Articaine for supplemental intraosseous anesthesia in patients with irreversible pulpitis.

Science.gov (United States)

Bigby, Jason; Reader, Al; Nusstein, John; Beck, Mike; Weaver, Joel

2006-11-01

The purpose of this study was to determine the anesthetic efficacy and heart rate effect of 4% articaine with 1:100,000 epinephrine for supplemental intraosseous injection in mandibular posterior teeth diagnosed with irreversible pulpitis. Thirty-seven emergency patients, diagnosed with irreversible pulpitis of a mandibular posterior tooth, received an inferior alveolar nerve block and had moderate-to-severe pain upon endodontic access. The Stabident system was used to administer 1.8 ml of 4% articaine with 1:100,000 epinephrine. Success of the intraosseous injection was defined as none or mild pain upon endodontic access or initial instrumentation. The results demonstrated that anesthetic success was obtained in 86% (32 of 37) of the patients. Maximum mean heart rate was increased 32 beats/minute during the intraosseous injection. We can conclude that when the inferior alveolar nerve block fails to provide profound pulpal anesthesia, the intraosseous injection of 4% articaine with 1:100,000 epinephrine would be successful 86% of the time in achieving pulpal anesthesia in mandibular posterior teeth of patients presenting with irreversible pulpitis.

Intraosseous infusion in elective and emergency pediatric anesthesia: when should we use it?

OpenAIRE

Neuhaus, Diego

2014-01-01

PURPOSE OF REVIEW Difficulties to establish a venous access may also occur in routine pediatric anesthesia and lead to hazardous situations. Intraosseous infusion is a well tolerated and reliable but rarely used alternative technique in this setting. RECENT FINDINGS According to recent surveys, severe complications of intraosseous infusion stay a rare event. Minor complications and problems in getting an intraosseous infusion started on the other side seem to be more common than generally ...

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].

Onset and Duration of Intravenous and Intraosseous Rocuronium in Swine

Science.gov (United States)

Loughren, Michael; Banks, Sarah; Naluan, Carleo; Portenlanger, Paul; Wendorf, Arthur; Johnson, Don

2014-01-01

Introduction The intraosseous (IO) route has become a popular method to gain access to the peripheral circulation in emergency situations. Despite little supporting data, it is generally believed that IO absorption is immediate and equivalent to the intravenous (IV) route. It is important to determine if rocuronium can effectively be administered by the IO route. The aim of the study was to determine and compare the onset and duration of rocuronium when administered via the IO and IV routes in a normovolemic pig model. Methods We recorded electromyographic (EMG) data following tibial IO and peripheral IV administration of rocuronium (1.2 mg/kg) in 10 swine weighing between 56 and 71 Kg. We transformed data were transformed to percent of baseline, determined onset and recovery characteristics. Results The onset EMG-time profiles for IO and IV administration were very similar: tibial IO compared to IV administration did not statistically alter the onset of paralysis. The IO group took statistically longer than the IV group to return to 50 (p=0.042), 75 (p=0.034) and 95 (p=0.036) percent of baseline activity. Conclusion The duration of effect is statistically longer after IO administration but is more of an academic interest than a clinical concern. The results of this study suggest that rocuronium can effectively be administered via the IO route without the need for dose adjustments. PMID:24672619

Intraosseous anesthesia: a review.

Science.gov (United States)

Brown, R

1999-10-01

The recent introduction of intraosseous injection devices has renewed interest in the modality of local anesthesia. Three devices currently available are the Stabident System, the Hypo Brand Intraosseous Needle, and the Cyberjet System. The Stabident System is the most popular and the only one for which published research is available. Primary intraosseous anesthesia is 45 percent to 93 percent effective but of short duration. Supplemental intraosseous anesthesia is 80 percent to 90 percent effective and provides profound anesthesia of long duration (60 minutes or longer). It is used when a prior conventional infiltration or nerve block is inadequate. During use of an anesthetic solution with a vasoconstrictor for intraosseous anesthesia, 46 percent to 100 percent of patients reported an increase in heart rate. There was a 2 percent to 27 percent incidence of moderate and sometimes severe pain during the intraosseous procedure. Postoperative complications occurred in 2 percent to 15 percent of patients and lasted one to 14 days.

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

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.

Onset and Duration of Intravenous and Intraosseous Rocuronium in Swine

Directory of Open Access Journals (Sweden)

Michael Loughren

2014-03-01

Full Text Available Introduction: The intraosseous (IO route has become a popular method to gain access to the peripheral circulation in emergency situations. Despite little supporting data, it is generally believed that IO absorption is immediate and equivalent to the intravenous (IV route. It is important to determine if rocuronium can effectively be administered by the IO route. The aim of the study was to determine and compare the onset and duration of rocuronium when administered via the IO and IV routes in a normovolemic pig model. Methods: We recorded electromyographic (EMG data following tibial IO and peripheral IV administration of rocuronium (1.2 mg/kg in 10 swine weighing between 56 and 71 Kg. We transformed data were transformed to percent of baseline, determined onset and recovery characteristics. Results: The onset EMG-time profiles for IO and IV administration were very similar: tibial IO compared to IV administration did not statistically alter the onset of paralysis. The IO group took statistically longer than the IV group to return to 50 (p=0.042, 75 (p=0.034 and 95 (p=0.036 percent of baseline activity. Conclusion: The duration of effect is statistically longer after IO administration but is more of an academic interest than a clinical concern. The results of this study suggest that rocuronium can effectively be administered via the IO route without the need for dose adjustments. [West J Emerg Med. 2014;15(2:241-245.

A theoretical alternative intraosseous infusion site in severely hypovolemic children

Directory of Open Access Journals (Sweden)

Nkhensani Mogale

2015-07-01

Full Text Available Background: Studies have shown that the venous system tends to collapse during hypovolemic shock. The use of the bone marrow space for infusions is an effective alternative, with the tibial insertion site being the norm. Objectives: This study was conducted to determine a quick intraosseous infusion method that could be an alternative to the tibial route in neonates during emergency situations. Method: A sample of 30 neonatal cadavers was dissected to explore a possible alternative to the tibial insertion site. The needle was inserted in the superolateral aspect of the humerus. The needle infusion site was then dissected to determine possible muscular and neurovascular damage that might occur during the administration of this procedure, with the greatest concern being the posterior circumflex humeral artery and axillary nerve exiting the quadrangular space. The distance of the needle insertion site was measured in relation to the soft tissue aswell as to bony landmarks. Results: The calculated 95% confidence interval shows that the needle can be safely inserted into the intraosseous tissue at the greater tubercle of the humerus 9.5 mm – 11.1 mm from the acromion. This is about a little finger’s width from the acromioclavicular joint. Conclusion: Anatomically, the described site is suggested to offer a safe alternative access point for emergency infusion in severely hypovolemic newborns and infants, without the risk of damage to any anatomical structures.

Intraosseous infusion in elective and emergency pediatric anesthesia: when should we use it?

Science.gov (United States)

Neuhaus, Diego

2014-06-01

Difficulties to establish a venous access may also occur in routine pediatric anesthesia and lead to hazardous situations. Intraosseous infusion is a well tolerated and reliable but rarely used alternative technique in this setting. According to recent surveys, severe complications of intraosseous infusion stay a rare event. Minor complications and problems in getting an intraosseous infusion started on the other side seem to be more common than generally announced. The EZ-IO intraosseous infusion system has received expanded EU CE mark approval for an extended dwell time of up to 72 h and for insertion in pediatric patients in the distal femur. Key values of blood samples for laboratory analysis can be obtained with only 2 ml of blood/marrow waste and do also offer reliable values using an I-Stat point-of-care analyzer. Most problems in using an intraosseous infusion are provider-dependent. In pediatric anesthesia, the perioperative setting should further contribute to reduce these problems. Nevertheless, regular training, thorough anatomical knowledge and prompt availability especially in the pediatric age group are paramount to get a seldom used technique work properly under pressure. More longitudinal data on large cohorts were preferable to further support the safety of the intraosseous infusion technique in pediatric patients.

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.)

Current use of intraosseous infusion in Danish emergency departments

DEFF Research Database (Denmark)

Molin, Rune; Hallas, Peter; Brabrand, Mikkel

2010-01-01

BACKGROUND: 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). METHODS: An online questionnaire was e-mailed to the Heads of Department...

The Lost Art of Whole Blood Transfusion in Austere Environments

Science.gov (United States)

2015-04-01

Norway; 2Department of Immunology and Transfusion Medicine, Haukeland University Hospital, Bergen, Norway; 3Department of Anesthesia and Intensive Care...intravenously or intraosseously will increase the CO and hence the BP because the circulation is constricted severely with low circulating blood volume...lactate monitor). & Establish an intravenous or intraosseous route. For intraosseous route, sternal access is preferred. & The initial fluid of choice is

Intraosseous injection as an adjunct to conventional local anesthetic techniques: A clinical study.

Science.gov (United States)

Idris, Mohamed; Sakkir, Nasil; Naik, Kishore Gopalakrishna; Jayaram, Nandakishore Kunijal

2014-09-01

The achievement of successful local anesthesia is a continual challenge in dentistry. Adjunctive local anesthetic techniques and their armamentaria, such as intraosseous injection (the Stabident system and the X-tip system) have been proposed to be advantageous in cases where the conventional local anesthetic techniques have failed. A clinical study was undertaken using intraosseous injection system by name X-tip to evaluate its effectiveness in cases where inferior alveolar nerve block has failed to provide pulpal anesthesia. Sixty adult patients selected were to undergo endodontic treatment for a mandibular molar tooth. Inferior alveolar nerve block was given using 4% articaine with 1:100,000 epinephrine. Twenty-four patients (40%) had pain even after administration of IAN block; intraosseous injection was administered using 4% articaine containing 1:100,000 epinephrine, using the X-tip system. The success of X-tip intraosseous injection was defined as none or mild pain (Heft-Parker visual analog scale ratings ≤ 54 mm) on endodontic access or initial instrumentation. Intraosseous injection technique was successful in 21 out of 24 patients (87.5%), except three patients who had pain even after supplemental X-tip injection. Within the limits of this study, we can conclude that supplemental intraosseous injection using 4% articaine with 1:100,000 epinephrine has a statistically significant influence in achieving pulpal anesthesia in patients with irreversible pulpitis.

Intraosseous (IO) route

African Journals Online (AJOL)

MBY

Fluid, blood, antibiotics, glucose, diazepam, and furosemide were given successfully with resultant effect ... whom intra-vascular access failed and as an alternative. Introduction .... transfusion was carried out by conventional gravity with clinical ...

Intraosseous injection as an adjunct to conventional local anesthetic techniques: A clinical study

Science.gov (United States)

Idris, Mohamed; Sakkir, Nasil; Naik, Kishore Gopalakrishna; Jayaram, Nandakishore Kunijal

2014-01-01

Background: The achievement of successful local anesthesia is a continual challenge in dentistry. Adjunctive local anesthetic techniques and their armamentaria, such as intraosseous injection (the Stabident system and the X-tip system) have been proposed to be advantageous in cases where the conventional local anesthetic techniques have failed. Aim: A clinical study was undertaken using intraosseous injection system by name X-tip to evaluate its effectiveness in cases where inferior alveolar nerve block has failed to provide pulpal anesthesia. Materials and Methods: Sixty adult patients selected were to undergo endodontic treatment for a mandibular molar tooth. Inferior alveolar nerve block was given using 4% articaine with 1:100,000 epinephrine. Twenty-four patients (40%) had pain even after administration of IAN block; intraosseous injection was administered using 4% articaine containing 1:100,000 epinephrine, using the X-tip system. The success of X-tip intraosseous injection was defined as none or mild pain (Heft-Parker visual analog scale ratings ≤ 54 mm) on endodontic access or initial instrumentation. Results: Intraosseous injection technique was successful in 21 out of 24 patients (87.5%), except three patients who had pain even after supplemental X-tip injection. Conclusion: Within the limits of this study, we can conclude that supplemental intraosseous injection using 4% articaine with 1:100,000 epinephrine has a statistically significant influence in achieving pulpal anesthesia in patients with irreversible pulpitis. PMID:25298642

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.)

Barriers and facilitators to intraosseous access in adult resuscitations when peripheral intravenous access is not achievable.

Science.gov (United States)

James Cheung, Warren; Rosenberg, Hans; Vaillancourt, Christian

2014-03-01

Studies suggest that intraosseous (IO) access is underutilized in adult resuscitations, despite recommendations from advanced trauma and cardiac life support guidelines. The objective was to determine factors associated with IO access use by physicians during adult resuscitations when intravenous (IV) access is not immediately achievable. This study was an online survey among physicians purposefully recruited from various clinical care areas at three teaching hospitals. Questions were generated from the qualitative results of 20 iterative interviews, verified for internal validity, and piloted. The interview guide was based on the constructs of the Theory of Planned Behavior (TPB), which elicits salient attitudes, social influences, and control beliefs that potentially influence intention to use IO access. Recruitment took place in September 2012 until reaching more than 100% of the required sample size (n = 200). Internal consistency was measured using Cronbach's alpha, and the effect of TPB constructs and specific beliefs were assessed with regression analyses. For the 205 respondents, the mean age was 35 years (range = 20 to 66 years), and 53.3% were male. Participants' departmental affiliations were 50.3% emergency medicine (EM), 16.9% internal medicine, 14.9% anesthesia, 10.8% general surgery, and 7.2% critical care. Residents comprised 60.7% of the sample, and 39.3% were attending physicians. Median intention to use IO access when IV is not immediately achievable was 4.67 (interquartile range [IQR] = 4 to 5) out of 5 (5 highest) and predicted by the following TPB constructs: attitudes (AdjCoefficients = 0.504; 95% confidence interval [CI] = 0.334 to 0.673), social influences (AdjCoefficients = 0.285; 95% CI = 0.172 to 0.398), and control beliefs (AdjCoefficients 0.217; 95% CI = 0.113 to 0.320). Physicians were more likely to use IO access if they believed that it provided rapid vascular access for delivering large volumes of fluids, could prevent delays in

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....

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)

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

Science.gov (United States)

Johnson, Don; Garcia-Blanco, Jose; Burgert, James; Fulton, Lawrence; Kadilak, Patrick; Perry, Katherine; Burke, Jeffrey

2015-09-01

Cardiopulmonary Resuscitation (CPR), defibrillation, and epinephrine administration are pillars of advanced cardiac life support (ACLS). Intraosseous (IO) access is an alternative route for epinephrine administration when intravenous (IV) access is unobtainable. Previous studies indicate the pharmacokinetics of epinephrine administration via IO and IV routes differ, but it is not known if the difference influences return of spontaneous circulation (ROSC). The purpose of this prospective, experimental study was to determine the effects of humeral IO (HIO) and IV epinephrine administration during cardiac arrest on pharmacokinetics, ROSC, and odds of survival. Swine (N = 21) were randomized into 3 groups: humeral IO (HIO), peripheral IV (IV) and CPR/defibrillation control. Cardiac arrest was induced under general anesthesia. The swine remained in arrest for 2 min without intervention. Chest compressions were initiated and continued for 2 min. Epinephrine was administered and serial blood samples collected for pharmacokinetic analysis over 4 min. Defibrillation and epinephrine administration proceeded according to ACLS guidelines continuing for 20 min or until ROSC. 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.

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…

A Comparison of the Effects of Intraosseous and Intravenous 5% Albumin on Infusion Time and Hemodynamic Measures in a Swine Model of Hemorrhagic Shock.

Science.gov (United States)

Muir, Stacy L; Sheppard, Lance B; Maika-Wilson, Anne; Burgert, James M; Garcia-Blanco, Jose; Johnson, Arthur D; Coyner, Jennifer L

2016-08-01

Introduction Obtaining intravenous (IV) access in patients in hemorrhagic shock is often difficult and prolonged. Failed IV attempts delay life-saving treatment. Intraosseous (IO) access may often be obtained faster than IV access. Albumin (5%) is an option for prehospital volume expansion because of the absence of interference with coagulation and platelet function. Hypothesis/Problem There are limited data comparing the performance of IO and IV administered 5% albumin. The aims of this study were to compare the effects of tibial IO (TIO) and IV administration of 500 mL of 5% albumin on infusion time and hemodynamic measurements of heart rate (HR), mean arterial pressure (MAP), cardiac output (CO), and stroke volume (SV) in a swine model of hemorrhagic shock. Sixteen male swine were divided into two groups: TIO and IV. All subjects were anesthetized and a Class III hemorrhage was achieved by exsanguination of 31% of estimated blood volume (EBV) from a femoral artery catheter. Following exsanguination, 500 mL of 5% albumin was administered under pressurized infusion (300 mmHg) by the TIO or IV route and infusion time was recorded. Hemodynamic measurements of HR, MAP, CO, and SV were collected before and after exsanguination and every 20 seconds for 180 seconds during 5% albumin infusion. An independent t-test determined that IV 5% albumin infusion was significantly faster compared to IO (P=.01). Mean infusion time for TIO was seven minutes 35 seconds (SD=two minutes 44 seconds) compared to four minutes 32 seconds (SD=one minute 08 seconds) in the IV group. Multivariate Analysis of Variance was performed on hemodynamic data collected during the 5% albumin infusion. Analyses indicated there were no significant differences between the TIO and IV groups relative to MAP, CO, HR, or SV (P>.05). While significantly longer to infuse 5% albumin by the TIO route, the longer TIO infusion time may be negated as IO devices can be placed more quickly compared to repeated IV

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.

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

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)

Uncommon tumor of the bone: Intraosseous epidermoid cyst

Directory of Open Access Journals (Sweden)

Candemir Ceran

2017-04-01

Full Text Available Intraosseous epidermoid cyst is an uncommon bone tumor. The differential diagnosis of expansile, lytic lesions of the phalanges remains broad, and definitive diagnosis requires histopathological tissue analysis. Differentiation of intraosseous epidermoid cysts of the phalanx from other radiolucent lesions of the digits remains challenging, especially when classical radiographic findings are not seen. Here, we present a case of an intraosseous epidermoid cyst with atypical findings at the base of the distal phalanx of the thumb without a history of trauma. It was treated successfully without any complications. [Hand Microsurg 2017; 6(1.000: 43-46

Intraosseous hemangioma of the orbit.

Science.gov (United States)

Choi, June Seok; Bae, Yong Chan; Kang, Gyu Bin; Choi, Kyung-Un

2018-03-01

Intraosseous hemangioma is an extremely rare tumor that accounts for 1% or fewer of all osseous tumors. The most common sites of its occurrence are the vertebral column and calvaria. Occurrence in a facial bone is very rare. The authors aim to report a case of the surgical treatment of intraosseous hemangioma occurring in the periorbital region, which is a very rare site of occurrence and to introduce our own experiences with the diagnosis and treatment of this condition along with a literature review. A 73-year-old male patient visited our hospital with the chief complaint of a mass touching the left orbital rim. A biopsy was performed by applying a direct incision after local anesthesia. Eventually, intraosseous hemangioma was diagnosed histologically. To fully resect the mass, the orbital floor and zygoma were exposed through a subciliary incision under general anesthesia, and then the tumor was completely eliminated. Bony defect was reconstructed by performing a seventh rib bone graft. Follow-up observation has so far been conducted for 10 months after surgery without recurrence or symptoms.

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

[An evaluation of eight cases of intraosseous lipoma].

Science.gov (United States)

Sahin, Yilmaz; Dabak, Nevzat; Selçuk, M Bekir; Bariş, Y Sancar

2007-01-01

We retrospectively evaluated patients with intraosseous lipoma. The study included eight patients (5 males, 3 females; mean age 39 years; range 23 to 60 years) who were treated between 1997 and 2005 for intraosseous lipoma. Localizations of the lipomas were the calcaneus in six patients, proximal humerus in one patient, and proximal femur in one patient. The presenting complaints were heel pain in patients with calcaneal involvement, and shoulder pain associated with proximal humeral involvement. In one patient, detection of intraosseous lipoma in the left proximal femur was incidental during examination for right hip pain. According to the Milgram classification, five of the intraosseous lipomas were stage 1, while two calcaneal lesions and one femoral lesion were stage 2. Treatment consisted of excisional biopsy, curettage, and allografting under regional or general anesthesia. The diagnosis was confirmed histopathologically in all cases. The mean follow-up period was 28 months (range 9 to 110 months). Complaints of heel pain and shoulder pain resolved within four and five months, respectively. No infection or skin necrosis occurred at the wound site. No neurovascular complications developed during or after surgery. Radiological consolidation of the implanted bone allografts were complete by a mean of three months (range 2 to 4 months). No pathological fractures or recurrences were encountered. Treatment of intraosseous lipomas with curettage and grafting is effective in relieving pain and preventing possible pathological fractures.

Anesthetic efficacy of a repeated intraosseous injection given 30 min following an inferior alveolar nerve block/intraosseous injection.

OpenAIRE

Reitz, J.; Reader, A.; Nist, R.; Beck, M.; Meyers, W. J.

1998-01-01

To determine whether a repeated intraosseous (IO) injection would increase or prolong pulpal anesthesia, we measured the degree of anesthesia obtained by a repeated IO injection given 30 min following a combination inferior alveolar nerve block/intraosseous injection (IAN/IO) in mandibular second premolars and in first and second molars. Using a repeated-measures design, we randomly assigned 38 subjects to receive two combinations of injections at two separate appointments. The combinations w...

Diverse Imaging characteristics of a mandibular intraosseous vascular lesion

International Nuclear Information System (INIS)

Handa, Hina; Naidu, Giridhar S.; Dara, Balaji Gandhi Babu; Deshpande, Ashwini; Raghavendra, Raju

2014-01-01

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.

A comparison of two intraosseous anesthetic techniques in mandibular posterior teeth.

Science.gov (United States)

Gallatin, Juliane; Reader, Al; Nusstein, John; Beck, Mike; Weaver, Joel

2003-11-01

A number of studies have evaluated the Stabident (Fairfax Dental, Miami) intraosseous anesthesia technique. A second intraosseous technique--the X-tip system (X-tip Technologies, Lakewood, N.J.)--has been introduced, but no scientific studies have yet compared its effectiveness to that of the Stabident system. The authors undertook a study to compare the two systems' anesthetic outcomes in primary intraosseous injections in mandibular posterior teeth. The authors, using a crossover design, randomly administered a primary Stabident intraosseous injection and a primary X-tip intraosseous injection, at two separate appointments, to 41 subjects. Subjects were asked if they perceived an increase in heart rate with the intraosseous injections. The research team blind-tested each subject's first molar, second molar and second premolar with a pulp tester at two-minute cycles for 60 minutes after the injection. Anesthesia was considered successful when two consecutive pulp tester readings of 80 were obtained. Anesthetic success rates for the Stabident technique and the X-tip technique, respectively, were 93 percent and 93 percent for the first molar; 95 percent and 95 percent for the second molar; and 81 percent and 83 percent for the second premolar, with no significant differences (P > .05) between the two techniques. For both intraosseous techniques, onset of pulpal anesthesia occurred within the first two minutes, but the duration of anesthesia declined steadily over the 60 minutes. Eighty-five percent of the subjects had a perceived increase in heart rate with the Stabident injection and 93 percent with the X-tip injection, with no significant differences (P > .05) between the techniques. The two primary intraosseous injection techniques were similar regarding anesthetic success, onset, duration and perceived heart rate increases.

U-Access: a web-based system for routing pedestrians of differing abilities

Science.gov (United States)

Sobek, Adam D.; Miller, Harvey J.

2006-09-01

For most people, traveling through urban and built environments is straightforward. However, for people with physical disabilities, even a short trip can be difficult and perhaps impossible. This paper provides the design and implementation of a web-based system for the routing and prescriptive analysis of pedestrians with different physical abilities within built environments. U-Access, as a routing tool, provides pedestrians with the shortest feasible route with respect to one of three differing ability levels, namely, peripatetic (unaided mobility), aided mobility (mobility with the help of a cane, walker or crutches) and wheelchair users. U-Access is also an analytical tool that can help identify obstacles in built environments that create routing discrepancies among pedestrians with different physical abilities. This paper discusses the system design, including database, algorithm and interface specifications, and technologies for efficiently delivering results through the World Wide Web (WWW). This paper also provides an illustrative example of a routing problem and an analytical evaluation of the existing infrastructure which identifies the obstacles that pose the greatest discrepancies between physical ability levels. U-Access was evaluated by wheelchair users and route experts from the Center for Disability Services at The University of Utah, USA.

Evaluation of Intraosseous Fluid as an Alternative Biological Specimen in Postmortem Toxicology.

Science.gov (United States)

Rodda, Luke N; Volk, Justin A; Moffat, Ellen; Williams, Chinyere M; Lynch, Kara L; Wu, Alan H B

2018-04-01

The postmortem redistribution phenomenon is an important factor in the interpretation of blood drug concentrations as a cause or factor in death. Intraosseous fluid (IOF) may serve as an alternative matrix for drug testing. Intraosseous fluid was collected from the left and right tibias and humerus of 29 decedents using the Arrow EZ-IO Intraosseous Vascular Access System. Standard autopsy specimens including blood were also collected at the same time during autopsy. Blood and IOF specimens were screened by immunoassay for opioids, fentanyl analogs, oxycodone, methadone, cocaine, methamphetamine, amphetamines, phencyclidine, tricyclic antidepressants, benzodiazepines and cannabinoids, using commercially available enzyme-linked immunosorbent assay (ELISA) kits. Correlation between cardiac/central blood ELISA and IOF ELISA results was mostly 100% for drug targets. Further blood confirmation analysis was performed by gas chromatography mass spectrometry also showed comparable correlation to IOF screen results. There was no significant difference between the IOF sites or sides of the body. This novel study supports the use of IOF as an alternative postmortem specimen for toxicological investigations as a potentially less-compromised tissue in decomposed or traumatized bodies. Preliminary data is provided for the screening of common drugs of abuse in IOF that may show to be subject to alternative rates of postmortem redistribution than to that of other biological specimens in future studies that quantitate IOF drug concentrations.

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)

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.

Proteus Syndrome With a Cranial Intraosseous Lipoma.

Science.gov (United States)

Wolfswinkel, Erik M; Imahiyerobo, Thomas A; McComb, J Gordon; Sanchez-Lara, Pedro A; Urata, Mark M

2017-11-01

Intraosseous lipomas are almost exclusively seen in the long bones. Presence in the craniofacial skeleton is extremely rare. A 7-year-old male is presented with a marked craniofacial deformation from a bony tumor containing an intraosseous lipoma. This finding established a clinical diagnosis of Proteus syndrome. Given the size of the tumor, producing an extensive deformity, three-dimensional modeling was used to generate a three-dimensional printed implant. The process to achieve a successful outcome is herein described.

Procedural mishaps with trephine-based intraosseous anesthesia.

Science.gov (United States)

Small, Joel C; Witherspoon, David E; Regan, John D; Hall, Ellen

2011-01-01

Failure to achieve profound anesthesia during dental treatment can be a significant problem for dental clinicians, especially for endodontic procedures on teeth in the mandibular arch with irreversible pulpitis. A number of supplemental local anesthesia techniques exist, the most effective of which may be the intraosseous injection. Two cases are presented demonstrating the dangers associated with the use of the intraosseous anesthesia technique. While the technique can provide profound anesthesia in otherwise difficult to anesthetize cases, care must be taken during its administration. Both cases show the damage done to the root and overlying bone by the injudicious use of the trephine. It is incumbent on the clinician to fully consider the anatomy in the area prior to insertion of the trephine. Intraosseous anesthesia techniques are a valuable addition to the clinicians' armamentarium. However careless administration can result in problems of endodontic or periodontal nature that may be difficult to rectify.

X-ray and CT diagnosis of intraosseous ganglion

International Nuclear Information System (INIS)

Gong Xiangyang; Zhang Weimin; Yan Shigui

2002-01-01

Objective: To investigate the pathogenesis, clinical manifestations, imaging features, and differential diagnosis of intraosseous ganglion. Methods: Clinical and imaging features of 15 cases (5 men, 10 women; mean age 39.7 years) with intraosseous ganglia were retrospectively analyzed. There were 17 lesions, including 6 acetabular, 4 lunate, 3 proximal ends of tibia, 1 major tuberculum of humeral, 1 femoral head, 1 scaphoid, and 1 phalange. Results: ( 1 ) Common radiological features included a unilocular or multilocular cyst surrounded by a full and thin rim of sclerotic: bone in the subchondral epiphysis without any signs of degenerative joint disease. (2) Lesions were displayed as well-defined round radiolucent defect or multi-cystic changes with surrounding bony sclerosis or cystic and expansile change with irregular shape on CT scans. (3) CT showed an intraosseous ganglion communicating with adjacent joint in 1 patient. (4) CT values of the lesions were between 15 - 80 HU. (5) Gas in the cyst could be seen in 3 cases. Conclusion: Combined with patient's age, lesion distribution, clinical manifestations, and imaging features, it is possible to make a correct diagnosis of intraosseous ganglion

[Intraosseous anesthesia X-tip system in tooth extraction].

Science.gov (United States)

Augello, Marcello; Furrer, Thomas; Locher, Michael

2009-01-01

The purpose of this study was to determine the anesthetic efficacy of a intraosseous anesthesia (IOA) as an alternative to the infra alveolar nerve block (IANB) or the maxillary anesthesia. 55 subjects who underwent a tooth extraction received a primary X-tip intraosseous injection (LLC Lakewood, New Jersey, U.S.A.) of Ubistesin forte (articaini hydrochloridum 40 mg, adrenalinum 10 pg ut adrenalini hydrochloridum 1:100000, median 1.5 ml). A pulse oximeter measured the heart rate and the oxygen saturation. The results demonstrated, that the maximum heart rate was higher with the intraosseous injection (average 14.6 beats/min increase) during 1.5-2 minutes, but there was no depression of the oxygen saturation. The wound healing was uneventful. We registered five non-responders which were treated additionally with 1.3 ml of Ubistesin forte terminal anesthesia. For all patients the IOA was unpleasant similar to a "normal" anesthesia. Success of the intraosseous injection was 91%, comparable to the study of Turner et al. (2002) (or the clinical experience after an IANB). For non-responders to an IANB the IOA seems to be a good alternative method.

Effect of intraosseous anesthesia on control of hemostasis in pigs.

Science.gov (United States)

Baker, Tyler F; Torabinejad, Mahmoud; Schwartz, Stephen F; Wolf, David

2009-11-01

Intraosseous anesthesia is used to deliver anesthetic into cancellous bone adjacent to the root apices. No study has assessed the effect of this anesthetic technique on hemostasis. The purpose of this study was to compare the amount of bleeding from soft tissue and bone in pig jaws after preoperative intraosseous or infiltration anesthesia with 2% lidocaine containing 1:50,000 epinephrine. Twelve pigs were divided into 3 groups. The first group received infiltration anesthesia on one half of the jaw and no anesthesia on the other half. The second group received intraosseous anesthesia on one half of the jaw and no anesthesia on the other half. The third group received infiltration anesthesia on one half of the jaw and intraosseous anesthesia on the second half. Blood was collected during flap reflection to measure the volume of soft tissue bleeding. Osteotomies were then prepared with blood collected from the surgical site to measure the volume of osseous bleeding. The median soft tissue blood loss observed in animals receiving infiltration anesthesia (1.14 mL) was significantly less as compared with animals that received no anesthesia (4.49 mL) or intraosseous anesthesia (2.45 mL). Compared with median hard tissue blood loss observed in animals without anesthesia (1.51 mL), significantly less blood loss was observed in animals receiving either infiltration anesthesia (0.67 mL) or intraosseous anesthesia (0.76 mL). Infiltration anesthesia resulted in significantly less soft tissue bleeding (p = .004) as compared with no anesthesia. Infiltration and intraosseous anesthesia resulted in significantly less osseous bleeding than the use of no anesthetic (p < .001). The volume of blood loss for each animal was shown to be below the maximum safe volume of blood loss for a single procedure.

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

African Journals Online (AJOL)

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 ...

Intraosseous Leiomyoma of the Jaw in an Adolescent.

Science.gov (United States)

Valls-Ontañón, Adaia; Pozuelo-Arquimbau, Laura; Mateu-Esquerda, Gemma; Arranz-Obispo, Carlos; Cuscó-Albors, Sílvia; Melero-Luque, Mireia; Morla, Arnaud; Marí-Roig, Antoni

2017-05-15

Leiomyoma is a benign tumor of the smooth muscle that rarely occurs in the mouth as an intraosseous lesion. The purposes of this paper are to: (1) present a case of an intraosseous solid leiomyoma of the mandible in a 13-year-old child, who presented with a well-defined unilocular radiolucency in the right mandible incidentally discovered during a routine dental radiographic examination; and (2) conduct a review of the literature to describe clinicopathological features and management of intraosseous jaw leiomyoma (IJL). A total of 17 articles describing 18 cases of IJL satisfied the selection criteria; including the present patient, to date a total of 19 cases of IJL have been reported. IJL occurs mainly in young patients (36.8 percent), more often in boys (1:5:1 male-to-female ratio), and reaches a larger size in children than in adults. The treatment of choice for IJL is surgical excision, which should be as minimally invasive as possible, especially in children.

Complication with intraosseous access

DEFF Research Database (Denmark)

Hallas, Peter; Brabrand, Mikkel; Folkestad, Lars

2013-01-01

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...

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.

Juvenile intraosseous gout of the calcaneus

International Nuclear Information System (INIS)

Yun, Chun-Ho; Fang, Yang-Kai; Hung, Yu-Chung; Shih, Shin-Lin; Huang, Jon-Kway

2005-01-01

Gout presenting as an osteolytic lesion is exceedingly rare in children with asymptomatic hyperuricemia. We report the clinical and radiological presentation of intraosseous gout in a 13-year-old boy. (orig.)

Juvenile intraosseous gout of the calcaneus

Energy Technology Data Exchange (ETDEWEB)

Yun, Chun-Ho; Fang, Yang-Kai; Hung, Yu-Chung [Mackay Memorial Hospital, Department of Radiology, Taipei (Taiwan); Shih, Shin-Lin; Huang, Jon-Kway [Taipei Medical University, Department of Radiology, Taipei (Taiwan)

2005-09-01

Gout presenting as an osteolytic lesion is exceedingly rare in children with asymptomatic hyperuricemia. We report the clinical and radiological presentation of intraosseous gout in a 13-year-old boy. (orig.)

Intraosseous ameloblastoma masquerading as exophytic growth: a case report

International Nuclear Information System (INIS)

Ramachandra, Prashanth; Ramnarayan, BK; Sanjay, CJ; David, Chaya M; Kaul, Rachna

2011-01-01

Intraosseous ameloblastoma is the most common and simple type of ameloblastoma prevalent among odontogenic tumors. Clinico-radiographically intraosseous ameloblastoma presents as slow, painless swelling or expansion of the jaws and described as multilocular expansile radiolucency that occurs most frequently in mandibular molar/ramus area. This article describes a case of follicular ameloblastoma involving 45 year old male which is different from the usual presentation, which includes-exophytic growth, different location and without expansion of the cortex.

Intraosseous ameloblastoma masquerading as exophytic growth: a case report

Energy Technology Data Exchange (ETDEWEB)

Ramachandra, Prashanth; Ramnarayan, BK; Sanjay, CJ; David, Chaya M [Dr Shyamala Reddy Dental College and Hospital, Bangalore (India); Kaul, Rachna [Dayananda Sagar College of Dental Sciences, Bangalore (India)

2011-06-15

Intraosseous ameloblastoma is the most common and simple type of ameloblastoma prevalent among odontogenic tumors. Clinico-radiographically intraosseous ameloblastoma presents as slow, painless swelling or expansion of the jaws and described as multilocular expansile radiolucency that occurs most frequently in mandibular molar/ramus area. This article describes a case of follicular ameloblastoma involving 45 year old male which is different from the usual presentation, which includes-exophytic growth, different location and without expansion of the cortex.

The feasibility of inducing mild therapeutic hypothermia after cardiac resuscitation using iced saline infusion via an intraosseous needle.

Science.gov (United States)

Mader, Timothy J; Walterscheid, Joshua K; Kellogg, Adam R; Lodding, Cynthia C

2010-01-01

This study was done, using a swine model of prolonged ventricular fibrillation out-of-hospital cardiac arrest, to determine the feasibility of inducing therapeutic hypothermia after successful resuscitation by giving an intraosseous infusion of iced saline. This study was IACUC approved. Liter bags of normal saline, after being refrigerated for at least 24h, were placed in an ice filled cooler. Female Yorkshire swine weighing between 27 and 35 kg were sedated and instrumented under general anesthesia. A temperature probe was inserted 10 cm into the esophagus. Ventricular fibrillation was electrically induced and allowed to continue untreated for 10 min. Animals were randomized to one of two resuscitation schemes for the primary study (N=53). One group had central intravenous access for drug delivery and the other had an intraosseous needle inserted into the proximal tibia for drug administration. Animals in which spontaneous circulation was restored were immediately cooled, for this secondary study, by means of a rapid, pump-assisted infusion of 1L of iced saline either through the intraosseous needle (n=8), the central access (n=6), or a peripheral intravenous catheter (n=7) in a systematic, non-randomized fashion. Room, animal, and saline temperatures were recorded at initiation and upon completion of infusion. The data were analyzed descriptively using Stata SE v8.1 for Macintosh. The baseline characteristics of all three groups were mathematically the same. The average ambient room temperature during the experimental sessions was 25.5 degrees C (SD=1.3 degrees C). There were no statistically significant differences between the three groups with regard to saline temperature, rate of infusion, or decrease in core body temperature. The decrease in core temperature for the intraosseous group was 2.8 degrees C (95% CI=1.8, 3.8) over the infusion period. Mild therapeutic hypothermia can be effectively induced in swine after successful resuscitation of prolonged

Providing intraosseous anesthesia with minimal invasion.

Science.gov (United States)

Giffin, K M

1994-08-01

A new variation of intraosseous anesthesia--crestal anesthesia--that is rapid, site-specific and minimally invasive is presented. The technique uses alveolar crest nutrient canals for anesthetic delivery without penetrating either bone or periodontal ligament.

A Randomized Cadaver Study Comparing First-Attempt Success Between Tibial and Humeral Intraosseous Insertions Using NIO Device by Paramedics: A Preliminary Investigation.

Science.gov (United States)

Szarpak, Lukasz; Truszewski, Zenon; Smereka, Jacek; Krajewski, Paweł; Fudalej, Marcin; Adamczyk, Piotr; Czyzewski, Lukasz

2016-05-01

Medical personnel may encounter difficulties in obtaining intravenous (IV) access during cardiac arrest. The 2015 American Heart Association guidelines and the 2015 European Resuscitation Council guidelines for cardiopulmonary resuscitation (CPR) suggest that rescuers establish intraosseous (IO) access if an IV line is not easily obtainable.The aim of the study was to compare the success rates of the IO proximal tibia and proximal humerus head access performed by paramedics using the New Intraosseous access device (NIO; Persys Medical, Houston, TX, USA) in an adult cadaver model during simulated CPR.In an interventional, randomized, crossover, single-center cadaver study, a semi-automatic spring-load driven NIO access device was investigated. In total, 84 paramedics with less than 5-year experience in Emergency Medical Service participated in the study. The trial was performed on 42 adult cadavers. In each cadaver, 2 IO accesses to the humerus head, and 2 IO accesses to the proximal tibia were obtained.The success rate of the first IO attempt was 89.3% (75/84) for tibial access, and 73.8% (62/84) for humeral access (P = 0.017). The procedure times were significantly faster for tibial access [16.8 (interquartile range, IQR, 15.1-19.9] s] than humeral access [26.7 (IQR, 22.1-30.9) s] (P < 0.001).Tibial IO access is easier and faster to put in place than humeral IO access. Humeral IO access can be an alternative method to tibial IO access. clinicaltrials.gov Identifier: NCT02700867.

Using Motion Planning to Determine the Existence of an Accessible Route in a CAD Environment

Science.gov (United States)

Pan, Xiaoshan; Han, Charles S.; Law, Kincho H.

2010-01-01

We describe an algorithm based on motion-planning techniques to determine the existence of an accessible route through a facility for a wheeled mobility device. The algorithm is based on LaValle's work on rapidly exploring random trees and is enhanced to take into consideration the particularities of the accessible route domain. Specifically, the…

Preliminary access routes and cost study analyses for seven potentially acceptable salt sites: Final report, October 1984

International Nuclear Information System (INIS)

1987-02-01

This report analyzes highway and railroad access to seven potentially acceptable salt repository sites: Richton Dome and Cypress Creek Dome in Mississippi, Vacherie Dome in Louisiana, Swisher County and Deaf Smith County in Texas, and Davis Canyon and Lavender Canyon in utah. The objectives of the study were to investigate the routing of reasonable access corridors to the sites, describe major characteristics of each route, and estimate the costs for constructing or upgrading highways and railroads. The routes used in the analysis are not necessarily recommended or preferred over other routes, nor do they represent an implied final selection. Detailed engineering studies must be performed for the Davis Canyon and Lavender Canyon highway access before the analyzed routes can be considered to be viable. 20 refs., 7 figs., 3 tabs

Comparative study between manual injection intraosseous anesthesia and conventional oral anesthesia

OpenAIRE

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

2011-01-01

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...

Side effects and complications of intraosseous anesthesia and conventional oral anesthesia

OpenAIRE

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

2011-01-01

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 ...

The efficacy of supplemental intraosseous anesthesia after insufficient mandibular block

Directory of Open Access Journals (Sweden)

Samir Prohić

2005-02-01

Full Text Available It is a well-known scientific fact that only a small percentage of infiltration of inferior alveolar nerve is clinically proven to be efficient. The objective of this study was to determine the anesthetic efficacy of supplemental intraosseous injection, used after the insufficient classical mandibular block that didn't provide deep pulp anesthesia of mandibular molar planed for extraction. The experimental teeth consisted of 98 mandibular molars with clinical indication for extraction. Based on the history of disease, we indicated the extraction of the tooth. After that each tooth was tested with a electric pulp tester P1. We tested the pulp vitality and precisely determined the level of vitality. After that, each patient received classical mandibular block, and the pulp vitality was tested again. If the pulp tester indicated negative vitality for the certain mandibular molar, and the patient didn't complain about pain or discomfort during the extraction, the molar was extracted and the result was added to anesthetic success rate for the classical mandibular block. If, five minutes after receiving the mandibular block, the pulp tester indicated positive vitality (parameters of vitality or the patient complained about pain or discomfort (parameters of pain and discomfort, we used the Stabident intraosseous anesthesia system. Three minutes after the application of supplemental intraosseous injection the molar was tested with the pulp tester again. The anesthetic solution used in both anesthetic techniques is lidocaine with 1:100.000 epinephrine. The results of this study indicate that the anesthetic efficacy of the mandibular block is 74.5%, and that supplemental intraosseous anesthesia, applied after the insufficient mandibular block, provides pulpal anesthesia in 94.9% of mandibular molars. The difference between anesthetic efficacy of the classical mandibular block and anesthetic efficacy of the supplemental intraosseous anesthesia, applied

The efficacy of supplemental intraosseous anesthesia after insufficient mandibular block.

Science.gov (United States)

Prohić, Samir; Sulejmanagić, Halid; Secić, Sadeta

2005-02-01

It is a well-known scientific fact that only a small percentage of infiltration of inferior alveolar nerve is clinically proven to be efficient. The objective of this study was to determine the anesthetic efficacy of supplemental intraosseous injection, used after the insufficient classical mandibular block that didn't provide deep pulp anesthesia of mandibular molar planed for extraction. The experimental teeth consisted of 98 mandibular molars with clinical indication for extraction. Based on the history of disease, we indicated the extraction of the tooth. After that each tooth was tested with a electric pulp tester P1. We tested the pulp vitality and precisely determined the level of vitality. After that, each patient received classical mandibular block, and the pulp vitality was tested again. If the pulp tester indicated negative vitality for the certain mandibular molar, and the patient didn't complain about pain or discomfort during the extraction, the molar was extracted and the result was added to anesthetic success rate for the classical mandibular block. If, five minutes after receiving the mandibular block, the pulp tester indicated positive vitality (parameters of vitality) or the patient complained about pain or discomfort (parameters of pain and discomfort), we used the Stabident intraosseous anesthesia system. Three minutes after the application of supplemental intraosseous injection the molar was tested with the pulp tester again. The anesthetic solution used in both anesthetic techniques is lidocaine with 1:100.000 epinephrine. The results of this study indicate that the anesthetic efficacy of the mandibular block is 74.5%, and that supplemental intraosseous anesthesia, applied after the insufficient mandibular block, provides pulpal anesthesia in 94.9% of mandibular molars. The difference between anesthetic efficacy of the classical mandibular block and anesthetic efficacy of the supplemental intraosseous anesthesia, applied after the

Intraosseous neurilemmoma of the fibula

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Aoki, J. [Department of Radiology, Shinshu University School of Medicine, Asahi, Matsumoto (Japan); Tanikawa, H. [Department of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto (Japan); Fujioka, F. [Department of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto (Japan); Ishii, K. [Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto (Japan); Seo, G.S. [Department of Radiology, Shinshu University School of Medicine, Matsumoto (Japan); Karakida, O. [Department of Radiology, Shinshu University School of Medicine, Matsumoto (Japan); Sone, S. [Department of Radiology, Shinshu University School of Medicine, Matsumoto (Japan)

1997-01-01

We present a case of intraosseous neurilemmoma of the fibula in a 56-year-old woman. This case showed the typical radiographic appearance except for the presence of spotted calcifications that mimicked a cartilaginous tumor. Enhanced MR images revealed the heterogeneity of the tumor, which consisted of Antoni type A and B tissue. (orig.). With 4 figs.

Intraosseous neurilemmoma of the fibula

International Nuclear Information System (INIS)

Aoki, J.; Tanikawa, H.; Fujioka, F.; Ishii, K.; Seo, G.S.; Karakida, O.; Sone, S.

1997-01-01

We present a case of intraosseous neurilemmoma of the fibula in a 56-year-old woman. This case showed the typical radiographic appearance except for the presence of spotted calcifications that mimicked a cartilaginous tumor. Enhanced MR images revealed the heterogeneity of the tumor, which consisted of Antoni type A and B tissue. (orig.). With 4 figs

Osteonecrosis related to intraosseous anesthesia: report of a case.

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Woodmansey, Karl F; White, Robert K; He, Jianing

2009-02-01

Intraosseous anesthesia is an effective and increasingly used technique with few reported complications. The technique uses a specialized drill to perforate the osseous cortex where local anesthetic can then be deposited to anesthetize teeth. It has been reported that separation of the perforation drills from their plastic bases can occur because of the friction generated during osseous perforation. Prolonged rotation of the perforator drills in the bone can also cause excessive heat, which can lead to bone necrosis. This report describes a case of focal osteonecrosis subsequent to intraosseous anesthesia and discusses possible etiologies of this sequela.

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

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Mazaheri-Khameneh, Ramin; Sarrafzadeh-Rezaei, Farshid; Asri-Rezaei, Siamak; Dalir-Naghadeh, Bahram

2012-01-01

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 anesthesia in rabbits with limited vascular access.

Intraosseous neurilemmoma of the mandible: Report of a rare ancient type

OpenAIRE

Gholamreza Jahanshahi; Abbas Haghighat; Faezeh Azmoodeh

2011-01-01

The neurilemmoma is a benign neoplasm of Schwann cell origin. One of the histopathologic subtypes of this tumor is ancient schwannoma which is characterized by degenerative alterations including cystic change, calcification, hemorrhage, and hyalinization. Intraosseous schwannomas especially ancient ones are rare tumors. Here we present a case of intraosseous ancient schwannoma in the lower jaw of an 11-year-old girl which caused a non-tender expansion. Radiographic examination showed a well-c...

Primary intraosseous squamous cell carcinoma of the mandible arising de novo.

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Shamim, Thorakkal

2009-07-01

Primary intraosseous squamous cell carcinoma is an odontogenic tumour with aggressive behaviour usually noticed in 6th to 7th decades of life. The tumour is characterized by progressive swelling of the jaw, pain and loosening of teeth. Microscopically, the lesion is showing foci of keratinising cells separated by collagenous connective tissue stroma. A case of primary intraosseous squamous cell carcinoma of mandible arising de novo in a 40-year-old man is reported.

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; Peñarrocha, María

2012-05-01

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. 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. 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. 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.

Primary intraosseous squamous cell carcinoma in odontogenic keratocyst: A rare entity

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Saxena, Chitrapriya; Aggarwal, Pooja; Wadhwan, Vijay; Bansal, Vishal

2015-01-01

Squamous cell carcinoma (SCC) arising from the wall of an odontogenic cyst (also known as primary intraosseous carcinoma) is a rare tumor which occurs only in jaw bones. This tumor was first described by Loos in 1913 as a central epidermoid carcinoma of the jaw. Primary intraosseous carcinomas (PIOC) may theoretically arise from the lining of an odontogenic cyst or de novo from presumed odontogenic cell rests. According to the new histological classification of tumors of the World Health Organization, odontogenic keratocyst is nowadays considered a specific odontogenic tumor and the PIOC derived from it is considered as a specific entity which is different from other PIOCs derived from the odontogenic cysts. The following report describes a case of such extremely rare entity that is primary intraosseous SCC of the mandible derived from an OKC in a 60-year-old male patient with brief review of literature. PMID:26980976

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

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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.

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

2013-03-01

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. 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. 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 intraosseous injection using 2% lignocaine with 1:80,000 epinephrine has a statistically significant influence in achieving pulpal anesthesia in patients with irreversible pulpitis.

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 intraosseous injection using 2% lignocaine with 1:80,000 epinephrine has a statistically significant influence in achieving pulpal anesthesia in patients with irreversible pulpitis. PMID:23716971

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

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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.

Intraosseous infusions: a review for the anesthesiologist with a focus on pediatric use.

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Tobias, Joseph D; Ross, Allison Kinder

2010-02-01

Intraosseous (IO) access is used most frequently for emergency care of critically ill infants and children when IV access cannot be rapidly achieved. Despite its efficacy in such situations, applications outside of the emergency room or resuscitation scenario have been limited. Furthermore, although the technique is emphasized in the teaching of those caring for critically ill infants and children in the emergency room or critical care setting, there is limited emphasis on its potential use in the perioperative setting. When peripheral venous access cannot be achieved in the operating room, alternative means of securing vascular access such as central line placement or surgical cutdown are generally successful; however, these techniques may be time consuming. Anyone providing anesthesia care for infants and children may want to become facile with the use of IO infusions for selected indications. We present the history of IO infusions, review the anatomy of the bone marrow space, discuss the potential role of IO infusions in the perioperative period, and analyze its adverse effect profile.

Sternal Route More Effective than Tibial Route for Intraosseous Amiodarone Administration in a Swine Model of Ventricular Fibrillation.

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Burgert, James M; Martinez, Andre; O'Sullivan, Mara; Blouin, Dawn; Long, Audrey; Johnson, Arthur D

2018-01-01

The pharmacokinetics of IO administered lipid soluble amiodarone during ventricular fibrillation (VF) with ongoing CPR are unknown. This study measured mean plasma concentration over 5 minutes, maximum plasma concentration (Cmax), and time to maximum concentration (Tmax) of amiodarone administered by the sternal IO (SIO), tibial IO (TIO), and IV routes in a swine model of VF with ongoing CPR. Twenty-one Yorkshire-cross swine were randomly assigned to three groups: SIO, TIO, and IV. Ventricular fibrillation was induced under general anesthesia. After 4 minutes in VF, 300 mg amiodarone was administered as indicated by group assignment. Serial blood specimens collected at 30, 60, 90, 120, 150, 180, 240, and 300 seconds were analyzed using high performance liquid chromatography with tandem mass spectrometry. The mean plasma concentration of IV amiodarone over 5 minutes was significantly higher than the TIO group at 60 seconds (P = 0.02) and 90 seconds (P = 0.017) post-injection. No significant differences in Cmax between the groups were found (P <0.05). The Tmax of amiodarone was significantly shorter in the SIO (99 secs) and IV (86 secs) groups compared to the TIO group (215 secs); P = 0.002 and P = 0.002, respectively. The SIO and IV routes of amiodarone administration were comparable. The TIO group took nearly three times longer to reach Tmax than the SIO and IV groups, likely indicating depot of lipid-soluble amiodarone in adipose-rich tibial yellow bone marrow. The SIO route was more effective than the TIO route for amiodarone delivery in a swine model of VF with ongoing CPR. Further investigations are necessary to determine if the kinetic differences found between the SIO and TIO routes in this study affect survival of VF in humans.

Intraosseous anesthesia in hemodynamic studies in children with cardiopathy.

Science.gov (United States)

Aliman, Ana Cristina; Piccioni, Marilde de Albuquerque; Piccioni, João Luiz; Oliva, José Luiz; Auler Júnior, José Otávio Costa

2011-01-01

Intraosseous (IO) access has been used with good results in emergency situations, when venous access is not available for fluids and drugs infusion. The objective of this study was to evaluate IO a useful technique for anesthesia and fluids infusion during hemodynamic studies and when peripheral intravascular access is unobtainable. The setting was an university hospital hemodynamics unit, and the subjects were twenty one infants with congenital heart disease enrolled for elective hemodynamic study diagnosis. This study compared the effectiveness of IO access in relation to IV access for infusion of anesthetics agents (ketamine, midazolam, and fentanyl) and fluids during hemodynamic studies. The anesthetic induction time, procedure duration, anesthesia recovery time, adequate hydration, and IV and IO puncture complications were compared between groups. The puncture time was significantly smaller in IO group (3.6 min) that in IV group (9.6 min). The anesthetic onset time (56.3 second) for the IV group was faster than IO group (71.3 second). No significant difference between groups were found in relation to hydration (IV group, 315.5 mL vs IO group, 293.2 mL), and anesthesia recovery time (IO group, 65.2 min vs IV group, 55.0 min). The puncture site was reevaluated after 7 and 15 days without signs of infection or other complications. Results showed superiority for IO infusion when considering the puncture time of the procedure. Due to its easy manipulation and efficiency, hydration and anesthesia by IO access was satisfactory for hemodynamic studies without the necessity of other infusion access. Copyright © 2011 Elsevier Editora Ltda. All rights reserved.

Intraosseous injection as an adjunct to conventional local anesthetic techniques: A clinical study

OpenAIRE

Mohamed Idris; Nasil Sakkir; Kishore Gopalakrishna Naik; Nandakishore Kunijal Jayaram

2014-01-01

Background: The achievement of successful local anesthesia is a continual challenge in dentistry. Adjunctive local anesthetic techniques and their armamentaria, such as intraosseous injection (the Stabident system and the X-tip system) have been proposed to be advantageous in cases where the conventional local anesthetic techniques have failed. Aim: A clinical study was undertaken using intraosseous injection system by name X-tip to evaluate its effectiveness in cases where inferior alve...

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

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2010-11-08

... DEPARTMENT OF HOMELAND SECURITY United States Coast Guard 33 CFR Part 167 [USCG-2010-0833] Port... comments. SUMMARY: The Coast Guard (USCG) is conducting a Port Access Route Study (PARS) to evaluate: The... reduce the risk of marine casualties and increase the efficiency of vessel traffic in the study area. The...

The efficacy of IntraFlow intraosseous injection as a primary anesthesia technique.

Science.gov (United States)

Remmers, Todd; Glickman, Gerald; Spears, Robert; He, Jianing

2008-03-01

The purpose of this study was to compare the efficacy of intraosseous injection and inferior alveolar (IA) nerve block in anesthetizing mandibular posterior teeth with irreversible pulpitis. Thirty human subjects were randomly assigned to receive either intraosseous injection using the IntraFlow system (Pro-Dex Inc, Santa Ana, CA) or IA block as the primary anesthesia method. Pulpal anesthesia was evaluated via electric pulp testing at 4-minute intervals for 20 minutes. Two consecutive 80/80 readings were considered successful pulpal anesthesia. Anesthesia success or failure was recorded and groups compared. Intraosseous injection provided successful anesthesia in 13 of 15 subjects (87%). The IA block provided successful anesthesia in 9 of 15 subjects (60%). Although this difference was not statistically significant (p = 0.2148), the results of this preliminary study indicate that the IntraFlow system can be used as the primary anesthesia method in teeth with irreversible pulpitis to achieve predictable pulpal anesthesia.

Intraosseous anesthesia: implications, instrumentation and techniques.

Science.gov (United States)

Kleber, Christopher H

2003-04-01

The author reviews historical methods and the instruments used to bring about intraosseous anesthesia, or IOA; discusses the criteria for successful use of the intraosseous injection, or IOI, technique; and provides recommendations. Articles from before 1990 consisted of subjective reports of patient types and procedures performed using IOI as a primary technique. Studies published after 1990 yielded subjective findings on indications for expanded clinical use. The author discusses the expansion of the role of IOI relative to integrated local anesthetic delivery systems. The literature and studies verify the efficacy of IOI as a supplemental or primary technique. The author recommends anesthetics and infusion sites, and reports on the patients' perceptions of comfort. IOI can be used as a supplemental or primary technique to bring about local anesthesia in routine dental procedures. It can be used as a supplemental technique with mandibular nerve blocks to enhance deep pulpal anesthesia. It can be used as a primary technique so that patients do not experience numb lips or tongues postoperatively. Dentists can appreciate the immediate onset of anesthesia and reduced dosage levels of anesthetics associated with using IOI.

Comparison of the effects of sternal and tibial intraosseous administered resuscitative drugs on return of spontaneous circulation in a swine model of cardiac arrest.

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O'Sullivan, Mara; Martinez, Andre; Long, Audrey; Johnson, Michelle; Blouin, Dawn; Johnson, Arthur D; Burgert, James M

2016-01-01

Compare vasopressin, amiodarone, and epinephrine administration by sternal intraosseous (SIO), tibial intraosseous (TIO), and intravenous (IV) routes in a swine model of cardiac arrest. Prospective, randomized, between subjects, experimental design. Laboratory. Male Yorkshire-cross swine (N = 35), seven per group. Swine were randomized to SIO, TIO, IV, cardiopulmonary resuscitation (CPR) with defibrillation, or CPR-only groups. Ventricular fibrillation (VF) was induced under general anesthesia. Mechanical CPR began 2 minutes postarrest. Vasopressin (40 U) was administered to the SIO, TIO, and IV groups 4 minutes postarrest. Defibrillation was performed and amiodarone (300 mg) was administered 6 minutes postarrest. Defibrillation was repeated, and epinephrine (1 mg) was administered 10 minutes postarrest. Defibrillation was repeated every 2 minutes and epinephrine repeated every 4 minutes until return of spontaneous circulation (ROSC) or 26 postarrest minutes elapsed. Rate of ROSC, time to ROSC, and odds of ROSC. There were no significant differences in rate of ROSC between the SIO and TIO (p = 0.22) or IV groups (p = 1.0). Time to ROSC was five times less in the SIO group than the TIO group (p = 0.003) but not compared to IV (p = 0.125). Time to ROSC in the IV group was significantly less than the TIO group (p = 0.04). Odds of ROSC for the SIO group were five times higher compared to the TIO group but same as IV. Odds of ROSC in the IV group were higher than the TIO group. There was a statistically significant delay in the time to ROSC and a clinically significant difference in odds of ROSC when resuscitative drugs, including lipophilic amiodarone, were administered by the TIO route compared to the SIO and IV routes in a swine model of sudden cardiac arrest. Further investigations are warranted to isolate the mechanism behind these findings.

Perception of discomfort during injection and the need for supplemental anesthesia in the intraosseous technique using 4% articaine.

Science.gov (United States)

Martínez Martínez, Adel; Lujan Pardo, María Del Pilar; Harris Ricardo, Jonathan

2016-12-01

The authors conducted an experimental study to determine patient perception of discomfort during injection and the need for supplemental anesthesia using the intraosseous technique with 4% articaine with 1:100,000 epinephrine in patients with symptomatic pulpitis in mandibular molars. At different clinical sessions, researchers used 4% articaine with 1:100,000 epinephrine to apply intraosseous injection (Group 1) or inferior alveolar nerve block (Group 2). Each technique was applied in 35 patients. In each group, the need for additional anesthesia was determined and patient discomfort during injection was assessed with a Visual Analogue Scale (VAS) test. In the intraosseous group, no supplemental technique was needed in 22 patients (62.85 %), and results were similar for the inferior alveolar technique (n: 23 65.71%). The intraosseous technique proved to be more comfortable than the mandibular technique (18 patients - 25.7%). This study found that the use of intraosseous technique with 4% articaine shows promising results regarding patient comfort and reducing the need for additional anesthesia. Sociedad Argentina de Investigación Odontológica.

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

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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.)

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

International Nuclear Information System (INIS)

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

2017-01-01

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. (orig.)

Heart rate effects of intraosseous injections using slow and fast rates of anesthetic solution deposition.

Science.gov (United States)

Susi, Louis; Reader, Al; Nusstein, John; Beck, Mike; Weaver, Joel; Drum, Melissa

2008-01-01

The authors, using a crossover design, randomly administered, in a single-blind manner, 3 primary intraosseous injections to 61 subjects using: the Wand local anesthetic system at a deposition rate of 45 seconds (fast injection); the Wand local anesthetic system at a deposition rate of 4 minutes and 45 seconds (slow injection); a conventional syringe injection at a deposition rate of 4 minutes and 45 seconds (slow injection), in 3 separate appointments spaced at least 3 weeks apart. A pulse oximeter measured heart rate (pulse). The results demonstrated the mean maximum heart rate was statistically higher with the fast intraosseous injection (average 21 to 28 beats/min increase) than either of the 2 slow intraosseous injections (average 10 to 12 beats/min increase). There was no statistically significant difference between the 2 slow injections. We concluded that an intraosseous injection of 1.4 mL of 2% lidocaine with 1 : 100,000 epinephrine with the Wand at a 45-second rate of anesthetic deposition resulted in a significantly higher heart rate when compared with a 4-minute and 45-second anesthetic solution deposition using either the Wand or traditional syringe.

Patterns of Intraosseous Recurrence After Stereotactic Body Radiation Therapy for Coxal Bone Metastasis.

Science.gov (United States)

Ito, Kei; Shimizuguchi, Takuya; Nihei, Keiji; Furuya, Tomohisa; Ogawa, Hiroaki; Tanaka, Hiroshi; Sasai, Keisuke; Karasawa, Katsuyuki

2018-01-01

To analyze the detailed pattern of intraosseous failure after stereotactic body radiation therapy (SBRT) for coxal bone metastasis. Patients treated with SBRT to coxal bone metastasis were identified by retrospective chart review. The SBRT doses were 30 Gy or 35 Gy in 5 fractions. A margin of 5 to 10 mm was added to the gross tumor volume to create the clinical target volume. We evaluated the presence or absence of intraosseous recurrence using magnetic resonance imaging. Intraosseous recurrences were assessed as "in-field" or "marginal/out-of-field." In addition, we measured the distance between the center of the recurrent tumor and the nearest edge of the initial bone metastasis in cases of marginal/out-of-field recurrence. Seventeen patients treated for 17 coxal bone metastases were included. Median age was 64 years (range, 48-79 years). Coxal lesions involved the ilium in 14 cases, pubis in 3, and ischium in 4 (3 lesions crossed over multiple regions). Patients most commonly had renal cell carcinoma (29.4%), followed by lung, hepatic cell, and colorectal cancers (23.5%, 11.8%, and 11.8%, respectively). Median follow-up after SBRT was 13 months (range, 2-44 months). Among all 17 cases, 7 cases developed 8 intraosseous recurrences, including in-field recurrence in 1 case and marginal/out-of-field recurrences in 7 cases. Median time to intraosseous recurrence was 10 months (range, 2-35 months). Among 7 cases with marginal/out-of-field recurrence, mean distance to the center of the recurrent tumor from the nearest edge of the initial bone metastasis was 34 mm (range, 15-55 mm). Most recurrences were observed out-of-field in the same coxal bone. These results suggest that defining the optimal clinical target volume in SBRT for coxal bone metastasis to obtain sufficient local tumor control is difficult. Copyright © 2017 Elsevier Inc. All rights reserved.

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.

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

2013-03-01

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. 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 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). 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.

Intraosseous neurilemmoma of the mandible: Report of a rare ancient type

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Gholamreza Jahanshahi

2011-01-01

Intraosseous schwannomas especially ancient ones are rare tumors. Here we present a case of intraosseous ancient schwannoma in the lower jaw of an 11-year-old girl which caused a non-tender expansion. Radiographic examination showed a well-circumscribed, unilocular radiolucent lesion with thin sclerotic borders in the mandibular body and the ramus. Histopathologic examination of the incisional biopsy showed areas of typical Antoni A with verocay bodies and Antoni B that was strongly suggestive of a schwannoma. Complete excision of the lesion was done under general anesthesia. The histopathologic examination confirmed the primary diagnosis and also degenerative changes such as hyalinization and calcification. Based on these findings, the diagnosis of ancient schwannoma was made. No recurrence was observed in the follow-up examination after 3 months.

Intraosseous Hydroxocobalamin versus Intravenous Hydroxocobalamin Compared to Intraosseous Whole Blood or No Treatment for Hemorrhagic Shock in a Swine Model

Science.gov (United States)

2016-05-02

3794 5. Purpose: To determine if hydroxocobalamin, a portable, safe and FDA approved drug, is effective in improving hemorrhagic shock 6...Results: Intravenous (IV) versus proximal tibial intraosseous ( IO ) hydroxocobalamin (HOC) compared to no treatment: Systolic blood pressure, the...primary outcome variable, was similar between the IV and IO HOC groups over time. This was significantly different from the non-treated group such

POSTEROSUPERIOR SURGICAL ACCESS ROUTE FOR TREATMENT OF ACROMIOCLAVICULAR DISLOCATIONS: RESULTS FROM 84 SURGICAL CASES.

Science.gov (United States)

Dal Molin, Danilo Canesin; Ribeiro, Fabiano Rebouças; Filho, Rômulo Brasil; Filardi, Cantídio Salvador; Tenor, Antonio Carlos; Stipp, Willian Nandi; Petros, Rodrigo Souto Borges

2012-01-01

To evaluate the results from surgical treatment of 84 cases of acute acromioclavicular dislocation, using a posterosuperior access route. Eighty-four cases of acute acromioclavicular dislocation (grade III in the Allman-Tossy classification) operated between November 2002 and May 2010 were evaluated. The patients' mean age was 34 years. The diagnoses were made using clinical and radiographic evaluations. The patients were operated by the same surgical team, within three weeks of the date of the trauma, using a posterosuperior approach to the shoulder to access the top of the base of the coracoid process for placement of two anchors, which were used in reducing the dislocation. The minimum follow-up was 12 months. The postoperative clinical-radiographic evaluation was done using the modified Karlsson criteria and the University of California at Los Angeles (UCLA) score. 92.8% of the 84 patients treated presented good or excellent results, and 7.2% presented fair or poor results, using the UCLA assessment score. According to the modified Karlsson criteria, 76.2% were assessed as grade A, 17.9% as grade B and 5.9% as grade C. The posterosuperior access route to the shoulder is a new option for accessing the coracoid process and treating acromioclavicular dislocation, with clinical and radiographic results equivalent to those in the literature.

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.

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

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Anita Dhupar

2017-10-01

Full Text Available 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.

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

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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.

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.)

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.

Comparison of Transverse Intraosseous Loop Technique and Pull Out Suture for Reinsertion of the Flexor Digitorum Profundus tendon. A Retrospective Study.

Science.gov (United States)

Rigó, István Zoltán; Røkkum, Magne

2013-12-01

We compared the results of two methods for reinsertion of flexor digitorum profundus tendons retrospectively. In 35 fingers of 29 patients pull-out suture and in 13 fingers of 11 patients transverse intraosseous loop technique was performed with a mean follow-up of 8 and 6 months, respectively. Eleven and nine fingers achieved "excellent" or "good" function according to Strickland and Glogovac at 8 weeks; 20 and ten at the last control in the pull-out and transverse intraosseous loop groups, respectively. The difference at 8 weeks was statistically significant in favour of the transverse intraosseous loop group. Ten patients underwent 12 complications in the pull-out group (four superficial infections; one rerupture, one PIP and one DIP joint contracture, one adhesion, two granulomas, one nail deformity and one carpal tunnel syndrome) and four of them were reoperated (one carpal tunnel release, one teno-arthrolysis and two resections of granuloma). There was no complication and no reoperation in the transverse intraosseous loop group, the difference being statistically significant for the former. In our study the transverse intraosseous loop technique seemed to be a safe alternative with possibly better functional results compared to the pull-out suture.

Sickle-cell hip necrosis and intraosseous pressure.

Science.gov (United States)

Mukisi, M M; Bashoun, K; Burny, F

2009-04-01

Osteonecrosis of the femoral head (ONFH) is a frequent complication of sickle-cell disease. Numerous studies have demonstrated increased intraosseous pressure (IOP) in idiopathic necrosis and necrosis secondary to corticotherapy or alcohol poisoning. Several reports have testified to the clinical interest of decompression by drilling which, when performed in the early course of the pathology, can arrest or slow evolution. To the best of our knowledge, no studies have reported IOP increase in sickle-cell ONFH. The present study sought to show that intraosseous hyperpressure plays a role in the physiopathology of sickle-cell, like idiopathic, ONFH. Sixteen intraosseous pressure (IOP) measurements were taken: eight in adult sickle-cell disease patients, four in sickle-cell trait carrying ONFH patients (AS) and four in non-sickle-cell ONFH patients (AA). Arterial blood-pressure equipment with bone-puncture needle was used to measure IOP in the great trochanter body. Three IOP measurements were made after zero calibration: before drilling (direct pressure: IOP-1), after hyperpressure test but before drilling (IOP-2), and after drilling (IOP-3). The present, admittedly short, series displayed elevated predrilling IOP-1 and IOP-2, reduced after drilling (IOP-3). Abnormal IOP fell after drilling performed for evolutive symptomatic ONFH. Significant differences in IOP-1 and IOP-2 were found, these being higher in the "sickle-cell disease" and "sickle-cell trait carriers" groups (pintraosseous hyperpressure is the cause of the pain and of the onset and evolution of ONFH. The drilling tunnel acts as a safety valve, achieving real decompression of the segment involved and immediate postoperative reduction in or disappearance of pain. Measuring pressure is of diagnostic interest in sickle-cell disease patients with symptomatic hips. Manometry can be performed independently of surgery, under local anesthesia, and provides early confirmation of ONFH in geographic regions in which

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

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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)

[Anatomic rationale for clinical efficacy of intraosseous mental nerve anesthesia].

Science.gov (United States)

Rabinovich, S A; Vasil'ev, Yu L; Kuzin, A N

2018-01-01

The aim of the study was to prove the anatomical and clinical effectiveness of the modified anesthesia of mental nerve. The effectiveness of conductive anesthesia near the mental foramen was objectively evaluated using the electric pulp test (EPT) in 100 volunteers of both sexes, aged 35-43 years. Wet anterior mandible preparations obtained from 350 cadavers aged 18-74 years were also studied. EPT value after local mental anesthesia conducted according to Malamed C. using 4% articain solution of local anesthetic with vasoconstrictor concentration of 1:200.000 after 2 minutes was 93±0.82 mA, after 4 minutes - 188±1.26 mA. Yield variability indicators of intraosseous mental nerve anesthesia was slightly higher varying from 94.11 mA to 96.61 mA after 2 minutes and from 197.4 to 199.92 mA after 4 minutes survey. The study showed the efficiency and predictability of intraosseous anesthesia of the mental nerve.

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

OpenAIRE

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

2011-01-01

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 trea...

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

Science.gov (United States)

Peñarrocha-Oltra, D; Ata-Ali, J; Oltra-Moscardó, M-J; Peñarrocha-Diago, M-A; Peñarrocha, M

2012-03-01

To compare intraosseous anesthesia (IA) with the conventional oral anesthesia techniques. 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. 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 (panesthesia 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). 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.

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.

Comparison of the degree of pulpal anesthesia achieved with the intraosseous injection and infiltration injection using 2% lidocaine with 1:100,000 epinephrine.

Science.gov (United States)

Nusstein, John; Wood, Mark; Reader, Al; Beck, Mike; Weaver, Joel

2005-01-01

This prospective, randomized study compared the degree of pulpal anesthesia obtained from an intraosseous injection to an infiltration injection that used 2% lidocaine with 1:100,000 epinephrine. The success rate for the intraosseous injection was 98%; for the infiltration injection, the success rate was 85%. There was no significant difference between the two techniques. The mean time for the onset of pulpal anesthesia was significantly faster with the intraosseous injection and the infiltration injection resulted in a significantly longer duration of pulpal anesthesia.

Achieving profound anesthesia using the intraosseous technique.

Science.gov (United States)

Coury, K A

1997-10-01

The intraosseous technique has been described as a useful adjunct to primary anesthetic administration. It has several advantages (Table 3) over other supplemental techniques in that it is relatively simple to implement into routine practice, it affords fast, predictable results, and it is relatively painless. The technique has been shown to be very successful in achieving profound pulpal anesthesia when administered as a supplement to the inferior alveolar nerve block and is effective in achieving profound anesthesia in irreversibly inflamed teeth, especially mandibular molars.

Intraligamentary--intraosseous anesthesia. A radiographic demonstration.

Science.gov (United States)

Garfunkel, A A; Kaufman, E; Marmary, Y; Galili, D

1983-10-01

Intraligamentary dental anesthesia has become a widely accepted technique. The periodontal ligament seems to provide easy access to the tooth apex. In the present study, radiopaque material was injected into baboon monkeys. Serial radiographs during incremental injections showed clouding of the crestal bone. The material was seen gradually advancing through the alveolar bone crest, apically. The spread was noticed through the marrow spaces, unexpectedly avoiding the PDL route.

Intraosseous neurilemmoma of the mandible: report of a rare ancient type.

Science.gov (United States)

Jahanshahi, Gholamreza; Haghighat, Abbas; Azmoodeh, Faezeh

2011-01-01

The neurilemmoma is a benign neoplasm of Schwann cell origin. One of the histopathologic subtypes of this tumor is ancient schwannoma which is characterized by degenerative alterations including cystic change, calcification, hemorrhage, and hyalinization.Intraosseous schwannomas especially ancient ones are rare tumors. Here we present a case of intraosseous ancient schwannoma in the lower jaw of an 11-year-old girl which caused a non-tender expansion. Radiographic examination showed a well-circumscribed, unilocular radiolucent lesion with thin sclerotic borders in the mandibular body and the ramus. Histopathologic examination of the incisional biopsy showed areas of typical Antoni A with verocay bodies and Antoni B that was strongly suggestive of a schwannoma. Complete excision of the lesion was done under general anesthesia. The histopathologic examination confirmed the primary diagnosis and also degenerative changes such as hyalinization and calcification. Based on these findings, the diagnosis of ancient schwannoma was made. No recurrence was observed in the follow-up examination after 3 months.

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.

Biomechanical aspects of initial intraosseous stability and implant design: a quantitative micro-morphometric analysis.

Science.gov (United States)

Akça, Kivanç; Chang, Ting-Ling; Tekdemir, Ibrahim; Fanuscu, Mete I

2006-08-01

The objective of this biomechanical study was to explore the effect of bone micro-morphology on initial intraosseous stability of implants with different designs. Straumann and Astra Tech dental implants were placed into anterior and posterior regions of completely edentulous maxilla and mandible of a human cadaver. Experiments were undertaken to quantify initial implant stability and bone micro-morphology. Installation torque values (ITVs) and implant stability quotients (ISQs) were measured to determine initial intraosseous implant stability. For quantification of relative bone volume and micro-architecture, sectioned implant-bone and bone core specimens of each implant placement site were consecutively scanned and trabecular bone was analyzed in a micro-computed tomography (micro-CT) unit. Experimental outcomes were evaluated for correlations among implant designs, initial intraosseous implant stability and bone micro-structural parameters. ITVs correlated higher with bone volume fraction (BV/TV) than ISQs, at 88.1% and 68.9% levels, respectively. Correlations between ITVs and micro-morphometric parameters were significant at the 95% confidence level (Pimplant designs used were not significant at the 95% confidence level (P>0.05). Bone micro-morphology has a prevailing effect over implant design on intraosseus initial implant stability, and ITV is more sensitive in terms of revealing biomechanical properties at the bone-implant interface in comparison with ISQ.

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

The efficacy of an intraosseous injection system of delivering local anesthetic.

Science.gov (United States)

Leonard, M S

1995-01-01

This article describes the clinical testing of a new system for the intraosseous delivery of local anesthesia. The author concluded that the system delivered local anesthetic very effectively (in some situations more effectively than the traditional delivery method), thus offering a great potential advantage to both dentists and patients.

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.

Anesthetic duration of lidocaine with 10% dextran is comparable to lidocaine with 1:160 000 epinephrine after intraosseous injection in the rabbit.

Science.gov (United States)

Ito, Emiko; Ichinohe, Tatsuya; Shibukawa, Yoshiyuki; Aida, Hidetaka; Kaneko, Yuzuru

2007-09-01

To compare the effects of 10% dextran and epinephrine on intraosseous injection with lidocaine in rabbits. Twenty male Japanese white rabbits were used. The effect of intraosseous injection was evaluated using an electromyogram (EMG) of the digastric muscle after electrical pulp stimulation. Two percent lidocaine alone (L), 2% lidocaine containing 1:80000 epinephrine (LE8), 2% lidocaine containing 1:160 000 epinephrine (LE16), and 2% lidocaine containing 10% dextran (LD) were tested. Electromyogram recordings were repeated before and 30 seconds, 1, 2, 3, 4, 5, 7, 10, 12, 15, and 20 minutes after the intraosseous injection. Thereafter, recordings were repeated every 5 minutes until the EMG recovered to the control value. There was no difference in the onset time between the 4 groups. The order of the duration of maximum effect was LE8 >LE16 = LD >or=L. The order of the duration of anesthesia was LE8 >LE16 = LD >L. Ten percent dextran potentiates local anesthetic effects of 2% lidocaine in intraosseous injection. The potency of 10% dextran is comparable to 1:160 000 epinephrine.

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.)

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.)

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

OpenAIRE

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 wi...

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.)

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.)

Percutaneous vertebroplasty for osteoporotic vertebral compression fractures with intraosseous cystic cavity phenomena

International Nuclear Information System (INIS)

He Shicheng; Teng Gaojun; Deng Gang; Fang Wen; Guo Jinhe; Zhu Guangyu; Li Guozao; Shen Zhiping; Ding Huijuan

2005-01-01

Objective: To evaluate the key technique, short term clinical efficacy and degree of changes in vertebral body height for percutaneous vertebroplasty in treating patients with osteoporotic vertebral compression fractures containing intraosseous cystic cavity phenomena. Methods: Thirty two vertebrae of painful compression fractures with intraosseous vacuum sign occurring in 27 patients were identified from 326 percutaneous vertebroplasties performed in 207 patients during 4 years. PVP was performed under C-arm fluoroscopy guidance only with local anesthesia. Intaosseous venography was performed on each vertebra by hand injection with non-ionic contrast agent, with CT monitoring after PMMA injection for the PMMA distribution in the vertebrae and looking for leakage. The heights of 32 vertebral bodies were measured before and after the vertebroplasty. The efficacy of PVP was evaluated during the follow-up. Results: The successful rate of PVP was 100%. Main appearance of vertebral venography showed cystic cavity-like, stasis of contrast medium within the marrow space of the fractured vertebra. 6.8 ml of PMMA in average was injected into each vertebra. CR, PR and NR were obtained respectively 66.7%, 18.5%, 14.8% mm centrally and 0.06 mm posteriorly. The heights restoration of vertebrae anteriorly and centrally were significantly different (P 0.05). No serious complications related to the technique occurred, except 3 cases with asymptomatic PMMA leakage around vertebrae demonstrated by CT. Conclusions: Significant pain relief and vertebral height restoration by PVP in the treatment of patients with painful vertebral compression fractures accompanied by intraosseous cysticavitary change, are promising with low-rate of PMMA leakage. The basic successful mechanism lies on the proper complete PMMA filling predicting through venography. (authors)

Comparison of time to loss of consciousness and maintenance of anesthesia following intraosseous and intravenous administration of propofol in rabbits.

Science.gov (United States)

Mazaheri-Khameneh, Ramin; Sarrafzadeh-Rezaei, Farshid; Asri-Rezaei, Siamak; Dalir-Naghadeh, Bahram

2012-07-01

To compare time to loss of consciousness (LOC) and effective maintenance of anesthesia following intraosseous (IO) and IV administration of propofol in rabbits. Evaluation study. 24 New Zealand White rabbits. Rabbits were selected to receive IO (n = 6) or IV (6) bolus administration of 1% propofol (12.5 mg/kg [5.67 mg/lb]) only or an identical bolus of propofol IO (6) or IV (6) followed by a constant rate infusion (CRI; 1 mg/kg/min [0.45 mg/lb/min]) by the same route for 30 minutes. Physiologic variables were monitored at predetermined time points; time to LOC and durations of anesthesia and recovery were recorded. Following IO and IV bolus administration, mean time to LOC was 11.50 and 7.83 seconds, respectively; changes in heart rate, respiratory rate, oxygen saturation (as measured by pulse oximetry), and mean arterial blood pressure values were evident, but findings did not differ between groups. For the IO- and IV-CRI groups, propofol-associated changes in heart rate, oxygen saturation, and mean arterial blood pressure values were similar, and although mean arterial blood pressure decreased significantly from baseline, values remained > 60 mm Hg; respiratory rate decreased significantly during CRI in both groups, but remained higher in the IO-CRI group. Anesthesia and recovery time did not differ between the IO- and IV-CRI groups. In all evaluated aspects of anesthesia, IO administration of propofol was as effective as IV administration in rabbits. Results suggested that total IO anesthesia can be performed in rabbits with limited vascular access.

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

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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.

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.)

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

Science.gov (United States)

2011-08-05

... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 167 [Docket No. USCG-2005-21650] Port...: The Coast Guard announces the availability of Preliminary Study Recommendations of a Port Access Route... help reduce the risk of marine casualties and increase vessel traffic management efficiency in the...

Intentional intra-arterial injection of midazolam in a patient with status epilepticus in the intensive care unit

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Muhammad Asghar Ali

2017-01-01

Full Text Available Fundamental medical care includes intravenous (IV access which provides prompt resuscitation and reliable delivery of analgesics, antibiotics, and vasoactive medication. Difficult access populations, especially in critical area, continue to challenge providers to consider and utilize alternative means to provide IV access. Potential options under such circumstances include intramuscular, intraosseous, and intratracheal drug administration, but in extreme cases where no other options are available, intra-arterial route might be considered. We present a case where midazolam was intentionally injected intra-arterially to abort seizure activity in a patient with status epilepticus in the Intensive Care Unit.

The use of intraosseous anesthesia in a patient with myositis ossificans progressiva.

Science.gov (United States)

Webb, M D; Wilson, C

1996-01-01

The case of a pediatric patient with myositis ossificans progressiva in whom it became increasingly difficult to obtain local anesthesia is presented. Intraosseous anesthesia was successful in allowing pain-free dental treatment to be completed. This approach should be considered in other patients who have limited mouth-opening ability due to injury or disease.

Intraosseous repair of the inferior alveolar nerve in rats: an experimental model.

Science.gov (United States)

Curtis, N J; Trickett, R I; Owen, E; Lanzetta, M

1998-08-01

A reliable method of exposure of the inferior alveolar nerve in Wistar rats has been developed, to allow intraosseous repair with two microsurgical techniques under halothane inhalational anaesthesia. The microsuturing technique involves anastomosis with 10-0 nylon sutures; a laser-weld technique uses an albumin-based solder containing indocyanine green, plus an infrared (810 nm wavelength) diode laser Seven animals had left inferior alveolar nerve repairs performed with the microsuture and laser-weld techniques. Controls were provided by unoperated nerves in the repaired cases. Histochemical analysis was performed utilizing neuron counts and horseradish peroxidase tracer (HRP) uptake in the mandibular division of the trigeminal ganglion, following sacrifice and staining of frozen sections with cresyl violet and diaminobenzidene. The results of this analysis showed similar mean neuron counts and mean HRP uptake by neurons for the unoperated controls and both microsuture and laser-weld groups. This new technique of intraosseous exposure of the inferior alveolar nerve in rats is described. It allows reliable and reproducible microsurgical repairs using both microsuture and laser-weld techniques.

Root damage induced by intraosseous anesthesia?An in vitro investigation

OpenAIRE

Graetz, Christian; Fawzy-El-Sayed, Karim M.; Graetz, Nicole; D?rfer, Christof-Edmund

2012-01-01

Objectives: The principle of the intraosseous anesthesia (IOA) relies on the perforation of the cortical plate of the bone for direct application of the local anesthetic solution into the underlying cancellous structures. During this procedure, IOA needles might accidentally come in contact with the tooth roots. The aim of the current in vitro study was to examine the consequences of this ?worst case scenario? comparing five commercially available IOA systems. Material and Methods: Extracted ...

Intraosseous Hibernoma in the Sacrum of an Adult.

Science.gov (United States)

Westacott, Lorraine; Collins, Angus; Dickenson, Ian

2016-12-01

Hibernoma is an uncommon lipomatous tumor composed of brown adipose cells that until recently has only ever been described in soft tissue locations. This report describes the histological features of a discrete lesion in the sacrum of an 84-year-old lady. Biopsy of this lesion demonstrated that it consisted predominantly of multivacuolated lipocytes with a morphological and immunohistochemical profile consistent with brown fat cells. The lesion was diagnosed as an intraosseous hibernoma. This is the 16th report in the English literature of a hibernoma occurring outside of a soft tissue location. © The Author(s) 2016.

Intraosseous lipoma: report of 35 new cases and a review of the literature

International Nuclear Information System (INIS)

Campbell, R.S.D.; Grainger, A.J.; Mangham, D.C.; Beggs, I.; Teh, J.; Davies, A.M.

2003-01-01

To identify the common imaging features of intraosseous lipomas on radiographs, magnetic resonance imaging (MRI) and computed tomography (CT), and review their histological features.Design and patients Thirty-five previously unreported cases of intraosseous lipoma were reviewed and a meta-analysis was performed of another 110 cases identified from the English language literature. The mean age at presentation is 43 years. Sex distribution is nearly equal. Lipomas occur most frequently in the lower limb (71% overall), particularly in the os calcis (32%). Other common sites include the metaphyses of long bones, where lesions are typically eccentric. Lipomas are usually well defined, but marginal sclerosis is commoner in lesions of the os calcis (61%) than at other sites (38%). Calcification is also more frequent in the os calcis (62%), and almost invariably centrally located. Calcification at other sites is less common (30%), and is more variable in appearance. Bone expansion is less common (30%), and usually minimal. Fat necrosis and cyst formation identified on MRI is common (67%), and more frequent in the os calcis. Although there is correlation between the histological and radiological features of intraosseous lipomas in general, some discrepancies occur in the radiological appearances of lipomas in different sites. The evidence that these lesions are true benign tumours of fat is controversial. Several aetiological factors have been implicated in their development. The constant location of os calcis lesions at the critical angle suggests an aetiology that may be related to biomechanical lines of stress. In other instances it is possible that involution of pre-existing lesions may lead to the development of lipomas. (orig.)

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

International Nuclear Information System (INIS)

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

2017-01-01

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. (orig.)

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.)

Intraosseous verrucous carcinoma arising from an orthokeratinized odontogenic keratocyst: A report of a rarest entity

Directory of Open Access Journals (Sweden)

Nagaraju Kamarthi

2016-01-01

Full Text Available Intraosseous verrucous carcinomas (VCs arising from odontogenic cysts are a rare entity. An unusual case of a VC arising from the orthokeratinized odontogenic cyst is described for the first time. The microscopic features of the lesion are presented.

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

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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.

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.

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

Science.gov (United States)

Peñarrocha-Oltra, David; Ata-Ali, Javier; Oltra-Moscardó, María-José; Peñarrocha-Diago, María; Peñarrocha, Miguel

2012-05-01

To analyze the side effects and complications following intraosseous anesthesia (IA), comparing them with those of the conventional oral anesthesia techniques. 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. 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, panesthesia. Post-anesthetic biting showed no significant differences between the two techniques.

15 CFR Appendix E to Subpart M of... - Motorized Personal Watercraft Zones and Access Routes Within the Sanctuary

Science.gov (United States)

2010-01-01

... and Access Routes Within the Sanctuary E Appendix E to Subpart M of Part 922 Commerce and Foreign... ADMINISTRATION, DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Monterey Bay National Marine Sanctuary Pt. 922, Subpt. M, App. E Appendix E to Subpart M of Part...

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.

Root damage induced by intraosseous anesthesia–An in vitro investigation

Science.gov (United States)

Fawzy-El-Sayed, Karim M.; Graetz, Nicole; Dörfer, Christof-Edmund

2013-01-01

Objectives: The principle of the intraosseous anesthesia (IOA) relies on the perforation of the cortical plate of the bone for direct application of the local anesthetic solution into the underlying cancellous structures. During this procedure, IOA needles might accidentally come in contact with the tooth roots. The aim of the current in vitro study was to examine the consequences of this ‘worst case scenario’ comparing five commercially available IOA systems. Material and Methods: Extracted human roots were randomly perforated using five different IOA systems with a drilling time ≤5s. To simulate normal in vivo conditions, the roots were kept humid during the drilling procedure. Data was statistically evaluated using F-test (SPSS16, SPSS Inc., Chicago, USA) and the significance level was set at p≤0.05. Results: All examined systems resulted in root perforation. Drill fractures occurred in either none 0% (Quicksleeper®, Anesto®, Intraflow®, Stabident®) or 100% (X-Tip®) of the applications. Excessive heat generation, as evident by combustion odor as well as metal and tooth discoloration, appeared in 30% (Quicksleeper®), 40% (Anesto®), 60% (Intraflow®), 90% (Stabident®) and 100% (X-Tip®) of all perforations. Conclusion: Within the limits of in-vitro studies, the results show a potential for irreversible root damage that might be inflicted by an improper use of IOA systems. Key words:Intraosseous anesthesia, complication, root damage. PMID:23229260

Solitary intraosseous neurofibroma: Report of a unique case

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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.

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

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.

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.

Analysis of intraosseous samples in endotoxemic shock--an experimental study in the anaesthetised pig.

Science.gov (United States)

Strandberg, G; Larsson, A; Lipcsey, M; Berglund, L; Eriksson, M

2014-03-01

Intraosseous (IO) access is used in emergency situations to allow rapid initiation of treatment. IO access is also sometimes used for blood sampling, although data on accuracy of such sampling in critical illness are limited. There is also a potential risk that bone marrow fragments in IO samples may damage laboratory equipment. It is ethically questionable to perform a simultaneous comparison between IO and arterial/venous sampling in critically ill humans. We have, thus, studied the analytical performance of IO sampling in a porcine septic shock model using a cartridge-based analyser. Eight pigs with endotoxin-induced septic shock were sampled hourly for 6 h, and analysed for blood gases, acid base status, haemoglobin, glucose and lactate using point of care instruments. Samples were taken from three IO cannulae (tibia bilaterally, one with infusion, and humerus), one arterial and one venous. An interaction test was used to assess changes in agreement between methods over time. Bland–Altman plots were constructed to study bias between methods. There were, to a varying extent, differences between IO and arterial/venous levels for all studied variables, but agreement did not change significantly during the experiment. A general finding was a large dispersion of differences between methods. IO sample values should be treated with caution in this setting but may add useful information to the clinical picture. The tibia or humerus may be used for sampling. IO infusion decreases agreement, thus sampling during infusion should be avoided.

Intraosseous anesthesia using a computer-controlled system during non-surgical periodontal therapy (root planing): Two case reports.

Science.gov (United States)

Han, Keumah; Kim, Jongbin

2018-02-01

Local anesthesia is administered to control pain, but it may induce fear and anxiety. Root planing is a non-surgical periodontal therapy; however, when it is performed in an extensive manner, some tissue removal is inevitable. Notably, this removal may be so painful that local anesthesia is required to be administered to the area scheduled for the treatment. Although patients tend to accept root planing easily, they frequently express a fear of local anesthesia. Intraosseous anesthesia (IA) is an intraosseous injection technique, whereby local anesthetic is injected into the cancellous bone supporting the teeth. A computer-controlled IA system (CIAS) exhibits multiple benefits, such as less painful anesthesia, reduced soft tissue numbness, and the provision of palatal or lingual, as well as buccal, anesthesia via single needle penetration. In this report, we present two cases of root planing that were performed under local anesthesia, using a CIAS.

Cranio-orbital primary intraosseous haemangioma.

Science.gov (United States)

Gupta, T; Rose, G E; Manisali, M; Minhas, P; Uddin, J M; Verity, D H

2013-11-01

Primary intraosseous haemangioma (IOH) is a rare benign neoplasm presenting in the fourth and fifth decades of life. The spine and skull are the most commonly involved, orbital involvement is extremely rare. We describe six patients with cranio-orbital IOH, the largest case series to date. Retrospective review of six patients with histologically confirmed primary IOH involving the orbit. Clinical characteristics, imaging features, approach to management, and histopathological findings are described. Five patients were male with a median age of 56. Pain and diplopia were the most common presenting features. A characteristic 'honeycomb' pattern on CT imaging was demonstrated in three of the cases. Complete surgical excision was performed in all cases with presurgical embolisation carried out in one case. In all the cases, histological studies identified cavernous vascular spaces within the bony tissue. These channels were lined by single layer of cytologically normal endothelial cells. IOCH of the cranio-orbital region is rare; in the absence of typical imaging features, the differential diagnosis includes chondroma, chondrosarcoma, bony metastasis, and lymphoma. Surgical excision may be necessary to exclude more sinister pathology. Intraoperative haemorrhage can be severe and may be reduced by preoperative embolisation.

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

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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.

Improvement of dose evaluation system for employees at severe accident in a nuclear power plant. Introduction of the dose rate conversion coefficient and addition of the access route edit function

International Nuclear Information System (INIS)

Sasaki, Yasuhiro; Minami, Noritoshi; Yoshida, Yoshitaka

2006-01-01

Institute of Nuclear Safety System, Inc. had developed the dose evaluation system to evaluate the radiation dose of employees at severe accident in a nuclear power plant. This system has features, which are (1) the dose rate of any evaluation point can be evaluated, (2) the dose rate at any time can be evaluated in consideration of the change in the radioactive source, (3) the dose rate map in the plant can be displayed (4) the dose along the access route when moving can be evaluated, and it is possible to use it for examination of the accident management guideline on the dose side etc.. To upgrade the dose evaluation function of this system, the improvements had been done which were introduction of the dose rate conversion coefficient and addition of the access route edit function. By introducing the dose rate conversion coefficient, the calculation time of the dose rate map in the plant was shortened at about 20 seconds, and a new function to evaluate time-dependent dose rate of any evaluation point was added. By adding the access route edit function, it became possible to re-calculate the dose easily at the route change. (author)

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

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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.

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

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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.

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

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

OpenAIRE

Smail-Faugeron , Violaine; Muller-Bolla , Michèle; Sixou , Jean-Louis; Courson , Frédéric

2015-01-01

Introduction 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 comp...

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

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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

Comparing the efficiency of transport routes and corridors

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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.

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.)

Periodontal ligament and intraosseous anesthetic injection techniques: alternatives to mandibular nerve blocks.

Science.gov (United States)

Moore, Paul A; Cuddy, Michael A; Cooke, Matthew R; Sokolowski, Chester J

2011-09-01

and Overview. The provision of mandibular anesthesia traditionally has relied on nerve block anesthetic techniques such as the Halsted, the Gow-Gates and the Akinosi-Vazirani methods. The authors present two alternative techniques to provide local anesthesia in mandibular teeth: the periodontal ligament (PDL) injection and the intraosseous (IO) injection. The authors also present indications for and complications associated with these techniques. The PDL injection and the IO injection are effective anesthetic techniques for managing nerve block failures and for providing localized anesthesia in the mandible. Dentists may find these techniques to be useful alternatives to nerve block anesthesia.

Intraosseous Venography with Carbon Dioxide in Percutaneous Vertebroplasty: Carbon Dioxide Retention in Renal Veins

International Nuclear Information System (INIS)

Komemushi, Atsushi; Tanigawa, Noboru; Kariya, Shuji; Kojima, Hiroyuki; Shomura, Yuzo; Tokuda, Takanori; Nomura, Motoo; Terada, Jiro; Kamata, Minoru; Sawada, Satoshi

2008-01-01

The objective of the present study was to determine the frequency of gas retention in the renal vein following carbon dioxide intraosseous venography in the prone position and, while citing references, to examine its onset mechanisms. All percutaneous vertebroplasties performed at our hospital from January to December 2005 were registered and retrospectively analyzed. Of 43 registered procedures treating 79 vertebrae, 28 procedures treating 54 vertebrae were analyzed. Vertebral intraosseous venography was performed using carbon dioxide as a contrast agent in all percutaneous vertebroplasty procedures. In preoperative and postoperative vertebral CT, gas retention in the renal vein and other areas was assessed. Preoperative CT did not show gas retention (0/28 procedures; 0%). Postoperative CT confirmed gas retention in the renal vein in 10 of the 28 procedures (35.7%). Gas retention was seen in the right renal vein in 8 procedures (28.6%), in the left renal vein in 5 procedures (17.9%), in the left and right renal veins in 3 procedures (10.7%), in vertebrae in 22 procedures (78.6%), in the soft tissue around vertebrae in 14 procedures (50.0%), in the spinal canal in 12 procedures (42.9%), and in the subcutaneous tissue in 5 procedures (17.9%). In conclusion, in our study, carbon dioxide gas injected into the vertebra frequently reached and remained in the renal vein.

Localization of 14C-labeled 2% lidocaine hydrochloride after intraosseous anesthesia in the rabbit.

Science.gov (United States)

Goto, Takashi; Mamiya, Hideki; Ichinohe, Tatsuya; Kaneko, Yuzuru

2011-10-01

The purpose of this study was to investigate the tissue distribution of lidocaine hydrochloride in mandibular bone marrow after intraosseous anesthesia (IOA) in rabbits. We used macroautoradiography to examine the tissue distribution of a (14)C-labeled 2% lidocaine hydrochloride solution containing 1:80,000 epinephrine ((14)C-lidocaine). Under general anesthesia, (14)C-lidocaine was injected intraosseously or paraperiosteally. After IOA, animals were divided into three groups and observed at 1 (IOA-1), 5 (IOA-5), and 10 minutes (IOA-10) after injection. After infiltration anesthesia (IA), animals were observed at 1 minute after injection. The accumulation of (14)C-lidocaine was observed around the injection site in both the IA and the IOA groups. Paraperiosteally injected (14)C-lidocaine diffused to the surrounding tissues such as the lip, whereas IOA showed concentrated accumulation around the root apex throughout the experiment. The distribution area was significantly smaller in the IOA-1 group than in the IA group. The distribution area in the IOA-5 group was larger than those in the IOA-1 and IOA-10 groups. The accumulation of (14)C-lidocaine injected by IOA in rabbits was concentrated around the root apex. These results may explain the rapid onset time of IOA. Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

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

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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.

Intraosseous pneumatocyst of the ilium: CT findings in two cases and literature review

International Nuclear Information System (INIS)

Catalano, O.; De Rosa, F.; Muto, M.

1997-01-01

Intraosseous pneumatocyst of the ilium is a rare lesion of uncertain origin. It predilects male subjects and may be associated or not with sacroiliac joint degenerative disease, intra-articular gas, sacral pneumatocyst, and communication with the articular space. To our knowledge, only 16 observations have been reported in the literature. We have evaluated with plain radiographs and CT two additional cases. Plain films frequently identify these lesions, but CT is the method of choice in demonstrating their air density and assessing the possible abnormalities of the surrounding bone and sacroiliac joints. (orig.)

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...

The eternal enigma in prostatic biopsy access route

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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

The eternal enigma in prostatic biopsy access route.

Science.gov (United States)

Fabiani, Andrea; Principi, Emanuele; Filosa, Alessandra; Servi, Lucilla

2017-10-03

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 reached in their

Cone-beam tomographic analysis of canalis sinuosus accessory intraosseous canals in the maxilla

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Ghandourah, Abdalmalik O.

2017-12-01

Full Text Available The aim of this study was to assess the frequency, location and width of accessory canals (AC of canalis sinuosus (CS using cone beam computed tomography and compare our findings with recent literature. Additionally, intraosseous canals (IOC in the sinus wall other than the CS were noted. A retrospective analysis of 219 scans from our university department was conducted. The registered parameters were age, sex, location and width of canals. Group A consisted of 201 (85 males and 116 females adults ranged from 19 to 99 years of age (mean age = 47.5 years. A total of 136 patients (67.6% presented at least 1 AC, of which 55 cases showed a foramen width greater than 1 mm (27.4%. Group B had a sample size of 18 adolescents (7 males and 11 females with a range of age from 7 to 18 years (mean age = 15.8 years. Eight cases (44.4% presented at least one AC, of which only 3 had a foramen width greater than 1 mm (3.6%. ACs were found to occur predominantly at central incisors region (Group A and the left lateral incisor and canine as well as the central incisors regions (Group B. Adolescents showed a lower prevalence of accessory canals compared to adults. These findings supplement earlier reports on the anatomical variations of the intraosseous vessel and nerve conduits of the maxilla. Surgical interventions in this area can be planned more precisely, taking into account the three-dimensional imaging, thus possibly protecting these sensitive structures.

Intraosseous lipomata in Paget's disease: an unusual CT appearance

International Nuclear Information System (INIS)

Robbie, M.J.; Pratsis, K.K.; Lockie, D.J.

1991-01-01

A case of multiple intraosseous lumbar vertebral lipomata is reported occurring in the prescence of Paget's disease. The pathology and radiology are correlated. An 84 year old man with Paget's disease presented after a cerebrovascular accident which caused him a mild right hemiparesis. Lumbar vertebral lesions were noted incidentally on abdominal radiographs and a CT scan was performed to define the abnormal areas. CT appearance favoured a slow growing non-invasive lesion. However, it failed to show the lower attenuation expected of a fatty lesion such as a lipoma. It is estimated that CT can be diagnostic if it does show fat level attenuation while Magnetic Resonance Imaging can define the lesion in the sagittal and coronal planes as well as provide the signal characteristics of fat (high signal on T1 and T2 weighted images) irrespective of its myxoid ground substance content

Primary intraosseous squamous cell carcinoma arising in an odontogenic keratocyst previously treated with marsupialization: case report and immunohistochemical study.

Science.gov (United States)

Martínez-Martínez, Marisol; Mosqueda-Taylor, Adalberto; Delgado-Azañero, Wilson; Rumayor-Piña, Alicia; de Almeida, Oslei Paes

2016-04-01

A rare case of primary intraosseous squamous cell carcinoma arising in an odontogenic keratocyst (OKC) is presented here, with the clinical and histologic features of the first biopsy showing characteristics of OKC and the second biopsy disclosing a squamous cell carcinoma. Immunoprofile of this case was compared with five cases of classical OKC by using cytokeratins CK5, CK14, and CK19, CD138, p63, Ki-67, p53, and bcl-2. Classic OKCs showed expected positivity, mainly in the basal and/or suprabasal layers with most antibodies, except for p53, which was negative, whereas the present case showed irregular positivity in all layers, indicating that this can be useful for differential diagnosis and suggesting a possible role in malignant transformation into primary intraosseous squamous cell carcinoma. In conclusion, immunohistochemical differences between the first biopsy of the present case and classic OKC suggest that immunohistochemistry can be helpful in cases with areas of subtle initial malignant transformation. Copyright © 2016 Elsevier Inc. All rights reserved.

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

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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.

Route Instruction Mechanism for Mobile Users Leveraging Distributed Wireless Resources

Science.gov (United States)

Kakehi, Takeshi; Shinkuma, Ryoichi; Murase, Tutomu; Motoyoshi, Gen; Yamori, Kyoko; Takahashi, Tatsuro

The market growths of smart-phones and thin clients have been significantly increasing communication traffic in mobile networks. To handle the increased traffic, network operators should consider how to leverage distributed wireless resources such as distributed spots of wireless local access networks. In this paper, we consider the system where multiple moving users share distributed wireless access points on their traveling routes between their start and goal points and formulate as an optimization problem. Then, we come up with three algorithms as a solution for the problem. The key idea here is ‘longcut route instruction’, in which users are instructed to choose a traveling route where less congested access points are available; even if the moving distance increases, the throughput for users in the system would improve. In this paper, we define the gain function. Moreover, we analyze the basic characteristics of the system using as a simple model as possible.

Access to primary care and the route of emergency admission to hospital: retrospective analysis of national hospital administrative data.

Science.gov (United States)

Cowling, Thomas E; Harris, Matthew; Watt, Hilary; Soljak, Michael; Richards, Emma; Gunning, Elinor; Bottle, Alex; Macinko, James; Majeed, Azeem

2016-06-01

The UK government is pursuing policies to improve primary care access, as many patients visit accident and emergency (A and E) departments after being unable to get suitable general practice appointments. Direct admission to hospital via a general practitioner (GP) averts A and E use, and may reduce total hospital costs. It could also enhance the continuity of information between GPs and hospital doctors, possibly improving healthcare outcomes. To determine whether primary care access is associated with the route of emergency admission-via a GP versus via an A and E department. Retrospective analysis of national administrative data from English hospitals for 2011-2012. Adults admitted in an emergency (unscheduled) for ≥1 night via a GP or an A and E department formed the study population. The measure of primary care access-the percentage of patients able to get a general practice appointment on their last attempt-was derived from a large, nationally representative patient survey. Multilevel logistic regression was used to estimate associations, adjusting for patient and admission characteristics. The analysis included 2 322 112 emergency admissions (81.9% via an A and E department). With a 5 unit increase in the percentage of patients able to get a general practice appointment on their last attempt, the adjusted odds of GP admission (vs A and E admission) was estimated to increase by 15% (OR 1.15, 95% CI 1.12 to 1.17). The probability of GP admission if ≥95% of appointment attempts were successful in each general practice was estimated to be 19.6%. This probability reduced to 13.6% when <80% of appointment attempts were successful. This equates to 139 673 fewer GP admissions (456 232 vs 316 559) assuming no change in the total number of admissions. Associations were consistent in direction across geographical regions of England. Among hospital inpatients admitted as an emergency, patients registered to more accessible general practices were more

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.)

Primary intraosseous squamous cell carcinoma mimicking periapical disease: a case report

Energy Technology Data Exchange (ETDEWEB)

Choi, Yoon Joo; Oh, Song Hee; Kang, Ju Han; Choi, Hwa Young; Kim, Gyu Tae; Choi, Yong Suk; Hwang, Eui Hwan [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University, Seoul (Korea, Republic of); Yu, Jae June [Dept. of Oral and Maxillofacial Radiology, Kangdong Sacred Heart Hospital, Hallym Medical Center, Seoul (Korea, Republic of)

2012-09-15

Primary intraosseous squamous cell carcinoma (PIOSCC) is a rare carcinoma, which arises within the jaws without connection to the oral mucosa and presumably develops from a remnant of odontogenic epithelium. We present a case of solid type PIOSCC in a 52-year-old male patient complaining of dull pain on his left lower molar. In this case, early stage PIOSCC mimicking a periapical lesion might lead to a one-year delay in treatment due to the misdiagnosis of osteomyelitis after extraction of the third molar. The clinical, radiological, and histologic features are described. In this case, there was initial radiographic evidence for PIOSCC mimicking a periapical lesion. Incautious radiographic interpretation and treatment procedures had delayed the correct diagnosis and resulted in extensive bony destruction during the patient's disease progression.

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.

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.

Phases and Steps in the Access to Data in Information Tools

DEFF Research Database (Denmark)

Bergenholtz, Henning; Bothma, Theo; Gouws, Rufus

2015-01-01

route and access time, but not access structure. This term is not only ill defined – it is less relevant, because each user has different access routes, and also the same user makes use of different routes in different cases. We describe four experiments in a case study with one test person how...... the different access processes in different user situations take place. This test person is trying to solve different accounting information needs in different user situations. The aim of this paper is to compare and contrast the access process terminology of lexicography and information science, to systematize...... the terms in a logical structure and to show how these disciplines complement one another by providing clearer definitions to describe the different access processes....

[Intraosseous veins of the maxilla in the newborn].

Science.gov (United States)

Bogdanov, R A

1975-12-01

The intraosseous veins of the maxilla in newborns grow larger with enlargement of the bone and become disposed in three mutually perpendicular planes. The venous plexus of the alveolar process is large. V. v. vallares are thin and interlace forming a network. The veins of interdental septum are well pronounced. The thick venous network of the periosteum and the mucous membrane of the nasal surface of the palatine process includes the vessels transversal and longitudinal to the nasal septum. The venous loops of the incisor part are of triangular, pentagonal and polygonal shape. The veins of the palatine process are connected with 3-4 large vessels falling into the vessels of the tear duct. The transversal and oblique veins of the oral surface of the palatine process are connected with large vessels disposed in parallel to the medial structure of the hard palate. The venous network of the incisor part of the bone is restricted by densified small arc-shaped plexuses. Two-three largest veins lie sagittally and, connected by arc-shaped anastomoses, are tributaries of the vessels of the palate bone, soft palate and pharynx.

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

Science.gov (United States)

Bohara, Sangita; Agarwal, Swapnil; Khurana, Nita; Pandey, P N

2016-01-01

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.

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.

Indoor Semantic Modelling for Routing: The Two-Level Routing Approach for Indoor Navigation

Directory of Open Access Journals (Sweden)

Liu Liu

2017-11-01

stand for their connectivity; the detailed (second level focuses on transition spaces such as openings and Spaces of Interest (SOI, and geometric networks are generated regarding these spaces. Nodes of a geometric network refers to locations of doors, windows and subspaces (SOIs inside of the larger spaces; and the edges represent detailed paths among these geometric nodes. A combination of the two levels can represent complex buildings in specified spaces, which avoids maintaining a largescale complete network. User preferences on ordered SOIs are considered in routing on the logical network, and preferences on ordered Points of Interest (POI are adopted in routing on geometric networks. In a geometric network, accessible obstacle-avoiding paths can be computed for users with different sizes. To facilitate automatic generation of the two types of network in any building, a new data model named Indoor Navigation Space Model (INSM is proposed to store connectivity, semantics and geometry of indoor spaces for buildings. Abundant semantics of building components are designed in INSM based on navigational functionalities, such as VerticalUnit(VU and HorizontalConnector(HC as vertical and horizontal passages for pedestrians. The INSM supports different subdivision ways of a building in which indoor spaces can be assigned proper semantics. A logical and geometric network can be automatically derived from INSM, and they can be used individually or together for indoor routing. Thus, different routing options are designed. Paths can be provided by using either the logical network when some users are satisfied with a rough description of the path (e.g., the name of spaces, or a geometric path is automatically computed for a user who needs only a detailed path which shows how obstacles can be avoided. The two-level routing approach integrates both logical and geometric networks to obtain paths, when a user provides her/his preferences on SOIs and POIs. For example, routing results

"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.

Modeling route choice criteria from home to major streets: A discrete choice approach

Directory of Open Access Journals (Sweden)

Jose Osiris Vidana-Bencomo

2018-03-01

Full Text Available A discrete choice model that consists of three sub-models was developed to investigates the route choice criteria of drivers who travel from their homes in the morning to the access point along the major streets that bound the Traffic Analysis Zones (TAZs. The first sub-model is a Nested Logit Model (NLM that estimates the probability of a driver has or has no multiple routes, and if the driver has multiple routes, the route selection criteria are based on the access point’s intersection control type or other factors. The second sub-model is a Mixed Logit (MXL model. It estimates the probabilities of the type of intersection control preferred by a driver. The third sub-model is a NLM that estimates the probabilities of a driver selecting his/her route for its shortest travel time or to avoid pedestrian, and if the aim is to take the fastest route, the decision criteria is based on the shortest distance or minimum stops and turns. Data gathered in a questionnaire survey were used to estimate the sub-models. The attributes of the utility functions of the sub-models are the driver’s demographic and trip characteristics. The model provides a means for transportation planners to distribute the total number of home-based trips generated within a TAZ to the access points along the major streets that bound the TAZ.

Clinical utility of an endoscopic ultrasound-guided rendezvous technique via various approach routes.

Science.gov (United States)

Kawakubo, Kazumichi; Isayama, Hiroyuki; Sasahira, Naoki; Nakai, Yousuke; Kogure, Hirofumi; Hamada, Tsuyoshi; Miyabayashi, Koji; Mizuno, Suguru; Sasaki, Takashi; Ito, Yukiko; Yamamoto, Natsuyo; Hirano, Kenji; Tada, Minoru; Koike, Kazuhiko

2013-09-01

The endoscopic ultrasound-guided rendezvous techniques (EUS-rendezvous) provide reliable biliary access after failed endoscopic retrograde cholangiopancreatography (ERCP) cannulation. We evaluated the clinical utility of an EUS-rendezvous technique using various approach routes. Patients undergoing EUS-rendezvous for biliary access after failed bile duct cannulation in ERCP were included. EUS-rendezvous was performed via three approach routes depending on the patient's condition: transgastric, transduodenal in a short endoscopic position, or transduodenal in a long endoscopic position. The main outcomes were the technical success rates. Secondary outcomes were procedure time and complications. Fourteen patients (median age, 77 years) underwent EUS-rendezvous for biliary access resulting from failed biliary cannulation. The reasons for biliary drainage were malignant biliary obstruction in five patients and choledocholithiasis in nine. Transgastric, transduodenal in a short position, and transduodenal in a long position EUS-rendezvous was performed in five, five, and four patients, respectively. Bile duct puncture occurred in the left intrahepatic duct in four patients, right hepatic duct in one, middle common bile duct in four, and lower common bile duct in five. The technical success rate was 100 %. In four patients, the approach route was modified from transduodenal in a short position to transduodenal in a long position or transgastric route. The median procedure time was 81 min. One case each of biliary peritonitis and pancreatitis occurred and were managed conservatively. EUS-rendezvous provided safe and reliable transpapillary bile duct access after failed ERCP cannulation. The selection of the appropriate approach routes, depending on patient condition, is critical.

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.

[Principles of bone tissue structures interaction with full removable dentures fixed on intraosseous implantates modelling].

Science.gov (United States)

Shashmurina, V R; Chumachenko, E N; Olesova, V N; Volozhin, A I

2008-01-01

Math modelling "removable dentures-implantate-bone" with size and density of bone tissue as variables was created. It allowed to study biomechanical bases of mandibular bone tissue structures interaction with full removable dentures of different constructions and fixed on intraosseous implantates. Analysis of the received data showed that in the majority of cases it was expedient to recommend 3 bearing (abutments) system of denture making. Rest on 4 and more implantates was appropriate for patients with reduced density of spongy bone and significant mandibular bone atrophy. 2 abutment system can be used in patients with high density of spongy bone and absence of mandibular bone atrophy.

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.

Clinical study of intramedullary route as an alternative for fluid administration in young dogs

Directory of Open Access Journals (Sweden)

Pedro Luiz de Camargo

1996-12-01

accomplished and rapidly performed. Our results show that intramedullary route is safe and may be of great value as an alternative on the treatment of young dogs with critical hemodynamic alterations when the intravenous route is not accessible.

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.

Intra-osseous injection of donor mesenchymal stem cell (MSC) into the bone marrow in living donor kidney transplantation; a pilot study

OpenAIRE

Lee, Hyunah; Park, Jae Berm; Lee, Sanghoon; Baek, Soyoung; Kim, HyunSoo; Kim, Sung Joo

2013-01-01

Background Mesenchymal stem cells (MSCs) are multi-potent non-hematopoietic progenitor cells possessing an immune-regulatory function, with suppression of proliferation of activated lymphocytes. In this study, adult living donor kidney transplantation (LDKT) recipients were given MSCs derived from the donor bone marrow to evaluate the safety and the feasibility of immunological changes related to the intra-osseous injection of MSC into the bone marrow. Methods MSCs were derived from negative ...

In vitro comparison of the effect of piezosurgery and conventional bone preparation technique on intraosseous heat generation.

Science.gov (United States)

Cziriak, N B; Szalma, J; Vag, J; Bogdan, S

2016-09-01

The aim of this in vitro study was to compare the effect of sagittal saw handpiece with a piezoelectric device on the rise in intraosseous temperature and on the preparation time. 100 native pieces of pork ribs were cut either with S-8 S handpiece connected to Elcomed surgical motor (W&H) (n = 30) or with B6 insert connected to Piezomed (W&H) using continuous movement (n = 30) or with B6 using short breaks to perform intermittent cutting (n = 30). The rest were cut either by S-8 S (n = 5) or by B6 (n = 5) both applied by permanent pressure. The intraosseous temperature was measured by K-type thermocouple connected to digital thermometer placed in the bone 1 mm away of the cutting line. The heat generated and the time of the complete cutting were recorded. In S-8 S group the temperature never rose above 47⁰C. Using the B6 with permanent movement the critical temperature was reached in 16.2 ± 3.53% of the cases while taking breaks decreased the results to 2.6 ? 0.96% (p <0.001). In no cases the temperature elevation above 4700 lasted more than 60 sec. Applying the B6 by permanent pressure resulted in heat up to 90.3⁰C. Our results suggest that piezoelectric device could use safely according to the factory instructions, however further reduce of heat load could be achieved if the intermittent cutting motion combined with short-time cooling periods.

High throughput route selection in multi-rate wireless mesh networks

Institute of Scientific and Technical Information of China (English)

WEI Yi-fei; GUO Xiang-li; SONG Mei; SONG Jun-de

2008-01-01

Most existing Ad-hoc routing protocols use the shortest path algorithm with a hop count metric to select paths. It is appropriate in single-rate wireless networks, but has a tendency to select paths containing long-distance links that have low data rates and reduced reliability in multi-rate networks. This article introduces a high throughput routing algorithm utilizing the multi-rate capability and some mesh characteristics in wireless fidelity (WiFi) mesh networks. It uses the medium access control (MAC) transmission time as the routing metric, which is estimated by the information passed up from the physical layer. When the proposed algorithm is adopted, the Ad-hoc on-demand distance vector (AODV) routing can be improved as high throughput AODV (HT-AODV). Simulation results show that HT-AODV is capable of establishing a route that has high data-rate, short end-to-end delay and great network throughput.

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.

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

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...

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.

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

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

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.

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.

Routes to DNA accessibility: alternative pathways for nucleosome unwinding.

Science.gov (United States)

Schlingman, Daniel J; Mack, Andrew H; Kamenetska, Masha; Mochrie, Simon G J; Regan, Lynne

2014-07-15

The dynamic packaging of DNA into chromatin is a key determinant of eukaryotic gene regulation and epigenetic inheritance. Nucleosomes are the basic unit of chromatin, and therefore the accessible states of the nucleosome must be the starting point for mechanistic models regarding these essential processes. Although the existence of different unwound nucleosome states has been hypothesized, there have been few studies of these states. The consequences of multiple states are far reaching. These states will behave differently in all aspects, including their interactions with chromatin remodelers, histone variant exchange, and kinetic properties. Here, we demonstrate the existence of two distinct states of the unwound nucleosome, which are accessible at physiological forces and ionic strengths. Using optical tweezers, we measure the rates of unwinding and rewinding for these two states and show that the rewinding rates from each state are different. In addition, we show that the probability of unwinding into each state is dependent on the applied force and ionic strength. Our results demonstrate not only that multiple unwound states exist but that their accessibility can be differentially perturbed, suggesting possible roles for these states in gene regulation. For example, different histone variants or modifications may facilitate or suppress access to DNA by promoting unwinding into one state or the other. We anticipate that the two unwound states reported here will be the basis for future models of eukaryotic transcriptional control. Copyright © 2014 Biophysical Society. Published by Elsevier Inc. All rights reserved.

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.

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

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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

Principles of Vessel Route Planning in Ice on the Northern Sea Route

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Tadeusz Pastusiak

2016-12-01

Full Text Available A complex of ice cover characteristics and the season of the year were considered in relation to vessel route planning in ice-covered areas on the NSR. The criteria for navigation in ice - both year-round and seasonal were analyzed. The analysis of the experts knowledge, dissipated in the literature, allowed to identify some rules of route planning in ice-covered areas. The most important processes from the navigation point of view are the development and disintegration of ice, the formation and disintegration of fast ice and behavior of the ice massifs and polynyas. The optimal route is selected on basis of available analysis and forecast maps of ice conditions and ice class, draught and seaworthiness of the vessel. The boundary of the ice indicates areas accessible to vessels without ice class. Areas with a concentration of ice from 0 to 6/10 are used for navigation of vessels of different ice classes. Areas of concentration of ice from 7/10 up are eligible for navigation for icebreakers and vessels with a high ice class with the assistance of icebreakers. These rules were collected in the decision tree. Following such developed decision-making model the master of the vessel may take decision independently by accepting grading criteria of priorities resulting from his knowledge, experience and the circumstances of navigation. Formalized form of decision making model reduces risk of the "human factor" in the decision and thereby help improve the safety of maritime transport.

Secure Multicast Routing Algorithm for Wireless Mesh Networks

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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.

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.

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.

Root damage induced by intraosseous anesthesia. An in vitro investigation.

Science.gov (United States)

Graetz, Christian; Fawzy-El-Sayed, Karim-Mohamed; Graetz, Nicole; Dörfer, Christof-Edmund

2013-01-01

The principle of the intraosseous anesthesia (IOA) relies on the perforation of the cortical plate of the bone for direct application of the local anesthetic solution into the underlying cancellous structures. During this procedure, IOA needles might accidentally come in contact with the tooth roots. The aim of the current in vitro study was to examine the consequences of this 'worst case scenario' comparing five commercially available IOA systems. Extracted human roots were randomly perforated using five different IOA systems with a drilling time ≤5s. To simulate normal in vivo conditions, the roots were kept humid during the drilling procedure. Data was statistically evaluated using F-test (SPSS16, SPSS Inc., Chicago, USA) and the significance level was set at p ≤ 0.05. All examined systems resulted in root perforation. Drill fractures occurred in either none 0% (Quicksleeper, Anesto, Intraflow, Stabident) or 100% (X-Tip) of the applications. Excessive heat generation, as evident by combustion odor as well as metal and tooth discoloration, appeared in 30% (Quicksleeper), 40% (Anesto), 60% (Intraflow), 90% (Stabident) and 100% (X-Tip) of all perforations. Within the limits of in-vitro studies, the results show a potential for irreversible root damage that might be inflicted by an improper use of IOA systems.

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.

The use of intraosseous anesthesia among endodontists: results of a questionnaire.

Science.gov (United States)

Bangerter, Chad; Mines, Pete; Sweet, Mark

2009-01-01

The purpose of this study was to investigate the use of supplemental intraosseous (IO) anesthesia among endodontists in the United States. The study also looked at the types of anesthetic solutions commonly used for IO anesthesia and in which diagnostic conditions IO anesthesia is used. A Web-based survey of 2,528 active members of the American Association of Endodontists was sent out by e-mail. Data from 833 respondents were collected with a response rate of 33%. It was discovered that 94.77% of the respondents used some form of IO anesthesia, with the periodontal ligament injection (PDL) being the most commonly administered (49.78%). Symptomatic irreversible pulpitis is the pulpal diagnosis for which respondents most often use some form of IO anesthesia (61.99%), and 2% lidocaine with epinephrine 1:100,000 is the most common anesthetic solution used in IO anesthesia (37.62%). Although more than half of the respondents use some form of IO anesthesia more than twice a week, newer IO anesthesia delivery systems such as Stabident (Fairfax Dental, San Francisco, CA) and X-Tip (Dentsply International, Johnson City, TN) are used less often than the PDL injection.

Blind Cooperative Routing for Scalable and Energy-Efficient Internet of Things

KAUST Repository

Bader, Ahmed; Alouini, Mohamed-Slim

2016-01-01

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

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.

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

2014-11-01

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. 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. 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. The results of the study showed that 25 X-tip injections (83.33%) were successful and 5 X-tip injections (16.66%) were unsuccessful. 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.

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

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...... 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...

A SURVEY on WIRELESS MESH NETWORKS, ROUTING METRICS and PROTOCOLS

Directory of Open Access Journals (Sweden)

Safak DURUKAN ODABASI

2013-01-01

Full Text Available Today, Internet has become an indispensable part of our daily lives. It has a growing user community in many fields from banking transactions to online entertainment. It will be very efficient for users, as the next generation internet access becomes wireless like frequently used services such as cellular phones. But for providing this, a new network is needed to be designed or an existing network must be improved as well as making changes on infrastructure. At this point, mesh network infrastructure arises and offers more sophisticated internet access with less need. The most important advantage of mesh networks is the capability of working without infrastructure. Mesh networks are an additional access technology more than being a renewed one in the next generation wireless networks called 4G. In this study, wireless mesh networks and example applications are mentioned. Base architecture and design factors are emphasized, current routing protocols that are used on wireless mesh networks and routing metrics on which these protocols are based, are explained. Finally, the performance effects of these protocols and metrics on different network topologies are referred.

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

A dual-route approach to orthographic processing.

Science.gov (United States)

Grainger, Jonathan; Ziegler, Johannes C

2011-01-01

In the present theoretical note we examine how different learning constraints, thought to be involved in optimizing the mapping of print to meaning during reading acquisition, might shape the nature of the orthographic code involved in skilled reading. On the one hand, optimization is hypothesized to involve selecting combinations of letters that are the most informative with respect to word identity (diagnosticity constraint), and on the other hand to involve the detection of letter combinations that correspond to pre-existing sublexical phonological and morphological representations (chunking constraint). These two constraints give rise to two different kinds of prelexical orthographic code, a coarse-grained and a fine-grained code, associated with the two routes of a dual-route architecture. Processing along the coarse-grained route optimizes fast access to semantics by using minimal subsets of letters that maximize information with respect to word identity, while coding for approximate within-word letter position independently of letter contiguity. Processing along the fined-grained route, on the other hand, is sensitive to the precise ordering of letters, as well as to position with respect to word beginnings and endings. This enables the chunking of frequently co-occurring contiguous letter combinations that form relevant units for morpho-orthographic processing (prefixes and suffixes) and for the sublexical translation of print to sound (multi-letter graphemes).

A dual-route approach to orthographic processing

Directory of Open Access Journals (Sweden)

Jonathan eGrainger

2011-04-01

Full Text Available In the present theoretical note we examine how different learning constraints, thought to be involved in optimizing the mapping of print to meaning during reading acquisition, might shape the nature of the orthographic code involved in skilled reading. On the one hand, optimization is hypothesized to involve selecting combinations of letters that are the most informative with respect to word identity (diagnosticity constraint, and on the other hand to involve the detection of letter combinations that correspond to pre-existing sublexical phonological and morphological representations (chunking constraint. These two constraints give rise to two different kinds of prelexical orthographic code, a coarse-grained and a fine-grained code, associated with the two routes of a dual-route architecture. Processing along the coarse-grained route optimizes fast access to semantics by using minimal subsets of letters that maximize information with respect to word identity, while coding for approximate within-word letter position independently of letter contiguity. Processing along the fined-grained route, on the other hand, is sensitive to the precise ordering of letters, as well as to position with respect to word beginnings and endings. This enables the chunking of frequently co-occurring contiguous letter combinations that form relevant units for morpho-orthographic processing (prefixes and suffixes and for the sublexical translation of print to sound (multi-letter graphemes.

Complications of Central Venous Totally Implantable Access Port: Internal Jugular Versus Subclavian Access

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Pil Young Jung

Full Text Available Background: Totally implantable access port (TIAP provides reliable, long term vascular access with minimal risk of infection and allows patients normal physical activity. With wide use of ports, new complications have been encountered. We analyzed TIAP related complications and evaluated the outcomes of two different percutaneous routes of access to superior vena cava. Methods: All 172 patients who underwent port insertion with internal jugular approach (Group 1, n = 92 and subclavian approach (Group 2, n = 79 between August 2011 and May 2013 in a single center were analyzed, retrospectively. Medical records were analyzed to compare the outcomes and the occurrence of port related complications between two different percutaneous routes of access to superior vena cava. Results: Median follow-up for TIAP was 278 days (range, 1-1868. Twenty four complications were occurred (14.0%, including pneumothorax (n = 1, 0.6%, migration/malposition (n = 4, 2.3%, pinch-off syndrome (n = 4, 2.3%, malfunction (n = 2, 1.1%, infection (n = 8, 4.7%, and venous thrombosis (n = 5, 2.9%. The overall incidence was 8.7% and 20.3% in each group (p = 0.030. Mechanical complications except infectious and thrombotic complications were more often occurred in group 2 (p = 0.033. The mechanical complication free probability is significantly higher in group 1 (p = 0.040. Conclusions: We suggest that the jugular access should be chosen in patients who need long term catheterization because of high incidence of mechanical complication, such as pinch-off syndrome.

Route-external and route-internal landmarks in route descriptions : Effects of route length and map design

NARCIS (Netherlands)

Westerbeek, Hans; Maes, Alfons

2013-01-01

Landmarks are basic ingredients in route descriptions. They often mark choice points: locations where travellers choose from different options how to continue the route. This study focuses on one of the loose ends in the taxonomy of landmarks. In a memory-based production experiment in which

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.

Eco-routing: More green drivers means more benefits?

Energy Technology Data Exchange (ETDEWEB)

Valdes Serrano, C.; Perez Prada, F.; Monzon de Caceres, A.

2016-07-01

Information and Communications Technology (ICT)/Information and Technology Services (ITS) can play an important role in the transport sector, helping in maintaining accessibility and contemporarily optimizing the use of the vehicles. Among these ICT measures, eco-routing seems a promising one. Drivers normally follow the route which minimizes their generalized costs, normally time and money. But environmental concern is increasing, and drivers are starting to think about the effects of their driving. This means including CO2 emissions or fuel consumption in their route choice. But is this always positive, independently of the traffic situation and the penetration level of green drivers? This articles aims to analyze what happens in terms of fuel consumption, CO2 emissions and travel time, when different penetration levels of drivers, and with different traffic situations, follow the route of minimum fuel consumption instead of the conventional generalized costs. The analysis is based on a modelling process using a transport model of the whole region of Madrid. A total of 18 scenarios are considered: 3 reference scenarios (for congested, medium and low flow traffic situations), and 5 different penetration levels of green drivers for each traffic situation. Results show how impact varies substantially with the level of traffic and, also, that the more the best is not always true. (Author)

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

75 FR 17562 - Port Access Route Study: In the Approaches to Los Angeles-Long Beach and in the Santa Barbara...

Science.gov (United States)

2010-04-07

... or dangerous. Vessel routing system means any system of one or more routes or routing measure aimed... approaches to Los Angeles-Long Beach and the approach to the San Pedro Channel from the Pacific Ocean... are most cost- effective? 5. What impacts, both positive and negative, would changes to existing...

Routing Service Quality—Local Driver Behavior Versus Routing Services

DEFF Research Database (Denmark)

Ceikute, Vaida; Jensen, Christian S.

2013-01-01

of the quality of one kind of location-based service, namely routing services. Specifically, the paper presents a framework that enables the comparison of the routes provided by routing services with the actual driving behaviors of local drivers. Comparisons include route length, travel time, and also route...... popularity, which are enabled by common driving behaviors found in available trajectory data. The ability to evaluate the quality of routing services enables service providers to improve the quality of their services and enables users to identify the services that best serve their needs. The paper covers......Mobile location-based services is a very successful class of services that are being used frequently by users with GPS-enabled mobile devices such as smartphones. This paper presents a study of how to exploit GPS trajectory data, which is available in increasing volumes, for the assessment...

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.

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.

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

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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.

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.

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

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.

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...

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).

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

Quantitative analysis of access strategies to remote information in network services

DEFF Research Database (Denmark)

Olsen, Rasmus Løvenstein; Schwefel, Hans-Peter; Hansen, Martin Bøgsted

2006-01-01

Remote access to dynamically changing information elements is a required functionality for various network services, including routing and instances of context-sensitive networking. Three fundamentally different strategies for such access are investigated in this paper: (1) a reactive approach in...

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

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 modelling 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 (Cashwell, 1989) and the preferred route is determined based upon attribute weights assigned by the user. This modelling structure permits the state or local 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 (Cashwell, 1989) or allows the user to structure their own network parameters. Sandia national Laboratories (SNL) is the Department of Energy's (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. 2 refs

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

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...

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.

Routes to the past: Neural substrates of direct and generative autobiographical memory retrieval

OpenAIRE

Addis, Donna Rose; Knapp, Katie; Roberts, Reece P.; Schacter, Daniel L.

2011-01-01

Models of autobiographical memory propose two routes to retrieval depending on cue specificity. When available cues are specific and personally-relevant, a memory can be directly accessed. However, when available cues are generic, one must engage a generative retrieval process to produce more specific cues to successfully access a relevant memory. The current study sought to characterize the neural bases of these retrieval processes. During functional magnetic resonance imaging (fMRI), partic...

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...

[Intra-osseous ganglion cyst of the carpal bones. A review of the literature underlining the importance of systematic computed tomography].

Science.gov (United States)

Dumas, P; Georgiou, C; Chignon-Sicard, B; Balaguer, T; Lebreton, E; Dumontier, C

2013-02-01

The intraosseous ganglion cyst (IOGC) is a benign and lytic bone tumor affecting mostly the metaphyseal and epiphyseal regions of long bones. Its location on the short bones, including the carpal bones has been little reported in the literature. Our review of the literature shows consensus about the surgical techniques to use, but there is currently no real consensus about its pathophysiology, and its diagnostic work-up. Complications related to this lesion (mainly the risk of pathologic fracture) are potentially serious, and can cause irreversible damage. They therefore require accurate assessment to guide the choice of medical or surgical treatment, including a CT scan, which - we believe - is essential. Copyright © 2012. Published by Elsevier SAS.

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

.04 to 0.61; n = 182). A larger volume of fluids was infused via the intravenous route (GRADE rating: moderate). There was no evidence of a difference between the two routes for any other outcomes, including adverse events.Compared to the subcutaneous group, patients in the intravenous group were more...

Pseudo-Cycle-Based Multicast Routing in Wormhole-Routed Networks

Institute of Scientific and Technical Information of China (English)

SONG JianPing (宋建平); HOU ZiFeng (侯紫峰); XU Ming (许铭)

2003-01-01

This paper addresses the problem of fault-tolerant multicast routing in wormholerouted multicomputers. A new pseudo-cycle-based routing method is presented for constructing deadlock-free multicast routing algorithms. With at most two virtual channels this technique can be applied to any connected networks with arbitrary topologies. Simulation results show that this technique results in negligible performance degradation even in the presence of a large number of faulty nodes.

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...

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....

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

Frequency of nursing care of vascular access in hemodialysis patients

Directory of Open Access Journals (Sweden)

Iman Taghizade Firoozjayi

2016-03-01

Full Text Available Background: Hemodialysis is a critical treatment method, which depends on the vascular access route. Lack of care for the vascular access route could diminish its efficiency in a short time. Regarding this, the present study aimed to evaluate the frequency of nursing care for vascular access route in the hemodialysis patients. Methods: This cross-sectional study was conducted on 20 nurses and 120 hemodialysis patients, who referred to the Hemodialysis Department of Shahid Beheshti Hospital, Babol, Iran, in 2015. The method of nursing care for vascular access route was evaluated using a researcher-made checklist. The data analysis was performed using the descriptive statistics in the SPSS version 16. Results: In total, 14 cases of nursing care were evaluated, in 100% of which all the caring steps, including wearing gloves and a mask, early bolus injections of heparin, washing the catheter tubing, frequent monitoring of blood pressure, rinsing the catheter tubing, returning the blood to the body after hemodialysis, and sterile covering of the puncture site, were observed. However, some of the other techniques, such as the care related to appropriate pump speed when starting the dialysis machine (81.66%, observance of the needle distance from fistula (75.83%, appropriate placement of catheter (75%, pressing the injection site (54.17%, blood pressure monitoring at the end of dialysis (50%, and change of the needle site between two sessions (27.5%, were not adhered to by the nurses. Conclusion: According to the results of this study, some of the nursing care steps, which are necessary in the beginning and end of the hemodialysis, were not accurately followed by the nurses. It is recommended that constant training courses be held for the nurses in this regard.

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...

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

Routes to DNA Accessibility: Alternative Pathways for Nucleosome Unwinding

OpenAIRE

Schlingman, Daniel J.; Mack, Andrew H.; Kamenetska, Masha; Mochrie, Simon G.J.; Regan, Lynne

2014-01-01

The dynamic packaging of DNA into chromatin is a key determinant of eukaryotic gene regulation and epigenetic inheritance. Nucleosomes are the basic unit of chromatin, and therefore the accessible states of the nucleosome must be the starting point for mechanistic models regarding these essential processes. Although the existence of different unwound nucleosome states has been hypothesized, there have been few studies of these states. The consequences of multiple states are far reaching. Thes...

Planning routes around the world: International evidence for southern route preferences

NARCIS (Netherlands)

Brunyé, Tad T.; Andonova, Elena; Meneghetti, Chiara; Noordzij, Matthijs Leendert; Pazzaglia, Francesca; Wienemann, Rasmus; Mahoney, Caroline R.; Taylor, Holly A.

2012-01-01

Three studies test whether the southern route preference, which describes the tendency for route planners to disproportionately select south- rather than north-going routes, can be attributed to regional elevation patterns; specifically, we ask whether this effect replicates in three topographically

Dynamic optical routing and simultaneous generation of millimeter-wave signals for in-building access network

NARCIS (Netherlands)

Zou, S.; Okonkwo, C.M.; Cao, Z.; Tran, N.C.; Tangdiongga, E.; Koonen, A.M.J.

2012-01-01

Two-stage optical routing using SOA and integrated micro-ring resonator, and remote generation of millimeter-wave signals by optical frequency multiplication is demonstrated for inbuilding network. Both 150Mb/s 64-QAM and 802.11a WLAN signal at 38GHz are transmitted.

Dental radiography: efficacy in the assessment of intraosseous lesions of the face and jaws in asymptomatic patients

International Nuclear Information System (INIS)

Zeichner, S.J.; Ruttimann, U.E.; Webber, R.L.

1987-01-01

In this investigation the efficacy of dental radiography for the detection of occult intraosseous lesions of the face and jaws was evaluated. An analysis of 30 million health insurance records indicated that the period prevalence of malignant lesions was less than 5 cases/million/year, and for benign lesions approximately 100 cases/million/year. Data from a controlled observer-performance study showed that radiographic sensitivities ranged between 50% and 80%. The cost per true-positive finding was estimated to be +8.6 million per malignant case and +430,000 per benign case. An assessment of the dosimetric literature indicated that the benefits of radiographic screening as a means for early detection of a malignancy appear to be counterbalanced by the risk of causing a radiation-induced malignancy. Taken together, these data demonstrate that dental radiography is not efficacious for the purpose of detecting occult lesions

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...

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

VINE ROUTES IN BULGARIA

Directory of Open Access Journals (Sweden)

Lyuben Hristov

2015-03-01

Full Text Available The article deals with a scheme for the modern vine route in Bulgaria. Five basic vine routes and one international, between Bulgaria, Macedonia and Greece are defined. All routes consider characteristic varieties of grapes and kinds of vine products. Vine tourist products combined with visits of important natural and anthropological object are in the bases of the defined routes. The described routes are an important contribution to development of alternative tourist products in the country.

Robust against route failure using power proficient reliable routing in MANET

Directory of Open Access Journals (Sweden)

M. Malathi

2018-03-01

Full Text Available The aim of this paper was to propose a novel routing protocol for Mobile Adhoc Network communication which reduces the route failure during transmission. The proposed routing protocol uses 3 salient parameters to discover the path which ensure the reliable communication. The quality of the channel, link quality and energy level of the node are the major reasons for unintentional node failure in mobile Adhoc network. So the proposed routing protocol considers these three parameters to select the best forwarder node in the path. The reliable data communication is achieved by transmitting data via path selected by the proposed routing scheme has been proven using network simulator (NS2. Keywords: Channel quality, Link quality, Mobile Adhoc Network (MANET, Residual energy

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.

Endoscopic Ultrasound-guided Rendezvous Technique after Failed Endoscopic Retrograde Cholangiopancreatography: Which Approach Route Is the Best?

Science.gov (United States)

Okuno, Nozomi; Hara, Kazuo; Mizuno, Nobumasa; Hijioka, Susumu; Tajika, Masahiro; Tanaka, Tsutomu; Ishihara, Makoto; Hirayama, Yutaka; Onishi, Sachiyo; Niwa, Yasumasa; Yamao, Kenji

2017-12-01

Objective The endoscopic ultrasound-guided rendezvous technique (EUS-RV) is a salvage method for failed selective biliary cannulation. Three puncture routes have been reported, with many comparisons between the intra-hepatic and extra-hepatic biliary ducts. We used the trans-esophagus (TE) and trans-jejunum (TJ) routes. In the present study, the utility of EUS-RV for biliary access was evaluated, focusing on the approach routes. Methods and Patients In 39 patients, 42 puncture routes were evaluated in detail. EUS-RV was performed between January 2010 and December 2014. The patients were prospectively enrolled, and their clinical data were retrospectively collected. Results The patients' median age was 71 (range 29-84) years. The indications for endoscopic retrograde cholangiopancreatography (ERCP) were malignant biliary obstruction in 24 patients and benign biliary disease in 15. The technical success rate was 78.6% (33/42) and was similar among approach routes (p=0.377). The overall complication rate was 16.7% (7/42) and was similar among approach routes (p=0.489). However, mediastinal emphysema occurred in 2 TE route EUS-RV patients. No EUS-RV-related deaths occurred. Conclusion EUS-RV proved reliable after failed ERCP. The selection of the appropriate route based on the patient's condition is crucial.

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.

78 FR 59339 - Intracoastal Waterway Route “Magenta Line” on NOAA Nautical Charts

Science.gov (United States)

2013-09-26

... waterways have been based principally on surveys made from 60 to 80 years ago and, necessarily, are obsolete... found where the charted Intracoastal Waterway Route (``magenta line'') passes on the wrong side of aids... specifically seeks comments regarding: 1. How do you currently access the magenta line? On paper nautical...

Route churn: an analysis of low-cost carrier route continuity in Europe

NARCIS (Netherlands)

de Wit, J.G.; Zuidberg, J.

2016-01-01

Discontinuity of air routes is a subject that has been analysed in various ways. For example, the complex network approach focuses on network robustness and resilience due to route interruptions during a relatively short period. Also seasonal interruptions of air routes are a well-documented

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.

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...

Hierarchical micro-mobility management in high-speed multihop access networks

Institute of Scientific and Technical Information of China (English)

TANG Bi-hua; MA Xiao-lei; LIU Yuan-an; GAO Jin-chun

2006-01-01

This article integrates the hierarchical micro-mobility management and the high-speed multihop access networks (HMAN), to accomplish the smooth handover between different access routers. The proposed soft handover scheme in the high-speed HMAN can solve the micro-mobility management problem in the access network. This article also proposes the hybrid access router (AR) advertisement scheme and AR selection algorithm, which uses the time delay and stable route to the AR as the gateway selection parameters. By simulation, the proposed micro-mobility management scheme can achieve high packet delivery fraction and improve the lifetime of network.

Initial-Stage Primary Intraosseous Squamous Cell Carcinoma Derived from Odontogenic Keratocyst with Unusual Keratoameloblastomatous Change of the Maxilla: A Case Report and Literature Discussion

Directory of Open Access Journals (Sweden)

Kentaro Kikuchi

2018-01-01

Full Text Available Primary intraosseous squamous cell carcinoma (PIOSCC is a rare malignant neoplasm derived from odontogenic epithelial remnants in the central jaw bone. Most PIOSCCs originate from odontogenic cysts with a nonkeratinized epithelial lining, especially from radicular/residual and dentigerous cysts. There have been few reports of PIOSCCs derived from the odontogenic keratocyst (OKC, particularly those describing pathological features at the initial stage. The diagnosis of PIOSCC is difficult and based on exclusion of other carcinomas, including metastatic tumors from other primary sites. Here, we report an extremely rare case of initial-stage PIOSCC derived from the OKC with unusual keratoameloblastomatous change of the maxilla.

Fibrosarcoma of the jaws: two cases of primary tumors with intraosseous growth.

Science.gov (United States)

Angiero, Francesca; Rizzuti, Tommaso; Crippa, Rolando; Stefani, Michele

2007-01-01

Fibrosarcoma (FS) is a malignant mesenchymal neoplasm of the fibroblasts that rarely affects the oral cavity. Two cases of primary FS of the jaws with intraosseous growth (2 men, aged 53 and 71 years) are described. Microscopically, in one case the tumor showed an intense proliferation of spindle-shaped cells, varying little in size and shape and arranged in parallel bands, partly crossing each other, with significant mitotic activity and nuclear pleomorphism; the second case was characterized by low cellularity comprising spindle-shaped cells, deposited in a variably fibrous and myxoid stroma. On immunohistochemistry, cells in both cases were strongly immunoreactive for MIB-1 and vimentin, focally positive for CD68, and negative for S-100 protein, pancytokeratin, HMB45, CD34, desmin, smooth muscle actin (SMA) and epithelial membrane antigen (EMA). Based on clinical, histological and immunohistochemical findings, the final diagnosis was FS in the first case, myxofibrosarcoma in the second. Treatment was radical surgery with mandibular reconstruction. After two years, the first patient displayed multiple metastases and died during the third year after the initial diagnosis; the second patient was still alive and doing well five years after treatment. We discuss the differential diagnosis versus other forms of sarcoma, examining the morphological appearance that is frequently very similar, the immunohistochemical expression of MIB-1, vimentin, S-100, CD-34, CD68, EMA, as well as conventional clinicopathological features that may help to distinguish FS from other sarcomas.

Multihop Wireless Networks Opportunistic Routing

CERN Document Server

Zeng, Kai; Li, Ming

2011-01-01

This book provides an introduction to opportunistic routing an emerging technology designed to improve the packet forwarding reliability, network capacity and energy efficiency of multihop wireless networks This book presents a comprehensive background to the technological challenges lying behind opportunistic routing. The authors cover many fundamental research issues for this new concept, including the basic principles, performance limit and performance improvement of opportunistic routing compared to traditional routing, energy efficiency and distributed opportunistic routing protocol desig

Successful Treatment of Early Talar Osteonecrosis by Core Decompression Combined with Intraosseous Stem Cell Injection: A Case Report.

Science.gov (United States)

Nevalainen, Mika T; Repo, Jussi P; Pesola, Maija; Nyrhinen, Jukka P

2018-01-01

Osteonecrosis of the talus is a fairly rare condition. Many predisposing factors have been identified including previous trauma, use of corticosteroids, alcoholism, and smoking. As a gold standard, magnetic resonance imaging (MRI) is the most sensitive and specific diagnostic examination to detect osteonecrosis. While many treatment options for talar osteonecrosis exist, core decompression is suggested on young patients with good outcome results. More recently, intraosseous stem cell and platelet-rich plasma (PRP) injection has been added to the core decompression procedure. We report a successful treatment of early talar osteonecrosis ARCO I (Association Research Circulation Osseous) by core decompression combined with stem cell and PRP injection. On 3-month and 15-month follow-up, MRI showed complete resolution of the osteonecrotic changes together with clinical improvement. This modified technique is a viable treatment option for early talar osteonecrosis. Nevertheless, future prospects should include a study comparing this combined technique with plain core decompression.

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.

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).

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....... The certifications and contributions impose a cost for the company while they also give unlimited usage of a set of roads to all vehicles belonging to the company. Different versions for defining the edge sets are discussed and formulated. A MIP-formulation of the problem is presented, and a solution method based...

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.

Contralateral routing of signals disrupts monaural level and spectral cues to sound localisation on the horizontal plane.

Science.gov (United States)

Pedley, Adam J; Kitterick, Pádraig T

2017-09-01

Contra-lateral routing of signals (CROS) devices re-route sound between the deaf and hearing ears of unilaterally-deaf individuals. This rerouting would be expected to disrupt access to monaural level cues that can support monaural localisation in the horizontal plane. However, such a detrimental effect has not been confirmed by clinical studies of CROS use. The present study aimed to exercise strict experimental control over the availability of monaural cues to localisation in the horizontal plane and the fitting of the CROS device to assess whether signal routing can impair the ability to locate sources of sound and, if so, whether CROS selectively disrupts monaural level or spectral cues to horizontal location, or both. Unilateral deafness and CROS device use were simulated in twelve normal hearing participants. Monaural recordings of broadband white noise presented from three spatial locations (-60°, 0°, and +60°) were made in the ear canal of a model listener using a probe microphone with and without a CROS device. The recordings were presented to participants via an insert earphone placed in their right ear. The recordings were processed to disrupt either monaural level or spectral cues to horizontal sound location by roving presentation level or the energy across adjacent frequency bands, respectively. Localisation ability was assessed using a three-alternative forced-choice spatial discrimination task. Participants localised above chance levels in all conditions. Spatial discrimination accuracy was poorer when participants only had access to monaural spectral cues compared to when monaural level cues were available. CROS use impaired localisation significantly regardless of whether level or spectral cues were available. For both cues, signal re-routing had a detrimental effect on the ability to localise sounds originating from the side of the deaf ear (-60°). CROS use also impaired the ability to use level cues to localise sounds originating from

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.

SAFEBIKE: A Bike-sharing Route Recommender with Availability Prediction and Safe Routing

OpenAIRE

Zhong, Weisheng; Chen, Fanglan; Fu, Kaiqun; Lu, Chang-Tien

2017-01-01

This paper presents SAFEBIKE, a novel route recommendation system for bike-sharing service that utilizes station information to infer the number of available bikes in dock and recommend bike routes according to multiple factors such as distance and safety level. The system consists of a station level availability predictor that predicts bikes and docks amount at each station, and an efficient route recommendation service that considers safety and bike/dock availability factors. It targets use...

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.

Personal continuous route pattern mining

Institute of Scientific and Technical Information of China (English)

Qian YE; Ling CHEN; Gen-cai CHEN

2009-01-01

In the daily life, people often repeat regular routes in certain periods. In this paper, a mining system is developed to find the continuous route patterns of personal past trips. In order to count the diversity of personal moving status, the mining system employs the adaptive GPS data recording and five data filters to guarantee the clean trips data. The mining system uses a client/server architecture to protect personal privacy and to reduce the computational load. The server conducts the main mining procedure but with insufficient information to recover real personal routes. In order to improve the scalability of sequential pattern mining, a novel pattern mining algorithm, continuous route pattern mining (CRPM), is proposed. This algorithm can tolerate the different disturbances in real routes and extract the frequent patterns. Experimental results based on nine persons' trips show that CRPM can extract more than two times longer route patterns than the traditional route pattern mining algorithms.

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...

Ad Hoc Access Gateway Selection Algorithm

Science.gov (United States)

Jie, Liu

With the continuous development of mobile communication technology, Ad Hoc access network has become a hot research, Ad Hoc access network nodes can be used to expand capacity of multi-hop communication range of mobile communication system, even business adjacent to the community, improve edge data rates. For mobile nodes in Ad Hoc network to internet, internet communications in the peer nodes must be achieved through the gateway. Therefore, the key Ad Hoc Access Networks will focus on the discovery gateway, as well as gateway selection in the case of multi-gateway and handover problems between different gateways. This paper considers the mobile node and the gateway, based on the average number of hops from an average access time and the stability of routes, improved gateway selection algorithm were proposed. An improved gateway selection algorithm, which mainly considers the algorithm can improve the access time of Ad Hoc nodes and the continuity of communication between the gateways, were proposed. This can improve the quality of communication across the network.

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...... control. Highlights of my research include my proposal and experimental proof of principle of an optical coherent detection based optical access network architecture providing support for a large number of users over a single distribution fiber; a spectral amplitude encoded label detection technique...... 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...

Compliance with Operational Circular No. 2 on conditions of access to the fenced CERN sites

CERN Multimedia

Relations with the Host States Service

2004-01-01

The purpose of Operational Circular No. 2 is to contribute to the protection of people and property by defining the conditions of access to the Organization's fenced sites. However, recently, the services concerned have noted a significant increase in the instances of non-compliance with those conditions that cannot be tolerated, for example: use of CERN access cards by people, other than the cardholders themselves, in order to gain access to facilities without having attended the required safety course; speeding, particularly on Route Gregory and Route Weisskopf; driving in and out of the site on the wrong side of the road; parking on spaces set aside for the disabled; nuisance parking, especially in the proximity of the Restaurants; the dumping of wrecked vehicles. As the aforementioned instances of non-compliance can lead to dangerous situations, the Organization reserves the right to apply the penalties provided for under paragraph 26 of Operational Circular No. 2, namely to refuse access to the site...

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.

mizuRoute version 1: A river network routing tool for a continental domain water resources applications

Science.gov (United States)

Mizukami, Naoki; Clark, Martyn P.; Sampson, Kevin; Nijssen, Bart; Mao, Yixin; McMillan, Hilary; Viger, Roland; Markstrom, Steven; Hay, Lauren E.; Woods, Ross; Arnold, Jeffrey R.; Brekke, Levi D.

2016-01-01

This paper describes the first version of a stand-alone runoff routing tool, mizuRoute. The mizuRoute tool post-processes runoff outputs from any distributed hydrologic model or land surface model to produce spatially distributed streamflow at various spatial scales from headwater basins to continental-wide river systems. The tool can utilize both traditional grid-based river network and vector-based river network data. Both types of river network include river segment lines and the associated drainage basin polygons, but the vector-based river network can represent finer-scale river lines than the grid-based network. Streamflow estimates at any desired location in the river network can be easily extracted from the output of mizuRoute. The routing process is simulated as two separate steps. First, hillslope routing is performed with a gamma-distribution-based unit-hydrograph to transport runoff from a hillslope to a catchment outlet. The second step is river channel routing, which is performed with one of two routing scheme options: (1) a kinematic wave tracking (KWT) routing procedure; and (2) an impulse response function – unit-hydrograph (IRF-UH) routing procedure. The mizuRoute tool also includes scripts (python, NetCDF operators) to pre-process spatial river network data. This paper demonstrates mizuRoute's capabilities to produce spatially distributed streamflow simulations based on river networks from the United States Geological Survey (USGS) Geospatial Fabric (GF) data set in which over 54 000 river segments and their contributing areas are mapped across the contiguous United States (CONUS). A brief analysis of model parameter sensitivity is also provided. The mizuRoute tool can assist model-based water resources assessments including studies of the impacts of climate change on streamflow.

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.

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...

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

Enhancing On-Demand Multicast Routing Protocols using Mobility Prediction in Mobile Ad-hoc Network

Directory of Open Access Journals (Sweden)

Nermin Makhlouf

2014-08-01

Full Text Available A Mobile Ad hoc Network (MANET is a self-organizing wireless communication network in which mobile devices are based on no infrastructure like base stations or access points. Minimal configuration and quick deployment make ad hoc networks suitable for emergency situations like disaster recovery or military conflict. Since node mobility may cause links to be broken frequently, a very important issue for routing in MANETs is how to set reliable paths which can last as long as possible. To solve this problem, non-random behaviors for the mobility patterns that mobile users exhibit are exploited. This paper introduces a scheme to improve On-Demand Multicast Routing Protocol (ODMRP performances by using mobility prediction. 

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

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.

PRIVATE GRAPHS – ACCESS RIGHTS ON GRAPHS FOR SEAMLESS NAVIGATION

Directory of Open Access Journals (Sweden)

W. Dorner

2016-06-01

Full Text Available After the success of GNSS (Global Navigational Satellite Systems and navigation services for public streets, indoor seems to be the next big development in navigational services, relying on RTLS – Real Time Locating Services (e.g. WIFI and allowing seamless navigation. In contrast to navigation and routing services on public streets, seamless navigation will cause an additional challenge: how to make routing data accessible to defined users or restrict access rights for defined areas or only to parts of the graph to a defined user group? The paper will present case studies and data from literature, where seamless and especially indoor navigation solutions are presented (hospitals, industrial complexes, building sites, but the problem of restricted access rights was only touched from a real world, but not a technical perspective. The analysis of case studies will show, that the objective of navigation and the different target groups for navigation solutions will demand well defined access rights and require solutions, how to make only parts of a graph to a user or application available to solve a navigational task. The paper will therefore introduce the concept of private graphs, which is defined as a graph for navigational purposes covering the street, road or floor network of an area behind a public street and suggest different approaches how to make graph data for navigational purposes available considering access rights and data protection, privacy and security issues as well.

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.

The effect of dynamic scheduling and routing in a solid waste management system

International Nuclear Information System (INIS)

Johansson, Ola M.

2006-01-01

Solid waste collection and hauling account for the greater part of the total cost in modern solid waste management systems. In a recent initiative, 3300 Swedish recycling containers have been fitted with level sensors and wireless communication equipment, thereby giving waste collection operators access to real-time information on the status of each container. In this study, analytical modeling and discrete-event simulation have been used to evaluate different scheduling and routing policies utilizing the real-time data. In addition to the general models developed, an empirical simulation study has been performed on the downtown recycling station system in Malmoe, Sweden. From the study, it can be concluded that dynamic scheduling and routing policies exist that have lower operating costs, shorter collection and hauling distances, and reduced labor hours compared to the static policy with fixed routes and pre-determined pick-up frequencies employed by many waste collection operators today. The results of the analytical model and the simulation models are coherent, and consistent with experiences of the waste collection operators

Research of Ad Hoc Networks Access Algorithm

Science.gov (United States)

Xiang, Ma

With the continuous development of mobile communication technology, Ad Hoc access network has become a hot research, Ad Hoc access network nodes can be used to expand capacity of multi-hop communication range of mobile communication system, even business adjacent to the community, improve edge data rates. When the ad hoc network is the access network of the internet, the gateway discovery protocol is very important to choose the most appropriate gateway to guarantee the connectivity between ad hoc network and IP based fixed networks. The paper proposes a QoS gateway discovery protocol which uses the time delay and stable route to the gateway selection conditions. And according to the gateway discovery protocol, it also proposes a fast handover scheme which can decrease the handover time and improve the handover efficiency.

Evaluation of the Success and Complication Rates of Self-Drilling ...

African Journals Online (AJOL)

2018-05-22

May 22, 2018 ... loss, implant fracture, and neighboring tooth injury were registered. ... This is an open access journal, and articles are distributed under the ... Paediatric and Adolescent Dentistry and Department .... process and the palate while in case of the mandible, .... maximum intraosseous temperatures were reduced.

Pain assessment by children and adolescents during intraosseous anaesthesia using a computerized system (QuickSleeper).

Science.gov (United States)

Sixou, Jean-Louis; Marie-Cousin, Alexia; Huet, Adeline; Hingant, Bernard; Robert, Jean-Claude

2009-09-01

Intraosseous (IO) anaesthesia has been shown to be effective in children. However, the pain associated with anaesthetic injections, and its acceptance by children, have never been studied. The aim of this study was to assess the pain associated with the IO injection of 4% articaine with 1 : 200 000 epinephrine using the computerized QuickSleeper' system in a population of children and adolescents. IO anaesthesia was performed on patients aged 10.4 +/- 2.6 years of age. The patients assessed their pain on a faces pain scale (FPS) and on a visual analogue scale (VAS). The operators were also asked to assess signs of patient pain/discomfort. No pain or mild discomfort was reported by, respectively, 81.8% (FPS) and 83.9% (VAS) of the patients. Some 58.9% of children with previous experience of dental anaesthesia reported that computerized IO anaesthesia was more comfortable than traditional infiltration methods. Operators noted signs of discomfort during penetration and injection in 18.3% and 25.3% of the patients, respectively. This study showed that the majority of children reported no pain or mild pain when anaesthetic was administered by computerized needle rotation and solution deposition. This technique holds promise for use by trained paediatric dentists.

Enhancing the soft tissue seal around intraosseous transcutaneous amputation prostheses using silanized fibronectin titanium alloy

Energy Technology Data Exchange (ETDEWEB)

Chimutengwende-Gordon, M; Pendegrass, C; Blunn, G, E-mail: mukai.cg@mac.com [Centre for Biomedical Engineering, Institute of Orthopaedics and Musculoskeletal Science, University College London, Brockley Hill, Stanmore, HA7 4LP (United Kingdom)

2011-04-15

The success of intraosseous transcutaneous amputation prostheses (ITAP) relies on achieving a tight seal between the soft tissues and the implant in order to avoid infection. Fibronectin (Fn) may be silanized onto titanium alloy (Ti-6Al-4V) in order to promote soft-tissue attachment. The silanization process includes passivation with sulphuric acid, which alters surface characteristics. This study aimed to improve in vitro fibroblast adhesion to silanized fibronectin (SiFn) titanium alloy by omitting the passivation stage. Additionally, the study assessed the effects of SiFn on in vivo dermal attachment, comparing the results with adsorbed Fn, hydroxyapatite (HA), Fn adsorbed onto HA (HAFn) and uncoated controls. Surface topography was assessed using scanning electron microscopy, profilometry and contact angle measurement. Anti-vinculin antibodies were used to immunolocalize fibroblast adhesion sites. A histological assessment of soft-tissue attachment and cell alignment relative to implants in an in vivo ovine model was performed. Passivation resulted in rougher, more hydrophobic, microcracked surfaces and was associated with poorer fibroblast adhesion than unpassivated controls. SiFn and HAFn surfaces resulted in more favourable cell alignment in vivo, implying that dermal attachment was enhanced. These results suggest that SiFn and HAFn surfaces could be useful in optimizing the soft tissue seal around ITAP.

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.

REMINDER - Compliance with Operational Circular No. 2 on conditions of access to the fenced CERN sites

CERN Multimedia

Relations with the Host States Service

2004-01-01

The purpose of Operational Circular No. 2 is to contribute to the protection of people and property by defining the conditions of access to the Organization's fenced sites. However, recently, the services concerned have noted a significant increase in the instances of non-compliance with those conditions that cannot be tolerated, for example: use of CERN access cards by people, other than the cardholders themselves, in order to gain access to facilities without having attended the required safety course; speeding, particularly on Route Gregory and Route Weisskopf; driving in and out of the site on the wrong side of the road; parking on spaces set aside for the disabled; nuisance parking, especially in the proximity of the Restaurants; the dumping of wrecked vehicles. As the aforementioned instances of non-compliance can lead to dangerous situations, the Organization reserves the right to apply the penalties provided for under paragraph 26 of Operational Circular No. 2, namely to refuse access to the site ...

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

Southern states' routing agency report

International Nuclear Information System (INIS)

1989-02-01

The Southern states' routing agency report is a compendium of 16-southern states' routing programs relative to the transportation of high-level radioactive materials. The report identifies the state-designated routing agencies as defined under 49 Code of Federal Regulations (CFR) Part 171 and provides a reference to the source ad scope of the agencies' rulemaking authority. Additionally, the state agency and contact designated by the state's governor to receive advance notification and shipment routing information under 10 CFR Parts 71 and 73 are also listed

Southern States' Routing Agency Report

International Nuclear Information System (INIS)

1990-03-01

The Southern States' Routing Agency Report is a compendium of 16-southern states' routing program for the transportation of high-level radioactive materials. The report identifies the state-designated routing agencies as defined under 49 Code of Federal Regulations (CFR) Part 171 and provides a reference to the source and scope of the agencies' rulemaking authority. Additionally, the state agency and contact designated by the state's governor to receive advance notification and shipment routing information under 10 CFR Parts 71 and 73 are also listed

ENERGY EFFICIENT ROUTING PROTOCOLS FOR WIRELESS AD HOC NETWORKS – A SURVEY

Directory of Open Access Journals (Sweden)

K. Sankar

2012-06-01

Full Text Available Reducing energy consumption, primarily with the goal of extending the lifetime of battery-powered devices, has emerged as a fundamental challenge in wireless communication. The performance of the medium access control (MAC scheme not only has a fairly significant end-result on the behaviour of the routing approach employed, but also on the energy consumption of the wireless network interface card (NIC. We investigate the inadequacies of the MAC schemes designed for ad hoc wireless networks in the context of power awareness herein. The topology changes due to uncontrollable factors such as node mobility, weather, interference, noise, as well as on controllable parameters such as transmission power and antenna direction results in significant amount of energy loss. Controlling rapid topology changes by minimizing the maximum transmission power used in ad hoc wireless networks, while still maintaining networks connectivity can prolong battery life and hence network lifetime considerably. In addition, we systematically explore the potential energy consumption pitfalls of non–power-based and power based routing schemes. We suggest a thorough energy-based performance survey of energy aware routing protocols for wireless mobile ad-hoc networks. We also present the statistical performance metrics measured by our simulations.

Load Balancing Routing with Bounded Stretch

Directory of Open Access Journals (Sweden)

Chen Siyuan

2010-01-01

Full Text Available Routing in wireless networks has been heavily studied in the last decade. Many routing protocols are based on classic shortest path algorithms. However, shortest path-based routing protocols suffer from uneven load distribution in the network, such as crowed center effect where the center nodes have more load than the nodes in the periphery. Aiming to balance the load, we propose a novel routing method, called Circular Sailing Routing (CSR, which can distribute the traffic more evenly in the network. The proposed method first maps the network onto a sphere via a simple stereographic projection, and then the route decision is made by a newly defined "circular distance" on the sphere instead of the Euclidean distance in the plane. We theoretically prove that for a network, the distance traveled by the packets using CSR is no more than a small constant factor of the minimum (the distance of the shortest path. We also extend CSR to a localized version, Localized CSR, by modifying greedy routing without any additional communication overhead. In addition, we investigate how to design CSR routing for 3D networks. For all proposed methods, we conduct extensive simulations to study their performances and compare them with global shortest path routing or greedy routing in 2D and 3D wireless networks.

Peripheral Insertion of a Central Venous Access Device Under Fluoroscopic Guidance Using a Peripherally Accessed System (PAS) Port in the Forearm

International Nuclear Information System (INIS)

Hata, Yasuhiro; Morita, Sojiro; Morita, Yoshitaka; Awatani, Toshihide; Takasaki, Motohiro; Horimi, Tadashi; Ozawa, Zen

1998-01-01

Purpose: We describe the technique, efficacy, and complications of fluoroscopy-guided implantation of a central venous access device using a peripherally accessed system (PAS) port via the forearm. Methods: Beginning in July 1994, 105 central venous access devices were implanted in 104 patients for the long-term infusion of antibiotics or antineoplasmic agents, blood products, or parenteral nutrition. The devices was inserted under fluoroscopic guidance with real-time venography from a peripheral route. Results: All ports were successfully implanted. There were no procedure-related complications. No thrombosis or local infection was observed; however, in six patients catheter-related phlebitis occurred. Conclusion: Fluoroscopy-guided implantation of a central venous access device using a PAS port via the forearm is safe and efficacious, and injection of contrast medium through a peripheral IV catheter before introduction of the catheter helps to avoid catheter-related phlebitis

New routes of XAFS with the low emittance storage rings

International Nuclear Information System (INIS)

Fontaine, A.

1993-01-01

New routes of XAFS should come from the extreme focusing and the polarization tunability of the new storage rings. It is certainly of interest to recall that fundamental ideas in X-ray absorption spectroscopy should come from direct soft X-ray excitations, currently accessible with the national facilities but also via inelastic scattering by electronic excitations more relevant of the new storage rings. Because of the ESRF proximity, references come from the European development, but it is only due to my ignorance if pertinent quotations of the American and Japanese efforts are missing. (author)

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...

Guidelines for selecting preferred highway routes for highway-route-controlled quantity shipments of radioactive materials

International Nuclear Information System (INIS)

1989-01-01

The document presents guidelines for use by State officials in selecting preferred routes for highway route controlled quantity shipments of radioactive materials. A methodology for analyzing and comparing safety factors of alternative routes is described. Technical information on the impacts of radioactive material transportation needed to apply the methodology is also presented. Application of the methodology will identify the route (or set of routes) that minimizes the radiological impacts from shipments of these radioactive materials within a given State. Emphasis in the document is on practical application of the methodology. Some details of the derivation of the methods and data are presented in the appendices. All references in the body of the report can be found listed in the Bibliography (Appendix F)

Strategies for Selecting Routes through Real-World Environments: Relative Topography, Initial Route Straightness, and Cardinal Direction.

Directory of Open Access Journals (Sweden)

Tad T Brunyé

Full Text Available Previous research has demonstrated that route planners use several reliable strategies for selecting between alternate routes. Strategies include selecting straight rather than winding routes leaving an origin, selecting generally south- rather than north-going routes, and selecting routes that avoid traversal of complex topography. The contribution of this paper is characterizing the relative influence and potential interactions of these strategies. We also examine whether individual differences would predict any strategy reliance. Results showed evidence for independent and additive influences of all three strategies, with a strong influence of topography and initial segment straightness, and relatively weak influence of cardinal direction. Additively, routes were also disproportionately selected when they traversed relatively flat regions, had relatively straight initial segments, and went generally south rather than north. Two individual differences, extraversion and sense of direction, predicted the extent of some effects. Under real-world conditions navigators indeed consider a route's initial straightness, cardinal direction, and topography, but these cues differ in relative influence and vary in their application across individuals.

Routing and scheduling problems

DEFF Research Database (Denmark)

Reinhardt, Line Blander

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......, the effectiveness of the network is of importance aiming at satisfying as many costumer demands as possible at a low cost. Routing represent a path between locations such as an origin and destination for the object routed. Sometimes routing has a time dimension as well as the physical paths. This may...... set cost making the cost of the individual vehicle routes inter-dependant. Depending on the problem type, the size of the problems and time available for solving, different solution methods can be applicable. In this thesis both heuristic methods and several exact methods are investigated depending...

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

Risk assessment of alternative proliferation routes

International Nuclear Information System (INIS)

Ahmed, S.; Husseiny, A.A.

1982-01-01

Multi-Attribute Decision Theory is applied to rank II alternative routes to nuclear proliferation in order of difficulty in acquiring nuclear weapons by nonnuclear countries. The method is based on reducing the various variables affecting the decision to a single function providing a measure for the proliferation route. The results indicate that the most difficult route to obtain atomic weapons is through nuclear power reactors, specifically the liquid-metal fast breeder reactor, heavy water Canada deuterium uranium reactor, and light water reactors such as boiling water and pressurized water reactors. The easiest routes are supercritical centrifuge isotope separation, laser isotope separation, and research reactor. However, nonnuclear routes available that result in substantial damage to life and property are easier than any nuclear route

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

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.

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

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...

A MODIFIED ROUTE DISCOVERY APPROACH FOR DYNAMIC SOURCE ROUTING (DSR PROTOCOL IN MOBILE AD-HOC NETWORKS

Directory of Open Access Journals (Sweden)

Alaa Azmi Allahham

2017-02-01

Full Text Available Mobile Ad-hoc networks (MANETs involved in many applications, whether commercial or military because of their characteristics that do not depend on the infrastructure as well as the freedom movement of their elements, but in return has caused this random mobility of the nodes many of the challenges, where the routing is considered one of these challenges. There are many types of routing protocols that operate within MANET networks, which responsible for finding paths between the source and destination nodes with the modernization of these paths which are constantly changing due to the dynamic topology of the network stemming from the constant random movement of the nodes. The DSR (Dynamic Source Routing routing protocol algorithm is one of these routing protocols which consist of two main stages; route discovery and maintenance, where the route discovery algorithm operates based on blind flooding of request messages. blind flooding is considered as the most well known broadcasting mechanism, it is inefficient in terms of communication and resource utilization, which causing increasing the probability of collisions, repeating send several copies of the same message, as well as increasing the delay. Hence, a new mechanism in route discovery stage and in caching the routes in DSR algorithm according to the node's location in the network and the direction of the broadcast is proposed for better performance especially in terms of delay as well as redundant packets rate. The implementation of proposed algorithms showed positive results in terms of delay, overhead, and improve the performance of MANETs in general.

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

Bellman Ford algorithm - in Routing Information Protocol (RIP)

Science.gov (United States)

Krianto Sulaiman, Oris; Mahmud Siregar, Amir; Nasution, Khairuddin; Haramaini, Tasliyah

2018-04-01

In a large scale network need a routing that can handle a lot number of users, one of the solutions to cope with large scale network is by using a routing protocol, There are 2 types of routing protocol that is static and dynamic, Static routing is manually route input based on network admin, while dynamic routing is automatically route input formed based on existing network. Dynamic routing is efficient used to network extensively because of the input of route automatic formed, Routing Information Protocol (RIP) is one of dynamic routing that uses the bellman-ford algorithm where this algorithm will search for the best path that traversed the network by leveraging the value of each link, so with the bellman-ford algorithm owned by RIP can optimize existing networks.

Bursty data traffic via satellite: performance comparison between two TDMA access schemes

OpenAIRE

Celandroni, Nedo; Ferro, Erina; Potort?, Francesco; Maral, Gerard

1997-01-01

This paper reports the simulation results of a performance comparison between two centralised thin route TDrvlA satellite access schemes, in terms of bursty data transmission delay in the context of LAN interconnection traffic. The schemes compared are CFRA' I, and FODA/IBEA'

Predicting transportation routes for radioactive wastes

International Nuclear Information System (INIS)

Joy, D.S.; Johnson, P.E.; Clarke, D.B.; McGuire, S.C.

1981-01-01

Oak Ridge National Laboratory (ORNL) has been involved in transportation logistics of radioactive wastes as part of the overall waste transportation program. A Spent Fuel Logistics Model (SFLM), was developed to predict overall material balances representing the flow of spent fuel assemblies from reactors to away-from-reactor storage facilities and/or to federal repositories. The transportation requirements to make these shipments are also itemized. The next logical step in the overall transportation project was the development of a set of computer codes which would predict likely transportation routes for waste shipments. Two separate routing models are now operational at ORNL. Routes for truck transport can be estimated with the HIGHWAY program, and rail and barge routes can be predicted with the INTERLINE model. This paper discusses examples of the route estimates and applications of the routing models

RSRP: A Robust Secure Routing Protocol in MANET

Directory of Open Access Journals (Sweden)

Sinha Ditipriya

2014-05-01

Full Text Available In this paper, we propose a novel algorithm RSRP to build a robust secure routing protocol in mobile ad-hoc networks (MANETs. This algorithm is based on some basic schemes such as RSA_CRT for encryption and decryption of messages; CRT for safety key generation, Shamir’s secret sharing principle for generation of secure routes. Those routes which are free from any malicious node and which belong to the set of disjoint routes between a source-destination pair are considered as probable routes. Shamir’s secret sharing principle is applied on those probable routes to obtain secure routes. Finally, most trustworthy and stable route is selected among those secure routes. Selection of the final route depends on some criteria of the nodes present in a route e.g.: battery power, mobility and trust value. In addition, complexity of key generation is reduced to a large extent by using RSA-CRT instead of RSA. In turn, the routing becomes less expensive and most secure and robust one. Performance of this routing protocol is then compared with non-secure routing protocols (AODV and DSR, secure routing scheme using secret sharing, security routing protocol using ZRP and SEAD depending on basic characteristics of these protocols. All such comparisons show that RSRP shows better performance in terms of computational cost, end-to-end delay and packet dropping in presence of malicious nodes in the MANET, keeping the overhead in terms of control packets same as other secure routing protocols.

Human risk assessment of dermal and inhalation exposures to chemicals assessed by route-to-route extrapolation: the necessity of kinetic data.

Science.gov (United States)

Geraets, Liesbeth; Bessems, Jos G M; Zeilmaker, Marco J; Bos, Peter M J

2014-10-01

In toxicity testing the oral route is in general the first choice. Often, appropriate inhalation and dermal toxicity data are absent. Risk assessment for these latter routes usually has to rely on route-to-route extrapolation starting from oral toxicity data. Although it is generally recognized that the uncertainties involved are (too) large, route-to-route extrapolation is applied in many cases because of a strong need of an assessment of risks linked to a given exposure scenario. For an adequate route-to-route extrapolation the availability of at least some basic toxicokinetic data is a pre-requisite. These toxicokinetic data include all phases of kinetics, from absorption (both absorbed fraction and absorption rate for both the starting route and route of interest) via distribution and biotransformation to excretion. However, in practice only differences in absorption between the different routes are accounted for. The present paper demonstrates the necessity of route-specific absorption data by showing the impact of its absence on the uncertainty of the human health risk assessment using route-to-route extrapolation. Quantification of the absorption (by in vivo, in vitro or in silico methods), particularly for the starting route, is considered essential. Copyright © 2014 Elsevier Inc. All rights reserved.

Multi-Hop Link Capacity of Multi-Route Multi-Hop MRC Diversity for a Virtual Cellular Network

Science.gov (United States)

Daou, Imane; Kudoh, Eisuke; Adachi, Fumiyuki

In virtual cellular network (VCN), proposed for high-speed mobile communications, the signal transmitted from a mobile terminal is received by some wireless ports distributed in each virtual cell and relayed to the central port that acts as a gateway to the core network. In this paper, we apply the multi-route MHMRC diversity in order to decrease the transmit power and increase the multi-hop link capacity. The transmit power, the interference power and the link capacity are evaluated for DS-CDMA multi-hop VCN by computer simulation. The multi-route MHMRC diversity can be applied to not only DS-CDMA but also other access schemes (i. e. MC-CDMA, OFDM, etc.).

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...

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

Joint optimization of physical layer parameters and routing in wireless mesh networks

KAUST Repository

Tobagi, Fouad A.; Hira, Mukesh M.

2010-01-01

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

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.

Can health insurance improve access to quality care for the Indian poor?

Science.gov (United States)

Michielsen, Joris; Criel, Bart; Devadasan, Narayanan; Soors, Werner; Wouters, Edwin; Meulemans, Herman

2011-08-01

Recently, the Indian government launched health insurance schemes for the poor both to protect them from high health spending and to improve access to high-quality health services. This article aims to review the potentials of health insurance interventions in order to improve access to quality care in India based on experiences of community health insurance schemes. PubMed, Ovid MEDLINE (R), All EBM Reviews, CSA Sociological Abstracts, CSA Social Service Abstracts, EconLit, Science Direct, the ISI Web of Knowledge, Social Science Research Network and databases of research centers were searched up to September 2010. An Internet search was executed. One thousand hundred and thirty-three papers were assessed for inclusion and exclusion criteria. Twenty-five papers were selected providing information on eight schemes. A realist review was performed using Hirschman's exit-voice theory: mechanisms to improve exit strategies (financial assets and infrastructure) and strengthen patient's long voice route (quality management) and short voice route (patient pressure). All schemes use a mix of measures to improve exit strategies and the long voice route. Most mechanisms are not effective in reality. Schemes that focus on the patients' bargaining position at the patient-provider interface seem to improve access to quality care. Top-down health insurance interventions with focus on exit strategies will not work out fully in the Indian context. Government must actively facilitate the potential of CHI schemes to emancipate the target group so that they may transform from mere passive beneficiaries into active participants in their health.

Efficient Route to Highly Water-Soluble Aromatic Cyclic Hydroxamic Acid Ligands

Energy Technology Data Exchange (ETDEWEB)

Seitz, Michael; Raymond, Kenneth N.

2008-02-06

2-Hydroxyisoquinolin-1-one (1,2-HOIQO) is a new member of the important class of aromatic cyclic hydroxamic acid ligands which are widely used in metal sequestering applications and metal chelating therapy. The first general approach for the introduction of substituents at the aromatic ring of the chelating moiety is presented. As a useful derivative, the highly water-soluble sulfonic acid has been synthesized by an efficient route that allows general access to 1,2-HOQIO 3-carboxlic acid amides, which are the most relevant for applications.

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.

Capacity Constrained Routing Algorithms for Evacuation Route Planning

National Research Council Canada - National Science Library

Lu, Qingsong; George, Betsy; Shekhar, Shashi

2006-01-01

.... In this paper, we propose a new approach, namely a capacity constrained routing planner which models capacity as a time series and generalizes shortest path algorithms to incorporate capacity constraints...

Entanglement-Gradient Routing for Quantum Networks.

Science.gov (United States)

Gyongyosi, Laszlo; Imre, Sandor

2017-10-27

We define the entanglement-gradient routing scheme for quantum repeater networks. The routing framework fuses the fundamentals of swarm intelligence and quantum Shannon theory. Swarm intelligence provides nature-inspired solutions for problem solving. Motivated by models of social insect behavior, the routing is performed using parallel threads to determine the shortest path via the entanglement gradient coefficient, which describes the feasibility of the entangled links and paths of the network. The routing metrics are derived from the characteristics of entanglement transmission and relevant measures of entanglement distribution in quantum networks. The method allows a moderate complexity decentralized routing in quantum repeater networks. The results can be applied in experimental quantum networking, future quantum Internet, and long-distance quantum communications.

The equipment access software for a distributed UNIX-based accelerator control system

International Nuclear Information System (INIS)

Trofimov, Nikolai; Zelepoukine, Serguei; Zharkov, Eugeny; Charrue, Pierre; Gareyte, Claire; Poirier, Herve

1994-01-01

This paper presents a generic equipment access software package for a distributed control system using computers with UNIX or UNIX-like operating systems. The package consists of three main components, an application Equipment Access Library, Message Handler and Equipment Data Base. An application task, which may run in any computer in the network, sends requests to access equipment through Equipment Library calls. The basic request is in the form Equipment-Action-Data and is routed via a remote procedure call to the computer to which the given equipment is connected. In this computer the request is received by the Message Handler. According to the type of the equipment connection, the Message Handler either passes the request to the specific process software in the same computer or forwards it to a lower level network of equipment controllers using MIL1553B, GPIB, RS232 or BITBUS communication. The answer is then returned to the calling application. Descriptive information required for request routing and processing is stored in the real-time Equipment Data Base. The package has been written to be portable and is currently available on DEC Ultrix, LynxOS, HPUX, XENIX, OS-9 and Apollo domain. ((orig.))

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...

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...

Routed planar networks

Directory of Open Access Journals (Sweden)

David J. Aldous

2016-04-01

Full Text Available Modeling a road network as a planar graph seems very natural. However, in studying continuum limits of such networks it is useful to take {\\em routes} rather than {\\em edges} as primitives. This article is intended to introduce the relevant (discrete setting notion of {\\em routed network} to graph theorists. We give a naive classification of all 71 topologically different such networks on 4 leaves, and pose a variety of challenging research questions.

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...

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.

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...

Effect of exposure routes on the relationships of lethal toxicity to rats from oral, intravenous, intraperitoneal and intramuscular routes.

Science.gov (United States)

Ning, Zhong H; Long, Shuang; Zhou, Yuan Y; Peng, Zi Y; Sun, Yi N; Chen, Si W; Su, Li M; Zhao, Yuan H

2015-11-01

The lethal toxicity values (log 1/LD(50)) of 527 aliphatic and aromatic compounds in oral, intravenous, intramuscular and intraperitoneal routes were used to investigate the relationships of log 1/LD(50) from different exposure routes. Regression analysis shows that the log 1/LD(50) values are well correlated between intravenous and intraperitoneal or intramuscular injections. However, the correlations between oral and intravenous or intraperitoneal routes are relatively poor. Comparison of the average residuals indicates that intravenous injection is the most sensitive exposure route and oral administration is the least sensitive exposure route. This is attributed to the difference in kinetic process of toxicity testing. The toxic effect of a chemical can be similar or significantly different between exposure routes, depending on the absorption rates of chemicals into blood. Inclusion of hydrophobic parameter and fractions of ionic forms can improve the correlations between intravenous and intraperitoneal or oral routes, but not between intraperitoneal and oral routes. This is due to the differences of absorption rate in different exposure environments from different routes. Several factors, such as experimental uncertainty, metabolism and toxic kinetics, can affect the correlations between intravenous and intraperitoneal or oral routes. Copyright © 2015 Elsevier Inc. All rights reserved.

Case report

African Journals Online (AJOL)

raoul

2011-04-03

Apr 3, 2011 ... This is an Open Access article distributed under the terms of the Creative Commons ... gadolinium showed an intraosseous mass, with partial erosion of the scaphoid; coupled to ... MRI is often superior to CT scanning with regard to the detection .... Figure 3: T1-weighted sagittal magnetic resonance image.

An Open Access future? Report from the eurocancercoms project

Science.gov (United States)

Kenney, R; Warden, R

2011-01-01

In March 2011, as part of the background research to the FP7 Eurocancercoms project, the European Association for Cancer Research (EACR) conducted an online survey of its members working in Europe to discover their experiences of and attitudes to the issues surrounding academic publishing and Open Access. This paper presents the results from this survey and compares them to the results from a much larger survey on the same topic from the Study of Open Access Publishing (SOAP). The responses from both surveys show very positive attitudes to the Open Access publishing route; perhaps the most challenging statistic from the EACR survey is that 88% of respondents believe that publicly funded research should be made available to be read and used without access barriers As a conclusion and invitation to further discussion, this paper also contributes to the debate around subscription and Open Access publishing, supporting the case for accelerating the progress towards Open Access publishing of cancer research articles as a particularly supportive way of assisting all researchers to make unhindered progress with their work. PMID:22276063

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

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.

Pithy Review on Routing Protocols in Wireless Sensor Networks and Least Routing Time Opportunistic Technique in WSN

Science.gov (United States)

Salman Arafath, Mohammed; Rahman Khan, Khaleel Ur; Sunitha, K. V. N.

2018-01-01

Nowadays due to most of the telecommunication standard development organizations focusing on using device-to-device communication so that they can provide proximity-based services and add-on services on top of the available cellular infrastructure. An Oppnets and wireless sensor network play a prominent role here. Routing in these networks plays a significant role in fields such as traffic management, packet delivery etc. Routing is a prodigious research area with diverse unresolved issues. This paper firstly focuses on the importance of Opportunistic routing and its concept then focus is shifted to prime aspect i.e. on packet reception ratio which is one of the highest QoS Awareness parameters. This paper discusses the two important functions of routing in wireless sensor networks (WSN) namely route selection using least routing time algorithm (LRTA) and data forwarding using clustering technique. Finally, the simulation result reveals that LRTA performs relatively better than the existing system in terms of average packet reception ratio and connectivity.

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.

REMINDER: Compliance with Operational Circular No. 2 (Rev. 1) on “Conditions of access to the fenced CERN site”

CERN Multimedia

2012-01-01

The purpose of Operational Circular No. 2 (Rev. 1) is to contribute to the protection of people and property by defining the conditions of access to the Organization's fenced sites. The behaviours that cannot be tolerated under any circumstances are: use of CERN access cards by people, other than the cardholders themselves, in order to gain access to facilities without having attended the required safety course; speeding, particularly on Route Gregory and Route Weisskopf; driving in and out of the site on the wrong side of the road; parking on spaces set aside for the disabled; nuisance parking, especially in the proximity of the restaurants; dumping of wrecked vehicles. As the aforementioned instances of non-compliance can lead to dangerous situations, the Organization reserves the right to apply the penalties provided for under paragraph 26 of Operational Circular No. 2 (Rev. 1), namely to refuse access to the site to people and/or their vehicles deemed to be in infringement of the circu...

Research on Innovating, Applying Multiple Paths Routing Technique Based on Fuzzy Logic and Genetic Algorithm for Routing Messages in Service - Oriented Routing

Directory of Open Access Journals (Sweden)

Nguyen Thanh Long

2015-02-01

Full Text Available MANET (short for Mobile Ad-Hoc Network consists of a set of mobile network nodes, network configuration changes very fast. In content based routing, data is transferred from source node to request nodes is not based on destination addresses. Therefore, it is very flexible and reliable, because source node does not need to know destination nodes. If We can find multiple paths that satisfies bandwidth requirement, split the original message into multiple smaller messages to transmit concurrently on these paths. On destination nodes, combine separated messages into the original message. Hence it can utilize better network resources, causes data transfer rate to be higher, load balancing, failover. Service Oriented Routing is inherited from the model of content based routing (CBR, combined with several advanced techniques such as Multicast, multiple path routing, Genetic algorithm to increase the data rate, and data encryption to ensure information security. Fuzzy logic is a logical field study evaluating the accuracy of the results based on the approximation of the components involved, make decisions based on many factors relative accuracy based on experimental or mathematical proof. This article presents some techniques to support multiple path routing from one network node to a set of nodes with guaranteed quality of service. By using these techniques can decrease the network load, congestion, use network resources efficiently.

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.

Capacitated vehicle-routing problem model for scheduled solid waste collection and route optimization using PSO algorithm.

Science.gov (United States)

Hannan, M A; Akhtar, Mahmuda; Begum, R A; Basri, H; Hussain, A; Scavino, Edgar

2018-01-01

Waste collection widely depends on the route optimization problem that involves a large amount of expenditure in terms of capital, labor, and variable operational costs. Thus, the more waste collection route is optimized, the more reduction in different costs and environmental effect will be. This study proposes a modified particle swarm optimization (PSO) algorithm in a capacitated vehicle-routing problem (CVRP) model to determine the best waste collection and route optimization solutions. In this study, threshold waste level (TWL) and scheduling concepts are applied in the PSO-based CVRP model under different datasets. The obtained results from different datasets show that the proposed algorithmic CVRP model provides the best waste collection and route optimization in terms of travel distance, total waste, waste collection efficiency, and tightness at 70-75% of TWL. The obtained results for 1 week scheduling show that 70% of TWL performs better than all node consideration in terms of collected waste, distance, tightness, efficiency, fuel consumption, and cost. The proposed optimized model can serve as a valuable tool for waste collection and route optimization toward reducing socioeconomic and environmental impacts. Copyright © 2017 Elsevier Ltd. All rights reserved.

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

Using the trans-lamina terminalis route via a pterional approach to resect a retrochiasmatic craniopharyngioma involving the third ventricle.

Science.gov (United States)

Weil, Alexander G; Robert, Thomas; Alsaiari, Sultan; Obaid, Sami; Bojanowski, Michel W

2016-01-01

Retrochiasmatic craniopharyngiomas involving the anterior third ventricle are challenging to access. Although the pterional approach is a common route for suprasellar lesions, when the craniopharyngioma extends behind the chiasma into the third ventricle, access is even more difficult, and the lamina terminalis may offer a good working window. The translamina terminalis approach provides direct access to the retrochiasmatic portion of the tumor with minimal brain retraction and no manipulation of the visual nerves. In this video, we emphasize the utility of using the lamina terminalis corridor to resect the retrochiasmatic intraventricular portion of a craniopharyngioma. The video can be found here: https://youtu.be/hrLNC0hDKe4 .

Centralized Routing and Scheduling Using Multi-Channel System Single Transceiver in 802.16d

Science.gov (United States)

Al-Hemyari, A.; Noordin, N. K.; Ng, Chee Kyun; Ismail, A.; Khatun, S.

This paper proposes a cross-layer optimized strategy that reduces the effect of interferences from neighboring nodes within a mesh networks. This cross-layer design relies on the routing information in network layer and the scheduling table in medium access control (MAC) layer. A proposed routing algorithm in network layer is exploited to find the best route for all subscriber stations (SS). Also, a proposed centralized scheduling algorithm in MAC layer is exploited to assign a time slot for each possible node transmission. The cross-layer optimized strategy is using multi-channel single transceiver and single channel single transceiver systems for WiMAX mesh networks (WMNs). Each node in WMN has a transceiver that can be tuned to any available channel for eliminating the secondary interference. Among the considered parameters in the performance analysis are interference from the neighboring nodes, hop count to the base station (BS), number of children per node, slot reuse, load balancing, quality of services (QoS), and node identifier (ID). Results show that the proposed algorithms significantly improve the system performance in terms of length of scheduling, channel utilization ratio (CUR), system throughput, and average end to end transmission delay.

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

Routing Protocols for Underwater Wireless Sensor Networks: Taxonomy, Research Challenges, Routing Strategies and Future Directions.

Science.gov (United States)

Khan, Anwar; Ali, Ihsan; Ghani, Abdullah; Khan, Nawsher; Alsaqer, Mohammed; Rahman, Atiq Ur; Mahmood, Hasan

2018-05-18

Recent research in underwater wireless sensor networks (UWSNs) has gained the attention of researchers in academia and industry for a number of applications. They include disaster and earthquake prediction, water quality and environment monitoring, leakage and mine detection, military surveillance and underwater navigation. However, the aquatic medium is associated with a number of limitations and challenges: long multipath delay, high interference and noise, harsh environment, low bandwidth and limited battery life of the sensor nodes. These challenges demand research techniques and strategies to be overcome in an efficient and effective fashion. The design of routing protocols for UWSNs is one of the promising solutions to cope with these challenges. This paper presents a survey of the routing protocols for UWSNs. For the ease of description, the addressed routing protocols are classified into two groups: localization-based and localization-free protocols. These groups are further subdivided according to the problems they address or the major parameters they consider during routing. Unlike the existing surveys, this survey considers only the latest and state-of-the-art routing protocols. In addition, every protocol is described in terms of its routing strategy and the problem it addresses and solves. The merit(s) of each protocol is (are) highlighted along with the cost. A description of the protocols in this fashion has a number of advantages for researchers, as compared to the existing surveys. Firstly, the description of the routing strategy of each protocol makes its routing operation easily understandable. Secondly, the demerit(s) of a protocol provides (provide) insight into overcoming its flaw(s) in future investigation. This, in turn, leads to the foundation of new protocols that are more intelligent, robust and efficient with respect to the desired parameters. Thirdly, a protocol can be selected for the appropriate application based on its described

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,

Safety zone for posterosuperior shoulder access: study on cadavers

Directory of Open Access Journals (Sweden)

Miguel Pereira Costa

2016-08-01

Full Text Available ABSTRACT OBJECTIVE: The posterosuperior shoulder access used in surgical treatment for acromioclavicular dislocation was constructed through dissection of 20 shoulders from 10 recently chilled adult cadavers, and the distances from this route to the nearby neurovascular structures were analyzed. METHODS: A Kirschner wire was introduced into the top of the base of the coracoid process through the posterosuperior shoulder access, in the area of the origin of the conoid and trapezoid ligaments, thus reproducing the path for inserting two anchors for anatomical reconstruction of the coracoclavicular ligaments. The smallest distance from the insertion point of the Kirschner wire to the suprascapular nerve and artery/vein was measured. RESULTS: The mean distance from the suprascapular nerve to the origin of the coracoclavicular ligaments at the top of the base of the coracoid process was 18.10 mm (range: 13.77-22.80 in the right shoulder and 18.19 mm (range: 12.59-23.75 in the left shoulder. The mean distance from the suprascapular artery/vein to the origin of the coracoclavicular ligaments was 13.10 mm (range: 9.28-15.44 in the right shoulder and 14.11 mm (range: 8.83-18.89 in the left shoulder. Comparison between the contralateral sides did not show any statistical difference. CONCLUSION: The posterosuperior shoulder access route for anatomical reconstruction of the coracoclavicular ligaments in treating acromioclavicular dislocation should be performed respecting the minimum limit of 8.83 mm medially.

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.

The QKD network: model and routing scheme

Science.gov (United States)

Yang, Chao; Zhang, Hongqi; Su, Jinhai

2017-11-01

Quantum key distribution (QKD) technology can establish unconditional secure keys between two communicating parties. Although this technology has some inherent constraints, such as the distance and point-to-point mode limits, building a QKD network with multiple point-to-point QKD devices can overcome these constraints. Considering the development level of current technology, the trust relaying QKD network is the first choice to build a practical QKD network. However, the previous research didn't address a routing method on the trust relaying QKD network in detail. This paper focuses on the routing issues, builds a model of the trust relaying QKD network for easily analysing and understanding this network, and proposes a dynamical routing scheme for this network. From the viewpoint of designing a dynamical routing scheme in classical network, the proposed scheme consists of three components: a Hello protocol helping share the network topology information, a routing algorithm to select a set of suitable paths and establish the routing table and a link state update mechanism helping keep the routing table newly. Experiments and evaluation demonstrates the validity and effectiveness of the proposed routing scheme.

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

CAN Tree Routing for Content-Addressable Network

Directory of Open Access Journals (Sweden)

Zhongtao LI

2014-01-01

Full Text Available We propose a novel topology to improve the routing performance of Content- Addressable Network overlays while minimizing the maintenance overhead during nodes churn. The key idea of our approach is to establish a P2P tree structure (CAN tree by means of equipping each node with a few long links towards some distant nodes. The long links enhance routing flexibility and robustness against failures. Nodes automatically adapt routing table to cope with network change. The routing complexity is O(log n, which is much better than a uniform greedy routing, while each node maintains two long links in average.

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.

Route planning algorithms: Planific@ Project

Directory of Open Access Journals (Sweden)

Gonzalo Martín Ortega

2009-12-01

Full Text Available Planific@ is a route planning project for the city of Madrid (Spain. Its main aim is to develop an intelligence system capable of routing people from one place in the city to any other using the public transport. In order to do this, it is necessary to take into account such things as: time, traffic, user preferences, etc. Before beginning to design the project is necessary to make a comprehensive study of the variety of main known route planning algorithms suitable to be used in this project.

Vehicle routing problem in investment fund allocation

Science.gov (United States)

Mamat, Nur Jumaadzan Zaleha; Jaaman, Saiful Hafizah; Ahmad, Rokiah Rozita; Mohd, Ismail

2013-04-01

Since its introduction by Dantzig and Ramser in 1959, vehicle routing problem keeps evolving in theories, applications and variability. The evolution in computing and technology are also important contributors to research in solving vehicle routing problem. The main sectors of interests among researchers and practitioners for vehicle routing problem are transportation, distribution and logistics. However, literature found that concept and benefits of vehicle routing problem are not taken advantages of by researchers in the field of investment. Other methods found used in investment include multi-objective programming, linear programming, goal programming and integer programming. Yet the application of vehicle routing problem is not fully explored. A proposal on a framework of the fund allocation optimization using vehicle routing problem is presented here. Preliminary results using FTSE Bursa Malaysia data testing the framework are also given.

Comparison of routing metrics for wireless mesh networks

CSIR Research Space (South Africa)

Nxumalo, SL

2011-09-01

Full Text Available in each and every relay node so as to find the next hop for the packet. A routing metric is simply a measure used for selecting the best path, used by a routing protocol. Figure 2 shows the relationship between a routing protocol and the routing... on its QoS-awareness level. The routing metrics that considered QoS the most were selected from each group. This section discusses the four routing metrics that were compared in this paper, which are: hop count (HOP), expected transmission count (ETX...

Aircraft route forecasting under adverse weather conditions

Directory of Open Access Journals (Sweden)

Thomas Hauf

2017-04-01

Full Text Available In this paper storm nowcasts in the terminal manoeuvring area (TMA of Hong Kong International Airport are used to forecast deviation routes through a field of storms for arriving and departing aircraft. Storms were observed and nowcast by the nowcast system SWIRLS from the Hong Kong Observatory. Storms were considered as no-go zones for aircraft and deviation routes were determined with the DIVSIM software package. Two days (21 and 22 May 2011 with 22 actual flown routes were investigated. Flights were simulated with a nowcast issued at the time an aircraft entered the TMA or departed from the airport. These flights were compared with a posteriori simulations, in which all storm fields were known and circumnavigated. Both types of simulated routes were then compared with the actual flown routes. The qualitative comparison of the various routes revealed generally good agreement. Larger differences were found in more complex situations with many active storms in the TMA. Route differences resulted primarily from air traffic control measures imposed such as holdings, slow-downs and shortcuts, causing the largest differences between the estimated and actual landing time. Route differences could be enhanced as aircraft might be forced to circumnavigate a storm ahead in a different sense. The use of route forecasts to assist controllers coordinating flights in a complex moving storm field is discussed. The study emphasises the important application of storm nowcasts in aviation meteorology.

The Silk Route from Land to Sea

Directory of Open Access Journals (Sweden)

Jack Weatherford

2018-04-01

Full Text Available The Silk Route reached its historic and economic apogee under the Mongol Empire (1207–1368, as a direct result of the policies of Chinggis Khan (Genghis Khan and his successors. Because the land network proved inefficient for the amount of goods needing transport from one part of the empire to another, the Mongols expanded the Silk Route to ocean shipping and thus created the first Maritime Silk Route. The sea traffic initially expanded the land routes but soon strangled them. With the expansion of the Maritime Silk Route through the fourteenth century, the land connections reverted to local networks and lost their global importance.

EVALUATION OF ALTERNATIVE RAILWAY CONNECTION ACCESS AT JAKARTA SOEKARNO HATTA INTERNATIONAL AIRPORT

Directory of Open Access Journals (Sweden)

Ayu Aprilischa

2015-01-01

Full Text Available Traveling between the center of Jakarta and Soekarno Hatta International Airport (SHIA is further constrained by the limited number of main routes available which likely cannot be accommodated in the future by road based transport modes alone. Hence, the airport needs to develop airport surface access to accommodate its network. The aim of this research is to analyze the railway access system for developing the system of SHIA using multi criteria analysis in the selection of alternative route alignment of the railway line and a qualitative study in data collection within the research design. Development of the criteria includes technical, economic, environmental and spatial aspect. Three alternatives have been proposed in this analysis, i.e. through West Jakarta, through North and West Jakarta and through North and Central Jakarta. The results show that alternative 3 (through North and Central Jakarta can give implications to the airport users, i.e. providing a high standard of the rail link in a well-timed manner and a cost-effective public transport link. Improving the multi-modal access to the airport will improve the supply of employment to business, lead to urban regeneration around station locations, and improve Greater Jakarta Metropolitan Area regional competitiveness.

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

IP access networks with QoS support

Science.gov (United States)

Sargento, Susana; Valadas, Rui J. M. T.; Goncalves, Jorge; Sousa, Henrique

2001-07-01

The increasing demand of new services and applications is pushing for drastic changes on the design of access networks targeted mainly for residential and SOHO users. Future access networks will provide full service integration (including multimedia), resource sharing at the packet level and QoS support. It is expected that using IP as the base technology, the ideal plug-and-play scenario, where the management actions of the access network operator are kept to a minimum, will be achieved easily. This paper proposes an architecture for access networks based on layer 2 or layer 3 multiplexers that allows a number of simplifications in the network elements and protocols (e.g. in the routing and addressing functions). We discuss two possible steps in the evolution of access networks towards a more efficient support of IP based services. The first one still provides no QoS support and was designed with the goal of reusing as much as possible current technologies; it is based on tunneling to transport PPP sessions. The second one introduces QoS support through the use of emerging technologies and protocols. We illustrate the different phases of a multimedia Internet access session, when using SIP for session initiation, COPS for the management of QoS policies including the AAA functions and RSVP for resource reservation.

Accessibility on the agenda of social and educational inclusion

Directory of Open Access Journals (Sweden)

Tatiane Negrini

2010-10-01

Full Text Available The present paper aims at unveiling the route of the proposed legal accessibility, seeking to develop a reflection inside the devices that support the process of social inclusion and education. Thus, studies in the area were used, also making reference to policies oriented for accessibility. So the research does not aspire to the exhaustion of the subject, but rather, it provides clues to a discussion of both to include accessibility in the scope of Special Education. There is a rescue on the law of accessibility including the Law No. 7405 of November 12, 1985, Law No. 10,048 of November 8, 2000, Law No. 10,098 of December 19, 2000 and Decree No. 5296 of 2 December 2004. Moreover, the ideas are on discussion according the current proposal of inclusive education, which refers to the access of everyone into the educational environment. Note that there are consistent policies regarding accessibility, however, in regard to the school environment, the barriers are not restricted only to the architectural features, or communications infrastructure. It has to agree, too, curricular and attitudinal adaptations as well as an assessment about the training.

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.

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

The Time Window Vehicle Routing Problem Considering Closed Route

Science.gov (United States)

Irsa Syahputri, Nenna; Mawengkang, Herman

2017-12-01

The Vehicle Routing Problem (VRP) determines the optimal set of routes used by a fleet of vehicles to serve a given set of customers on a predefined graph; the objective is to minimize the total travel cost (related to the travel times or distances) and operational cost (related to the number of vehicles used). In this paper we study a variant of the predefined graph: given a weighted graph G and vertices a and b, and given a set X of closed paths in G, find the minimum total travel cost of a-b path P such that no path in X is a subpath of P. Path P is allowed to repeat vertices and edges. We use integer programming model to describe the problem. A feasible neighbourhood approach is proposed to solve the model

Effects of scale and efficiency of rural traffic calming on safety, accessibility and wildlife

NARCIS (Netherlands)

Jaarsma, C.F.; Langevelde, van F.

2011-01-01

This paper examines the effects of scale and efficiency of regional traffic calming on traffic safety, rural accessibility, and survival of wildlife. We distinguish by the scale of road networks affected and considered the efficiencies of various bundling of traffic flows on designated routes.

Does Entry Route Really Affect Academic Outcome? Academic Achievement of Traditional versus Non Traditional Entrants to BN(Hons) Pre-Registration Nursing Programmes

Science.gov (United States)

Brimble, Mandy J.

2015-01-01

International trends for pre-registration nurse education at degree level alongside "widening access" initiatives mean that academic achievement of students entering via different educational routes is of interest to both higher and further education institutions. This article examines the academic achievement of students undertaking a…

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.

Warehouse order-picking process. Order-picker routing problem

Directory of Open Access Journals (Sweden)

E. V. Korobkov

2015-01-01

Full Text Available This article continues “Warehouse order-picking process” cycle and describes order-picker routing sub-problem of a warehouse order-picking process. It draws analogies between the orderpickers’ routing problem and traveling salesman’s problem, shows differences between the standard problem statement of a traveling salesman and routing problem of warehouse orderpickers, and gives the particular Steiner’s problem statement of a traveling salesman.Warehouse layout with a typical order is represented by a graph, with some its vertices corresponding to mandatory order-picker’s visits and some other ones being noncompulsory. The paper describes an optimal Ratliff-Rosenthal algorithm to solve order-picker’s routing problem for the single-block warehouses, i.e. warehouses with only two crossing aisles, defines seven equivalent classes of partial routing sub-graphs and five transitions used to have an optimal routing sub-graph of a order-picker. An extension of optimal Ratliff-Rosenthal order-picker routing algorithm for multi-block warehouses is presented and also reasons for using the routing heuristics instead of exact optimal algorithms are given. The paper offers algorithmic description of the following seven routing heuristics: S-shaped, return, midpoint, largest gap, aisle-by-aisle, composite, and combined as well as modification of combined heuristics. The comparison of orderpicker routing heuristics for one- and two-block warehouses is to be described in the next article of the “Warehouse order-picking process” cycle.

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...

Stochastic vehicle routing with recourse

DEFF Research Database (Denmark)

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

2012-01-01

instantiations, a recourse route is computed - but costs here become more expensive by a factor λ. We present an O(log2n ·log(nλ))-approximation algorithm for this stochastic routing problem, under arbitrary distributions. The main idea in this result is relating StochVRP to a special case of submodular...

Integer Optimization Model for a Logistic System based on Location-Routing Considering Distance and Chosen Route

Science.gov (United States)

Mulyasari, Joni; Mawengkang, Herman; Efendi, Syahril

2018-02-01

In a distribution network it is important to decide the locations of facilities that impacts not only the profitability of an organization but the ability to serve customers.Generally the location-routing problem is to minimize the overall cost by simultaneously selecting a subset of candidate facilities and constructing a set of delivery routes that satisfy some restrictions. In this paper we impose restriction on the route that should be passed for delivery. We use integer programming model to describe the problem. A feasible neighbourhood search is proposed to solve the result model.

The Influence of Travel Time on Accessibility in Lagos Island | Atubi ...

African Journals Online (AJOL)

The aim of this paper is to establish the influence of time on accessibility in Lagos Island, Nigeria. It was observed that generally, average driving speed was observed to be lower over short than over long distance routes. High speeds tend to be concentrated within a distance band of over 2.7km but beyond 6.0km average ...

Identification of Robust Terminal-Area Routes in Convective Weather

Science.gov (United States)

Pfeil, Diana Michalek; Balakrishnan, Hamsa

2012-01-01

Convective weather is responsible for large delays and widespread disruptions in the U.S. National Airspace System, especially during summer. Traffic flow management algorithms require reliable forecasts of route blockage to schedule and route traffic. This paper demonstrates how raw convective weather forecasts, which provide deterministic predictions of the vertically integrated liquid (the precipitation content in a column of airspace) can be translated into probabilistic forecasts of whether or not a terminal area route will be blocked. Given a flight route through the terminal area, we apply techniques from machine learning to determine the likelihood that the route will be open in actual weather. The likelihood is then used to optimize terminalarea operations by dynamically moving arrival and departure routes to maximize the expected capacity of the terminal area. Experiments using real weather scenarios on stormy days show that our algorithms recommend that a terminal-area route be modified 30% of the time, opening up 13% more available routes that were forecast to be blocked during these scenarios. The error rate is low, with only 5% of cases corresponding to a modified route being blocked in reality, whereas the original route is in fact open. In addition, for routes predicted to be open with probability 0.95 or greater by our method, 96% of these routes (on average over time horizon) are indeed open in the weather that materializes

The Edge Set Cost of the Vehicle Routing Problem with Time Windows

DEFF Research Database (Denmark)

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

2016-01-01

. The certifications and investments impose a cost for the company while they also give unlimited usage of a set of roads to all vehicles belonging to the company. This violates the traditional assumption that the path between two destinations is well defined and independent of other choices. Different versions......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...

Route Generation for a Synthetic Character (BOT) Using a Partial or Incomplete Knowledge Route Generation Algorithm in UT2004 Virtual Environment

Science.gov (United States)

Hanold, Gregg T.; Hanold, David T.

2010-01-01

This paper presents a new Route Generation Algorithm that accurately and realistically represents human route planning and navigation for Military Operations in Urban Terrain (MOUT). The accuracy of this algorithm in representing human behavior is measured using the Unreal Tournament(Trademark) 2004 (UT2004) Game Engine to provide the simulation environment in which the differences between the routes taken by the human player and those of a Synthetic Agent (BOT) executing the A-star algorithm and the new Route Generation Algorithm can be compared. The new Route Generation Algorithm computes the BOT route based on partial or incomplete knowledge received from the UT2004 game engine during game play. To allow BOT navigation to occur continuously throughout the game play with incomplete knowledge of the terrain, a spatial network model of the UT2004 MOUT terrain is captured and stored in an Oracle 11 9 Spatial Data Object (SOO). The SOO allows a partial data query to be executed to generate continuous route updates based on the terrain knowledge, and stored dynamic BOT, Player and environmental parameters returned by the query. The partial data query permits the dynamic adjustment of the planned routes by the Route Generation Algorithm based on the current state of the environment during a simulation. The dynamic nature of this algorithm more accurately allows the BOT to mimic the routes taken by the human executing under the same conditions thereby improving the realism of the BOT in a MOUT simulation environment.

Great Ellipse Route Planning Based on Space Vector

Directory of Open Access Journals (Sweden)

LIU Wenchao

2015-07-01

Full Text Available Aiming at the problem of navigation error caused by unified earth model in great circle route planning using sphere model and modern navigation equipment using ellipsoid mode, a method of great ellipse route planning based on space vector is studied. By using space vector algebra method, the vertex of great ellipse is solved directly, and description of great ellipse based on major-axis vector and minor-axis vector is presented. Then calculation formulas of great ellipse azimuth and distance are deduced using two basic vectors. Finally, algorithms of great ellipse route planning are studied, especially equal distance route planning algorithm based on Newton-Raphson(N-R method. Comparative examples show that the difference of route planning between great circle and great ellipse is significant, using algorithms of great ellipse route planning can eliminate the navigation error caused by the great circle route planning, and effectively improve the accuracy of navigation calculation.

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.

Numerical simulation of in vivo intraosseous torsional failure of a hollow-screw oral implant

Directory of Open Access Journals (Sweden)

Akca Kivanc

2006-11-01

Full Text Available Abstract Background Owing to the complexity and magnitude of functional forces transferred to the bone-implant interface, the mechanical strength of the interface is of great importance. The purpose of this study was to determine the intraosseous torsional shear strength of an osseointegrated oral implant using 3-D finite element (FE stress analysis implemented by in vivo failure torque data of an implant. Methods A Ø 3.5 mm × 12 mm ITI® hollow screw dental implant in a patient was subjected to torque failure test using a custom-made strain-gauged manual torque wrench connected to a data acquisition system. The 3-D FE model of the implant and peri-implant circumstances was constructed. The in vivo strain data was converted to torque units (N.cm to involve in loading definition of FE analysis. Upon processing of the FE analysis, the shear stress of peri-implant bone was evaluated to assume torsional shear stress strength of the bone-implant interface. Results The in vivo torque failure test yielded 5952 μstrains at custom-made manual torque wrench level and conversion of the strain data resulted in 750 N.cm. FE revealed that highest shear stress value in the trabecular bone, 121 MPa, was located at the first intimate contact with implant. Trabecular bone in contact with external surface of hollow implant body participated shear stress distribution, but not the bone resting inside of the hollow. Conclusion The torsional strength of hollow-screw implants is basically provided by the marginal bone and the hollow part has negligible effect on interfacial shear strength.

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...... the wealth distribution. Hence, entrepreneurship can be a route out of deprivation....

Enhanced Contact Graph Routing (ECGR) MACHETE Simulation Model

Science.gov (United States)

Segui, John S.; Jennings, Esther H.; Clare, Loren P.

2013-01-01

Contact Graph Routing (CGR) for Delay/Disruption Tolerant Networking (DTN) space-based networks makes use of the predictable nature of node contacts to make real-time routing decisions given unpredictable traffic patterns. The contact graph will have been disseminated to all nodes before the start of route computation. CGR was designed for space-based networking environments where future contact plans are known or are independently computable (e.g., using known orbital dynamics). For each data item (known as a bundle in DTN), a node independently performs route selection by examining possible paths to the destination. Route computation could conceivably run thousands of times a second, so computational load is important. This work refers to the simulation software model of Enhanced Contact Graph Routing (ECGR) for DTN Bundle Protocol in JPL's MACHETE simulation tool. The simulation model was used for performance analysis of CGR and led to several performance enhancements. The simulation model was used to demonstrate the improvements of ECGR over CGR as well as other routing methods in space network scenarios. ECGR moved to using earliest arrival time because it is a global monotonically increasing metric that guarantees the safety properties needed for the solution's correctness since route re-computation occurs at each node to accommodate unpredicted changes (e.g., traffic pattern, link quality). Furthermore, using earliest arrival time enabled the use of the standard Dijkstra algorithm for path selection. The Dijkstra algorithm for path selection has a well-known inexpensive computational cost. These enhancements have been integrated into the open source CGR implementation. The ECGR model is also useful for route metric experimentation and comparisons with other DTN routing protocols particularly when combined with MACHETE's space networking models and Delay Tolerant Link State Routing (DTLSR) model.

Wheeled mobility device transportation safety in fixed route and demand-responsive public transit vehicles within the United States.

Science.gov (United States)

Frost, Karen L; van Roosmalen, Linda; Bertocci, Gina; Cross, Douglas J

2012-01-01

An overview of the current status of wheelchair transportation safety in fixed route and demand-responsive, non-rail, public transportation vehicles within the US is presented. A description of each mode of transportation is provided, followed by a discussion of the primary issues affecting safety, accessibility, and usability. Technologies such as lifts, ramps, securement systems, and occupant restraint systems, along with regulations and voluntary industry standards have been implemented with the intent of improving safety and accessibility for individuals who travel while seated in their wheeled mobility device (e.g., wheelchair or scooter). However, across both fixed route and demand-responsive transit systems a myriad of factors such as nonuse and misuse of safety systems, oversized wheeled mobility devices, vehicle space constraints, and inadequate vehicle operator training may place wheeled mobility device (WhMD) users at risk of injury even under non-impact driving conditions. Since WhMD-related incidents also often occur during the boarding and alighting process, the frequency of these events, along with factors associated with these events are described for each transit mode. Recommendations for improving WhMD transportation are discussed given the current state of

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)

Energy-Aware Routing Protocol for Ad Hoc Wireless Sensor Networks

Directory of Open Access Journals (Sweden)

Mann Raminder P

2005-01-01

Full Text Available Wireless ad hoc sensor networks differ from wireless ad hoc networks from the following perspectives: low energy, lightweight routing protocols, and adaptive communication patterns. This paper proposes an energy-aware routing protocol (EARP suitable for ad hoc wireless sensor networks and presents an analysis for its energy consumption in various phases of route discovery and maintenance. Based on the energy consumption associated with route request processing, EARP advocates the minimization of route requests by allocating dynamic route expiry times. This paper introduces a unique mechanism for estimation of route expiry time based on the probability of route validity, which is a function of time, number of hops, and mobility parameters. In contrast to AODV, EARP reduces the repeated flooding of route requests by maintaining valid routes for longer durations.

A study of routing algorithms for SCI-Based multistage networks

International Nuclear Information System (INIS)

Wu Bin; Kristiansen, E.; Skaali, B.; Bogaerts, A.; )

1994-03-01

The report deals with a particular class of multistage Scalable Coherent Interface (SCI) network systems and two important routing algorithms, namely self-routing and table-look up routing. The effect of routing delay on system performance is investigated by simulations. Adaptive routing and deadlock-free routing are studied. 8 refs., 11 figs., 1 tab

Modelling of radionuclide transport along the underground access structures of deep geological repositories

Energy Technology Data Exchange (ETDEWEB)

Poller, A. [National Cooperative for the Disposal of Radioactive Waste (NAGRA), Wettingen (Switzerland); Smith, P. [SAM Switzerland GmbH, Zuerich (Switzerland); Mayer, G.; Hayek, M. [AF-Consult Switzerland AG, Baden (Switzerland)

2014-08-15

The arrangement and sealing of the access routes to a deep geological repository for radioactive waste should ensure that any radionuclide release from the emplacement rooms during the post closure phase does not by-pass the geological barriers of the repository system to a significant extent. The base case of the present study, where realistic values for the hydraulic properties of the seals and the associated excavation damage zones were assumed, assesses to what extent this is actually the case for different layout variants (ramp and shaft access and shaft access only). Furthermore, as a test of robustness of system performance against uncertainties related to such seals and the associated excavation damage zones, the present study also considers a broad spectrum of calculation cases including the hypothetical possibility that the seals perform much more poorly than expected and to check whether, consequently, the repository tunnel system and the access structures may provide significant release pathways. The study considers a generic repository system for high-level waste (HLW repository) and for low- and intermediate-level waste (L/ILW repository), both with Opalinus Clay as the host rock. It also considers the alternative possibilities of a ramp or a shaft as the access route for material transport (waste packages, etc.) to the underground facilities. Additional shafts, e.g. for the transport of persons and for ventilation, are included in both cases. The overall modelling approach consists of three broad steps: (a) the network of tunnels and access structures is implemented in a flow model, which serves to calculate water flow rates along the tunnels and through the host rock; (b) all relevant transport paths are implemented in a radionuclide release and transport model, the water flow rates being obtained from the preceding flow model calculations; (c) individual effective dose rates arising from the radionuclides released from the considered repository

Towards seasonal Arctic shipping route predictions

Science.gov (United States)

Haines, K.; Melia, N.; Hawkins, E.; Day, J. J.

2017-12-01

In our previous work [1] we showed how trans-Arctic shipping routes would become more available through the 21st century as sea ice declines, using CMIP5 models with means and stds calibrated to PIOMAS sea ice observations. Sea ice will continue to close shipping routes to open water vessels through the winter months for the foreseeable future so the availability of open sea routes will vary greatly from year to year. Here [2] we look at whether the trans-Arctic shipping season period can be predicted in seasonal forecasts, again using several climate models, and testing both perfect and imperfect knowledge of the initial sea ice conditions. We find skilful predictions of the upcoming summer shipping season can be made from as early as January, although typically forecasts may show lower skill before a May `predictability barrier'. Focussing on the northern sea route (NSR) off Siberia, the date of opening of this sea route is twice as variable as the closing date, and this carries through to reduced predictability at the start of the season. Under climate change the later freeze-up date accounts for 60% of the lengthening season, Fig1 We find that predictive skill is state dependent with predictions for high or low ice years exhibiting greater skill than for average ice years. Forecasting the exact timing of route open periods is harder (more weather dependent) under average ice conditions while in high and low ice years the season is more controlled by the initial ice conditions from spring onwards. This could be very useful information for companies planning vessel routing for the coming season. We tested this dependence on the initial ice conditions by changing the initial ice state towards climatologically average conditions and show directly that early summer sea-ice thickness information is crucial to obtain skilful forecasts of the coming shipping season. Mechanisms for this are discussed. This strongly suggests that good sea ice thickness observations

Perancangan dan Analisis Redistribution Routing Protocol OSPF dan EIGRP

Directory of Open Access Journals (Sweden)

DWI ARYANTA

2016-02-01

Full Text Available Abstrak OSPF (Open Shortest Path First dan EIGRP (Enhanced Interior Gateway Routing Protocol adalah dua routing protokol yang banyak digunakan dalam jaringan komputer. Perbedaan karakteristik antar routing protokol menimbulkan masalah dalam pengiriman paket data. Teknik redistribution adalah solusi untuk melakukan komunikasi antar routing protokol. Dengan menggunakan software Cisco Packet Tracer 5.3 pada penelitian ini dibuat simulasi OSPF dan EIGRP yang dihubungkan oleh teknik redistribution, kemudian dibandingkan kualitasnya dengan single routing protokol EIGRP dan OSPF. Parameter pengujian dalam penelitian ini adalah nilai time delay dan trace route. Nilai trace route berdasarkan perhitungan langsung cost dan metric dibandingkan dengan hasil simulasi. Hasilnya dapat dilakukan proses redistribution OSPF dan EIGRP. Nilai delay redistribution lebih baik 1% dibanding OSPF dan 2-3% di bawah EIGRP tergantung kepadatan traffic. Dalam perhitungan trace route redistribution dilakukan 2 perhitungan, yaitu cost untuk area OSPF dan metric pada area EIGRP. Pengambilan jalur utama dan alternatif pengiriman paket berdasarkan nilai cost dan metric yang terkecil, hal ini terbukti berdasarkan perhitungan dan simulasi. Kata kunci: OSPF, EIGRP, Redistribution, Delay, Cost, Metric. Abstract OSPF (Open Shortest Path First and EIGRP (Enhanced Interior Gateway Routing Protocol are two routing protocols are widely used in computer networks. Differences between the characteristics of routing protocols pose a problem in the delivery of data packets. Redistribution technique is the solution for communication between routing protocols. By using the software Cisco Packet Tracer 5.3 in this study were made simulating OSPF and EIGRP redistribution linked by technique, then compared its quality with a single EIGRP and OSPF routing protocols. Testing parameters in this study is the value of the time delay and trace route. Value trace route based on direct calculation of cost

Lessons learned by southern states in designating alternative routes

International Nuclear Information System (INIS)

1989-08-01

The purpose of this report is to discuss the ''lessons learned'' by the five states within the southem region that have designated alternative or preferred routes under the regulations of the Department of Transportation (DOT) established for the transportation of radioactive materials. The document was prepared by reviewing applicable federal laws and regulations, examining state reports and documents and contacting state officials and routing agencies involved in making routing decisions. In undertaking this project, the Southern States Energy Board hopes to reveal the process used by states that have designated alternative routes and thereby share their experiences (i.e., lessons learned) with other southern states that have yet to make designations. Under DOT regulations (49 CFR 177.826), carriers of highway route controlled quantities of radioactive materials (which include spent nuclear fuel and high-level waste) must use preferred routes selected to reduce time in transit. Such preferred routes consist of (1) an interstate system highway with use of an interstate system bypass or beltway around cities when available, and (2) alternate routes selected by a ''state routing agency.''

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

Route Choice Model Based on Game Theory for Commuters

Directory of Open Access Journals (Sweden)

Licai Yang

2016-06-01

Full Text Available The traffic behaviours of commuters may cause traffic congestion during peak hours. Advanced Traffic Information System can provide dynamic information to travellers. Due to the lack of timeliness and comprehensiveness, the provided information cannot satisfy the travellers’ needs. Since the assumptions of traditional route choice model based on Expected Utility Theory conflict with the actual situation, a route choice model based on Game Theory is proposed to provide reliable route choice to commuters in actual situation in this paper. The proposed model treats the alternative routes as game players and utilizes the precision of predicted information and familiarity of traffic condition to build a game. The optimal route can be generated considering Nash Equilibrium by solving the route choice game. Simulations and experimental analysis show that the proposed model can describe the commuters’ routine route choice decisionexactly and the provided route is reliable.

On line routing per mobile phone

DEFF Research Database (Denmark)

Bieding, Thomas; Görtz, Simon; Klose, Andreas

2009-01-01

On-line routing is concerned with building vehicle routes in an ongoing fashion in such a way that customer requests arriving dynamically in time are efficiently and effectively served. An indispensable prerequisite for applying on-line routing methods is mobile communication technology....... Additionally it is of utmost importance that the employed communication system is suitable integrated with the firm’s enterprise application system and business processes. On basis of a case study, we describe in this paper a system that is cheap and easy to implement due to the use of simple mobile phones...

Route Network Construction with Location-Direction-Enabled Photographs

Science.gov (United States)

Fujita, Hideyuki; Sagara, Shota; Ohmori, Tadashi; Shintani, Takahiko

2018-05-01

We propose a method for constructing a geometric graph for generating routes that summarize a geographical area and also have visual continuity by using a set of location-direction-enabled photographs. A location- direction-enabled photograph is a photograph that has information about the location (position of the camera at the time of shooting) and the direction (direction of the camera at the time of shooting). Each nodes of the graph corresponds to a location-direction-enabled photograph. The location of each node is the location of the corresponding photograph, and a route on the graph corresponds to a route in the geographic area and a sequence of photographs. The proposed graph is constructed to represent characteristic spots and paths linking the spots, and it is assumed to be a kind of a spatial summarization of the area with the photographs. Therefore, we call the routes on the graph as spatial summary route. Each route on the proposed graph also has a visual continuity, which means that we can understand the spatial relationship among the continuous photographs on the route such as moving forward, backward, turning right, etc. In this study, when the changes in the shooting position and shooting direction satisfied a given threshold, the route was defined to have visual continuity. By presenting the photographs in order along the generated route, information can be presented sequentially, while maintaining visual continuity to a great extent.

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.

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)

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)

Routing architecture and security for airborne networks

Science.gov (United States)

Deng, Hongmei; Xie, Peng; Li, Jason; Xu, Roger; Levy, Renato

2009-05-01

Airborne networks are envisioned to provide interconnectivity for terrestial and space networks by interconnecting highly mobile airborne platforms. A number of military applications are expected to be used by the operator, and all these applications require proper routing security support to establish correct route between communicating platforms in a timely manner. As airborne networks somewhat different from traditional wired and wireless networks (e.g., Internet, LAN, WLAN, MANET, etc), security aspects valid in these networks are not fully applicable to airborne networks. Designing an efficient security scheme to protect airborne networks is confronted with new requirements. In this paper, we first identify a candidate routing architecture, which works as an underlying structure for our proposed security scheme. And then we investigate the vulnerabilities and attack models against routing protocols in airborne networks. Based on these studies, we propose an integrated security solution to address routing security issues in airborne networks.

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.

Analysis on logistic company action toward the access restriction policy on freight vehicle

Science.gov (United States)

Nur, Muhammad; Hadiwardoyo, Sigit P.; Nahry, Nahdalina

2017-06-01

The high volume of freight vehicles that enters, leaves or passes through the urban areas, especially Jakarta, has caused traffic congestion. Local authority plans to perform the access restriction on freight vehicles on the Jakarta Outer Ring Road (JORR) to reduce the congestion on that toll road. The study aims to analyze the alternative solutions of the logistics companies to overcome the impact of such policy. The data collection is done by interviewing 102 truck drivers and 7 staffs of logistic companies that use JORR. The results show that the most preferred action is shifting the operating time. Based on the open test, access restriction policy on JORR may cause a significant impact on the operational costs of delivery. Shifting the operational time will increase the operating cost by 1.71%, while turning the route will increase the operating costs by 4.35%. Moreover, changing the mode will reduce the operating expenses by 50%, and the combination action of shifting the route and the time will increase the operating costs by 5.39%.

Risk factors and prediction of inflammatory complications and local secondary osteoporosis in the bone structure of jaws in dental intraosseous implantation in healthy subjects

Directory of Open Access Journals (Sweden)

Mashchenko I.S.

2013-03-01

Full Text Available As a result of complex clinical, immunologic and biochemical investigations of 48 patients peculiarities of development of inflammatory com¬plications, local osteoporosis and destruction of bone tissue after performed dental intraosseous implantantion were first revealed. It was shown that multiple surgical traumas of soft tissues of jaws and bone tissue of alveolar processes with putting 4 or more implants simultaneously may lead to reducing biocidity of mucosa of jaw tissues; this promotes lesion of oral cavity hygiene and development of inflammatory process in zone of periimplant. It is set that massive accumulation of soft coat and dental calculus in the area of implant, superconstruction and marked deficit of sIgA production of oral mucosa promote development of periimplant mucositis in remote post-operative period. A sharp production of secretory ІL -1β is a risk factor in formation of general-destructive process in a periimplant zone, development of dental periimplant.

Be-safe travel, a web-based geographic application to explore safe-route in an area

Science.gov (United States)

Utamima, Amalia; Djunaidy, Arif

2017-08-01

In large cities in developing countries, the various forms of criminality are often found. For instance, the most prominent crimes in Surabaya, Indonesia is 3C, that is theft with violence (curas), theft by weighting (curat), and motor vehicle theft (curanmor). 3C case most often occurs on the highway and residential areas. Therefore, new entrants in an area should be aware of these kind of crimes. Route Planners System or route planning system such as Google Maps only consider the shortest distance in the calculation of the optimal route. The selection of the optimal path in this study not only consider the shortest distance, but also involves other factors, namely the security level. This research considers at the need for an application to recommend the safest road to be passed by the vehicle passengers while drive an area. This research propose Be-Safe Travel, a web-based application using Google API that can be accessed by people who like to drive in an area, but still lack of knowledge of the pathways which are safe from crime. Be-Safe Travel is not only useful for the new entrants, but also useful for delivery courier of valuables goods to go through the safest streets.

Optimizing departure times in vehicle routes

NARCIS (Netherlands)

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

2008-01-01

Most solution methods for the vehicle routing problem with time windows (VRPTW) develop routes from the earliest feasible departure time. However, in practice, temporal traffic congestions make that such solutions are not optimal with respect to minimizing the total duty time. Furthermore, VRPTW

Locating Depots for Capacitated Vehicle Routing

DEFF Research Database (Denmark)

Gørtz, Inge Li; Nagarajan, Viswanath

2016-01-01

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...... 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....

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...

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....

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

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

Occupational exposure to radon for underground tourist routes in Poland: Doses to lung and the risk of developing lung cancer.

Science.gov (United States)

Walczak, Katarzyna; Olszewski, Jerzy; Politański, Piotr; Zmyślony, Marek

2017-07-14

Radon concentrations for 31 Polish underground tourist routes were analyzed. The equivalent dose to the lung, the effective dose and the relative risk were calculated for employees of the analyzed routes on the grounds of information on radon concentrations, work time, etc. The relative risk for lung cancers was calculated using the Biological Effects of Ionizing Radiation (BEIR) VI Committee model. Equivalent doses to the lungs of workers were determined using the coefficients calculated by the Kendall and Smith. The conversion coefficient proposed by the International Atomic Energy Agency (IAEA) in the report No. 33 was used for estimating the effective doses. In 13 routes, the effective dose was found to be above 1 mSv/year, and in 3 routes, it exceeded 6 mSv/year. For 5 routes, the equivalent dose to lungs was higher than 100 mSv/year, and in 1 case it was as high as 490 mSv/year. In 22.6% of underground workplaces the risk of developing lung cancer among employees was about 2 times higher than that for the general population, and for 1 tourist route it was about 5 times higher. The geometric mean of the relative risk of lung cancer for all workers of underground tourist routes was 1.73 (95% confidence interval (CI): 1.6-1.87). Routes were divided into: caves, mines, post-military underground constructions and urban underground constructions. The difference between levels of the relative risk of developing lung cancer for all types of underground tourist routes was not found to be significant. If we include the professional group of the employees of underground tourist routes into the group of occupational exposure, the number of persons who are included in the Category A due to occupational exposure may increase by about 3/4. The professional group of the employees of underground tourist routes should be monitored for their exposure to radon. Int J Occup Med Environ Health 2017;30(5):687-694. This work is available in Open Access model and licensed under a CC

Perspectives on Illegal Routes in Nigeria

African Journals Online (AJOL)

Nneka Umera-Okeke

University of Kwazulu-Natal. Pietermaritzburg, South ... Key Words: Nigeria Immigration Service, Illegal Routes, Security Policing, Border,. State .... transported weapons across borders to sell them in exchange for food or other commodities. ... The study's respondents were of the opinion that illegal routes exist around the ...

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

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 c...

Reduction of Equipment Access Time through Cyber Plant Navigation

Energy Technology Data Exchange (ETDEWEB)

Suh, Jang Soo; Goo, Ja Sung; Kim, Yong Yi [Korea Hydro and Nuclera Power Co., Daejeon (Korea, Republic of)

2012-05-15

Safe and effective on-the-job training at a nuclear power plant has been gaining its importance in South Korea and in the UAE. As a solution to this, a cyber plant has been developed based on 3D model design data. It allows its users to access equipment and components in a virtual reality without risks or danger of potential radiation exposure and also increases their familiarity with NPP structures. Equipped with navigation functions similar to those of the applications installed in automobiles and smart phones, this application displays the shortest route to reach the target equipment and predicts estimated access time and radiation exposure dose. This application has contributed to the reduction of equipment access time, and therefore has facilitated early response to abnormal conditions, reduced radiation exposure dose, and maximized the effects of OJT at nuclear power plants. This paper will look at the realization of the cyber plant, the operations of the cyber plant, and how cyber plant applications can be applied further

Reduction of Equipment Access Time through Cyber Plant Navigation

International Nuclear Information System (INIS)

Suh, Jang Soo; Goo, Ja Sung; Kim, Yong Yi

2012-01-01

Safe and effective on-the-job training at a nuclear power plant has been gaining its importance in South Korea and in the UAE. As a solution to this, a cyber plant has been developed based on 3D model design data. It allows its users to access equipment and components in a virtual reality without risks or danger of potential radiation exposure and also increases their familiarity with NPP structures. Equipped with navigation functions similar to those of the applications installed in automobiles and smart phones, this application displays the shortest route to reach the target equipment and predicts estimated access time and radiation exposure dose. This application has contributed to the reduction of equipment access time, and therefore has facilitated early response to abnormal conditions, reduced radiation exposure dose, and maximized the effects of OJT at nuclear power plants. This paper will look at the realization of the cyber plant, the operations of the cyber plant, and how cyber plant applications can be applied further

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.

Sigma Routing Metric for RPL Protocol

Directory of Open Access Journals (Sweden)

Paul Sanmartin

2018-04-01

Full Text Available This paper presents the adaptation of a specific metric for the RPL protocol in the objective function MRHOF. Among the functions standardized by IETF, we find OF0, which is based on the minimum hop count, as well as MRHOF, which is based on the Expected Transmission Count (ETX. However, when the network becomes denser or the number of nodes increases, both OF0 and MRHOF introduce long hops, which can generate a bottleneck that restricts the network. The adaptation is proposed to optimize both OFs through a new routing metric. To solve the above problem, the metrics of the minimum number of hops and the ETX are combined by designing a new routing metric called SIGMA-ETX, in which the best route is calculated using the standard deviation of ETX values between each node, as opposed to working with the ETX average along the route. This method ensures a better routing performance in dense sensor networks. The simulations are done through the Cooja simulator, based on the Contiki operating system. The simulations showed that the proposed optimization outperforms at a high margin in both OF0 and MRHOF, in terms of network latency, packet delivery ratio, lifetime, and power consumption.

Ergonomics issues in conceiving an accessible project.

Science.gov (United States)

Costa, A L; Coura, P V; Gomes, M M A; Peregrino, Y R; Sarmento, B R; Sousa, R A

2012-01-01

Public space is endowed with undeniable social relevance, thus becoming a defining element of integration and interaction among its users. Aware of this importance the Universidade Federal da Paraíba (UFPB), linked to the Ministério da Educação e Cultura (MEC), develops the project "UFPB para todos: eliminando barreiras'' (UFPB for all: removing barriers) that aims to conceive an architectural design of an accessible rout to UFPB's campus I, and execute a pilot stretch of this route. This article aims to subsidize the preprojectual phase by understanding the needs of this campus' users, through the concepts of ergonomics and universal design. Was performed out direct observation of the space, and the methods of interviews and observation of user behavior were applied to a group of students with disabilities, through the techniques of assisted walking, photographic and video recording. Based on those, projective guidelines have been defined, which will contribute to the final project's quality, so that this is not a simple application of the rule, but works free of segregating barriers.

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.

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.

An adversarial queueing model for online server routing

NARCIS (Netherlands)

Bonifaci, V.

2007-01-01

In an online server routing problem, a vehicle or server moves in a network in order to process incoming requests at the nodes. Online server routing problems have been thoroughly studied using competitive analysis. We propose a new model for online server routing, based on adversarial queueing

41 CFR 109-40.302 - Standard routing principle.

Science.gov (United States)

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Standard routing principle. 109-40.302 Section 109-40.302 Public Contracts and Property Management Federal Property... Standard routing principle. (a) Shipments shall be routed using the mode of transportation, or individual...

Easing Access for Lifelong Learners: A Comparison of European Models for University Lifelong Learning

Science.gov (United States)

Müller, Romina; Remdisch, Sabine; Köhler, Katharina; Marr, Liz; Repo, Saara; Yndigegn, Carsten

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…

Modeling and Performance Analysis of Route-Over and Mesh-Under Routing Schemes in 6LoWPAN under Error-Prone Channel Condition

Directory of Open Access Journals (Sweden)

Tsung-Han Lee

2013-01-01

Full Text Available 6LoWPAN technology has attracted extensive attention recently. It is because 6LoWPAN is one of Internet of Things standard and it adapts to IPv6 protocol stack over low-rate wireless personal area network, such as IEEE 802.15.4. One view is that IP architecture is not suitable for low-rate wireless personal area network. It is a challenge to implement the IPv6 protocol stack into IEEE 802.15.4 devices due to that the size of IPv6 packet is much larger than the maximum packet size of IEEE 802.15.4 in data link layer. In order to solve this problem, 6LoWPAN provides header compression to reduce the transmission overhead for IP packets. In addition, two selected routing schemes, mesh-under and route-over routing schemes, are also proposed in 6LoWPAN to forward IP fragmentations under IEEE 802.15.4 radio link. The distinction is based on which layer of the 6LoWPAN protocol stack is in charge of routing decisions. In route-over routing scheme, the routing distinction is taken at the network layer and, in mesh-under, is taken by the adaptation layer. Thus, the goal of this research is to understand the performance of two routing schemes in 6LoWPAN under error-prone channel condition.

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...

A Novel CAN Tree Coordinate Routing in Content-Addressable Network

Directory of Open Access Journals (Sweden)

Zhongtao Li

2014-09-01

Full Text Available In this paper, we propose a novel approach to improve coordination routing while minimizing the maintenance overhead during nodes churn. It bases on “CAN Tree Routing for Content- Addressable Network” 1 which is a solution for peer-to-peer routing. We concentrated on coordinate routing in this paper. The key idea of our approach is a recursion process to calculate target zone code and search in CAN tree 1. Because the hops are via long links in CAN, it enhances routing flexibility and robustness against failures. Nodes automatically adapt routing table to cope with network change. The routing complexity is , which is much better than a uniform greedy routing, while each node maintains two long links in average.

Sinkhole Avoidance Routing in Wireless Sensor Networks

Science.gov (United States)

2011-05-09

COVERED (From- To) 09-05-2011 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Sinkhole Avoidance Routing in Wireless Sensor Networks 5b . GRANT NUMBER . 5c...reliability of wireless sensor networks. 15. SUBJECT TERMS wireless sensor networks, sinkhole attack, routing protocol 16. SECURITY CLASSIFICATION...Include area code) Standard Form 298 (Rev. 8/98) Prescribed by ANSI Std . Z39.18 1 Sinkhole Avoidance Routing in Wireless Sensor Networks MIDN 1/C

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.

Occurrence of radon in the Polish underground tourist routes

Directory of Open Access Journals (Sweden)

Jerzy Olszewski

2015-08-01

Full Text Available Background: There are about 200 underground tourist routes in Poland. There are caves, mines or underground structures. This paper presents the results of the research intended to identify the extent of the occurrence of radon concentrations in underground areas of tourist routes. Material and Methods: We conducted the measurement of periodic concentrations of radon (1–2 months in the summer using type Tastrak trace detectors. We determined the average concentrations of radon in air in 66 underground tourist routes in Poland. Results: The research results comprise 259 determinations of average radon concentrations in 66 routes. The arithmetic average of the results was 1610 Bqm–3, and the maximum measured concentration was over 20 000 Bqm–3. The minimum concentration was 100 Bqm–3 (threshold method considering the arithmetic average of the measurements. It was found that in 67% of the routes, the average concentration of radon has exceeded 300 Bqm–3 and in 22 underground routes it exceeded 1000 Bqm–3. Conclusions: Radon which occurs in many Polish underground tourist routes may be an organizational, legal and health problem. It is necessary to develop a program of measures to reduce radon concentrations in underground routes, especially routes located in the former mines. Med Pr 2015;66(4:557–563

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.

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.

Opportunities of forest roads usage as emergency access road for natural disaster

Directory of Open Access Journals (Sweden)

Can Vatandaşlar

2016-07-01

Full Text Available This study was carried out to examine the applicability of forest roads as emergency access and evacuation corridor for an alternative to motorways following a prospective earthquake in İstanbul. For this purpose, various disaster scenarios were created in the district of Beykoz and the shortest routes between critical points were determined through network analysis in Geographic Information System (GIS. Results indicated that access was possible between Beykoz city center and shelter, hospital, fire station, disaster management center, and military area via forest roads even if motorways became unusable. However, distance generally got longer and time of arrival increased on the routes of forest road. The increase in time of arrival was attributed to decrease in average cruising speed in addition to the increase in distance. This limitation can be overcome by enhancing the geometric standards of forest roads and completing superstructure operations. Results are important for revealing that forest roads can be used in other fields besides forestry activities, they can strengthen decision support system of managers, and enable first aid crew to reach the scene in the minimal time.

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

EIA cites importance of key world shipping routes

International Nuclear Information System (INIS)

Anon.

1994-01-01

A disruption of crude oil or products shipments through any of six world chokepoints would cause a spike in oil prices, the US Energy Information Administration (EIA) warns. The strategic importance of each major shipping lane varies because of differing oil volumes and access to other transportation routes. But nearly half of the 66 million b/d of oil consumed worldwide flows through one or more of these key tanker routes, involving: 14 million b/d through the Strait of Hormuz from the Persian Gulf to the Gulf of Oman and Arabian Sea; 7 million b/d through the Strait of Malacca from the northern Indian Ocean into the South China Sea and Pacific Ocean; 1.6 million b/d through the Bosporus from the Black Sea to the Mediterranean Sea; 900,000 b/d through the Suez Canal from the Red Sea to the Mediterranean Sea; 600,000 b/d through Rotterdam Harbor from the North Sea to Dutch and German refineries on or near the Rhine River; and 500,000 b/d through the Panama Canal from the Pacific Ocean to the Caribbean Sea. In today's highly interdependent oil markets, the mere perception of less secure oil supplies is enough to boost oil prices, EIA said. Growing oil and product tanker traffic is increasing the likelihood of supply disruptions through oil arteries because of bad weather, tanker collisions, or acts of piracy, terrorism, or war. What's more, the increasing age of the world tanker fleet and dependability of navigational equipment could increase chances of accidents and, therefore, oil supply disruptions

Transportation Routing Analysis Geographic Information System (WebTRAGIS) User's Manual

International Nuclear Information System (INIS)

Michelhaugh, R.D.

2000-01-01

In the early 1980s, Oak Ridge National Laboratory (ORNL) developed two transportation routing models: HIGHWAY, which predicts truck transportation routes, and INTERLINE, which predicts rail transportation routes. Both of these models have been used by the U.S. Department of Energy (DOE) community for a variety of routing needs over the years. One of the primary uses of the models has been to determine population-density information, which is used as input for risk assessment with the RADTRAN model, which is available on the TRANSNET computer system. During the recent years, advances in the development of geographic information systems (GISs) have resulted in increased demands from the user community for a GIS version of the ORNL routing models. In April 1994, the DOE Transportation Management Division (EM-261) held a Baseline Requirements Assessment Session with transportation routing experts and users of the HIGHWAY and INTERLINE models. As a result of the session, the development of a new GIS routing model, Transportation Routing Analysis GIS (TRAGIS), was initiated. TRAGIS is a user-friendly, GIS-based transportation and analysis computer model. The older HIGHWAY and INTERLINE models are useful to calculate routes, but they cannot display a graphic of the calculated route. Consequently, many users have experienced difficulty determining the proper node for facilities and have been confused by or have misinterpreted the text-based listing from the older routing models. Some of the primary reasons for the development of TRAGIS are (a) to improve the ease of selecting locations for routing, (b) to graphically display the calculated route, and (c) to provide for additional geographic analysis of the route

Spatial-phase code-division multiple-access system with multiplexed Fourier holography switching for reconfigurable optical interconnection

Science.gov (United States)

Takasago, Kazuya; Takekawa, Makoto; Shirakawa, Atsushi; Kannari, Fumihiko

2000-05-01

A new, to our knowledge, space-variant optical interconnection system based on a spatial-phase code-division multiple-access technique with multiplexed Fourier holography is described. In this technique a signal beam is spread over wide spatial frequencies by an M -sequence pseudorandom phase code. At a receiver side a selected signal beam is properly decoded, and at the same time its spatial pattern is shaped with a Fourier hologram, which is recorded by light that is encoded with the same M -sequence phase mask as the desired signal beam and by light whose spatial beam pattern is shaped to a signal routing pattern. Using the multiplexed holography, we can simultaneously route multisignal flows into individually specified receiver elements. The routing pattern can also be varied by means of switching the encoding phase code or replacing the hologram. We demonstrated a proof-of-principle experiment with a doubly multiplexed hologram that enables simultaneous routing of two signal beams. Using a numerical model, we showed that the proposed scheme can manage more than 250 routing patterns for one signal flow with one multiplexed hologram at a signal-to-noise ratio of 5.

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...

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....... Subcutaneous injection of melatonin displayed a rapid absorption rate compared to oral administration. Conclusion: Intranasal administration of melatonin has a large potential, and more research in humans is warranted. Transdermal application of melatonin has a possible use in a local application, due to slow...

Energy Aware Simple Ant Routing Algorithm for Wireless Sensor Networks

Directory of Open Access Journals (Sweden)

Sohail Jabbar

2015-01-01

Full Text Available Network lifetime is one of the most prominent barriers in deploying wireless sensor networks for large-scale applications because these networks employ sensors with nonrenewable scarce energy resources. Sensor nodes dissipate most of their energy in complex routing mechanisms. To cope with limited energy problem, we present EASARA, an energy aware simple ant routing algorithm based on ant colony optimization. Unlike most algorithms, EASARA strives to avoid low energy routes and optimizes the routing process through selection of least hop count path with more energy. It consists of three phases, that is, route discovery, forwarding node, and route selection. We have improved the route discovery procedure and mainly concentrate on energy efficient forwarding node and route selection, so that the network lifetime can be prolonged. The four possible cases of forwarding node and route selection are presented. The performance of EASARA is validated through simulation. Simulation results demonstrate the performance supremacy of EASARA over contemporary scheme in terms of various metrics.

Route Flap Damping Made Usable

Science.gov (United States)

Pelsser, Cristel; Maennel, Olaf; Mohapatra, Pradosh; Bush, Randy; Patel, Keyur

The Border Gateway Protocol (BGP), the de facto inter-domain routing protocol of the Internet, is known to be noisy. The protocol has two main mechanisms to ameliorate this, MinRouteAdvertisementInterval (MRAI), and Route Flap Damping (RFD). MRAI deals with very short bursts on the order of a few to 30 seconds. RFD deals with longer bursts, minutes to hours. Unfortunately, RFD was found to severely penalize sites for being well-connected because topological richness amplifies the number of update messages exchanged. So most operators have disabled it. Through measurement, this paper explores the avenue of absolutely minimal change to code, and shows that a few RFD algorithmic constants and limits can be trivially modified, with the result being damping a non-trivial amount of long term churn without penalizing well-behaved prefixes' normal convergence process.

Using Sphinx to Improve Onion Routing Circuit Construction

Science.gov (United States)

Kate, Aniket; Goldberg, Ian

This paper presents compact message formats for onion routing circuit construction using the Sphinx methodology developed for mixes. We significantly compress the circuit construction messages for three onion routing protocols that have emerged as enhancements to the Tor anonymizing network; namely, Tor with predistributed Diffie-Hellman values, pairing-based onion routing, and certificateless onion routing. Our new circuit constructions are also secure in the universal composability framework, a property that was missing from the original constructions. Further, we compare the performance of our schemes with their older counterparts as well as with each other.

Iconic memory-based omnidirectional route panorama navigation.

Science.gov (United States)

Yagi, Yasushi; Imai, Kousuke; Tsuji, Kentaro; Yachida, Masahiko

2005-01-01

A route navigation method for a mobile robot with an omnidirectional image sensor is described. The route is memorized from a series of consecutive omnidirectional images of the horizon when the robot moves to its goal. While the robot is navigating to the goal point, input is matched against the memorized spatio-temporal route pattern by using dual active contour models and the exact robot position and orientation is estimated from the converged shape of the active contour models.

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

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.

Perancangan dan Analisis Redistribution Routing Protocol OSPF dan EIGRP

Directory of Open Access Journals (Sweden)

DWI ARYANTA

2014-07-01

OSPF (Open Shortest Path First and EIGRP (Enhanced Interior Gateway Routing Protocol are two routing protocols are widely used in computer networks. Differences between the characteristics of routing protocols pose a problem in the delivery of data packets. Redistribution technique is the solution for communication between routing protocols. By using the software Cisco Packet Tracer 5.3 in this study were made simulating OSPF and EIGRP redistribution linked by technique, then compared its quality with a single EIGRP and OSPF routing protocols. Testing parameters in this study is the value of the time delay and trace route. Value trace route based on direct calculation of cost and metric compared with the simulation results. The result can be OSPF and EIGRP redistribution process. Value delay redistribution 1% better than OSPF and EIGRP 2-3% under traffic density dependent. In calculating the trace route redistribution is done 2 calculations, the cost for OSPF area and the area of the EIGRP metric. Making primary and alternate paths based on the packet delivery rate and the cost of the smallest metric, it is proved by calculation and simulation. Keywords: OSPF, EIGRP, Redistribution, Delay, Cost, Metric.

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.

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

Probabilistic models for access strategies to dynamic information elements

DEFF Research Database (Denmark)

Hansen, Martin Bøgsted; Olsen, Rasmus L.; Schwefel, Hans-Peter

In various network services (e.g., routing and instances of context-sensitive networking) remote access to dynamically changing information elements is a required functionality. Three fundamentally different strategies for such access are investigated in this paper: (1) a reactive approach...... initiated by the requesting entity, and two versions of proactive approaches in which the entity that contains the information element actively propagates its changes to potential requesters, either (2) periodically or (3) triggered by changes of the information element. This paper develops probabilistic...... for information elements spread over a large number of network nodes are provided, which allow to draw conclusions on scalability properties. The impact of different distribution types for the network delays as well as for the time between changes of the information element on the mismatch probability...

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

Cost analysis of hybrid adaptive routing protocol for heterogeneous ...

Indian Academy of Sciences (India)

NONITA SHARMA

Event detection; wireless sensor networks; hybrid routing; cost benefit analysis; proactive routing; reactive routing. 1. ... additional energy, high processing power, etc. are deployed to extend the .... transmit to its parent node. (2) Reactive ...

A joint routing and speed optimization problem

OpenAIRE

Fukasawa, Ricardo; He, Qie; Santos, Fernando; Song, Yongjia

2016-01-01

Fuel cost contributes to a significant portion of operating cost in cargo transportation. Though classic routing models usually treat fuel cost as input data, fuel consumption heavily depends on the travel speed, which has led to the study of optimizing speeds over a given fixed route. In this paper, we propose a joint routing and speed optimization problem to minimize the total cost, which includes the fuel consumption cost. The only assumption made on the dependence between the fuel cost an...

Suppressing traffic-driven epidemic spreading by adaptive routing strategy

International Nuclear Information System (INIS)

Yang, Han-Xin; Wang, Zhen

2016-01-01

The design of routing strategies for traffic-driven epidemic spreading has received increasing attention in recent years. In this paper, we propose an adaptive routing strategy that incorporates topological distance with local epidemic information through a tunable parameter h. In the case where the traffic is free of congestion, there exists an optimal value of routing parameter h, leading to the maximal epidemic threshold. This means that epidemic spreading can be more effectively controlled by adaptive routing, compared to that of the static shortest path routing scheme. Besides, we find that the optimal value of h can greatly relieve the traffic congestion in the case of finite node-delivering capacity. We expect our work to provide new insights into the effects of dynamic routings on traffic-driven epidemic spreading.

Satellite network robust QoS-aware routing

CERN Document Server

Long, Fei

2014-01-01

Satellite Network Robust QoS-aware Routing presents a novel routing strategy for satellite networks. This strategy is useful for the design of multi-layered satellite networks as it can greatly reduce the number of time slots in one system cycle. The traffic prediction and engineering approaches make the system robust so that the traffic spikes can be handled effectively. The multi-QoS optimization routing algorithm can satisfy various potential user requirements. Clear and sufficient illustrations are also presented in the book. As the chapters cover the above topics independently, readers from different research backgrounds in constellation design, multi-QoS routing, and traffic engineering can benefit from the book.   Fei Long is a senior engineer at Beijing R&D Center of 54th Research Institute of China Electronics Technology Group Corporation.

An inventory location routing model with environmental considerations

Directory of Open Access Journals (Sweden)

Lerhlaly Sanaa

2017-01-01

Full Text Available In this work we consider an integrated Inventory Location Routing problem ILRP. The objective is to select depots to open, the routes to perform distribution from the capacitated depots to the clients by a homogeneous fleet of vehicles and over a multi-period planning horizon. To solve the problem, an exact model is designed in order to minimize the total cost (location, routing and inventory and the routing CO2 emissions, while respecting transport and storage constraints for a hazardous material. We have also studied an industrial real case to illustrate the problem.

Path Diversity Improved Opportunistic Routing for Underwater Sensor Networks.

Science.gov (United States)

Bai, Weigang; Wang, Haiyan; He, Ke; Zhao, Ruiqin

2018-04-23

The packets carried along a pre-defined route in underwater sensor networks are very vulnerble. Node mobility or intermittent channel availability easily leads to unreachable routing. Opportunistic routing has been proven to be a promising paradigm to design routing protocols for underwater sensor networks. It takes advantage of the broadcast nature of the wireless medium to combat packet losses and selects potential paths on the fly. Finding an appropriate forwarding candidate set is a key issue in opportunistic routing. Many existing solutions ignore the impact of candidates location distribution on packet forwarding. In this paper, a path diversity improved candidate selection strategy is applied in opportunistic routing to improve packet forwarding efficiency. It not only maximizes the packet forwarding advancements but also takes the candidate’s location distribution into account. Based on this strategy, we propose two effective routing protocols: position improved candidates selection (PICS) and position random candidates selection (PRCS). PICS employs two-hop neighbor information to make routing decisions. PRCS only uses one-hop neighbor information. Simulation results show that both PICS and PRCS can significantly improve network performance when compared with the previous solutions, in terms of packet delivery ratio, average energy consumption and end-to-end delay.

Path Diversity Improved Opportunistic Routing for Underwater Sensor Networks

Directory of Open Access Journals (Sweden)

Weigang Bai

2018-04-01

Full Text Available The packets carried along a pre-defined route in underwater sensor networks are very vulnerble. Node mobility or intermittent channel availability easily leads to unreachable routing. Opportunistic routing has been proven to be a promising paradigm to design routing protocols for underwater sensor networks. It takes advantage of the broadcast nature of the wireless medium to combat packet losses and selects potential paths on the fly. Finding an appropriate forwarding candidate set is a key issue in opportunistic routing. Many existing solutions ignore the impact of candidates location distribution on packet forwarding. In this paper, a path diversity improved candidate selection strategy is applied in opportunistic routing to improve packet forwarding efficiency. It not only maximizes the packet forwarding advancements but also takes the candidate’s location distribution into account. Based on this strategy, we propose two effective routing protocols: position improved candidates selection (PICS and position random candidates selection (PRCS. PICS employs two-hop neighbor information to make routing decisions. PRCS only uses one-hop neighbor information. Simulation results show that both PICS and PRCS can significantly improve network performance when compared with the previous solutions, in terms of packet delivery ratio, average energy consumption and end-to-end delay.