The routing problems differ accordingly depending on different

  19. An Enantioselective Synthetic Route toward Second-Generation Light-Driven Rotary Molecular Motors

    NARCIS (Netherlands)

    Pijper, Thomas C.; Pijper, Dirk; Pollard, Michael M.; Dumur, Frederic; Davey, Stephen G.; Meetsma, Auke; Feringa, Ben L.

    2010-01-01

    Controlling the unidirectional rotary process of second-gene ration molecular motors demands access to these motors in their enantiomerically Pure form. In this paper, we describe an enantioselective route to three new second-generation light-driven molecular motors. Their synthesis starts with the

  20. Highway and interline transportation routing models

    International Nuclear Information System (INIS)

    Joy, D.S.; Johnson, P.E.

    1994-01-01

    The potential impacts associated with the transportation of hazardous materials are important issues to shippers, carriers, and the general public. Since transportation routes are a central characteristic in most of these issues, the prediction of likely routes is the first step toward the resolution of these issues. In addition, US Department of Transportation requirements (HM-164) mandate specific routes for shipments of highway controlled quantities of radioactive materials. In response to these needs, two routing models have been developed at Oak Ridge National Laboratory under the sponsorship of the U.S. Department of Energy (DOE). These models have been designated by DOE's Office of Environmental Restoration and Waste Management, Transportation Management Division (DOE/EM) as the official DOE routing models. Both models, HIGHWAY and INTERLINE, are described

  1. Routing protocols in wireless sensor networks.

    Science.gov (United States)

    Villalba, Luis Javier García; Orozco, Ana Lucila Sandoval; Cabrera, Alicia Triviño; Abbas, Cláudia Jacy Barenco

    2009-01-01

    The applications of wireless sensor networks comprise a wide variety of scenarios. In most of them, the network is composed of a significant number of nodes deployed in an extensive area in which not all nodes are directly connected. Then, the data exchange is supported by multihop communications. Routing protocols are in charge of discovering and maintaining the routes in the network. However, the appropriateness of a particular routing protocol mainly depends on the capabilities of the nodes and on the application requirements. This paper presents a review of the main routing protocols proposed for wireless sensor networks. Additionally, the paper includes the efforts carried out by Spanish universities on developing optimization techniques in the area of routing protocols for wireless sensor networks.

  2. User habits and multimodal route planning

    Directory of Open Access Journals (Sweden)

    Géza Katona

    2017-10-01

    Full Text Available The results of route planning researches are monitored by logistic and automotive industries. The economic aspects of the cost saving are in the focus of the attention. An optimal route could cause time or fuel savings. An effective driving or an optimal route is a good basis to achieve an economical aim. Moreover the spread of new automotive solutions especially in case of electric cars the optimisation has particular significance regarding the limited battery storage. Additionally the autonomous car development could not be neglected. As a result the society could expect safer roads, better space usage and effective resource management. Nevertheless the requirements of users are extremely diverse, which is not negligible. Supporting these aims, in this paper the connection between the multimodal route planning and the user requirements are investigated. The examination is focused to a sensitivity analysis and a survey to evaluate the data and support the settings of a user habit effect to the final route.

  3. Automated Computer Access Request System

    Science.gov (United States)

    Snook, Bryan E.

    2010-01-01

    The Automated Computer Access Request (AutoCAR) system is a Web-based account provisioning application that replaces the time-consuming paper-based computer-access request process at Johnson Space Center (JSC). Auto- CAR combines rules-based and role-based functionality in one application to provide a centralized system that is easily and widely accessible. The system features a work-flow engine that facilitates request routing, a user registration directory containing contact information and user metadata, an access request submission and tracking process, and a system administrator account management component. This provides full, end-to-end disposition approval chain accountability from the moment a request is submitted. By blending both rules-based and rolebased functionality, AutoCAR has the flexibility to route requests based on a user s nationality, JSC affiliation status, and other export-control requirements, while ensuring a user s request is addressed by either a primary or backup approver. All user accounts that are tracked in AutoCAR are recorded and mapped to the native operating system schema on the target platform where user accounts reside. This allows for future extensibility for supporting creation, deletion, and account management directly on the target platforms by way of AutoCAR. The system s directory-based lookup and day-today change analysis of directory information determines personnel moves, deletions, and additions, and automatically notifies a user via e-mail to revalidate his/her account access as a result of such changes. AutoCAR is a Microsoft classic active server page (ASP) application hosted on a Microsoft Internet Information Server (IIS).

  4. Syngas route to adipic acid

    Energy Technology Data Exchange (ETDEWEB)

    Kealing, H.S.

    1986-03-01

    In an era of escalating hydrocarbon prices, the development of new technology to synthesize large volume chemical intermediates from the least expensive sources of carbon and hydrogen has been a research area of increasing intensity. Adipic acid is prepared commercially by oxidative processes using either benzene or phenol as the raw material base. Since both benzene and phenol prices track with the price of crude oil, future adipic acid price will increase as the oil reserve decreases. Thus, there is a need for a new process to produce adipic acid from cheap, and readily available, raw materials such as butadiene obtained as a by-product from world scale olefin plants. One such process that capitalizes on the use of butadiene as a raw material is BASF's two-step carbonylation route to adipic acid. The butadiene in the C/sub 4/ cut from a steam cracker is transformed by a two-stage carbonylation with carbon monoxide and methanol into adipic acid dimethyl ester. Hydrolysis converts the ester into adipic acid. BASF is now engineering a 130 mm pound per year commercial plant based on this technology.

  5. Critical Routes: Women Facing Violence

    Directory of Open Access Journals (Sweden)

    Stela Nazareth Meneghel

    2008-11-01

    Full Text Available This paper presents the Critical Routes International Seminar – Women Facing Violence , which took place in Porto Alegre in 2008. The seminar was promoted by the Graduate Program on Collective Health at Unisinos and by the Public Health School/RS and was supported by outstanding researchers working in the fields of collective health, and social and human sciences. Initially, we discuss some conceptual aspects about gender violence, its dimensions and its consequences for the health and the life quality of the affected women. Our understanding is that violence is one of the most effective methods of controlling women in societies scarred with gender hierarchies. The structure of the seminar focused on three main discussion themes: breaking up with the violence, mechanisms for working with gender and hearing the services. These themes were chosen aiming at looking for ways to help the women and to explore efficient mechanisms to combat, reduce and, if possible, eliminate the violence perpetrated against women. At the end of the seminar, we reiterate the political commitment on the accomplishment of the public policies to face violence and the fight against all inequality, discrimination and violence forms based on gender.

  6. Evacuation route planning during nuclear emergency using genetic algorithm

    International Nuclear Information System (INIS)

    Suman, Vitisha; Sarkar, P.K.

    2012-01-01

    In nuclear industry the routing in case of any emergency is a cause of concern and of great importance. Even the smallest of time saved in the affected region saves a huge amount of otherwise received dose. Genetic algorithm an optimization technique has great ability to search for the optimal path from the affected region to a destination station in a spatially addressed problem. Usually heuristic algorithms are used to carry out these types of search strategy, but due to the lack of global sampling in the feasible solution space, these algorithms have considerable possibility of being trapped into local optima. Routing problems mainly are search problems for finding the shortest distance within a time limit to cover the required number of stations taking care of the traffics, road quality, population size etc. Lack of any formal mechanisms to help decision-makers explore the solution space of their problem and thereby challenges their assumptions about the number and range of options available. The Genetic Algorithm provides a way to optimize a multi-parameter constrained problem with an ease. Here use of Genetic Algorithm to generate a range of options available and to search a solution space and selectively focus on promising combinations of criteria makes them ideally suited to such complex spatial decision problems. The emergency response and routing can be made efficient, in accessing the closest facilities and determining the shortest route using genetic algorithm. The accuracy and care in creating database can be used to improve the result of the final output. The Genetic algorithm can be used to improve the accuracy of result on the basis of distance where other algorithm cannot be obtained. The search space can be utilized to its great extend

  7. Bicycle accessibility and access mode choice to railway stations in the Netherlands randstad southwing

    NARCIS (Netherlands)

    La Paix Puello, Lissy Cesarina; Geurs, Karst Teunis

    2013-01-01

    The main objective of this paper is to examine cycling accessibility to the railway station. Particularly, the study verifies the Influence of impedance factor of a cycling route to the railway station. StedenbaanPlus is a regional transit oriented development with aims to densify urban areas around

  8. Porcelain tiles by the dry route

    International Nuclear Information System (INIS)

    Melchiades, F. G.; Daros, M. T.; Boschi, A. O.

    2010-01-01

    In Brazil, the second largest tile producer of the world, at present, 70% of the tiles are produced by the dry route. One of the main reasons that lead to this development is the fact that the dry route uses approximately 30% less thermal energy them the traditional wet route. The increasing world concern with the environment and the recognition of the central role played by the water also has pointed towards privileging dry processes. In this context the objective of the present work is to study the feasibility of producing high quality porcelain tiles by the dry route. A brief comparison of the dry and wet route, in standard conditions industrially used today to produce tiles that are not porcelain tiles, shows that there are two major differences: the particle sizes obtained by the wet route are usually considerably finer and the capability of mixing the different minerals, the intimacy of the mixture, is also usually better in the wet route. The present work studied the relative importance of these differences and looked for raw materials and operational conditions that would result in better performance and glazed porcelain tiles of good quality. (Author) 7 refs.

  9. Porcelain tiles by the dry route

    Energy Technology Data Exchange (ETDEWEB)

    Melchiades, F. G.; Daros, M. T.; Boschi, A. O.

    2010-07-01

    In Brazil, the second largest tile producer of the world, at present, 70% of the tiles are produced by the dry route. One of the main reasons that lead to this development is the fact that the dry route uses approximately 30% less thermal energy them the traditional wet route. The increasing world concern with the environment and the recognition of the central role played by the water also has pointed towards privileging dry processes. In this context the objective of the present work is to study the feasibility of producing high quality porcelain tiles by the dry route. A brief comparison of the dry and wet route, in standard conditions industrially used today to produce tiles that are not porcelain tiles, shows that there are two major differences: the particle sizes obtained by the wet route are usually considerably finer and the capability of mixing the different minerals, the intimacy of the mixture, is also usually better in the wet route. The present work studied the relative importance of these differences and looked for raw materials and operational conditions that would result in better performance and glazed porcelain tiles of good quality. (Author) 7 refs.

  10. Is Entrepreneurship a Route Out of Deprivation?

    DEFF Research Database (Denmark)

    Frankish, Julian S.; Roberts, Richard G.; Coad, Alexander Jean-Luc

    2014-01-01

    Frankish J. S., Roberts R. G., Coad A. and Storey D. J. Is entrepreneurship a route out of deprivation?, Regional Studies. This paper investigates whether entrepreneurship constitutes a route out of deprivation for those living in deprived areas. The measure of income/wealth used is based...... on an analysis of improvements in an individual's residential address. The data consist of information on over 800 000 individuals, and come from the customer records of a major UK bank. Comparing business owners with non-owners, the results suggest that the benefits of business ownership are found across...... the wealth distribution. Hence, entrepreneurship can be a route out of deprivation....

  11. A Graphical Method for Great Circle Routes

    Directory of Open Access Journals (Sweden)

    Hsu Tien-Pen

    2017-03-01

    Full Text Available A great circle route (GCR is the shortest route on a spherical earth model. Do we have a visual diagram to handle the shortest route? In this paper, a graphical method (GM is proposed to solve the GCR problems based on the celestial meridian diagram (CMD in celestial navigation. Unlike developed algebraic methods, the GM is a geometric method. Appling computer software to graph, the GM does not use any equations but is as accurate as using algebraic methods. In addition, the GM, which emphasizes the rotational surface, can depict a GCR and judge its benefit.

  12. A user equilibrium, traffic assignment model of network route and parking lot choice, with search circuits and cruising flows

    OpenAIRE

    LEURENT, Fabien; BOUJNAH, Houda

    2014-01-01

    The paper provides a novel network model of parking and route choice. Parking supply is represented by parking type, management strategy including the fare, capacity and occupancy rate of parking lot, and network location, in relation to access routes along the roadway network. Trip demand is segmented according to origin-destination pair, the disposal of private parking facilities and the individual preferences for parking quality of service. Each traveller is assumed to make a two stage cho...

  13. Easing access for lifelong learners

    DEFF Research Database (Denmark)

    Müller, Romina; Remdisch, Sabine; Köhler, Katharina

    2015-01-01

    Easing access to higher education (HE) for those engaging in lifelong learning has been a common policy objective across the European Union since the late 1990s. To reach this goal, the transition between vocational and academic routes must be simplified, but European countries are at different...... developmental stages. This article maps the development in Denmark, Finland, Germany and England using a case study approach deploying data triangulation from a national and institutional perspective. It explores the extent/commonality of structural factors for easing access for students engaging in lifelong...... learning. The cases are at widely different stages, but the following factors were considered essential in all countries for opening universities: the establishment of transition paths from secondary education and working life into HE and links between HE, businesses and adult education from a national...

  14. Children's route choice during active transportation to school: difference between shortest and actual route.

    Science.gov (United States)

    Dessing, Dirk; de Vries, Sanne I; Hegeman, Geertje; Verhagen, Evert; van Mechelen, Willem; Pierik, Frank H

    2016-04-12

    The purpose of this study is to increase our understanding of environmental correlates that are associated with route choice during active transportation to school (ATS) by comparing characteristics of actual walking and cycling routes between home and school with the shortest possible route to school. Children (n = 184; 86 boys, 98 girls; age range: 8-12 years) from seven schools in suburban municipalities in the Netherlands participated in the study. Actual walking and cycling routes to school were measured with a GPS-device that children wore during an entire school week. Measurements were conducted in the period April-June 2014. Route characteristics for both actual and shortest routes between home and school were determined for a buffer of 25 m from the routes and divided into four categories: Land use (residential, commercial, recreational, traffic areas), Aesthetics (presence of greenery/natural water ways along route), Traffic (safety measures such as traffic lights, zebra crossings, speed bumps) and Type of street (pedestrian, cycling, residential streets, arterial roads). Comparison of characteristics of shortest and actual routes was performed with conditional logistic regression models. Median distance of the actual walking routes was 390.1 m, whereas median distance of actual cycling routes was 673.9 m. Actual walking and cycling routes were not significantly longer than the shortest possible routes. Children mainly traveled through residential areas on their way to school (>80% of the route). Traffic lights were found to be positively associated with route choice during ATS. Zebra crossings were less often present along the actual routes (walking: OR = 0.17, 95% CI = 0.05-0.58; cycling: OR = 0.31, 95% CI = 0.14-0.67), and streets with a high occurrence of accidents were less often used during cycling to school (OR = 0.57, 95% CI = 0.43-0.76). Moreover, percentage of visible surface water along the actual route was higher

  15. On board processing for future satellite communications systems: Comparison of FDM, TDM and hybrid accessing schemes

    Science.gov (United States)

    Berk, G.; Jean, P. N.; Rotholz, E.

    1982-01-01

    Several satellite uplink and downlink accessing schemes for customer premises service are compared. Four conceptual system designs are presented: satellite-routed frequency division multiple access (FDMA), satellite-switched time division multiple access (TDMA), processor-routed TDMA, and frequency-routed TDMA, operating in the 30/20 GHz band. The designs are compared on the basis of estimated satellite weight, system capacity, power consumption, and cost. The systems are analyzed for fixed multibeam coverage of the continental United States. Analysis shows that the system capacity is limited by the available satellite resources and by the terminal size and cost.

  16. Are GIS-modelled routes a useful proxy for the actual routes followed by commuters?

    Science.gov (United States)

    Dalton, Alice M; Jones, Andrew P; Panter, Jenna; Ogilvie, David

    2015-06-01

    Active commuting offers the potential to increase physical activity among adults by being built into daily routines. Characteristics of the route to work may influence propensity to walk or cycle. Geographic information system (GIS) software is often used to explore this by modelling routes between home and work. However, if the validity of modelled routes depends on the mode of travel used, studies of environmental determinants of travel may be biased. We aimed to understand how well modelled routes reflect those actually taken, and what characteristics explain these differences. We compared modelled GIS shortest path routes with actual routes measured using QStarz BT-Q1000X Global Positioning System (GPS) devices in a free-living sample of adults working in Cambridge and using varying travel modes. Predictors of differences, according to length and percentage overlap, between the two route sets were assessed using multilevel regression models and concordance coefficients. The 276 trips, made by 51 participants, were on average 27% further than modelled routes, with an average geographical overlap of 39%. However, predictability of the route depended on travel mode. For route length, there was moderate-to-substantial agreement for journeys made on foot and by bicycle. Route overlap was lowest for trips made by car plus walk (22%). The magnitude of difference depended on other journey characteristics, including travelling via intermediate destinations, distance, and use of busy roads. In conclusion, GIS routes may be acceptable for distance estimation and to explore potential routes, particularly active commuting. However, GPS should be used to obtain accurate estimates of environmental contexts in which commuting behaviour actually occurs. Public health researchers should bear these considerations in mind when studying the geographical determinants and health implications of commuting behaviour, and when recommending policy changes to encourage active travel.

  17. INTERLINE 5.0 -- An expanded railroad routing model: Program description, methodology, and revised user's manual

    International Nuclear Information System (INIS)

    Johnson, P.E.; Joy, D.S.; Clarke, D.B.; Jacobi, J.M.

    1993-03-01

    A rail routine model, INTERLINE, has been developed at the Oak Ridge National Laboratory to investigate potential routes for transporting radioactive materials. In Version 5.0, the INTERLINE routing algorithms have been enhanced to include the ability to predict alternative routes, barge routes, and population statistics for any route. The INTERLINE railroad network is essentially a computerized rail atlas describing the US railroad system. All rail lines, with the exception of industrial spurs, are included in the network. Inland waterways and deep water routes along with their interchange points with the US railroadsystem are also included. The network contains over 15,000 rail and barge segments (links) and over 13,000 stations, interchange points, ports, and other locations (nodes). The INTERLINE model has been converted to operate on an IBM-compatible personal computer. At least a 286 computer with a hard disk containing approximately 6 MB of free space is recommended. Enhanced program performance will be obtained by using arandom-access memory drive on a 386 or 486 computer

  18. StateGEN/StateNET - A structured method to perform route comparisons

    International Nuclear Information System (INIS)

    Cashwell, J.W.; Erickson, C.M.

    1989-01-01

    StateGEN/StateNET is a modeling structure and routing algorithm designed expressly to address the needs of state and local governments to perform analyses of routing alternatives. StateGEN/StateNET is designed to permit the user to construct a network and assign attributes of interest to the network on a personal computer (PC). The completed network is then transferred via a modem to the TRANSNET system and the preferred route is determined based upon attribute weights assigned by the user. This modeling structure permits the state or local government to perform a routing analysis, such as that required by the US Department of Transportation (DOT) for Highway Route-Controlled Quantity shipments of radioactive materials, with a minimum of resources. StateGEN/StateNET provides a computerized version of the DOT guidelines or allows the user to structure their own network parameters. Sandia National Laboratories (SNL) is the Department of Energy (DOE) lead organization for transportation research and development. The DOE Office of Defense Programs has been the prime sponsor of development of models and associated databases used to analyze the impacts of the transportation of radioactive materials. The routing algorithms used in StateGEN/StateNET were based on the existing models on TRANSNET, a system which was developed to enable outside users to access analytical codes and associated data developed for the DOE

  19. Quantum chemistry-assisted synthesis route development

    International Nuclear Information System (INIS)

    Hori, Kenji; Sumimoto, Michinori; Murafuji, Toshihiro

    2015-01-01

    We have been investigating “quantum chemistry-assisted synthesis route development” using in silico screenings and applied the method to several targets. Another example was conducted to develop synthesis routes for a urea derivative, namely 1-(4-(trifluoromethyl)-2-oxo-2H-chromen-7-yl)urea. While five synthesis routes were examined, only three routes passed the second in silico screening. Among them, the reaction of 7-amino-4-(trifluoromethyl)-2H-chromen-2-one and O-methyl carbamate with BF 3 as an additive was ranked as the first choice for synthetic work. We were able to experimentally obtain the target compound even though its yield was as low as 21 %. The theoretical result was thus consistent with that observed. The summary of transition state data base (TSDB) is also provided. TSDB is the key to reducing time of in silico screenings

  20. Pharmacokinetics of Alternative Administration Routes of Melatonin

    DEFF Research Database (Denmark)

    Zetner, D.; Andersen, L. P.H.; Rosenberg, J.

    2016-01-01

    Background: Melatonin is traditionally administered orally but has a poor and variable bioavailability. This study aims to present an overview of studies investigating the pharmacokinetics of alternative administration routes of melatonin. Methods: A systematic literature search was performed...... and included experimental or clinical studies, investigating pharmacokinetics of alternative administration routes of melatonin in vivo. Alternative administration routes were defined as all administration routes except oral and intravenous. Results: 10 studies were included in the review. Intranasal...... administration exhibited a quick absorption rate and high bioavailability. Transdermal administration displayed a variable absorption rate and possible deposition of melatonin in the skin. Oral transmucosal administration of melatonin exhibited a high plasma concentration compared to oral administration...

  1. Quantum chemistry-assisted synthesis route development

    Energy Technology Data Exchange (ETDEWEB)

    Hori, Kenji; Sumimoto, Michinori [Graduate School of Science and Engineering, Yamaguchi University, Tokiwadai, Ube, Yamaguchi 755-8611 (Japan); Murafuji, Toshihiro [Graduate School of Medicine, Yamaguchi University, Yamaguchi, Yamaguchi 753-8512 (Japan)

    2015-12-31

    We have been investigating “quantum chemistry-assisted synthesis route development” using in silico screenings and applied the method to several targets. Another example was conducted to develop synthesis routes for a urea derivative, namely 1-(4-(trifluoromethyl)-2-oxo-2H-chromen-7-yl)urea. While five synthesis routes were examined, only three routes passed the second in silico screening. Among them, the reaction of 7-amino-4-(trifluoromethyl)-2H-chromen-2-one and O-methyl carbamate with BF{sub 3} as an additive was ranked as the first choice for synthetic work. We were able to experimentally obtain the target compound even though its yield was as low as 21 %. The theoretical result was thus consistent with that observed. The summary of transition state data base (TSDB) is also provided. TSDB is the key to reducing time of in silico screenings.

  2. Integrating routing decisions in public transportation problems

    CERN Document Server

    Schmidt, Marie E

    2014-01-01

    This book treats three planning problems arising in public railway transportation planning: line planning, timetabling, and delay management, with the objective to minimize passengers’ travel time. While many optimization approaches simplify these problems by assuming that passengers’ route choice is independent of the solution, this book focuses on models which take into account that passengers will adapt their travel route to the implemented planning solution. That is, a planning solution and passengers’ routes are determined and evaluated simultaneously. This work is technically deep, with insightful findings regarding complexity and algorithmic approaches to public transportation problems with integrated passenger routing. It is intended for researchers in the fields of mathematics, computer science, or operations research, working in the field of public transportation from an optimization standpoint. It is also ideal for students who want to gain intuition and experience in doing complexity proofs ...

  3. Human BDCM Mulit-Route PBPK Model

    Data.gov (United States)

    U.S. Environmental Protection Agency — This data set contains the code for the BDCM human multi-route model written in the programming language acsl. The final published manuscript is provided since it...

  4. Next Generation Network Routing and Control Plane

    DEFF Research Database (Denmark)

    Fu, Rong

    proved, the dominating Border Gateway Protocol (BGP) cannot address all the issues that in inter-domain QoS routing. Thus a new protocol or network architecture has to be developed to be able to carry the inter-domain traffic with the QoS and TE consideration. Moreover, the current network control also...... (RACF) provides the platform that enables cooperation and ubiquitous integration between networks. In this paper, we investigate in the network architecture, protocols and algorithms for inter-domain QoS routing and traffic engineering. The PCE based inter-domain routing architecture is enhanced...... with Domain Path Vector based protocol that compute the domain level path dynamically for the further inter-domain path routing mechanism Backward Recursive Path Computation (BRPC). Furthermore, several algorithms are proposed to compute the domain-level path under more than one constrains (multi...

  5. Coordinated Platoon Routing in a Metropolitan Network

    Energy Technology Data Exchange (ETDEWEB)

    Larson, Jeffrey; Munson, Todd; Sokolov, Vadim

    2016-10-10

    Platooning vehicles—connected and automated vehicles traveling with small intervehicle distances—use less fuel because of reduced aerodynamic drag. Given a network de- fined by vertex and edge sets and a set of vehicles with origin/destination nodes/times, we model and solve the combinatorial optimization problem of coordinated routing of vehicles in a manner that routes them to their destination on time while using the least amount of fuel. Common approaches decompose the platoon coordination and vehicle routing into separate problems. Our model addresses both problems simultaneously to obtain the best solution. We use modern modeling techniques and constraints implied from analyzing the platoon routing problem to address larger numbers of vehicles and larger networks than previously considered. While the numerical method used is unable to certify optimality for candidate solutions to all networks and parameters considered, we obtain excellent solutions in approximately one minute for much larger networks and vehicle sets than previously considered in the literature.

  6. Commercial vehicle route tracking using video detection.

    Science.gov (United States)

    2010-10-31

    Interstate commercial vehicle traffic is a major factor in the life of any road surface. The ability to track : these vehicles and their routes through the state can provide valuable information to planning : activities. We propose a method using vid...

  7. Dams and Obstructions along Iowa's Canoe Routes

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — This dataset represents obstruction to canoe and boat users of the canoe routes of Iowa. This may represent actual dams, rock dams (natural or man made), large...

  8. Locating Depots for Capacitated Vehicle Routing

    DEFF Research Database (Denmark)

    Gørtz, Inge Li; Nagarajan, Viswanath

    2016-01-01

    depots, one for each vehicle, and compute routes for the vehicles so that all demands are satisfied and the total cost is minimized. Our main result is a constant-factor approximation algorithm for k-LocVRP. In obtaining this result, we introduce a common generalization of the k-median and minimum...... spanning tree problems (called k median forest), which might be of independent interest. We give a local-search based (3+ε)-approximation algorithm for k median forest, which leads to a (12+ε)-approximation algorithm for k-LocVRP, for any constant ε>0.......We study a location-routing problem in the context of capacitated vehicle routing. The input to the k-location capacitated vehicle routing problem (k-LocVRP) consists of a set of demand locations in a metric space and a fleet of k identical vehicles, each of capacity Q. The objective is to locate k...

  9. Learning Points and Routes to Recommend Trajectories

    OpenAIRE

    Chen, Dawei; Ong, Cheng Soon; Xie, Lexing

    2016-01-01

    The problem of recommending tours to travellers is an important and broadly studied area. Suggested solutions include various approaches of points-of-interest (POI) recommendation and route planning. We consider the task of recommending a sequence of POIs, that simultaneously uses information about POIs and routes. Our approach unifies the treatment of various sources of information by representing them as features in machine learning algorithms, enabling us to learn from past behaviour. Info...

  10. Latent variables and route choice behavior

    DEFF Research Database (Denmark)

    Prato, Carlo Giacomo; Bekhor, Shlomo; Pronello, Cristina

    2012-01-01

    In the last decade, a broad array of disciplines has shown a general interest in enhancing discrete choice models by considering the incorporation of psychological factors affecting decision making. This paper provides insight into the comprehension of the determinants of route choice behavior by...... results illustrate that considering latent variables (i.e., memory, habit, familiarity, spatial ability, time saving skills) alongside traditional variables (e.g., travel time, distance, congestion level) enriches the comprehension of route choice behavior....

  11. Empty Container Management in Cyclic Shipping Routes

    OpenAIRE

    Dong-Ping Song; Jing-Xin Dong

    2008-01-01

    This paper considers the empty container management problem in a cyclic shipping route. The objective is to seek the optimal empty container repositioning policy in a dynamic and stochastic situation by minimising the expected total costs consisting of inventory holding costs, demand lost-sale costs, lifting-on and lifting-off charges, and container transportation costs. A three-phase threshold control policy is developed to reposition empty containers in cyclic routes. The threshold values a...

  12. Ising model for packet routing control

    International Nuclear Information System (INIS)

    Horiguchi, Tsuyoshi; Takahashi, Hideyuki; Hayashi, Keisuke; Yamaguchi, Chiaki

    2004-01-01

    For packet routing control in computer networks, we propose an Ising model which is defined in order to express competition among a queue length and a distance from a node with a packet to its destination node. By introducing a dynamics for a mean-field value of an Ising spin, we show by computer simulations that effective control of packet routing through priority links is possible

  13. On the Lorentzian route to Relativity

    OpenAIRE

    Gürel, Atilla; Gürel, Zeynep

    2011-01-01

    We discuss pedagogical problems associated with the conventional approach in teaching relativity and the potential value of "Lorentzian route to relativity" for addressing these pedagogical problems. We think that Lorentzian approach may be valuable part of an introduction to relativity but the historical route should be followed up to its end. It must namely include Einstein's application of Occam's razor in reinterpreting Lorentz transformations kinematically and the discussion of the centr...

  14. Energy Efficient Routing in Nomadic Networks

    DEFF Research Database (Denmark)

    Kristensen, Mads Darø; Bouvin, Niels Olof

    2007-01-01

    We present an evaluation of a novel energy-efficient routing protocol for mobile ad-hoc networks. We combine two techniques for optimizing energy levels with a well-known routing protocol. We examine the behavior of this combination in a nomadic network setting, where some nodes are stationary...... and have a steady power supply. Protocol optimizations for the nomadic scenario are presented and validated through simulations...

  15. Route selection issues for NWPA shipments

    International Nuclear Information System (INIS)

    Hill, C.V.; Harrison, I.G.

    1993-01-01

    Questions surrounding the designation of routes for the movement of spent nuclear fuel (SNF) and high-level radioactive waste (HLW) by the Office of Civilian Radioactive Waste Management (OCRWM) have broad implications. Federal regulations prescribe rules to be applied in the selection of highway routes. In most cases, these rules will lead to a clear selection of one route between an origin and destination point. However, in other cases, strict application of the regulations does not result in a clear choice of a preferred route. The regulations also provide discretion to State governments and carriers to select alternative routes to enhance the safety of the shipment. Railroad shipments of radioactive materials are not subject to Federal routing regulations. Since the railroads operate on private property, it has been assumed that they know the best way to move freight on their system. This discretion, while desirable for addressing unique local safety concerns or for responding to temporary safety concerns such as road problems, weather conditions, or construction areas, leads to significant opportunity for misunderstandings and uneasiness on the part of local residents

  16. The Route Analysis Based On Flight Plan

    Science.gov (United States)

    Feriyanto, Nur; Saleh, Chairul; Fauzi, Achmad; Rachman Dzakiyullah, Nur; Riza Iwaputra, Kahfi

    2016-02-01

    Economic development effects use of air transportation since the business process in every aspect was increased. Many people these days was prefer using airplane because it can save time and money. This situation also effects flight routes, many airlines offer new routes to deal with competition. Managing flight routes is one of the problems that must be faced in order to find the efficient and effective routes. This paper investigates the best routes based on flight performance by determining the amount of block fuel for the Jakarta-Denpasar flight route. Moreover, in this work compares a two kinds of aircraft and tracks by calculating flight distance, flight time and block fuel. The result shows Jakarta-Denpasar in the Track II has effective and efficient block fuel that can be performed by Airbus 320-200 aircraft. This study can contribute to practice in making an effective decision, especially helping executive management of company due to selecting appropriate aircraft and the track in the flight plan based on the block fuel consumption for business operation.

  17. ACO Agent Based Routing in AOMDV Environment

    Directory of Open Access Journals (Sweden)

    Kaur Amanpreet

    2016-01-01

    Full Text Available Mobile Ad-hoc Network (MANET is a group of moving nodes which can communicate with each other without the help of any central stationary node. All the nodes in the MANET act as router for forwarding data packets. The nodes in the network also move randomly and there exists no fixed infrastructure. So, path breaks are the frequent problem in MANET. The routing protocol faces a lot of problem due these path breaks. Therefore, the routing protocol which is multipath in nature is more reliable than a unipath routing protocol. Ant colony optimization is a relatively new technique which is suitable for the optimization problems. AOMDV is a multipath routing protocol. Thus, if there happens to be path break, the packets can start following the new path which has already been selected. In this paper, we are trying to add ant’s agents into AOMDV behavior. In this way, the new protocol will be benefited by the dual properties i.e. of ant’s nature and multipath nature of AOMDV. The modified concept is simulated and the outcomes are compared with AOMDV, AODV and DSR routing protocols for few performance parameters. Results obtained are encouraging; the new algorithm performs better than traditional unipath and multipath routing protocols.

  18. Transportation routing analysis geographic information system -- TRAGIS, a multimodal transportation routing tool

    International Nuclear Information System (INIS)

    Johnson, P.E.

    1995-01-01

    Over 15 years ago, Oak Ridge National Laboratory (ORNL) developed two transportation routing models: HIGHWAY, which predicts truck transportation routes, and INTERLINE, which predicts rail transportation routes. Subsequent modifications have been made to enhance each of these models. Some of these changes include population density information for routes, HM-164 routing regulations for highway route controlled quantities of radioactive materials (RAM) truck shipments, and inclusion of waterway routing into INTERLINE. The AIRPORT model, developed 2 years after the HIGHWAY and INTERLINE models, serves as an emergency response tool. This model identifies the nearest airports from a designated location. Currently, the AIRPORT model is inactive. The Transportation Management Division of the US Department of Energy held a Baseline Requirements Assessment Session on the HIGHWAY, INTERLINE, and AIRPORT models in April 1994 to bring together many users of these models and other experts in the transportation routing field to discuss these models and to decide on the capabilities that needed to be added. Of the many needs discussed, the primary one was to have the network databases within a geographic information system (GIS). As a result of the Baseline Requirements Session, the development of a new GIS model has been initiated. This paper will discuss the development of the new Transportation Routing Analysis GIS (TRAGIS) model at ORNL

  19. Update on Instrumentations for Cholecystectomies Performed via Transvaginal Route: State of the Art and Future Prospectives

    Directory of Open Access Journals (Sweden)

    Elia Pulvirenti

    2010-01-01

    Full Text Available Natural Orifice Transluminal Endoscopic Surgery (NOTES is an innovative approach in which a flexible endoscope enters the abdominal cavity via the transesophageal, transgastric, transcolonic, transvaginal or transvescical route, combining the technique of minimally invasive surgery with flexible endoscopy. Several groups have described different modifications by using flexible endoscopes with different levels of laparoscopic assistance. Transvaginal cholecystectomy (TVC consists in accessing the abdominal cavity through a posterior colpotomy and using the vaginal incision as a visual or operative port. An increasing interest has arisen around the TVC; nevertheless, the most common and highlighted concern is about the lack of specific instruments dedicated to the vaginal access route. TVC should be distinguished between “pure”, in which the entire operation is performed through the transvaginal route, and “hybrid”, in which the colpotomy represents only a support to introduce instruments and the operation is performed mainly by the classic transabdominal-introduced instruments. Although this new technique seems very appealing for patients, on the other hand it is very challenging for the surgeon because of the difficulties related to the mode of access, the limited technology currently available and the risk of complications related to the organ utilized for access. In this brief review all the most recent advancements in the field of TVC's techniques and instrumentations are listed and discussed.

  20. ALTERNATIVE ROUTES OF DRUG ADMINISTRATION: ADVANTAGES AND DISADVANTAGES (SUBJECT REVIEW OF AMERICAN ACADEMY OF PEDIATRICS

    Directory of Open Access Journals (Sweden)

    article editorial

    2006-01-01

    Full Text Available During the past 20 years advances in drug formulations and innovative routes of administration have been made. Our understanding of drug transport across tissues has increased. These changes have often resulted in improved patient adherence to the therapeutic regiment and pharmacologic response. The administration of drugs by transdermal or transmucosal routes offers the advantage of being relatively painless. Also, the potential for greater flexibility in a variety of clinical situations exists, often precluding the need to establish intravinus access which is a particular benefit for children. This statement focuses on the advantages and disadvantages of alternative routes of drug administration. Issues of particular importance in the care of pediatric patients especially factors that could lead to drug-relaxed toxicity or adverse responses are emphasized.Key words: drug formulation, pharmacoKINETICS, pharmacodynamics, drug, children.

  1. Rediscovering Rural Territories by Means of Religious Route Planning

    Directory of Open Access Journals (Sweden)

    Mara Balestrieri

    2017-03-01

    Full Text Available Since ancient times, pilgrimages have been an important expression of faith because slow-paced traveling, physical effort, and a closer relationship with nature favor introspection. Protecting pilgrimage routes means transforming them into a medium to rediscover and guide landscape development while avoiding possible speculative drifts. Such an approach is particularly important in rural areas often relegated to a marginal role in planning strategies, but frequently traversed by these itineraries. This paper deals with pilgrimage routes in Sardinia (Italy and their chance to become an integral part of composite territorial infrastructures for triggering regeneration processes in rural areas. First, we introduce the topic with reference to planning literature and various case studies. Then, we select four pilgrimage itineraries that extend through different parts of the island, and compare them using a set of indicators regarding landscape, accessibility, visibility, equipment, planning, and management. A composite index has been developed to classify paths with respect to their potential to become part of a system of greenways, providing facilities and benefits to surrounding areas. The analysis highlights the strengths and weaknesses of local realities. It underlines factors, such as intrinsic characteristics of territories, local management, and decision-making circumstances, which affect trail potentialities to activate greenway projects to trace a new development perspective for rural areas.

  2. Individuality in bird migration: routes and timing.

    Science.gov (United States)

    Vardanis, Yannis; Klaassen, Raymond H G; Strandberg, Roine; Alerstam, Thomas

    2011-08-23

    The exploration of animal migration has entered a new era with individual-based tracking during multiple years. Here, we investigated repeated migratory journeys of a long-distance migrating bird, the marsh harrier Circus aeruginosus, in order to analyse the variation within and between individuals with respect to routes and timing. We found that there was a stronger individual repeatability in time than in space. Thus, the annual timing of migration varied much less between repeated journeys of the same individual than between different individuals, while there was considerable variation in the routes of the same individual on repeated journeys. The overall contrast in repeatability between time and space was unexpected and may be owing to strong endogenous control of timing, while short-term variation in environmental conditions (weather and habitat) might promote route flexibility. The individual variation in migration routes indicates that the birds navigate mainly by other means than detailed route recapitulation based on landmark recognition. This journal is © 2011 The Royal Society

  3. Low Carbon Footprint Routes for Bird Watching

    Directory of Open Access Journals (Sweden)

    Wei-Ta Fang

    2015-03-01

    Full Text Available Bird watching is one of many recreational activities popular in ecotourism. Its popularity, therefore, prompts the need for studies on energy conservation. One such environmentally friendly approach toward minimizing bird watching’s ecological impact is ensuring a reduced carbon footprint by using an economic travel itinerary comprising a series of connected routes between tourist attractions that minimizes transit time. This study used a travel-route planning approach using geographic information systems to detect the shortest path, thereby solving the problems associated with time-consuming transport. Based on the results of road network analyses, optimal travel-route planning can be determined. These methods include simulated annealing (SA and genetic algorithms (GA. We applied two algorithms in our simulation research to detect which one is an appropriate algorithm for running carbon-routing algorithms at the regional scale. SA, which is superior to GA, is considered an excellent approach to search for the optimal path to reduce carbon dioxide and high gasoline fees, thereby controlling travel time by using the shortest travel routes.

  4. An Indirect Route for Ethanol Production

    Energy Technology Data Exchange (ETDEWEB)

    Eggeman, T.; Verser, D.; Weber, E.

    2005-04-29

    The ZeaChem indirect method is a radically new approach to producing fuel ethanol from renewable resources. Sugar and syngas processing platforms are combined in a novel way that allows all fractions of biomass feedstocks (e.g. carbohydrates, lignins, etc.) to contribute their energy directly into the ethanol product via fermentation and hydrogen based chemical process technologies. The goals of this project were: (1) Collect engineering data necessary for scale-up of the indirect route for ethanol production, and (2) Produce process and economic models to guide the development effort. Both goals were successfully accomplished. The projected economics of the Base Case developed in this work are comparable to today's corn based ethanol technology. Sensitivity analysis shows that significant improvements in economics for the indirect route would result if a biomass feedstock rather that starch hydrolyzate were used as the carbohydrate source. The energy ratio, defined as the ratio of green energy produced divided by the amount of fossil energy consumed, is projected to be 3.11 to 12.32 for the indirect route depending upon the details of implementation. Conventional technology has an energy ratio of 1.34, thus the indirect route will have a significant environmental advantage over today's technology. Energy savings of 7.48 trillion Btu/yr will result when 100 MMgal/yr (neat) of ethanol capacity via the indirect route is placed on-line by the year 2010.

  5. Routing algorithms in networks-on-chip

    CERN Document Server

    Daneshtalab, Masoud

    2014-01-01

    This book provides a single-source reference to routing algorithms for Networks-on-Chip (NoCs), as well as in-depth discussions of advanced solutions applied to current and next generation, many core NoC-based Systems-on-Chip (SoCs). After a basic introduction to the NoC design paradigm and architectures, routing algorithms for NoC architectures are presented and discussed at all abstraction levels, from the algorithmic level to actual implementation.  Coverage emphasizes the role played by the routing algorithm and is organized around key problems affecting current and next generation, many-core SoCs. A selection of routing algorithms is included, specifically designed to address key issues faced by designers in the ultra-deep sub-micron (UDSM) era, including performance improvement, power, energy, and thermal issues, fault tolerance and reliability.   ·         Provides a comprehensive overview of routing algorithms for Networks-on-Chip and NoC-based, manycore systems; ·         Describe...

  6. Routing strategies in traffic network and phase transition in network ...

    Indian Academy of Sciences (India)

    The dynamics of information traffic over scale-free networks has been investigated systematically. A series of routing strategies of data packets have been proposed, including the local routing strategy, the next-nearest-neighbour routing strategy, and the mixed routing strategy based on local static and dynamic information.

  7. Beyond Traditional DTN Routing: Social Networks for Opportunistic Communication

    OpenAIRE

    Schurgot, Mary R.; Comaniciu, Cristina; Jaffrès-Runser, Katia

    2011-01-01

    This article examines the evolution of routing protocols for intermittently connected ad hoc networks and discusses the trend toward social-based routing protocols. A survey of current routing solutions is presented, where routing protocols for opportunistic networks are classified based on the network graph employed. The need to capture performance tradeoffs from a multi-objective perspective is highlighted.

  8. Route choices of transport bicyclists: a comparison of actually used and shortest routes.

    Science.gov (United States)

    Krenn, Patricia Jasmin; Oja, Pekka; Titze, Sylvia

    2014-03-06

    Despite evidence that environmental features are related to physical activity, the association between the built environment and bicycling for transportation remains a poorly investigated subject. The aim of the study was to improve our understanding of the environmental determinants of bicycling as a means of transportation in urban European settings by comparing the spatial differences between the routes actually used by bicyclists and the shortest possible routes. In the present study we examined differences in the currently used and the shortest possible bicycling routes, with respect to distance, type of street, and environmental characteristics, in the city of Graz, Austria. The objective measurement methods of a Global Positioning System (GPS) and a Geographic Information System (GIS) were used. Bicycling routes actually used were significantly longer than the shortest possible routes. Furthermore, the following attributes were also significantly different between the used route compared to the shortest possible route: Bicyclists often used bicycle lanes and pathways, flat and green areas, and they rarely used main roads and crossings. The results of the study support our hypothesis that bicyclists prefer bicycle pathways and lanes instead of the shortest possible routes. This underlines the importance of a well-developed bicycling infrastructure in urban communities.

  9. Children's route choice during active transportation to school: Difference between shortest and actual route

    NARCIS (Netherlands)

    Dessing, D.; Vries, S.I. de; Hegeman, G.; Verhagen, E.; Mechelen, W. van; Pierik, F.H.

    2016-01-01

    Background: The purpose of this study is to increase our understanding of environmental correlates that are associated with route choice during active transportation to school (ATS) by comparing characteristics of actual walking and cycling routes between home and school with the shortest possible

  10. Children's route choice during active transportation to school : difference between shortest and actual route

    NARCIS (Netherlands)

    F.H. Pierik; G. Hegeman; D. Dessing; S.I. (Sanne) de Vries; W. van Mechelen

    2016-01-01

    Background: The purpose of this study is to increase our understanding of environmental correlates that are associated with route choice during active transportation to school (ATS) by comparing characteristics of actual walking and cycling routes between home and school with the shortest possible

  11. A Routing Mechanism for Cloud Outsourcing of Medical Imaging Repositories.

    Science.gov (United States)

    Godinho, Tiago Marques; Viana-Ferreira, Carlos; Bastião Silva, Luís A; Costa, Carlos

    2016-01-01

    Web-based technologies have been increasingly used in picture archive and communication systems (PACS), in services related to storage, distribution, and visualization of medical images. Nowadays, many healthcare institutions are outsourcing their repositories to the cloud. However, managing communications between multiple geo-distributed locations is still challenging due to the complexity of dealing with huge volumes of data and bandwidth requirements. Moreover, standard methodologies still do not take full advantage of outsourced archives, namely because their integration with other in-house solutions is troublesome. In order to improve the performance of distributed medical imaging networks, a smart routing mechanism was developed. This includes an innovative cache system based on splitting and dynamic management of digital imaging and communications in medicine objects. The proposed solution was successfully deployed in a regional PACS archive. The results obtained proved that it is better than conventional approaches, as it reduces remote access latency and also the required cache storage space.

  12. Hemodialysis access -- self care

    Science.gov (United States)

    ... hemodialysis. Taking good care of your access helps make it last longer. Prevent Infection in Your Access Keep your access clean. Wash the access with soap and water every day to decrease your risk ...

  13. Evolution Strategies in the Multipoint Connections Routing

    Directory of Open Access Journals (Sweden)

    L. Krulikovska

    2010-09-01

    Full Text Available Routing of multipoint connections plays an important role in final cost and quality of a found connection. New algorithms with better results are still searched. In this paper, a possibility of using the evolution strategies (ES for routing is presented. Quality of found connection is evaluated from the view of final cost and time spent on a searching procedure. First, parametrical analysis of results of the ES are discussed and compared with the Prim’s algorithm, which was chosen as a representative of the deterministic routing algorithms. Second, ways for improving the ES are suggested and implemented. The obtained results are reviewed. The main improvements are specified and discussed in conclusion.

  14. Enabling Routes as Context in Mobile Services

    DEFF Research Database (Denmark)

    Brilingaite, Agne; Jensen, Christian Søndergaard; Zokaite, Nora

    2004-01-01

    With the continuing advances in wireless communications, geo-positioning, and portable electronics, an infrastructure is emerging that enables the delivery of on-line, location-enabled services to very large numbers of mobile users. A typical usage situation for mobile services is one characterized...... by a small screen and no keyboard, and by the service being only a secondary focus of the user. It is therefore particularly important to deliver the "right" information and service at the right time, with as little user interaction as possible. This may be achieved by making services context aware.......Mobile users frequently follow the same route to a destination as they did during previous trips to the destination, and the route and destination are important aspects of the context for a range of services. This paper presents key concepts underlying a software component that discovers the routes of a user...

  15. Hazardous materials routing - risk management of mismanagement

    International Nuclear Information System (INIS)

    Glickman, T.S.

    1988-01-01

    Along with emergency planning and preparedness, the placement of restrictions on routing has become an increasingly popular device for managing the highway and rail risks of hazardous materials transportation. Federal studies conducted in 1985 indicate that at that time there were 513 different state and local restrictions on the routing of hazardous materials for these two modes of transportation, and that there were 136 state and local notification requirements, that is, restrictions that take the form of a statute or ordinance requiring advance warning or periodic reporting about hazardous materials shipments. Routing restrictions also take the form of prohibiting the use of road, a tunnel, or a bridge for a specified set of hazardous materials

  16. Generalized routing protocols for multihop relay networks

    KAUST Repository

    Khan, Fahd Ahmed

    2011-07-01

    Performance of multihop cooperative networks depends on the routing protocols employed. In this paper we propose the last-n-hop selection protocol, the dual path protocol, the forward-backward last-n-hop selection protocol and the forward-backward dual path protocol for the routing of data through multihop relay networks. The average symbol error probability performance of the schemes is analysed by simulations. It is shown that close to optimal performance can be achieved by using the last-n-hop selection protocol and its forward-backward variant. Furthermore we also compute the complexity of the protocols in terms of number of channel state information required and the number of comparisons required for routing the signal through the network. © 2011 IEEE.

  17. Waste Collection Vehicle Routing Problem: Literature Review

    Directory of Open Access Journals (Sweden)

    Hui Han

    2015-08-01

    Full Text Available Waste generation is an issue which has caused wide public concern in modern societies, not only for the quantitative rise of the amount of waste generated, but also for the increasing complexity of some products and components. Waste collection is a highly relevant activity in the reverse logistics system and how to collect waste in an efficient way is an area that needs to be improved. This paper analyzes the major contribution about Waste Collection Vehicle Routing Problem (WCVRP in literature. Based on a classification of waste collection (residential, commercial and industrial, firstly the key findings for these three types of waste collection are presented. Therefore, according to the model (Node Routing Problems and Arc Routing problems used to represent WCVRP, different methods and techniques are analyzed in this paper to solve WCVRP. This paper attempts to serve as a roadmap of research literature produced in the field of WCVRP.

  18. The Geomorphological Effects of Old Routes

    Science.gov (United States)

    Martinek, Jan; Bíl, Michal

    2017-04-01

    The communication network in rural areas in the historical Czech Lands predominantly consisted of unpaved routes prior to the eighteenth century. Certain parts of the network were transformed gradually into the current roads and are now being used by motor traffic. The majority of the old routes form, however, an abandoned network the remnants of which (abandoned during the Middle Ages or even earlier) are currently being discovered. Certain segments of used unpaved routes were, over the course of time, transformed into holloways (sunken lanes) and consequently also abandoned. The degree of incision of the holloway into the soil was determined by local geological conditions. Routes, which were abandoned due to more difficult transport in holloways, have distinct linear forms and can often be found as a grouping of parallel holloways. This indicates that these routes were frequently used or localized on low-resistant ground. Analyses of the precise digital elevation models, derived from LIDAR data, can reveal the distinct pattern of an old route network quite often interacting with other geomorphological phenomena (e.g., landslides, streams) or old human constructions (e.g., fortified settlements). We will present several cases where old paths interacted with landslides. These facts can consequently be used for dating the purposes of both the landslides and the old path sections. General erosion impacts, the degree of incision of the old transportation lines, can also be quantified through analyses of digital elevation models taking into consideration the former and new, incised, surface. We will demonstrate the methodology used for these analyses and the preliminary results.

  19. The MRSD web server for metabolic route search and design

    OpenAIRE

    sprotocols

    2015-01-01

    Authors: yong cao, Deguo Xia & Haoran Zheng ### Abstract The Metabolic Route Search and Design (MRSD) server is an integrated platform for metabolic route search (MRS) and metabolic route design (MRD) based on the data from KEGG. MRS computes metabolic routes between the source metabolite and the product metabolite on the weighted compound transforming graph. Each graph represents a metabolic network. The output from a typical server run contains graphic illustrating metabolic routes ...

  20. Applied Multiprotocol Routing in IP Telephony

    Directory of Open Access Journals (Sweden)

    Miroslav Voznak

    2010-01-01

    Full Text Available The aim of the project was to create a multi-protocol system using SIP, H.323 and MGCP standards, which would ensure routing to various types of VoIP networks. The priority was to provide multi-protocol support to SIP and H.323 signalling and the support of the routing using the ENUM standard which has recently passed from the trial phase into full operation in the Czech Republic. The document describes the system's architecture and the components used. It also briefly describes ENUM.

  1. Reconfigurable Robust Routing for Mobile Outreach Network

    Science.gov (United States)

    Lin, Ching-Fang

    2010-01-01

    The Reconfigurable Robust Routing for Mobile Outreach Network (R3MOO N) provides advanced communications networking technologies suitable for the lunar surface environment and applications. The R3MOON techn ology is based on a detailed concept of operations tailored for luna r surface networks, and includes intelligent routing algorithms and wireless mesh network implementation on AGNC's Coremicro Robots. The product's features include an integrated communication solution inco rporating energy efficiency and disruption-tolerance in a mobile ad h oc network, and a real-time control module to provide researchers an d engineers a convenient tool for reconfiguration, investigation, an d management.

  2. Vessels Route Planning Problem with Uncertain Data

    Directory of Open Access Journals (Sweden)

    Tomasz Neumann

    2016-09-01

    Full Text Available The purpose of this paper is to find a solution for route planning in a transport networks, where the costs of tracks, factor of safety and travel time are ambiguous. This approach is based on the Dempster-Shafer theory and well known Dijkstra's algorithm. In this approach important are the influencing factors of the mentioned coefficients using uncertain possibilities presented by probability intervals. Based on these intervals the quality intervals of each route can be determined. Applied decision rules can be described by the end user.

  3. Effective Privacy-Preserving Online Route Planning

    DEFF Research Database (Denmark)

    Ruiz Vicente, Carmen; Assent, Ira; Jensen, Christian Søndergaard

    2011-01-01

    An online Route Planning Service (RPS) computes a route from one location to another. Current RPSs such as Google Maps require the use of precise locations. However, some users may not want to disclose their source and destination locations due to privacy concerns. An approach that supplies fake...... privacy. The solution re-uses a standard online RPS rather than replicate this functionality, and it needs no trusted third party. The solution is able to compute the exact results without leaking of the exact locations to the RPS or un-trusted parties. In addition, we provide heuristics that reduce...

  4. Enabling Routes as Context in Mobile Services

    DEFF Research Database (Denmark)

    Brilingaite, Agne; Jensen, Christian Søndergaard; Zokaite, Nora

    With the continuing advances in wireless communications, geo-positioning, and portable electronics, an infrastructure is emerging that enables the delivery of on-line, location-enabled services to very large numbers of mobile users. A typical usage situation for mobile services is one characterized...... aware. Mobile users frequently follow the same route to a destination as they did during previous trips to the destination, and the route and destination constitute important aspects of the context for a range of services. This paper presents key concepts underlying a software component that identifies...

  5. Mathematical Aspects of Network Routing Optimization

    CERN Document Server

    Oliveira, Carlos AS

    2011-01-01

    Before the appearance of broadband links and wireless systems, networks have been used to connect people in new ways. Now, the modern world is connected through large-scale, computational networked systems such as the Internet. Because of the ever-advancing technology of networking, efficient algorithms have become increasingly necessary to solve some of the problems developing in this area. "Mathematical Aspects of Network Routing Optimization" focuses on computational issues arising from the process of optimizing network routes, such as quality of the resulting links and their reli

  6. Folding circular permutants of IL-1β: route selection driven by functional frustration.

    Directory of Open Access Journals (Sweden)

    Dominique T Capraro

    Full Text Available Interleukin-1β (IL-1β is the cytokine crucial to inflammatory and immune response. Two dominant routes are populated in the folding to native structure. These distinct routes are a result of the competition between early packing of the functional loops versus closure of the β-barrel to achieve efficient folding and have been observed both experimentally and computationally. Kinetic experiments on the WT protein established that the dominant route is characterized by early packing of geometrically frustrated functional loops. However, deletion of one of the functional loops, the β-bulge, switches the dominant route to an alternative, yet, as accessible, route, where the termini necessary for barrel closure form first. Here, we explore the effect of circular permutation of the WT sequence on the observed folding landscape with a combination of kinetic and thermodynamic experiments. Our experiments show that while the rate of formation of permutant protein is always slower than that observed for the WT sequence, the region of initial nucleation for all permutants is similar to that observed for the WT protein and occurs within a similar timescale. That is, even permutants with significant sequence rearrangement in which the functional-nucleus is placed at opposing ends of the polypeptide chain, fold by the dominant WT "functional loop-packing route", despite the entropic cost of having to fold the N- and C- termini early. Taken together, our results indicate that the early packing of the functional loops dominates the folding landscape in active proteins, and, despite the entropic penalty of coalescing the termini early, these proteins will populate an entropically unfavorable route in order to conserve function. More generally, circular permutation can elucidate the influence of local energetic stabilization of functional regions within a protein, where topological complexity creates a mismatch between energetics and topology in active

  7. Road Risk Modeling and Cloud-Aided Safety-Based Route Planning.

    Science.gov (United States)

    Li, Zhaojian; Kolmanovsky, Ilya; Atkins, Ella; Lu, Jianbo; Filev, Dimitar P; Michelini, John

    2016-11-01

    This paper presents a safety-based route planner that exploits vehicle-to-cloud-to-vehicle (V2C2V) connectivity. Time and road risk index (RRI) are considered as metrics to be balanced based on user preference. To evaluate road segment risk, a road and accident database from the highway safety information system is mined with a hybrid neural network model to predict RRI. Real-time factors such as time of day, day of the week, and weather are included as correction factors to the static RRI prediction. With real-time RRI and expected travel time, route planning is formulated as a multiobjective network flow problem and further reduced to a mixed-integer programming problem. A V2C2V implementation of our safety-based route planning approach is proposed to facilitate access to real-time information and computing resources. A real-world case study, route planning through the city of Columbus, Ohio, is presented. Several scenarios illustrate how the "best" route can be adjusted to favor time versus safety metrics.

  8. Accessibility in the Smart City

    Directory of Open Access Journals (Sweden)

    Giuseppe Trieste

    2014-07-01

    Full Text Available FIABA is a cultural route for all, its aim is to promote a Global Accessibility and a Universal Usability through the removal of architectural, cultural, psychological and sensory barriers. FIABA is carrying out a real change and a cultural renewal in the name of equal opportunities. Respect for the environment in which we live is also a duty towards the younger generations to whom we must deliver a world in which free movement and the normal use of spaces are goals already achieved. There are millions of citizens who, because of their physical conditions are prisoners in their homes because there isn’t any elevator or any elevator maintenance. FIABA project aims at implementing “a Space for all” or “a landscape for all” following the path of the ONU Convention on the Rights of People with disabilities with an emphasis on architectural, cultural, and psychological barriers, the last ones in particular, create barriers to equal opportunities and they are often carriers of discrimination. The principle of accessibility is invoked in Article 9 of the Convention which confirms the principle that people have a right to live independently and participate fully in all spheres of life and thus States are required to take all necessary measures to ensure accessibility to physical environment, transport, information and communications, including systems and technologies of information and communication and other facilities and services open to the public, both in urban and rural areas.

  9. Federated data access and other services offered by the IRIS DMC

    Science.gov (United States)

    Trabant, C. M.; Ahern, T. K.; Van Fossen, M.; Suleiman, Y. Y.; Weertman, B.; Weekly, R. T.; Stults, M.

    2014-12-01

    The IRIS Data Management Center (DMC) hosts mature web service interfaces that allow easy access to the vast archive of seismological and other data at the DMC. The core web services are conformant with the standard adopted by the International Federation of Digital Seismograph Networks (FDSN) and provide access to time series, related metadata and earthquake parameters. With an increasing number of seismological data centers offering these same interfaces for their data sets, end users may use the same software to access data across data centers. Leveraging these standardized interfaces at multiple data centers, the DMC has developed a route resolution system that provides the routing logic to facilitate federated data access. The system comprises one interface that provides routing information for time series requests and another that provides routing information for metadata requests. These route resolution services accept requests as they would be submitted to an FDSN web service and return the selection separated into requests to be submitted to appropriate data centers. Using these services, a data access client can easily determine which portions of any given request should be directed to which data center. The routing results are returned in a form that is ready to be submitted to appropriate data centers, allowing multi-data center access to be integrated into even the simplest access software. Support for these routing services will be added to data access clients supported by the DMC. In addition to illustrating the details of this federation support system, we will present the status of other web service systems and data access methods at the DMC.IRIS DMC Web Services: http://service.iris.edu

  10. Optical label-controlled transparent metro-access network interface

    DEFF Research Database (Denmark)

    Osadchiy, Alexey Vladimirovich

    This thesis presents results obtained during the course of my PhD research on optical signal routing and interfacing between the metropolitan and access segments of optical networks. Due to both increasing capacity demands and variety of emerging services types, new technological challenges...... are arising for seamlessly interfacing metropolitan and access networks. Therefore, in this PhD project, I have analyzed those technological challenges and identified the key aspects to be addressed. I have also proposed and experimentally verified a number of solutions to metropolitan and access networks...... interfacing and signal routing. Equipment and infrastructure simplification was recognized as the path towards more efficient metropolitan and access networks providing a spectrum of high-bandwidth services to large number of users. Several approaches have been proposed and developed in order to enable...

  11. Average opportunity-based accessibility of public transit systems to grocery stores in small urban areas

    Directory of Open Access Journals (Sweden)

    Nimish Dharmadhikari

    2015-12-01

    Full Text Available This research studies the accessibility of grocery stores to university students using the public transportation system, drawing from a case study of Fargo, North Dakota. Taking into consideration the combined travel time components of walking, riding, and waiting, this study measures two types of accessibilities: accessibility to reach a particular place and accessibility to reach the bus stop to ride the public transit system. These two accessibilities are interdependent and cannot perform without each other. A new method to calculate the average accessibility measure for the transit routes is proposed. A step-wise case study analysis indicates that one route provides accessibility to a grocery store in eight minutes. This also suggests that the North Dakota State University area has moderate accessibility to grocery stores.

  12. A Decentralized Approach to Formation Flight Routing

    NARCIS (Netherlands)

    Visser, H.G.; Lopes dos Santos, Bruno F.; Verhagen, C.M.A.

    2016-01-01

    This paper describes the development of an optimization-based cooperative planning system for the efficient routing and scheduling of flight formations. This study considers the use of formation flight as a means to reduce the overall fuel consumption of civil aviation in long-haul operations. It

  13. How Effective is Routing for Wireless Networking

    Science.gov (United States)

    2016-03-05

    generation (loadng),” draft-clausen-lln-loadng-12 (work in progress), 2014. [12] T. Winter, “Rpl: Ipv6 routing protocol for low-power and lossy networks...Neighbor discovery optimization for ipv6 over low-power wire- less personal area networks (6lowpans),” IETF RFC 6775, 2012. [18] J. Hui and R. Kelsey

  14. Stellenbosch Wine Route wineries: Management's perspective on ...

    African Journals Online (AJOL)

    Kirstam

    10Key words: wineries, wine tourism, Stellenbosch Wine Route, key success factors, advantages and ... advantages and disadvantages presented by wine tourism and (b) the wine tourism facilities and services that ... Events shaping the current South African wine industry commenced as early as the. 1600s, with the first ...

  15. Scenemash: multimodal route summarization for city exploration

    NARCIS (Netherlands)

    Berg, J. van den; Rudinac, S.; Worring, M.

    2016-01-01

    The potential of mining tourist information from social multimedia data gives rise to new applications offering much richer impressions of the city. In this paper we propose Scenemash, a system that generates multimodal summaries of multiple alternative routes between locations in a city. To get

  16. Soft chemical routes to semiconductor nanostructures

    Indian Academy of Sciences (India)

    Soft chemistry has emerged as an important means of generating nanocrystals, nanowires and other nanostructures of semiconducting materials. We describe the synthesis of CdS and other metal chalcogenide nanocrystals by a solvothermal route. We also describe the synthesis of nanocrystals of AlN, GaN and InN by the ...

  17. A Geographical Heuristic Routing Protocol for VANETs

    Science.gov (United States)

    Urquiza-Aguiar, Luis; Tripp-Barba, Carolina; Aguilar Igartua, Mónica

    2016-01-01

    Vehicular ad hoc networks (VANETs) leverage the communication system of Intelligent Transportation Systems (ITS). Recently, Delay-Tolerant Network (DTN) routing protocols have increased their popularity among the research community for being used in non-safety VANET applications and services like traffic reporting. Vehicular DTN protocols use geographical and local information to make forwarding decisions. However, current proposals only consider the selection of the best candidate based on a local-search. In this paper, we propose a generic Geographical Heuristic Routing (GHR) protocol that can be applied to any DTN geographical routing protocol that makes forwarding decisions hop by hop. GHR includes in its operation adaptations simulated annealing and Tabu-search meta-heuristics, which have largely been used to improve local-search results in discrete optimization. We include a complete performance evaluation of GHR in a multi-hop VANET simulation scenario for a reporting service. Our study analyzes all of the meaningful configurations of GHR and offers a statistical analysis of our findings by means of MANOVA tests. Our results indicate that the use of a Tabu list contributes to improving the packet delivery ratio by around 5% to 10%. Moreover, if Tabu is used, then the simulated annealing routing strategy gets a better performance than the selection of the best node used with carry and forwarding (default operation). PMID:27669254

  18. SITE SUITABILITY ANALYSIS AND ROUTE OPTIMIZATION FOR ...

    African Journals Online (AJOL)

    Fimba

    hence the application of GIS and Remote Sensing to waste disposal Site Suitability analysis and route optimization for solid waste in Yola town. Different factors or criteria were considered in relation to solid waste disposal sites. In order to achieve the aim of this paper, the Boolean logic was used, where suitable areas were ...

  19. Graphical route information on variable message signs

    NARCIS (Netherlands)

    Alkim, T.P.; Mede, P.H.J. van der; Janssen, W.H.

    2002-01-01

    Reports on experiments in the Netherlands on the use of graphical route information panels (GRIP) as part of variable message systems (VMS) providing information to drivers. GRIP appear to be as safe as regular VMS. Digestion of the information presented is initially quicker for regular VMS, but

  20. Routing in Networks with Random Topologies

    Science.gov (United States)

    Bambos, Nicholas

    1997-01-01

    We examine the problems of routing and server assignment in networks with random connectivities. In such a network the basic topology is fixed, but during each time slot and for each of tis input queues, each server (node) is either connected to or disconnected from each of its queues with some probability.

  1. Automated Flight Routing Using Stochastic Dynamic Programming

    Science.gov (United States)

    Ng, Hok K.; Morando, Alex; Grabbe, Shon

    2010-01-01

    Airspace capacity reduction due to convective weather impedes air traffic flows and causes traffic congestion. This study presents an algorithm that reroutes flights in the presence of winds, enroute convective weather, and congested airspace based on stochastic dynamic programming. A stochastic disturbance model incorporates into the reroute design process the capacity uncertainty. A trajectory-based airspace demand model is employed for calculating current and future airspace demand. The optimal routes minimize the total expected traveling time, weather incursion, and induced congestion costs. They are compared to weather-avoidance routes calculated using deterministic dynamic programming. The stochastic reroutes have smaller deviation probability than the deterministic counterpart when both reroutes have similar total flight distance. The stochastic rerouting algorithm takes into account all convective weather fields with all severity levels while the deterministic algorithm only accounts for convective weather systems exceeding a specified level of severity. When the stochastic reroutes are compared to the actual flight routes, they have similar total flight time, and both have about 1% of travel time crossing congested enroute sectors on average. The actual flight routes induce slightly less traffic congestion than the stochastic reroutes but intercept more severe convective weather.

  2. A Geographical Heuristic Routing Protocol for VANETs.

    Science.gov (United States)

    Urquiza-Aguiar, Luis; Tripp-Barba, Carolina; Aguilar Igartua, Mónica

    2016-09-23

    Vehicular ad hoc networks (VANETs) leverage the communication system of Intelligent Transportation Systems (ITS). Recently, Delay-Tolerant Network (DTN) routing protocols have increased their popularity among the research community for being used in non-safety VANET applications and services like traffic reporting. Vehicular DTN protocols use geographical and local information to make forwarding decisions. However, current proposals only consider the selection of the best candidate based on a local-search. In this paper, we propose a generic Geographical Heuristic Routing (GHR) protocol that can be applied to any DTN geographical routing protocol that makes forwarding decisions hop by hop. GHR includes in its operation adaptations simulated annealing and Tabu-search meta-heuristics, which have largely been used to improve local-search results in discrete optimization. We include a complete performance evaluation of GHR in a multi-hop VANET simulation scenario for a reporting service. Our study analyzes all of the meaningful configurations of GHR and offers a statistical analysis of our findings by means of MANOVA tests. Our results indicate that the use of a Tabu list contributes to improving the packet delivery ratio by around 5% to 10%. Moreover, if Tabu is used, then the simulated annealing routing strategy gets a better performance than the selection of the best node used with carry and forwarding (default operation).

  3. SUPPLEMENTARY INFORMATION Green synthetic route for ...

    Indian Academy of Sciences (India)

    GDY13

    Green synthetic route for perfumery compound (2-methoxyethyl) benzene using. Li/MgO catalyst. POOJA R TAMBE and ... A mixture containing fuel and oxidizer was taken in a silica crucible and heated to form highly .... Fogler H 1995 Elements of Chemical Reaction Engineering 2nd edn. Prentice-Hall,. New Delhi, India. (3).

  4. Soft chemical routes to semiconductor nanostructures

    Indian Academy of Sciences (India)

    Soft chemical routes to semiconductor nanostructures. UJJAL K GAUTAM1,2, KRIPASINDHU SARDAR1,2, F L DEEPAK1 and C N R RAO1,2,∗. 1Chemistry and Physics of Materials Unit and CSIR Centre of Excellence in Chemistry,. Jawaharlal Nehru Centre for Advanced Scientific Research, Jakkur P.O.,. Bangalore 560 ...

  5. Phone Routing using the Dynamic Memory Model

    DEFF Research Database (Denmark)

    Bendtsen, Claus Nicolaj; Krink, Thiemo

    2002-01-01

    In earlier studies a genetic algorithm (GA) extended with the dynamic memory model has shown remarkable performance on real-world-like problems. In this paper we experiment with routing in communication networks and show that the dynamic memory GA performs remarkable well compared to ant colony...

  6. Traffic disruption route Einstein near building 170

    CERN Multimedia

    A Lopez - TS/CE

    2005-01-01

    The TS/CE Group informs you that, for the duration of the work at Building 170, there may be some disruption to traffic on route Einstein in the vicinity of Building 170. The work is due to take place from the 14th to 18th February. For more information, please contact 165029. A. Lopez TS/CE

  7. A Geographical Heuristic Routing Protocol for VANETs

    Directory of Open Access Journals (Sweden)

    Luis Urquiza-Aguiar

    2016-09-01

    Full Text Available Vehicular ad hoc networks (VANETs leverage the communication system of Intelligent Transportation Systems (ITS. Recently, Delay-Tolerant Network (DTN routing protocols have increased their popularity among the research community for being used in non-safety VANET applications and services like traffic reporting. Vehicular DTN protocols use geographical and local information to make forwarding decisions. However, current proposals only consider the selection of the best candidate based on a local-search. In this paper, we propose a generic Geographical Heuristic Routing (GHR protocol that can be applied to any DTN geographical routing protocol that makes forwarding decisions hop by hop. GHR includes in its operation adaptations simulated annealing and Tabu-search meta-heuristics, which have largely been used to improve local-search results in discrete optimization. We include a complete performance evaluation of GHR in a multi-hop VANET simulation scenario for a reporting service. Our study analyzes all of the meaningful configurations of GHR and offers a statistical analysis of our findings by means of MANOVA tests. Our results indicate that the use of a Tabu list contributes to improving the packet delivery ratio by around 5% to 10%. Moreover, if Tabu is used, then the simulated annealing routing strategy gets a better performance than the selection of the best node used with carry and forwarding (default operation.

  8. Variable-speed, portable routing skate

    Science.gov (United States)

    Pesch, W. A.

    1967-01-01

    Lightweight, portable, variable-speed routing skate is used on heavy metal subassemblies which are impractical to move to a stationary machine. The assembly, consisting of the housing with rollers, router, and driving mechanism with transmission, weighs about forty pounds. Both speed and depth of cut are adjustable.

  9. Empirically Determined Passenger Ferry Navigable Routes within ...

    African Journals Online (AJOL)

    OLUWASOGO

    modelling of hydrographic information is important to control waterways boat services with existing roadway ... channel accretion. KEYWORDS: Navigable routes, hydrographic information, empirical analysis, under-keel clearance, river bed, topography. [Received May 04 2017; .... on features that may affect safe navigation.

  10. Experimental Comparison of Routing Protocols for Wireless Sensors Networks: Routing Overhead and Asymmetric Links

    OpenAIRE

    Audéoud , Henry-Joseph; Heusse , Martin

    2017-01-01

    International audience; RPL (the IETF Routing Protocol for Low-Power and Lossy Networks) and LRP (Lightweight Routing Protocol) have in common to build a collection tree (or, more precisely, a DODAG) and “downward” host routes in the wireless sensor network. Additionally, the objective of LRP is to keep control overhead as low as possible. To substantiate this claim, we compare RPL and LRP using 40 nodes of the IoT-LAB testbed — and the results are telling.We then introduce asymmetric links, ...

  11. Outward Accessibility in Urban Street Networks: Characterization and Improvements

    OpenAIRE

    Travençolo, Bruno Augusto Nassif; Costa, Luciano da Fontoura

    2008-01-01

    The dynamics of transportation through towns and cities is strongly affected by the topology of the connections and routes. The current work describes an approach combining complex networks and self-avoiding random walk dynamics in order to quantify in objective and accurate manner, along a range of spatial scales, the accessibility of places in towns and cities. The transition probabilities are estimated for several lengths of the walks and used to calculate the outward accessibility of each...

  12. Cooperative HARQ with Poisson Interference and Opportunistic Routing

    KAUST Repository

    Kaveh, Mostafa

    2014-01-06

    This presentation considers reliable transmission of data from a source to a destination, aided cooperatively by wireless relays selected opportunistically and utilizing hybrid forward error correction/detection, and automatic repeat request (Hybrid ARQ, or HARQ). Specifically, we present a performance analysis of the cooperative HARQ protocol in a wireless adhoc multihop network employing spatial ALOHA. We model the nodes in such a network by a homogeneous 2-D Poisson point process. We study the tradeoff between the per-hop rate, spatial density and range of transmissions inherent in the network by optimizing the transport capacity with respect to the network design parameters, HARQ coding rate and medium access probability. We obtain an approximate analytic expression for the expected progress of opportunistic routing and optimize the capacity approximation by convex optimization. By way of numerical results, we show that the network design parameters obtained by optimizing the analytic approximation of transport capacity closely follows that of Monte Carlo based exact transport capacity optimization. As a result of the analysis, we argue that the optimal HARQ coding rate and medium access probability are independent of the node density in the network.

  13. Transportation access to Yucca Mountain: Critical issues

    International Nuclear Information System (INIS)

    Halstead, R.J.; Souleyrette, R.R.; Bartolo, R. di

    1991-01-01

    Transportation planning for a repository at Yucca Mountain is complicated because of uncertainty about the modes and numbers of nuclear waste shipments and because of uncertainty about the routes which will be used. There could be as many as 76,000 truck shipments, or as few as 1,060 dedicated train shipments, during repository operations. The site lacks rail access. Three rail access options currently under study range in length from 120 miles to more than 400 miles. The site is more than 100 miles from the Interstate highway system. The UNLV Transportation Research Center has evaluated three rail and four highway routes using a broad range of impact measures. This preliminary evaluation found that the routing options differ significantly regarding resident and non-resident populations, environmentally sensitive areas, accident rates, and other factors. Crosscutting issues include impacts on Nevada Indian tribes, potential conflicts with US Air Force operations, and future population growth in southern Nevada. Considerable additional analysis will be required prior to environmental impact statement scoping

  14. Route assessment using comparative risk factors integrated through a GIS

    International Nuclear Information System (INIS)

    Toth, D.M.; O'Connell, W.J.

    1996-01-01

    The assessment of potential alternative routes for the shipment of spent nuclear fuel was simplified through the use of comparative risk factors evaluated using detailed route and environmental attributes. The route characteristics, integrated into risk measures, vary strongly with location and were developed from national, state, and local sources. The route data and evaluation were managed using a geographic information system (GIS). An assessment of four real North Florida routes was performed and an interstate highway route exhibited the lowest risk based on the application of the risk factors

  15. A survey of routing protocols in wireless body sensor networks.

    Science.gov (United States)

    Bangash, Javed Iqbal; Abdullah, Abdul Hanan; Anisi, Mohammad Hossein; Khan, Abdul Waheed

    2014-01-13

    Wireless Body Sensor Networks (WBSNs) constitute a subset of Wireless Sensor Networks (WSNs) responsible for monitoring vital sign-related data of patients and accordingly route this data towards a sink. In routing sensed data towards sinks, WBSNs face some of the same routing challenges as general WSNs, but the unique requirements of WBSNs impose some more constraints that need to be addressed by the routing mechanisms. This paper identifies various issues and challenges in pursuit of effective routing in WBSNs. Furthermore, it provides a detailed literature review of the various existing routing protocols used in the WBSN domain by discussing their strengths and weaknesses.

  16. Intelligent routing protocol for ad hoc wireless network

    Science.gov (United States)

    Peng, Chaorong; Chen, Chang Wen

    2006-05-01

    A novel routing scheme for mobile ad hoc networks (MANETs), which combines hybrid and multi-inter-routing path properties with a distributed topology discovery route mechanism using control agents is proposed in this paper. In recent years, a variety of hybrid routing protocols for Mobile Ad hoc wireless networks (MANETs) have been developed. Which is proactively maintains routing information for a local neighborhood, while reactively acquiring routes to destinations beyond the global. The hybrid protocol reduces routing discovery latency and the end-to-end delay by providing high connectivity without requiring much of the scarce network capacity. On the other side the hybrid routing protocols in MANETs likes Zone Routing Protocol still need route "re-discover" time when a route between zones link break. Sine the topology update information needs to be broadcast routing request on local zone. Due to this delay, the routing protocol may not be applicable for real-time data and multimedia communication. We utilize the advantages of a clustering organization and multi-routing path in routing protocol to achieve several goals at the same time. Firstly, IRP efficiently saves network bandwidth and reduces route reconstruction time when a routing path fails. The IRP protocol does not require global periodic routing advertisements, local control agents will automatically monitor and repair broke links. Secondly, it efficiently reduces congestion and traffic "bottlenecks" for ClusterHeads in clustering network. Thirdly, it reduces significant overheads associated with maintaining clusters. Fourthly, it improves clusters stability due to dynamic topology changing frequently. In this paper, we present the Intelligent Routing Protocol. First, we discuss the problem of routing in ad hoc networks and the motivation of IRP. We describe the hierarchical architecture of IRP. We describe the routing process and illustrate it with an example. Further, we describe the control manage

  17. PNW River Reach Files -- 1:100k LLID Routed Streams (routes)

    Data.gov (United States)

    Pacific States Marine Fisheries Commission — This feature class includes the ROUTE features from the 2001 version of the PNW River Reach files Arc/INFO coverage. Separate, companion feature classes are also...

  18. Literary Routes: Contributions to Natural/Cultural Heritage Tourism. How landscape transforms literature and tourism

    Directory of Open Access Journals (Sweden)

    Rosalinda Ruiz Scarfuto

    2013-12-01

    ;  Don Quijote of La Mancha (1603 was first made tangible as a literary route in 1780 with a detailed topographical surveyor map inspiring visitors like Washington Irving (1829, Alexander Dumas (1861, and Hans Christian Andersen (1880 to the Spanish plains. This eventually galvanized into an innovative move to pass the Don Quijote Route Law (2007, complete with GPS coordinates. In Japan, Basho’s literary route (1700 with its natural elements changed the style of Japanese Haiku, encouraging writers around the world to follow in his footsteps, and Humboldt’s account of his Andes’ route in South America inspired Lewis & Clark, Darwin, and Muir to follow a similar path that spurred events, websites, and even a NASA astrobiology project to conserve and access the accumulated heritage of these literary routes.  Economic investments in literary routes in natural settings have been initiated by worldwide government ministries of culture, recreation/tourism, environment, economy, and/or education, demonstrating commitments to the conservation of landscapes which have inspired literature. Hence, literary routes can highly contribute to cultural itineraries in natural settings.

  19. Route choices of transport bicyclists: a comparison of actually used and shortest routes

    OpenAIRE

    Krenn, Patricia Jasmin; Oja, Pekka; Titze, Sylvia

    2014-01-01

    Background Despite evidence that environmental features are related to physical activity, the association between the built environment and bicycling for transportation remains a poorly investigated subject. The aim of the study was to improve our understanding of the environmental determinants of bicycling as a means of transportation in urban European settings by comparing the spatial differences between the routes actually used by bicyclists and the shortest possible routes. Methods In the...

  20. Route Fidelity during Marine Megafauna Migration

    Directory of Open Access Journals (Sweden)

    Travis W. Horton

    2017-12-01

    Full Text Available The conservation and protection of marine megafauna require robust knowledge of where and when animals are located. Yet, our ability to predict animal distributions in space and time remains limited due to difficulties associated with studying elusive animals with large home ranges. The widespread deployment of satellite telemetry technology creates unprecedented opportunities to remotely monitor animal movements and to analyse the spatial and temporal trajectories of these movements from a variety of geophysical perspectives. Reproducible patterns in movement trajectories can help elucidate the potential mechanisms by which marine megafauna navigate across vast expanses of open-ocean. Here, we present an empirical analysis of humpback whale (Megaptera novaeangliae, great white shark (Carcharodon carcharias, and northern elephant seal (Mirounga angustirostris satellite telemetry-derived route fidelity movements in magnetic and gravitational coordinates. Our analyses demonstrate that: (1 humpback whales, great white sharks and northern elephant seals are capable of performing route fidelity movements across millions of square kilometers of open ocean with a spatial accuracy of better than 150 km despite temporal separations as long as 7 years between individual movements; (2 route fidelity movements include significant (p < 0.05 periodicities that are comparable in duration to the lunar cycles and semi-cycles; (3 latitude and bedrock-dependent gravitational cues are stronger predictors of route fidelity movements than spherical magnetic coordinate cues when analyzed with respect to the temporally dependent moon illumination cycle. We further show that both route fidelity and non-route fidelity movement trajectories, for all three species, describe overlapping in-phase or antiphase sinusoids when individual movements are normalized to the gravitational acceleration present at migratory departure sites. Although these empirical results provide an

  1. Congestion control and routing over satellite networks

    Science.gov (United States)

    Cao, Jinhua

    Satellite networks and transmissions find their application in fields of computer communications, telephone communications, television broadcasting, transportation, space situational awareness systems and so on. This thesis mainly focuses on two networking issues affecting satellite networking: network congestion control and network routing optimization. Congestion, which leads to long queueing delays, packet losses or both, is a networking problem that has drawn the attention of many researchers. The goal of congestion control mechanisms is to ensure high bandwidth utilization while avoiding network congestion by regulating the rate at which traffic sources inject packets into a network. In this thesis, we propose a stable congestion controller using data-driven, safe switching control theory to improve the dynamic performance of satellite Transmission Control Protocol/Active Queue Management (TCP/AQM) networks. First, the stable region of the Proportional-Integral (PI) parameters for a nominal model is explored. Then, a PI controller, whose parameters are adaptively tuned by switching among members of a given candidate set, using observed plant data, is presented and compared with some classical AQM policy examples, such as Random Early Detection (RED) and fixed PI control. A new cost detectable switching law with an interval cost function switching algorithm, which improves the performance and also saves the computational cost, is developed and compared with a law commonly used in the switching control literature. Finite-gain stability of the system is proved. A fuzzy logic PI controller is incorporated as a special candidate to achieve good performance at all nominal points with the available set of candidate controllers. Simulations are presented to validate the theory. An effocient routing algorithm plays a key role in optimizing network resources. In this thesis, we briefly analyze Low Earth Orbit (LEO) satellite networks, review the Cross Entropy (CE

  2. Split-mouth and parallel-arm trials to compare pain with intraosseous anaesthesia delivered by the computerised Quicksleeper system and conventional infiltration anaesthesia in paediatric oral healthcare: protocol for a randomised controlled trial.

    Science.gov (United States)

    Smaïl-Faugeron, Violaine; Muller-Bolla, Michèle; Sixou, Jean-Louis; Courson, Frédéric

    2015-07-10

    Local anaesthesia is commonly used in paediatric oral healthcare. Infiltration anaesthesia is the most frequently used, but recent developments in anaesthesia techniques have introduced an alternative: intraosseous anaesthesia. We propose to perform a split-mouth and parallel-arm multicentre randomised controlled trial (RCT) comparing the pain caused by the insertion of the needle for the injection of conventional infiltration anaesthesia, and intraosseous anaesthesia by the computerised QuickSleeper system, in children and adolescents. Inclusion criteria are patients 7-15 years old with at least 2 first permanent molars belonging to the same dental arch (for the split-mouth RCT) or with a first permanent molar (for the parallel-arm RCT) requiring conservative or endodontic treatment limited to pulpotomy. The setting of this study is the Department of Paediatric Dentistry at 3 University dental hospitals in France. The primary outcome measure will be pain reported by the patient on a visual analogue scale concerning the insertion of the needle and the injection/infiltration. Secondary outcomes are latency, need for additional anaesthesia during the treatment and pain felt during the treatment. We will use a computer-generated permuted-block randomisation sequence for allocation to anaesthesia groups. The random sequences will be stratified by centre (and by dental arch for the parallel-arm RCT). Only participants will be blinded to group assignment. Data will be analysed by the intent-to-treat principle. In all, 160 patients will be included (30 in the split-mouth RCT, 130 in the parallel-arm RCT). This protocol has been approved by the French ethics committee for the protection of people (Comité de Protection des Personnes, Ile de France I) and will be conducted in full accordance with accepted ethical principles. Findings will be reported in scientific publications and at research conferences, and in project summary papers for participants. Clinical

  3. VT Limited Access Highways

    Data.gov (United States)

    Vermont Center for Geographic Information — A limited-access road, known by various terms worldwide, including limited-access highway, dual carriageway, expressway, and partial controlled access highway, is a...

  4. Latent factors and route choice behaviour

    DEFF Research Database (Denmark)

    Prato, Carlo Giacomo

    . A reliable dataset was prepared through measures of internal consistency and sampling adequacy, and data were analyzed with a proper application of factor analysis to the route choice context. For the dataset obtained from the survey, six latent constructs affecting driver behaviour were extracted and scores...... of drivers did not minimize travel time and distance, while simulation techniques were suitable to produce realistic alternative paths in the choice set generation phase. Several route choice models were evaluated: Multinomial Logit, C-Logit, Path Size Logit, Generalized Nested Logit, Cross Nested Logit...... and Link Nested Logit. Estimates were produced from model specifications that considered level-of-service, label and facility dummy variables. Moreover, a modelling framework was designed to represent drivers’ choices as affected by the latent constructs extracted with factor analysis. Previous experience...

  5. Chemical Routes to Colloidal Chalcogenide Nanosheets

    Energy Technology Data Exchange (ETDEWEB)

    Schaak, Raymond E. [Pennsylvania State Univ., University Park, PA (United States)

    2014-11-25

    This project began with an emphasis on developing new low-­temperature synthetic routes to intermetallic alloys in order to advance the synthesis and processing science of superconducting materials, as well as to potentially discover new materials that would be inaccessible using more traditional higher-­temperature methods. Our initial target materials, chosen as model systems for developing new low-­temperature solution-­based synthetic platforms, were based on well known superconducting alloys, including Nb3M (M = Ga, Ge, Sn), Bi-­M (M = In, Cu), and MgCNi3. Several key, fundamental synthetic challenges that underpinned the formation of these materials using solution chemistry routes were identified and investigated.

  6. Routing of individual polymers in designed patterns

    DEFF Research Database (Denmark)

    Knudsen, Jakob Bach; Liu, Lei; Kodal, Anne Louise Bank

    2015-01-01

    Synthetic polymers are ubiquitous in the modern world, but our ability to exert control over the molecular conformation of individual polymers is very limited. In particular, although the programmable self-assembly of oligonucleotides and proteins into artificial nanostructures has been...... demonstrated, we currently lack the tools to handle other types of synthetic polymers individually and thus the ability to utilize and study their single-molecule properties. Here we show that synthetic polymer wires containing short oligonucleotides that extend from each repeat can be made to assemble...... into arbitrary routings. The wires, which can be more than 200 nm in length, are soft and bendable, and the DNA strands allow individual polymers to self-assemble into predesigned routings on both two- and three-dimensional DNA origami templates. The polymers are conjugated and potentially conducting, and could...

  7. Adaptive routing in wireless communication networks using swarm intelligence

    Science.gov (United States)

    Arabshahi, P.; Gray, A.; Kassabalidis, I.; Das, A.; Narayanan, S.; Sharkawi, M. El; Marks, R. J.

    2001-01-01

    In this paper we focus on the network routing problem, and survey swarm intelligent approaches for its efficient solution, after a brief overview of power-aware routing schemes, which are important in the network examples outlined above.

  8. Driver decision making in response to alternate routes.

    Science.gov (United States)

    2011-04-11

    The issue of driver route choice has been studied fairly extensively as part of the body of research on intelligent : transportation systems. A few studies cited in this literature search focus directly on Route Choice Analysis, while : many other st...

  9. Efficient methodology of route selection for driving cycle development

    Science.gov (United States)

    Mahayadin, A. R.; Shahriman, A. B.; Hashim, M. S. M.; Razlan, Z. M.; Faizi, M. K.; Harun, A.; Kamarrudin, N. S.; Ibrahim, I.; Saad, M. A. M.; Rani, M. F. H.; Zunaidi, I.; Sahari, M.; Sarip, M. S.; Razali, M. Q. H. A.

    2017-10-01

    Driving cycle is a series of data points representing the speed of vehicle versus time and used to determine the performance of vehicle in general. One of the critical portions of driving cycle development is route selection methodology. This paper describes the efficient methodology of route selection for driving cycle development. Previous data from JKR Road Traffic Volume Malaysia (RTVM) in 2015 is studied and analysed to propose the methodology in route selection. The selected routes are then analysed by using Google Maps. For each region, four (4) routes are selected for each urban and rural. For this paper, the selection of route is focused on northern region of Malaysia specifically in Penang. Penang is chosen for this study because it is one of the developed state in Malaysia that has many urban and rural routes. The methods of route selection constructed in this study could be used by other region to develop their own driving cycles.

  10. Routing protocols for wireless sensor networks: What the literature says?

    Directory of Open Access Journals (Sweden)

    Amit Sarkar

    2016-12-01

    Full Text Available Routing in Wireless Sensor Networks (WSNs plays a significant role in the field of environment-oriented monitoring, traffic monitoring, etc. Here, wide contributions that are made toward routing in WSN are explored. The paper mainly aims to categorize the routing problems and examines the routing-related optimization problems. For achieving the motive, 50 papers from the standard journals are collected and primarily reviewed in a chronological way. Later, various features that are related to energy, security, speed and reliability problems of routing are discussed. Subsequently, the literature is analyzed based on the simulation environment and experimental setup, awareness over the Quality of Service (QoS and the deployment against various applications. In addition, the optimization of the routing algorithms and the meta-heuristic study of routing optimization are explored. Routing is a vast area with numerous unsolved issues and hence, various research gaps along with future directions are also presented.

  11. ASR performance analysis of an experimental call routing system

    CSIR Research Space (South Africa)

    Modipa, T

    2009-11-01

    Full Text Available Call routing is an important application of Automatic Speech Recognition (ASR) technology. In this paper the authors discuss the main issues affecting the performance of a call routing system and describe the ASR component of the "Auto...

  12. Optimum Route Planning and Scheduling for Unmanned Aerial Vehicles

    National Research Council Canada - National Science Library

    Sonmezocak, Erkan; Kurt, Senol

    2008-01-01

    .... The route planning of UAVs is the most critical and challenging problem of wartime. This thesis will develop three algorithms to solve a model that produces executable routings in order to dispatch three Unmanned Aerial Vehicles (UAV...

  13. Delay Tolerant Routing with OLSRv2

    OpenAIRE

    Clausen, Thomas Heide; Herberg, Ulrich

    2011-01-01

    This memorandum proposes a simple mechanism for enabling basic delay tolerant networking with off-the-shelf MANET routing protocols - with the objective being to enable trading off slightly longer data delivery delays against resilience to a temporary lack of connectivity between a router and the ultimate destination of an IP datagram. As part of testing the benefit of said mechanism, an extreme network mobility model is proposed, entitled the "PopUp model": a router appears in the network, a...

  14. DETERMINING BICYCLE ROUTE PRIORITIES: THE KOREAN EXPERIENCE

    OpenAIRE

    Woo Hoon Jeon; ChoongHeon Yang

    2017-01-01

    This study proposes a feasible methodology for prioritizing alternative bicycle routes which are a key to supporting a national bicycle road construction plan. The procedure facilitates consideration of the differing characteristics of bicycle and vehicular traffic. This can be efficiently employed; 1) when future bicycle demand forecasts are considered unreliable due to several reasons such as insufficient data and a wide range of alternative paths for bicycle traffic, and 2) when policy jud...

  15. Dynamic Routing of Short Transfer Baggage

    DEFF Research Database (Denmark)

    Clausen, Tommy; Pisinger, David

    We consider a variant of the Vehicle Routing Problem that arises in airports when transporting baggage for passengers with connecting flights. Each bag can be delivered in two locations with disjunctive time windows. The task is to define multiple trips for the vehicles in order to deliver bags t...... times, the algorithm is suitable for dynamic dispatching. Investigations on the impact of uncertainty and fleet size make it possible to support a trade-off between fleet size and expected service level....

  16. Robust Routing Protocol For Digital Messages

    Science.gov (United States)

    Marvit, Maclen

    1994-01-01

    Refinement of ditigal-message-routing protocol increases fault tolerance of polled networks. AbNET-3 is latest of generic AbNET protocols for transmission of messages among computing nodes. AbNET concept described in "Multiple-Ring Digital Communication Network" (NPO-18133). Specifically aimed at increasing fault tolerance of network in broadcast mode, in which one node broadcasts message to and receives responses from all other nodes. Communication in network of computers maintained even when links fail.

  17. Spatial placement of state cycling routes

    OpenAIRE

    Milovanović, Klemen

    2009-01-01

    The national strategy and the traffic policy stimulate the development of unmotorized traffic, cycling infrastructure and the use of bicycles wherever possible. Regarding state interests, traffic engineer expert opinion and community involvment, the first draft of state cycling routes network was presented. Due to the document's merely informative nature, detailed spatial palacement studies are necessary. The main object of this Graduation Thesis is to define a detailed course,...

  18. Automated Alerting for Black Hole Routing

    Science.gov (United States)

    2007-09-01

    researcher: It has a module for detecting SYN flooding , and another that performs general analysis of large bursts of traffic (but which hasn’t been...Although ACLs are effective, they are costlier than BHR in terms of processing. During a D/DoS attack, when thousands of packets are flooded towards the...black hole routing. This is due to BGP updates being sent via TCP packets and the communication links between the bases and border routers not

  19. Accessibility and sensory experiences

    DEFF Research Database (Denmark)

    Ryhl, Camilla

    2010-01-01

    and accessibility. Sensory accessibility accommodates aspects of a sensory disability and describes architectural design requirements needed to ensure access to architectural experiences. In the context of architecture accessibility has become a design concept of its own. It is generally described as ensuring...... physical access to the built environment by accommodating physical disabilities. While the existing concept of accessibility ensures the physical access of everyone to a given space, sensory accessibility ensures the choice of everyone to stay and be able to participate and experience....

  20. Fishing Access Areas

    Data.gov (United States)

    Vermont Center for Geographic Information — The Vermont Fish & Wildlife Department maintains developed fishing access areas. These sites provide public access to waters in Vermont for shore fishing...

  1. The Efficiency of Constraint Based Routing in MPLS Networks

    Directory of Open Access Journals (Sweden)

    Martin Medvecky

    2011-01-01

    Full Text Available The paper presents the simulation results and evaluates the efficiency of constraint base routing algorithms used in MPLS network from the point of their usability in Next Generation Networks. The efficiency of constraint based routing is evaluated according following criteria: optimal path selection, routing priority of traffic flows selected for constraint routing and bandwidth allocation by MAM or RDM bandwidth constraints models.

  2. Power Conservation through Energy Efficient Routing in Wireless Sensor Networks.

    Science.gov (United States)

    Kandris, Dionisis; Tsioumas, Panagiotis; Tzes, Anthony; Nikolakopoulos, George; Vergados, Dimitrios D

    2009-01-01

    The power awareness issue is the primary concern within the domain of Wireless Sensor Networks (WSNs). Most power dissipation ocurrs during communication, thus routing protocols in WSNs mainly aim at power conservation. Moreover, a routing protocol should be scalable, so that its effectiveness does not degrade as the network size increases. In response to these issues, this work describes the development of an efficient routing protocol, named SHPER (Scaling Hierarchical Power Efficient Routing).

  3. Traffic modifications on Routes Rutherford, Democrite and Fermi

    CERN Multimedia

    2015-01-01

    The GS Department would like to inform you that until the end of December, the construction of Building 245 will result in the following traffic modifications: Traffic on Route Rutherford will be partially restricted in front of the construction site, Traffic on Route Democrite will be one-way towards Route Rutherford. Also, please note that due to construction work in front of Building 377, Route Fermi will be closed from Wednesday, 10 June until Friday, 7 August. Thank you for your understanding.

  4. Improving signalling performance of proactive MANET routing protocols.

    OpenAIRE

    Huang, Y.

    2007-01-01

    A mobile ad hoc network (MANET) comprises a set of nodes connected by radio wireless links in a temporary manner. The topology of a MANET may change rapidly and unpredictably because of node mobility. Resources in such networks (such as bandwidth and battery life) are constrained. These issues make routing packets between any node pair a challenging task, especially for proactive MANET routing protocols. Each node of a proactive MANET routing protocol maintains routing information to every ot...

  5. 77 FR 54805 - Revocation of Jet Route J-528; WA

    Science.gov (United States)

    2012-09-06

    ...-0749; Airspace Docket No. 11-ANM-29] RIN 2120-AA66 Revocation of Jet Route J-528; WA AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: This action removes Jet Route J-528... 20591; telephone: (202) 267-8783. SUPPLEMENTARY INFORMATION: Background Jet Route J-528 is currently...

  6. 75 FR 66344 - Amendment of Jet Route J-93; CA

    Science.gov (United States)

    2010-10-28

    ...-1022; Airspace Docket No. 10-AWP-4] RIN 2120-AA66 Amendment of Jet Route J-93; CA AGENCY: Federal... proposes to amend Jet Route J-93 in California between the Julian VHF Omnidirectional Radio Range Tactical... is necessary to realign Jet Route J-93 with the revised location of the Penasco VOR. The Proposal The...

  7. Simulated Annealing Technique for Routing in a Rectangular Mesh Network

    Directory of Open Access Journals (Sweden)

    Noraziah Adzhar

    2014-01-01

    Full Text Available In the process of automatic design for printed circuit boards (PCBs, the phase following cell placement is routing. On the other hand, routing process is a notoriously difficult problem, and even the simplest routing problem which consists of a set of two-pin nets is known to be NP-complete. In this research, our routing region is first tessellated into a uniform Nx×Ny array of square cells. The ultimate goal for a routing problem is to achieve complete automatic routing with minimal need for any manual intervention. Therefore, shortest path for all connections needs to be established. While classical Dijkstra’s algorithm guarantees to find shortest path for a single net, each routed net will form obstacles for later paths. This will add complexities to route later nets and make its routing longer than the optimal path or sometimes impossible to complete. Today’s sequential routing often applies heuristic method to further refine the solution. Through this process, all nets will be rerouted in different order to improve the quality of routing. Because of this, we are motivated to apply simulated annealing, one of the metaheuristic methods to our routing model to produce better candidates of sequence.

  8. A Survey on Underwater Acoustic Sensor Network Routing Protocols

    Directory of Open Access Journals (Sweden)

    Ning Li

    2016-03-01

    Full Text Available Underwater acoustic sensor networks (UASNs have become more and more important in ocean exploration applications, such as ocean monitoring, pollution detection, ocean resource management, underwater device maintenance, etc. In underwater acoustic sensor networks, since the routing protocol guarantees reliable and effective data transmission from the source node to the destination node, routing protocol design is an attractive topic for researchers. There are many routing algorithms have been proposed in recent years. To present the current state of development of UASN routing protocols, we review herein the UASN routing protocol designs reported in recent years. In this paper, all the routing protocols have been classified into different groups according to their characteristics and routing algorithms, such as the non-cross-layer design routing protocol, the traditional cross-layer design routing protocol, and the intelligent algorithm based routing protocol. This is also the first paper that introduces intelligent algorithm-based UASN routing protocols. In addition, in this paper, we investigate the development trends of UASN routing protocols, which can provide researchers with clear and direct insights for further research.

  9. A Survey on Underwater Acoustic Sensor Network Routing Protocols.

    Science.gov (United States)

    Li, Ning; Martínez, José-Fernán; Meneses Chaus, Juan Manuel; Eckert, Martina

    2016-03-22

    Underwater acoustic sensor networks (UASNs) have become more and more important in ocean exploration applications, such as ocean monitoring, pollution detection, ocean resource management, underwater device maintenance, etc. In underwater acoustic sensor networks, since the routing protocol guarantees reliable and effective data transmission from the source node to the destination node, routing protocol design is an attractive topic for researchers. There are many routing algorithms have been proposed in recent years. To present the current state of development of UASN routing protocols, we review herein the UASN routing protocol designs reported in recent years. In this paper, all the routing protocols have been classified into different groups according to their characteristics and routing algorithms, such as the non-cross-layer design routing protocol, the traditional cross-layer design routing protocol, and the intelligent algorithm based routing protocol. This is also the first paper that introduces intelligent algorithm-based UASN routing protocols. In addition, in this paper, we investigate the development trends of UASN routing protocols, which can provide researchers with clear and direct insights for further research.

  10. Node-Centric Hybrid Routing for Ad Hoc Networks

    National Research Council Canada - National Science Library

    Roy, Soumya; Garcia-Luna-Aceves, J. J

    2002-01-01

    .... Simulation results using ns2 show that maintaining table-driven routing for netmarks and on-demand routing for common nodes performs much better than purely ondemand routing protocols based on distance vectors, path information, or link-state information.

  11. An approximate algorithm for solving the watchman route problem

    NARCIS (Netherlands)

    Li, Fajie; Klette, Reinhard; Sommer, G; Klette, R

    2008-01-01

    The watchman route problem (WRP) was first introduced in 1988 and is defined as follows: How to calculate a shortest route completely contained inside a simple polygon such that any point inside this polygon is visible from at least one point on the route? So far the best known result for the WRP is

  12. School Bus Crash Rates on Routine and Nonroutine Routes

    Science.gov (United States)

    O'Neal, Elizabeth; Ramirez, Marizen; Hamann, Cara; Young, Tracy; Stahlhut, Mary; Peek-Asa, Corinne

    2014-01-01

    Background: Although prior research has established that school buses are a safe form of transportation, crashes can produce catastrophic consequences. School buses have 2 types of routes: predictable, routine routes that take children to and from school and less predictable, nonroutine routes for school events. No studies have examined school bus…

  13. Tour Route Multiobjective Optimization Design Based on the Tourist Satisfaction

    Directory of Open Access Journals (Sweden)

    Yan Han

    2014-01-01

    Full Text Available The question prompted is how to design the tour route to make the tourists get the maximum satisfactions considering the tourists’ demand. The influence factors of the tour route choices of tourists were analyzed and tourists’ behavior characteristics and psychological preferences were regarded as the important influence factors based on the tourist behavioral theories. A questionnaire of tourists’ tour route information and satisfaction degree was carried out. Some information about the scene spot and tourists demand and tour behaviors characteristic such as visit frequency, number of attractions visited was obtained and analyzed. Based on the convey datum, tour routes multiobjective optimization functions were prompted for the tour route design regarding the maximum satisfaction and the minimum tour distance as the optimal objective. The available routes are listed and categorized. Based on the particle swarm optimization model, the priorities of the tour route are calculated and finally the suggestion depth tour route and quick route tour routes are given considering the different tour demands of tourists. The results can offer constructive suggestions on how to design tour routes on the part of tourism enterprises and how to choose a proper tour route on the part of tourists.

  14. An improved AODV routing protocol based on tower structure

    Directory of Open Access Journals (Sweden)

    Li Yong Qiang

    2016-01-01

    Full Text Available The paper proposed a new routing protocol(IAODV based on tower structure in the Ad Hoc network for the problem which Location Routing Protocol need hardware and Complex algorithm. By the simulation, The complexity of the new routing protocol is reduced without reducing the performance of the network.

  15. INTERLINE 5. 0 -- An expanded railroad routing model: Program description, methodology, and revised user's manual

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, P.E.; Joy, D.S. (Oak Ridge National Lab., TN (United States)); Clarke, D.B.; Jacobi, J.M. (Tennessee Univ., Knoxville, TN (United States). Transportation Center)

    1993-03-01

    A rail routine model, INTERLINE, has been developed at the Oak Ridge National Laboratory to investigate potential routes for transporting radioactive materials. In Version 5.0, the INTERLINE routing algorithms have been enhanced to include the ability to predict alternative routes, barge routes, and population statistics for any route. The INTERLINE railroad network is essentially a computerized rail atlas describing the US railroad system. All rail lines, with the exception of industrial spurs, are included in the network. Inland waterways and deep water routes along with their interchange points with the US railroadsystem are also included. The network contains over 15,000 rail and barge segments (links) and over 13,000 stations, interchange points, ports, and other locations (nodes). The INTERLINE model has been converted to operate on an IBM-compatible personal computer. At least a 286 computer with a hard disk containing approximately 6 MB of free space is recommended. Enhanced program performance will be obtained by using arandom-access memory drive on a 386 or 486 computer.

  16. INTERLINE 5.0 -- An expanded railroad routing model: Program description, methodology, and revised user`s manual

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, P.E.; Joy, D.S. [Oak Ridge National Lab., TN (United States); Clarke, D.B.; Jacobi, J.M. [Tennessee Univ., Knoxville, TN (United States). Transportation Center

    1993-03-01

    A rail routine model, INTERLINE, has been developed at the Oak Ridge National Laboratory to investigate potential routes for transporting radioactive materials. In Version 5.0, the INTERLINE routing algorithms have been enhanced to include the ability to predict alternative routes, barge routes, and population statistics for any route. The INTERLINE railroad network is essentially a computerized rail atlas describing the US railroad system. All rail lines, with the exception of industrial spurs, are included in the network. Inland waterways and deep water routes along with their interchange points with the US railroadsystem are also included. The network contains over 15,000 rail and barge segments (links) and over 13,000 stations, interchange points, ports, and other locations (nodes). The INTERLINE model has been converted to operate on an IBM-compatible personal computer. At least a 286 computer with a hard disk containing approximately 6 MB of free space is recommended. Enhanced program performance will be obtained by using arandom-access memory drive on a 386 or 486 computer.

  17. Method and System for Dynamic Automated Corrections to Weather Avoidance Routes for Aircraft in En Route Airspace

    Science.gov (United States)

    McNally, B. David (Inventor); Erzberger, Heinz (Inventor); Sheth, Kapil (Inventor)

    2015-01-01

    A dynamic weather route system automatically analyzes routes for in-flight aircraft flying in convective weather regions and attempts to find more time and fuel efficient reroutes around current and predicted weather cells. The dynamic weather route system continuously analyzes all flights and provides reroute advisories that are dynamically updated in real time while the aircraft are in flight. The dynamic weather route system includes a graphical user interface that allows users to visualize, evaluate, modify if necessary, and implement proposed reroutes.

  18. JISC Open Access Briefing Paper

    OpenAIRE

    Swan, Alma

    2005-01-01

    What Open Access is. What Open Access is not. How is Open Access provided? Open Access archives or repositories. Open Access journals. Why should authors provide Open Access to their work? Further information and resources

  19. Dynamic Retransmission Limit Scheme in MAC Layer for Routing in Multihop Ad hoc Networks

    Directory of Open Access Journals (Sweden)

    Rachid El-Azouzi

    2008-05-01

    Full Text Available We consider a wireless ad hoc network with random access channel. We present a model that takes into account topology, routing, random access in MAC layer, and forwarding probability. In this paper, we focus on drawing benefit from the interaction of the MAC (governed by IEEE 802.11 or slotted Aloha and routing by defining a new cross-layer scheme for routing based on the limit number of retransmission. By adjusting dynamically and judiciously this parameter in a saturated network, we have realized that both stability of forwarding queues and average throughput are significantly improved in linear networks with symmetric traffic: a gain of 100% can be reached. While in asymmetric topology network with asymmetric traffic, we achieve a better average delay (resp., throughput for each connection without changing the average throughput (resp., delay. In addition, we show the efficiency of our new scheme in case of multimedia applications with delay constraint. A detailed performance study is presented using analytical and simulation evaluation.

  20. Joint optimization of physical layer parameters and routing in wireless mesh networks

    KAUST Repository

    Tobagi, Fouad A.

    2010-06-01

    Achieving the best performance in a wireless mesh network requires striking the right balance between the performance of links carrying traffic and the extent of spatial reuse of the wireless medium. The performance of a link depends on its transmit power and data rate as well as the level of interference caused by concurrent transmissions in the network; the latter is function of the Energy Detect (ED) threshold that determines when a node may access the medium. Which links in the network carry traffic is determined by the routing function; routing selects paths according to a link metric that reflects the relative performance of links (e.g., the expected transmission time of a packet on the link). In this paper, we seek to maximize end-to-end network throughput by jointly optimizing physical layer parameters and routing. We consider a random topology with a uniform node density. We consider that the signal attenuation between a pair of nodes is determined by a power law path loss model with an exponent equal to 3. Our findings are as follows. Consider first that the same transmit power and same data rate are used on all links. For any transmit power, data rate and ED threshold setting, the highest feasible load is obtained when the level of interference experienced by links used by routing is the highest possible. For a given transmit power and data rate setting, there is an optimum ED threshold that maximizes network performance. At the optimum ED threshold and maximum load, the range of link lengths used by routing is the lowest possible given the topology and routing metric used. With an ED threshold higher than the optimum, the same range of links is used by routing; however, the highest feasible load in this case is lower due to the fact that concurrent transmitters are allowed to be closer. With a lower ED threshold, concurrent transmitters are forced to be farther apart, and thus longer links become more attractive; as a result, the range of link lengths

  1. A comprehensive survey of energy-aware routing protocols in wireless body area sensor networks.

    Science.gov (United States)

    Effatparvar, Mehdi; Dehghan, Mehdi; Rahmani, Amir Masoud

    2016-09-01

    Wireless body area sensor network is a special purpose wireless sensor network that, employing wireless sensor nodes in, on, or around the human body, makes it possible to measure biological parameters of a person for specific applications. One of the most fundamental concerns in wireless body sensor networks is accurate routing in order to send data promptly and properly, and therefore overcome some of the challenges. Routing protocols for such networks are affected by a large number of factors including energy, topology, temperature, posture, the radio range of sensors, and appropriate quality of service in sensor nodes. Since energy is highly important in wireless body area sensor networks, and increasing the network lifetime results in benefiting greatly from sensor capabilities, improving routing performance with reduced energy consumption presents a major challenge. This paper aims to study wireless body area sensor networks and the related routing methods. It also presents a thorough, comprehensive review of routing methods in wireless body area sensor networks from the perspective of energy. Furthermore, different routing methods affecting the parameter of energy will be classified and compared according to their advantages and disadvantages. In this paper, fundamental concepts of wireless body area sensor networks are provided, and then the advantages and disadvantages of these networks are investigated. Since one of the most fundamental issues in wireless body sensor networks is to perform routing so as to transmit data precisely and promptly, we discuss the same issue. As a result, we propose a classification of the available relevant literature with respect to the key challenge of energy in the routing process. With this end in view, all important papers published between 2000 and 2015 are classified under eight categories including 'Mobility-Aware', 'Thermal-Aware', 'Restriction of Location and Number of Relays', 'Link-aware', 'Cluster- and Tree

  2. Transportation of radioactive materials routing analysis: The Nevada experience

    International Nuclear Information System (INIS)

    Ardila-Coulson, M.V.

    1991-01-01

    In 1987, the Nevada State Legislature passed a Bill requiring the Nevada Dept. of Transportation to develop and enforce a plan for highway routing of highway route controlled quantity shipments of radioactive materials and high-level radioactive waste. A large network with all the major highways in Nevada was created and used in a computer model developed by Sandia National Labs. Twenty-eight highway parameters that included geometrics, traffic characteristics, environment and special facilities were collected. Alternative routes were identified by minimizing primary parameters (population density and accident rates). An analysis using the US DOT Guidelines were performed to identify a preferred route from the alternative routes

  3. Mobility Tolerant Firework Routing for Improving Reachability in MANETs

    Directory of Open Access Journals (Sweden)

    Gen Motoyoshi

    2014-03-01

    Full Text Available In this paper, we investigate our mobility-assisted and adaptive broadcast routing mechanism, called Mobility Tolerant Firework Routing (MTFR, which utilizes the concept of potentials for routing and improves node reachability, especially in situations with high mobility, by including a broadcast mechanism. We perform detailed evaluations by simulations in a mobile environment and demonstrate the advantages of MTFR over conventional potential-based routing. In particular, we show that MTFR produces better reachability in many aspects at the expense of a small additional transmission delay and intermediate traffic overhead, making MTFR a promising routing protocol and feasible for future mobile Internet infrastructures.

  4. Route-specific analysis for radioactive materials transportation

    International Nuclear Information System (INIS)

    1986-01-01

    This report addresses a methodology for route-specific analysis, of which route-selection is one aspect. Identification and mitigation of specific hazards along a chosen route is another important facet of route-specific analysis. Route-selection and route-specific mitigation are two tools to be used in minimizing the risk of radioactive materials transportation and promoting public confidence. Other tools exist to improve the safety of transportation under the Nuclear Waste Policy Act. Selection of a transportation mode and other, non-route-specific measures, such as improved driver training and improved cask designs, are additional tools to minimize transportation risk and promote public confidence. This report addresses the route-specific analysis tool and does not attempt to evaluate its relative usefulness as compared to other available tools. This report represents a preliminary attempt to develop a route-specific analysis methodlogy. The Western Interstate Energy Board High-Level Waste Committee has formed a Route-Specific Analysis Task Force which will build upon the methodology proposed in this Staff Report. As western states continue to investigate route-specific analysis issues, it is expected that the methodology will evolve into a more refined product representing the views of a larger group of interested parties in the West

  5. A Clustering Routing Protocol for Mobile Ad Hoc Networks

    Directory of Open Access Journals (Sweden)

    Jinke Huang

    2016-01-01

    Full Text Available The dynamic topology of a mobile ad hoc network poses a real challenge in the design of hierarchical routing protocol, which combines proactive with reactive routing protocols and takes advantages of both. And as an essential technique of hierarchical routing protocol, clustering of nodes provides an efficient method of establishing a hierarchical structure in mobile ad hoc networks. In this paper, we designed a novel clustering algorithm and a corresponding hierarchical routing protocol for large-scale mobile ad hoc networks. Each cluster is composed of a cluster head, several cluster gateway nodes, several cluster guest nodes, and other cluster members. The proposed routing protocol uses proactive protocol between nodes within individual clusters and reactive protocol between clusters. Simulation results show that the proposed clustering algorithm and hierarchical routing protocol provide superior performance with several advantages over existing clustering algorithm and routing protocol, respectively.

  6. Development of safe routes for children in urban environment

    Science.gov (United States)

    Koryagin, M. E.; Medvedev, V. I.; Strykov, P. G.

    2018-01-01

    The matter of development of safe travel routes for children between school and home is analyzed. The availability of various applications and devices to identify the location of the child and his/her travel routes is noted. The main factors to be taken into account when planning children travel routes are described. The most popular Russian services for route planning, Google, Yandex, and 2GIS, are discussed. These services are shown to have a number of shortcomings which does not allow them to choose really safe routes. A decision on making the route selection by two criteria (the travel time and the probability of an accident) is obtained. As a numerical example, the Pareto area for possible routes is constructed.

  7. A survey on clustering routing protocols in wireless sensor networks.

    Science.gov (United States)

    Liu, Xuxun

    2012-01-01

    The past few years have witnessed increased interest in the potential use of wireless sensor networks (WSNs) in a wide range of applications and it has become a hot research area. Based on network structure, routing protocols in WSNs can be divided into two categories: flat routing and hierarchical or clustering routing. Owing to a variety of advantages, clustering is becoming an active branch of routing technology in WSNs. In this paper, we present a comprehensive and fine grained survey on clustering routing protocols proposed in the literature for WSNs. We outline the advantages and objectives of clustering for WSNs, and develop a novel taxonomy of WSN clustering routing methods based on complete and detailed clustering attributes. In particular, we systematically analyze a few prominent WSN clustering routing protocols and compare these different approaches according to our taxonomy and several significant metrics. Finally, we summarize and conclude the paper with some future directions.

  8. Geostatistical analyses of communication routes in a geo-strategic and regional development perspective

    Directory of Open Access Journals (Sweden)

    Alexandru-Ionuţ Petrişor

    2017-12-01

    Full Text Available Accessibility is a key concept in regional development, with numerous ties to territorial cohesion and polycentricity. Moreover, it also exhibits a geo-strategic function, anchored in the international relationships between countries and continents. The article reviews several case studies, placing analyses of the Romanian accessibility in a broader context. The results show that regional development, overall EU connectivity and possible transit fluxes are prevented by the configuration or lack of communication routes. Increasing the accessibility of regions must be a priority of governments, regardless of political opinions. It is expected that the transition of economy to post-carbon era or other models – green economy, knowledge-based economy etc. – to result into the emergence of new poles and axes of development, and ensure transport sustainability.

  9. World Wide Access: Accessible Web Design.

    Science.gov (United States)

    Washington Univ., Seattle.

    This brief paper considers the application of "universal design" principles to Web page design in order to increase accessibility for people with disabilities. Suggestions are based on the World Wide Web Consortium's accessibility initiative, which has proposed guidelines for all Web authors and federal government standards. Seven guidelines for…

  10. Endocannabinoids, Related Compounds and Their Metabolic Routes

    Directory of Open Access Journals (Sweden)

    Filomena Fezza

    2014-10-01

    Full Text Available Endocannabinoids are lipid mediators able to bind to and activate cannabinoid receptors, the primary molecular targets responsible for the pharmacological effects of the Δ9-tetrahydrocannabinol. These bioactive lipids belong mainly to two classes of compounds: N-acylethanolamines and acylesters, being N-arachidonoylethanolamine (AEA and 2-arachidonoylglycerol (2-AG, respectively, their main representatives. During the last twenty years, an ever growing number of fatty acid derivatives (endocannabinoids and endocannabinoid-like compounds have been discovered and their activities biological is the subject of intense investigations. Here, the most recent advances, from a therapeutic point of view, on endocannabinoids, related compounds, and their metabolic routes will be reviewed.

  11. Endocannabinoids, related compounds and their metabolic routes.

    Science.gov (United States)

    Fezza, Filomena; Bari, Monica; Florio, Rita; Talamonti, Emanuela; Feole, Monica; Maccarrone, Mauro

    2014-10-24

    Endocannabinoids are lipid mediators able to bind to and activate cannabinoid receptors, the primary molecular targets responsible for the pharmacological effects of the Δ9-tetrahydrocannabinol. These bioactive lipids belong mainly to two classes of compounds: N-acylethanolamines and acylesters, being N-arachidonoylethanolamine (AEA) and 2-arachidonoylglycerol (2-AG), respectively, their main representatives. During the last twenty years, an ever growing number of fatty acid derivatives (endocannabinoids and endocannabinoid-like compounds) have been discovered and their activities biological is the subject of intense investigations. Here, the most recent advances, from a therapeutic point of view, on endocannabinoids, related compounds, and their metabolic routes will be reviewed.

  12. Energy-Efficient Routing in GMPLS Network

    DEFF Research Database (Denmark)

    Wang, Jiayuan; Fagertun, Anna Manolova; Ruepp, Sarah Renée

    2011-01-01

    In this paper, a GMPLS controlled core network model that takes energy efficiency into account is built using OPNET MODELER. By extending the standard GMPLS routing protocol -- OSPF-TE, we are able to spread desired energy related information over the local area, and subsequently use RSVP......-TE for connection setup. The OSPF designing process of the simulation model is given in details, including necessary simplifications to enable a fast implementation while keeping the key characteristics of the GMPLS protocol behaviors. The efficiency of the proposed extensions are analyzed, and improved energy...

  13. ROUTING BASE CONGESTION CONTROL METRICS IN MANETS

    Directory of Open Access Journals (Sweden)

    Sandeep Dalal

    2014-09-01

    Full Text Available Mobile adhoc network is self-configurable and adaptive. Due to node mobility we cannot predict load on the network which leads to congestion, one of the widely researched area in manets. A lot of congestion control techniques and metrics have been proposed to overcome it before its occurrence or after it has occurred. In this survey we identify the currently used congestion control metrics. Through this survey we also propose a congestion control metric RFR(resource free ratio which considers three most important parameters to provide congestion free route discovery. Further we show the results of node selection based on fuzzy logic calculations using the proposed metric.

  14. Wheelchair accessibility to public buildings in the Kumasi metropolis, Ghana.

    Science.gov (United States)

    Yarfi, Cosmos; Ashigbi, Evans Y K; Nakua, Emmanuel K

    2017-01-01

    Accessibility implies making public places accessible to every individual, irrespective of his or her disability or special need, ensuring the integration of the wheelchair user into the society and thereby granting them the capability of participating in activities of daily living and ensuring equality in daily life. This study was carried out to assess the accessibility of the physical infrastructures (public buildings) in the Kumasi metropolis to wheelchairs after the passage of the Ghanaian Disability Law (Act 716, 2006). Eighty-four public buildings housing education facilities, health facilities, ministries, departments and agencies, sports and recreation, religious groups and banks were assessed. The routes, entrances, height of steps, grade of ramps, sinks, entrance to washrooms, toilets, urinals, automated teller machines and tellers' counters were measured and computed. Out of a total of 84 buildings assessed, only 34 (40.5%) of the buildings, 52.3% of the entrances and 87.4% of the routes of the buildings were accessible to wheelchair users. A total of 25% (13 out of 52) of the public buildings with more than one floor were fitted with elevators to connect the different levels of floors. The results of this study show that public buildings in the Kumasi metropolis are not wheelchair accessible. An important observation made during this study was that there is an intention to improve accessibility when buildings are being constructed or renovated, but there are no laid down guidelines as how to make the buildings accessible for wheelchair users.

  15. Stochastic Petri nets for the reliability analysis of communication network applications with alternate-routing

    International Nuclear Information System (INIS)

    Balakrishnan, Meera; Trivedi, Kishor S.

    1996-01-01

    In this paper, we present a comparative reliability analysis of an application on a corporate B-ISDN network under various alternate-routing protocols. For simple cases, the reliability problem can be cast into fault-tree models and solved rapidly by means of known methods. For more complex scenarios, state space (Markov) models are required. However, generation of large state space models can get very labor intensive and error prone. We advocate the use of stochastic reward nets (a variant of stochastic Petri nets) for the concise specification, automated generation and solution of alternate-routing protocols in networks. This paper is written in a tutorial style so as to make it accessible to a large audience

  16. Multimodal route choice models of public transport passengers in the Greater Copenhagen Area

    DEFF Research Database (Denmark)

    Anderson, Marie Karen; Nielsen, Otto Anker; Prato, Carlo Giacomo

    2014-01-01

    Understanding route choice behavior is crucial to explain travelers’ preferences and to predict traffic flows under different scenarios. A growing body of literature has concentrated on public transport users without, however, concentrating on multimodal public transport networks because......,641 public transport users in the Greater Copenhagen Area.A two-stage approach consisting of choice set generation and route choice model estimation allowed uncovering the preferences of the users of this multimodal large-scale public transport network. The results illustrate the rates of substitution...... not only of the in-vehicle times for different public transport modes, but also of the other time components (e.g., access, walking, waiting, transfer) composing the door-to-door experience of using a multimodal public transport network, differentiating by trip length and purpose, and accounting...

  17. Blind Cooperative Routing for Scalable and Energy-Efficient Internet of Things

    KAUST Repository

    Bader, Ahmed

    2016-02-26

    Multihop networking is promoted in this paper for energy-efficient and highly-scalable Internet of Things (IoT). Recognizing concerns related to the scalability of classical multihop routing and medium access techniques, the use of blind cooperation in conjunction with multihop communications is advocated herewith. Blind cooperation however is actually shown to be inefficient unless power control is applied. Inefficiency in this paper is projected in terms of the transport rate normalized to energy consumption. To that end, an uncoordinated power control mechanism is proposed whereby each device in a blind cooperative cluster randomly adjusts its transmit power level. An upper bound is derived for the mean transmit power that must be observed at each device. Finally, the uncoordinated power control mechanism is demonstrated to consistently outperform the simple point-to-point routing case. © 2015 IEEE.

  18. INTERLINE, a railroad routing model: program description and user's manual

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, B.E.

    1985-11-01

    INTERLINE is an interactive computer program that finds likely routes for shipments over the US railroad system. It is based on a shortest path algorithm modified both to reflect the nature of railroad company operations and to accommodate computer resource limitations in dealing with a large transportation network. The first section of the report discusses the nature of railroad operations and routing practices in the United States, including the tendency to concentrate traffic on a limited number of mainlines, the competition for traffic by different companies operating in the same corridors, and the tendency of originating carriers to retain traffic on their systems before transferring it to terminating carriers. The theoretical foundation and operation of shortest path algorithms are described, as well as the techniques used to simulate actual operating practices within this framework. The second section is a user's guide that describes the program operation and data structures, program features, and user access. 11 refs., 11 figs.

  19. Implementasi Policy Base Routing dan Failover Menggunakan Router Mikrotik untuk Membagi Jalur Akses Internet di FMIPA Unnes

    Directory of Open Access Journals (Sweden)

    Ryo Pambudi

    2017-05-01

    Full Text Available Increasing requirement for information in every year become an important requirement for every society, organizations, and others institution. Semarang State University (Unnes had using online information systems in every aspect. It needs high speed and reliable internet connection, so the using of two Internet Service Provider (ISP or public pathways are highly commended. Internet access point density due to the number of users such as students, faculty, and employees to be one of the factors that can interfere with such information systems. Routing settings on Mikrotik router become one of the solutions to reduce density access of internet. The useful of policy-base routing is to separate the path which will be passed when the accessing the Internet and the useful of failover technique is to move path automatically if one access point (ISP impaired / down. Comparison before and after applying these two techniques while accessing the Unnes information systems results increasing access speed with 4 ms response time faster than before used policy base routing. Pertumbuhan dan kebutuhan akan informasi semakin tahun menjadi sebuah kebutuhan vital bagi setiap masyarakat pada umumnya dan bagi organisasi maupun lembaga pendidikan pada khususnya. Universitas Negeri Semarang (Unnes yang telah lama menggunakan sistem informasi secara online dalam setiap aspek, membutuhkan internet yang cepat dan handal sehingga penggunaan dua Internet Service Provider (ISP atau jalur publik sangat dianjurkan. Kepadatan jalur akses internet akibat banyaknya pengguna yaitu mahasiswa, dosen, dan karyawan menjadi salah satu faktor yang dapat mengganggu sistem-sistem informasi tersebut. Pengaturan routing pada router Mikrotik menjadi salah satu solusi untuk mengurangi kepadatan jalur akses internet. Policy base routing dapat berguna untuk memisahkan jalur mana yang akan dilewati pengguna saat mengakses internet dan teknik failover berguna untuk memindahkan jalur otomatis jika

  20. Using Seasonal Forecasting Data for Vessel Routing

    Science.gov (United States)

    Bell, Ray; Kirtman, Ben

    2017-04-01

    We present an assessment of seasonal forecasting of surface wind speed, significant wave height and ocean surface current speed in the North Pacific for potential use of vessel routing from Singapore to San Diego. WaveWatchIII is forced with surface winds and ocean surface currents from the Community Climate System Model 4 (CCSM4) retrospective forecasts for the period of 1982-2015. Several lead time forecasts are used from zero months to six months resulting in 2,720 model years, ensuring the findings from this study are robust. July surface wind speed and significant wave height can be skillfully forecast with a one month lead time, with the western North Pacific being the most predictable region. Beyond May initial conditions (lead time of two months) the El Niño Southern Oscillation (ENSO) Spring predictability barrier limits skill of significant wave height but there is skill for surface wind speed with January initial conditions (lead time of six months). In a separate study of vessel routing between Norfolk, Virginia and Gibraltar we demonstrate the benefit of a multimodel approach using the North American Multimodel Ensemble (NMME). In collaboration with Charles River Analytics an all-encompassing forecast is presented by using machine learning on the various ensembles which can be using used for industry applications.

  1. Population estimation techniques for routing analysis

    International Nuclear Information System (INIS)

    Sathisan, S.K.; Chagari, A.K.

    1994-01-01

    A number of on-site and off-site factors affect the potential siting of a radioactive materials repository at Yucca Mountain, Nevada. Transportation related issues such route selection and design are among them. These involve evaluation of potential risks and impacts, including those related to population. Population characteristics (total population and density) are critical factors in the risk assessment, emergency preparedness and response planning, and ultimately in route designation. This paper presents an application of Geographic Information System (GIS) technology to facilitate such analyses. Specifically, techniques to estimate critical population information are presented. A case study using the highway network in Nevada is used to illustrate the analyses. TIGER coverages are used as the basis for population information at a block level. The data are then synthesized at tract, county and state levels of aggregation. Of particular interest are population estimates for various corridor widths along transport corridors -- ranging from 0.5 miles to 20 miles in this paper. A sensitivity analysis based on the level of data aggregation is also presented. The results of these analysis indicate that specific characteristics of the area and its population could be used as indicators to aggregate data appropriately for the analysis

  2. Multiple routes transmitted epidemics on multiplex networks

    International Nuclear Information System (INIS)

    Zhao, Dawei; Li, Lixiang; Peng, Haipeng; Luo, Qun; Yang, Yixian

    2014-01-01

    This letter investigates the multiple routes transmitted epidemic process on multiplex networks. We propose detailed theoretical analysis that allows us to accurately calculate the epidemic threshold and outbreak size. It is found that the epidemic can spread across the multiplex network even if all the network layers are well below their respective epidemic thresholds. Strong positive degree–degree correlation of nodes in multiplex network could lead to a much lower epidemic threshold and a relatively smaller outbreak size. However, the average similarity of neighbors from different layers of nodes has no obvious effect on the epidemic threshold and outbreak size. -- Highlights: •We studies multiple routes transmitted epidemic process on multiplex networks. •SIR model and bond percolation theory are used to analyze the epidemic processes. •We derive equations to accurately calculate the epidemic threshold and outbreak size. •ASN has no effect on the epidemic threshold and outbreak size. •Strong positive DDC leads to a lower epidemic threshold and a smaller outbreak size.

  3. Air Cargo Transportation Route Choice Analysis

    Science.gov (United States)

    Obashi, Hiroshi; Kim, Tae-Seung; Oum, Tae Hoon

    2003-01-01

    Using a unique feature of air cargo transshipment data in the Northeast Asian region, this paper identifies the critical factors that determine the transshipment route choice. Taking advantage of the variations in the transport characteristics in each origin-destination airports pair, the paper uses a discrete choice model to describe the transshipping route choice decision made by an agent (i.e., freight forwarder, consolidator, and large shipper). The analysis incorporates two major factors, monetary cost (such as line-haul cost and landing fee) and time cost (i.e., aircraft turnaround time, including loading and unloading time, custom clearance time, and expected scheduled delay), along with other controls. The estimation method considers the presence of unobserved attributes, and corrects for resulting endogeneity by use of appropriate instrumental variables. Estimation results find that transshipment volumes are more sensitive to time cost, and that the reduction in aircraft turnaround time by 1 hour would be worth the increase in airport charges by more than $1000. Simulation exercises measures the impacts of alternative policy scenarios for a Korean airport, which has recently declared their intention to be a future regional hub in the Northeast Asian region. The results suggest that reducing aircraft turnaround time at the airport be an effective strategy, rather than subsidizing to reduce airport charges.

  4. Route Optimization for Offloading Congested Meter Fixes

    Science.gov (United States)

    Xue, Min; Zelinski, Shannon

    2016-01-01

    The Optimized Route Capability (ORC) concept proposed by the FAA facilitates traffic managers to identify and resolve arrival flight delays caused by bottlenecks formed at arrival meter fixes when there exists imbalance between arrival fixes and runways. ORC makes use of the prediction capability of existing automation tools, monitors the traffic delays based on these predictions, and searches the best reroutes upstream of the meter fixes based on the predictions and estimated arrival schedules when delays are over a predefined threshold. Initial implementation and evaluation of the ORC concept considered only reroutes available at the time arrival congestion was first predicted. This work extends previous work by introducing an additional dimension in reroute options such that ORC can find the best time to reroute and overcome the 'firstcome- first-reroute' phenomenon. To deal with the enlarged reroute solution space, a genetic algorithm was developed to solve this problem. Experiments were conducted using the same traffic scenario used in previous work, when an arrival rush was created for one of the four arrival meter fixes at George Bush Intercontinental Houston Airport. Results showed the new approach further improved delay savings. The suggested route changes from the new approach were on average 30 minutes later than those using other approaches, and fewer numbers of reroutes were required. Fewer numbers of reroutes reduce operational complexity and later reroutes help decision makers deal with uncertain situations.

  5. Robustness of airline alliance route networks

    Science.gov (United States)

    Lordan, Oriol; Sallan, Jose M.; Simo, Pep; Gonzalez-Prieto, David

    2015-05-01

    The aim of this study is to analyze the robustness of the three major airline alliances' (i.e., Star Alliance, oneworld and SkyTeam) route networks. Firstly, the normalization of a multi-scale measure of vulnerability is proposed in order to perform the analysis in networks with different sizes, i.e., number of nodes. An alternative node selection criterion is also proposed in order to study robustness and vulnerability of such complex networks, based on network efficiency. And lastly, a new procedure - the inverted adaptive strategy - is presented to sort the nodes in order to anticipate network breakdown. Finally, the robustness of the three alliance networks are analyzed with (1) a normalized multi-scale measure of vulnerability, (2) an adaptive strategy based on four different criteria and (3) an inverted adaptive strategy based on the efficiency criterion. The results show that Star Alliance has the most resilient route network, followed by SkyTeam and then oneworld. It was also shown that the inverted adaptive strategy based on the efficiency criterion - inverted efficiency - shows a great success in quickly breaking networks similar to that found with betweenness criterion but with even better results.

  6. [New routes of administration: epidermal, transcutaneous mucosal ways of vaccination].

    Science.gov (United States)

    Denis, François; Alain, Sophie; Ploy, Marie-Cécile

    2007-04-01

    A successful vaccine triggers the interaction of various cells of the immune system as does a regular immune response. It is thus necessary to introduce the vaccine antigens into an anatomic site where they will contact immune cells. The route of administration is thus critical for the outcome of vaccination. Intramuscular or subcutaneous injections are the most popular. Antigens injected intramuscularly can form persistent precipitates that are dissolved and re-absorbed relatively slowly. If injecting antigens is a quick, easy and reproducible way to vaccination, it requires trained personnel. Alternatives exist, through non-invasive formulations which allow administration by the patient or a third party with no particular expertise. The skin, especially its epidermal layer, is an accessible and competent immune environment and an attractive target for vaccine delivery, through transcutaneous delivery or immunostimulant patches. Mucosal immunization is another strategy: its major rationale is that organisms invade the body via mucosal surfaces. Therefore, local protection at mucosal surface as well as systemic defense is beneficial. Various formulations of mucosal vaccines have been developed, such as the Sabin oral polio vaccine (OPV), rotavirus vaccines, cold-adapted influenza vaccines or vaccine against typhoid fever. Thus we are entering in an era where mucosal and transcutaneous immunisation will play an important role in disease management. However, it has not been so easy to obtain regulatory approval for mucosal or transcutaneous formulations and needle-based vaccines continue to dominate the market.

  7. Professional Access 2013 programming

    CERN Document Server

    Hennig, Teresa; Hepworth, George; Yudovich, Dagi (Doug)

    2013-01-01

    Authoritative and comprehensive coverage for building Access 2013 Solutions Access, the most popular database system in the world, just opened a new frontier in the Cloud. Access 2013 provides significant new features for building robust line-of-business solutions for web, client and integrated environments.  This book was written by a team of Microsoft Access MVPs, with consulting and editing by Access experts, MVPs and members of the Microsoft Access team. It gives you the information and examples to expand your areas of expertise and immediately start to develop and upgrade projects. Exp

  8. Access 2010 Programmer's Reference

    CERN Document Server

    Hennig, Teresa; Griffith, Geoffrey L

    2010-01-01

    A comprehensive guide to programming for Access 2010 and 2007. Millions of people use the Access database applications, and hundreds of thousands of developers work with Access daily. Access 2010 brings better integration with SQL Server and enhanced XML support; this Wrox guide shows developers how to take advantage of these and other improvements. With in-depth coverage of VBA, macros, and other programming methods for building Access applications, this book also provides real-world code examples to demonstrate each topic.: Access is the leading database that is used worldwide; While VBA rem

  9. THE INFLUENCE OF SEXUAL VIOLENCE CODE EXPOSURE TOWARD PARENTS’ COGNITION ROUTES

    Directory of Open Access Journals (Sweden)

    Rahmiati D.

    2017-11-01

    Full Text Available Messages and sign have certain influence toward humans’ cognition, yet different person might perceive them differently. Persuasive message appears to be one type of messages which has the strongest potential in modifying ones’ behavior. Children and anything about them are parents’ biggest proximity. Regarding to the massive exposure of sexual violence cases happened to children, parents demand access to know more information on this issue. This research is intended to see the effect of the exposure on news about sexual violence in children toward cognition route of parents who have daughters, and to see if there is any different cognition route between fathers and mothers in perceiving news related to sexual violence on children. This research employed an experimental method using the one group pre-post test design. This research involved 15 parents who have daughters who were chosen using an accidental sampling method. This reseach was conducted in the computer laboratory of FISIP UB. Sexual violence codes were displayed in some videos which showed some news on sexual violence happened to children. After that, an instrument in the form of central code and peripheral cognition route scale which was developed from the elaboration likegood model (ELM was given to the samples in the form of questionnaires after they watched some persuasive messages. The results of the data were analyzed using t-test of SPSS 22.0 program. The result of this reseach shows that there is an effect of sexual violence news toward parents’ congition route at 0.820 in a level of significance 0.000, while the congiton route of mothers shows higher mean value at 104.66 than fathers at 91.73.

  10. Would You Follow Your Own Route Description? Cognitive Strategies in Urban Route Planning

    Science.gov (United States)

    Holscher, Christoph; Tenbrink, Thora; Wiener, Jan M.

    2011-01-01

    This paper disentangles cognitive and communicative factors influencing planning strategies in the everyday task of choosing a route to a familiar location. Describing the way for a stranger in town calls for fundamentally different cognitive processes and strategies than actually walking to a destination. In a series of experiments, this paper…

  11. Analyzing multiday route choice behavior of commuters using GPS data

    Directory of Open Access Journals (Sweden)

    Wenyun Tang

    2016-02-01

    Full Text Available In this study, accurate global position system and geographic information system data were employed to reveal multiday routes people used and to study multiday route choice behavior for the same origin–destination trips, from home to work. A new way of thinking about route choice modeling is provided in this study. Travelers are classified into three kinds based on the deviation between actual routes and the shortest travel time paths. Based on the classification, a two-stage route choice process is proposed, in which the first step is to classify the travelers and the second one is to model route choice behavior. After analyzing the characteristics of different types of travelers, an artificial neural network was adopted to classify travelers and model route choice behavior. An empirical study using global position systems data collected in Minneapolis–St Paul metropolitan area was carried out. It finds that most travelers follow the same route during commute trips on successive days. And different types of travelers have a significant difference in route choice property. The modeling results indicate that neural network framework can classify travelers and model route choice well.

  12. Improved Ant Colony Optimization for Seafood Product Delivery Routing Problem

    Directory of Open Access Journals (Sweden)

    Baozhen Yao

    2014-02-01

    Full Text Available This paper deals with a real-life vehicle delivery routing problem, which is a seafood product delivery routing problem. Considering the features of the seafood product delivery routing problem, this paper formulated this problem as a multi-depot open vehicle routing problem. Since the multi-depot open vehicle routing problem is a very complex problem, a method is used to reduce the complexity of the problem by changing the multi-depot open vehicle routing problem into an open vehicle routing problem with a dummy central depot in this paper. Then, ant colony optimization is used to solve the problem. To improve the performance of the algorithm, crossover operation and some adaptive strategies are used. Finally, the computational results for the benchmark problems of the multi-depot vehicle routing problem indicate that the proposed ant colony optimization is an effective method to solve the multi-depot vehicle routing problem. Furthermore, the computation results of the seafood product delivery problem from Dalian, China also suggest that the proposed ant colony optimization is feasible to solve the seafood product delivery routing problem.

  13. School bus crash rates on routine and nonroutine routes.

    Science.gov (United States)

    O'Neal, Elizabeth; Ramirez, Marizen; Hamann, Cara; Young, Tracy; Stahlhut, Mary; Peek-Asa, Corinne

    2014-09-01

    Although prior research has established that school buses are a safe form of transportation, crashes can produce catastrophic consequences. School buses have 2 types of routes: predictable, routine routes that take children to and from school and less predictable, nonroutine routes for school events. No studies have examined school bus crash incidence and characteristics by these route types. School bus crashes were identified from the Iowa Department of Transportation Crash Database from mid-2005 through mid-2010. Crash reports did not identify whether the bus was on a routine or nonroutine route, so a protocol to assign these based on day and time was developed. Bus mileage was provided by the Iowa Department of Education. The school bus crash rate was 2.1 times higher on nonroutine routes than on routine routes (95% CI = 1.8-2.3). Most crashes involved an improper action by the driver of another vehicle. In crashes attributed to improper actions of school buses, failure to yield the right-of-way and disregarding traffic signs were more common on routine routes, while losing control, speeding, reckless, or aggressive driving were more common on nonroutine routes. School bus crashes are more likely to occur on nonroutine routes. © 2014, American School Health Association.

  14. Formamide-based prebiotic synthesis of nucleobases: A kinetically accessible reaction route

    Czech Academy of Sciences Publication Activity Database

    Šponer, Judit E.; Mládek, Arnošt; Šponer, Jiří; Fuentes-Cabrera, M.

    2012-01-01

    Roč. 116, č. 1 (2012), s. 720-726 ISSN 1089-5639 R&D Projects: GA MŠk(CZ) LC06030; GA AV ČR(CZ) IAA400040802; GA ČR(CZ) GAP208/10/2302; GA ČR(CZ) GA203/09/1476; GA ČR(CZ) GAP208/11/1822; GA ČR(CZ) GD203/09/H046 Institutional research plan: CEZ:AV0Z50040507; CEZ:AV0Z50040702 Keywords : formamide * prebiotic synthesis * nucleobase Subject RIV: BO - Biophysics Impact factor: 2.771, year: 2012

  15. 76 FR 35805 - Port Access Route Study: The Approaches to San Francisco

    Science.gov (United States)

    2011-06-20

    ... in order to analyze traffic patterns of vessels departing from or approaching the current traffic... Administration (NOAA) chart number 18645. The primary purpose of the study was to reconcile the need for safe...

  16. Modelling public transport route choice with multiple access and egress modes

    NARCIS (Netherlands)

    Brands, Ties; de Romph, E.; Veitch, T.; Cook, J.

    2013-01-01

    The current traffic system faces well known problems like congestion, environmental impact and use of public space. Public transport (PT) is an important mode to alleviate these problems. To be able to assess the effects of policy measures properly, it is important to model the behaviour of the

  17. Modelling Public Transport Route Choice, with Multiple Access and Egress Modes

    NARCIS (Netherlands)

    Brands, T.; De Romph, E.; Veitch, T.; Cook, J.

    2014-01-01

    Public transport (PT) is important, because the current traffic system faces well known problems like congestion, environmental impact and use of public space. To be able to assess the effects of policy measures properly, it is necessary to model the behavior of the (PT) traveler in a realistic way.

  18. Polymer thin films as a route to access low energy glassy states

    Science.gov (United States)

    Cangialosi, Daniele; Boucher, Virginie M.; Alegria, Angel; Colmenero, Juan

    We investigate the enthalpy recovery in the glassy state of stacked polystyrene films with thickness 30 nm. We first show how the equilibrium dynamics and thermodynamics of such films is mainly bulk-like. When studying enthalpy recovery, we find two mechanisms of equilibration: one showing up below 348 K, that is, the films Tg; and the second active below 308 K. The latter mechanism appear to have low activation energy and, as a result, gives rise to dramatic decrease of the fictive temperature Tf within relatively short aging times. This allows to achieve low energy glasses, in particular approaching the Kauzmann temperature (Tk), that is, the temperature at which the entropy of the glass equals that of the crystal. The implications of our results are discussed.

  19. Modelling public transport route choice, with multiple access and egress modes

    NARCIS (Netherlands)

    Brands, Ties; de Romph, E.; Veitch, T.; Cook, J.

    2014-01-01

    Public transport (PT) is important, because the current traffic system faces well known problems like congestion, environmental impact and use of public space. To be able to assess the effects of policy measures properly, it is necessary to model the behavior of the (PT) traveler in a realistic way.

  20. Offenders to University:Potential routes for offenders to access Higher Education

    OpenAIRE

    West, Gordon

    2015-01-01

    Currently, offender education, in general, is inadequate in supporting offenders to progress to university, succeed in Higher Education (HE) and progress into sustainable employment. In the community the picture is grim regarding offender education with little literature or policy to support academically able offenders to break free of low-level attainment constraints imposed by institutionalised stereotypical support mechanisms. What little exists is focused on low level attainment: a little...